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Topic:Infectious Disease

Infectious diseases in horses encompass a range of illnesses caused by bacteria, viruses, fungi, or parasites. These diseases can affect various systems within the equine body, leading to symptoms that range from mild discomfort to severe systemic illness. Common infectious diseases in horses include equine influenza, strangles, equine herpesvirus, and West Nile virus. These diseases can be transmitted through direct contact with infected animals, contaminated surfaces, or vectors such as insects. Understanding the mechanisms of transmission, pathogenesis, and immune response is essential for effective prevention and control. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, diagnosis, treatment, and management of infectious diseases in horses.
Neurological disease suspected to be caused by tick-borne encephalitis virus infection in 6 horses in Switzerland.
Journal of veterinary internal medicine    September 12, 2022   Volume 36, Issue 6 2254-2262 doi: 10.1111/jvim.16533
Magouras I, Schoster A, Fouché N, Gerber V, Groschup MH, Ziegler U, Fricker R, Griot C, Vögtlin A.Reports on acute tick-borne encephalitis virus (TBEV) infections with signs of neurologic disease in horses are limited. Objective: To describe the epidemiological, clinical, and laboratory findings of suspected acute TBEV infections in 6 horses. Methods: Six horses originating from TBEV endemic regions of Switzerland were presented to equine hospitals with acute onset of neurologic disease between 2011 and 2019. Methods: Retrospective case series. Horses with acute onset of signs of neurologic disease that were subjected to clinical and microbiological examinations to rule out infectious dise...
Epidemiological and Genomic Characterisation of Middelburg and Sindbis Alphaviruses Identified in Horses with Febrile and Neurological Infections, South Africa (2014-2018).
Viruses    September 11, 2022   Volume 14, Issue 9 2013 doi: 10.3390/v14092013
Fourie I, Snyman J, Williams J, Ismail A, Jansen van Vuren P, Venter M.Although Old World alphaviruses, Middelburg- (MIDV) and Sindbis virus (SINV), have previously been detected in horses and wildlife with neurologic disease in South Africa, the pathogenesis and clinical presentation of MIDV and SINV infections in animals are not well documented. Clinical samples from horses across South Africa with acute or fatal neurologic and febrile infections submitted between 2014-2018 were investigated. In total, 69/1084 (6.36%) and 11/1084 (1.01%) horses tested positive for MIDV and SINV, respectively, by real-time reverse transcription (RT) PCR. Main signs/outcomes for ...
Reflecting on the 11th International Equine Infectious Diseases Conference.
The Veterinary record    September 10, 2022   Volume 191, Issue 5 e2208 doi: 10.1002/vetr.2208
Kydd J, Nielsen M, Waller A.Julia Kydd, Martin Nielsen and Andrew Waller highlight some of the key presentations given at last year's 11th International Equine Infectious Diseases Conference, which was held virtually.
Prevalence of Anaplasma phagocytophilum and Borrelia burgdorferi infection in horses from Pennsylvania (2017-2019) using antibody and organism-based detection.
Journal of the American Veterinary Medical Association    September 9, 2022   Volume 260, Issue 14 1834-1838 doi: 10.2460/javma.22.06.0232
Thompson D, Thirumalapura NR, Tewari D.To determine the prevalence of Anaplasma phagocytophilum and Borrelia burgdorferi infections in Pennsylvania horses. 271 horses. A survey was conducted with PCR and serology to evaluate anaplasmosis and Lyme disease infections in horses from Pennsylvania that were suspected for tick-borne infection. A phagocytophilum was detected in 19/271 (7.0%) Pennsylvania horses tested by the duplex PCR. B burgdorferi was not detected in any horse blood tested by PCR. Overall, 120/271 (44.3%) horses tested positive for presence of A phagocytophilum antibodies by at least the IDEXX SNAP 4Dx Plus lateral flo...
Prevalence of brucellosis in livestock of African and Asian continents: A systematic review and meta-analysis.
Frontiers in veterinary science    September 9, 2022   Volume 9 923657 doi: 10.3389/fvets.2022.923657
Suresh KP, Patil SS, Nayak A, Dhanze H, Rajamani S, Shivamallu C, Cull CA, Amachawadi RG.Brucellosis is a highly contagious bacterial disease that mainly affects ruminants, but it may affect equines, canines, and felines. The disease is of utmost significance from an economic standpoint in countries where there is no national brucellosis prevention and eradication policy in operation. A systematic review was done to estimate disease burden, incidences, prevalence, and geographical distribution critical in planning appropriate intervention strategies for the control and prevention of Brucellosis. Research articles that were published during the period 2000-2020 were considered for ...
Multiplex real-time PCR for the detection and differentiation of equid gammaherpesvirus 2 and 5.
Journal of virological methods    September 8, 2022   Volume 310 114615 doi: 10.1016/j.jviromet.2022.114615
Fürer F, Fraefel C, Lechmann J.Equid gammaherpesvirus 2 (EHV-2) and 5 (EHV-5) are widely distributed in the equines. Although their pathogenic potential is not yet fully understood, they appear to play a role in disease patterns like equine multinodular pulmonary fibrosis. In this study, a multiplex real-time PCR (rtPCR) was designed to detect DNA of the glycoprotein H (EHV-2) and E11 gene (EHV-5). Analytical specificity was determined by testing DNA of other herpesviruses by SYBR Green rtPCR and melting curve analysis, as well as Sanger sequencing of positive field samples. Analytical sensitivity was assessed by stand...
Suspected chlamydial foetal loss highlights the need for standardised on-farm protocols.
Australian veterinary journal    September 7, 2022   Volume 100, Issue 12 600-604 doi: 10.1111/avj.13206
Anstey SI, Jenkins C, Jelocnik M.Chlamydia psittaci is a recognised cause of late-term equine foetal loss and poses a zoonotic risk in Australia. However, a management strategy is lacking to protect at-risk humans handling infected aborted material and pregnant mares. This study proposes a protocol for approaching C. psittaci foetal loss after investigating four foetal losses that occurred on a horse stud in the Hunter Valley, Australia in 2021. Swabs from the foetal loss cases (n = 4), close contact mares (n = 59), and foals of the close contact mares (n = 33) were collected and tested for C. psittaci using both isothe...
Rapid risk assessment tool (RRAT) to prioritize emerging and re-emerging livestock diseases for risk management.
Frontiers in veterinary science    September 7, 2022   Volume 9 963758 doi: 10.3389/fvets.2022.963758
de Vos CJ, Petie R, van Klink EGM, Swanenburg M.Increasing globalization and international trade contribute to rapid expansion of animal and human diseases. Hence, preparedness is warranted to prevent outbreaks of emerging and re-emerging diseases or detect outbreaks in an early stage. We developed a rapid risk assessment tool (RRAT) to inform risk managers on the incursion risk of multiple livestock diseases, about the main sources for incursion and the change of risk over time. RRAT was built as a relational database to link data on disease outbreaks worldwide, on introduction routes and on disease-specific parameters. The tool was parame...
Occurrence of Equine Foamy Virus Infection in Horses from Poland.
Viruses    September 6, 2022   Volume 14, Issue 9 1973 doi: 10.3390/v14091973
Materniak-Kornas M, Rożek W, Rola J, Osiński Z, Löchelt M, Kuźmak J.Equine foamy virus (EFVeca) is a foamy virus of non-primate origin and among the least-studied members of this retroviral subfamily. By sequence comparison, EFVeca shows the highest similarity to bovine foamy virus. In contrast to simian, bovine or feline foamy viruses, knowledge about the epidemiology of EFVeca is still limited. Since preliminary studies suggested EFVeca infections among horses in Poland, we aimed to expand the diagnostics of EFVeca infections by developing specific diagnostic tools and apply them to investigate its prevalence. An ELISA test based on recombinant EFVeca Gag pr...
Epidemiology of equine influenza in the Maghreb area.
Comparative immunology, microbiology and infectious diseases    September 6, 2022   Volume 89 101868 doi: 10.1016/j.cimid.2022.101868
Kareche H, Daly JM, Laabassi F.Equine influenza (EI) is one of the most contagious respiratory infections in horses, donkeys and mules, caused by equine influenza A virus (EIV). It remains a disease with a strong economic stake for the equine industry. This review focuses on the epidemiological situation of EIV in the Maghreb area, which includes Algeria, Morocco and Tunisia. There is serological evidence for extensive circulation of EIV in the Maghreb area since the early 1970s, but reports of detailed investigation of outbreaks are scarce with no documented isolation or molecular characterization of EIV from Tunisia. Isol...
Molecular detection and assessment of the epidemiological risk factors associated with equine herpesvirus 2 and 5 in working equids in central Ethiopia.
Veterinary medicine and science    September 5, 2022   Volume 8, Issue 6 2396-2403 doi: 10.1002/vms3.925
Wondimagegnehu K, Leta S, Amenu K, Negussie H.Respiratory disease is the most common presenting complaint at veterinary clinics and a priority concern for equid owners and veterinary practitioners in Ethiopia. This study aimed to report the molecular detection of EHV-2 and EHV-5 and to assess the risk factors associated with infection in working equids in central Ethiopia. Nasopharyngeal swabs were collected from 58 horses and donkeys to detect EHV-2 and EHV-5 using PCR targeting the conserved region of glycoprotein B (gB) genes. From 58 equids, EHV-5 and EHV-2 were detected in 20 (34.5%) and 19 (32.8%) equids, respectively. Concurrent in...
Characterization and complete genome analysis of a bacteriophage vB_EcoM_DE7 infecting donkey-derived Escherichia coli.
Virus research    September 5, 2022   Volume 321 198913 doi: 10.1016/j.virusres.2022.198913
Cui JQ, Liu WH, Zang YX, Zhang C, Zou L, Sun HZ, Pan Q, Ren HY.A lytic bacteriophage vB_EcoM_DE7 (hereafter designated DE7) that could infect donkey-derived Escherichia coli was isolated. The bacteriophage was examined by transmission electron microscopy, and the result showed that DE7 belonged to the family Myoviridae. The microbiological characterization revealed that DE7 was stable over a broad range of pHs (3 ∼10) at 40-50 °C. The latent period was 10 min, and the burst size was 43 PFUs/infected cell. The whole-genome sequencing showed that DE7 was a dsDNA virus and had a genome of 86,130 bp. The genome contained 124 predicted open reading frames...
Infection of young foals with Equine Parvovirus-Hepatitis following a fatal non-biologic case of Theiler’s disease.
Veterinary microbiology    September 5, 2022   Volume 274 109557 doi: 10.1016/j.vetmic.2022.109557
Meister TL, Arroyo LG, Shanahan R, Papapetrou MA, Reinecke B, Brüggemann Y, Todt D, Stang A, Hazlett M, Baird JD, Steinmann E.Theiler's disease (TD) is a (sub-)acute hepatitis in adult horses and one of the most common causes of acute hepatic failure. Recent findings indicate that equine parvovirus hepatitis (EqPV-H) likely causes TD and that its transmission occurs via iatrogenic and/or natural routes. Following the death of an EqPV-H positive mare with TD, close-contact mares and foals in the same paddock were monitored to evaluate if there was any evidence of EqPV-H. For this purpose, the serum of close contact horses was examined 6 and 42 days after the mare's death for the presence of EqPV-H DNA and changes in l...
Fetoplacental pathology of equine abortion, premature birth, and neonatal loss due to Chlamydia psittaci.
Veterinary pathology    September 5, 2022   Volume 59, Issue 6 983-996 doi: 10.1177/03009858221120008
Begg AP, Carrick J, Chicken C, Blishen A, Todhunter K, Eamens K, Jenkins C.This report describes the fetoplacental pathology of associated abortion, premature birth, and neonatal loss in 46 of 442 equine abortion investigations between 2015 and 2019. Seven abortions, 26 premature births, and 13 neonatal deaths with positive polymerase chain reaction (PCR) were evaluated. In 83% of cases (38/46), infection was considered as the primary cause of loss based on quantitative PCR (qPCR) confirmation, pathological findings, and exclusion of other causes, and was supported by immunolabeling in fetoplacental lesions. Lymphohistiocytic placentitis with vasculitis (36/38) af...
Epidemiological and Phylogeographic Study of Equid Herpesviruses in Tunisia.
Pathogens (Basel, Switzerland)    September 5, 2022   Volume 11, Issue 9 1016 doi: 10.3390/pathogens11091016
Badr C, Souiai O, Arbi M, El Behi I, Essaied MS, Khosrof I, Benkahla A, Chabchoub A, Ghram A.Equid herpesvirus (EHV) is a contagious viral disease affecting horses, causing illness characterized by respiratory symptoms, abortion and neurological disorders. It is common worldwide and causes severe economic losses to the equine industry. The present study was aimed at investigating the incidence of EHVs, the genetic characterization of Tunisian isolates and a spatiotemporal study, using 298 collected samples from diseased and clinically healthy horses. The global incidence of EHV infection was found to be about 71.81%. EHV2 and EHV5 were detected in 146 (48.99%) and 159 (53.35%) sampled...
Batting below Average: Failure to Manage Fatal Zoonotic Diseases.
Journal of law and medicine    September 4, 2022   Volume 29, Issue 3 700-706 
O'Connor M.Zoonotic diseases are those which originate in animals but are transmitted to humans often through an intermediate host such as a wild animal. In Australia Hendra virus (HeV) is a disease of horses with occasional human fatalities and which is spread by the fruit bat. This article explores the lessons learnt from managing the Queensland outbreak of HeV in 1994. The legal framework for the notification and management of prohibited matter including zoonotic diseases in Queensland and New South Wales has been strengthened by provisions in the Biosecurity Act 2015 (NSW) which create strong penalti...
Serum IgM antibody response to Clostridioides difficile polysaccharide PS-II vaccination in pony foals.
Anaerobe    September 3, 2022   Volume 77 102635 doi: 10.1016/j.anaerobe.2022.102635
Arroyo LG, Hodgins DC, Guest B, Costa M, Ma Z, Monteiro MA.Clostridioides difficile (formerly Clostridium difficile) is associated with colitis in foals and mature horses. C. difficile exposes specific phosphorylated polysaccharides (PSs), named PS-I, PS-II and PS-III. These cell-surface PSs are potential vaccine targets, especially the hexasaccharide phosphate PS-II, that has been found in all C. difficile ribotypes examined. Since we previously identified anti-PS-II circulating antibodies in horses, we postulated that vaccinating foals with PS-II may prevent colonization by C. difficile. In this study, we aim to evaluate the IgM antibody response...
Co-Occurrence of Hypoglycin A and Hypoglycin B in Sycamore and Box Elder Maple Proved by LC-MS/MS and LC-HR-MS.
Toxins    September 1, 2022   Volume 14, Issue 9 doi: 10.3390/toxins14090608
El-Khatib AH, Engel AM, Weigel S.Hypoglycin A (HGA) and methylenecyclpropylglycine (MCPrG) are formed by some maple trees (Acer species) and have been associated with incidences of atypical myopathy among horses in pastures. In this work, a simple and sensitive ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) method without derivatization was developed for the quantification of HGA and MCPrG in maple samples and validated according to EU guidelines. The LOQ presented here for HGA (16.4 µg/kg) is considerably lower than the lowest published LOQ (500 µg/kg). This method confirms that sycamore and ...
An epidemiological overview of the equine influenza epidemic in Great Britain during 2019.
Equine veterinary journal    August 31, 2022   Volume 55, Issue 1 153-164 doi: 10.1111/evj.13874
Whitlock F, Grewar J, Newton R.During 2019, an epidemic of equine influenza (EI) occurred in Europe. Objective: To describe the epidemiology of the 2019 EI epidemic within Great Britain (GB). Methods: Retrospective descriptive study of laboratory confirmed EI cases. Methods: Epidemiological data were obtained from veterinary surgeons referring samples for EI virus testing. Where available, data on confirmed cases and their wider resident population on EI-infected premises were collated and described. On a national level, spatial and temporal representations, consisting of choropleth maps and epidemic curves, described the s...
Efficacy of vaccination against equine herpesvirus type 1 (EHV-1) infection: Systematic review and meta-analysis of randomised controlled challenge trials.
Equine veterinary journal    August 31, 2022   Volume 55, Issue 3 389-404 doi: 10.1111/evj.13870
Marenzoni ML, De Waure C, Timoney PJ.Equid herpesvirus type 1 (EHV-1) infection can cause a range of disease syndromes of variable severity that can result in a lethal outcome and restriction of horse movements, especially in the case of outbreaks involving neurological disease. Vaccination is one of the tools used to control the infection. It is widely known that vaccination is not completely effective in ensuring protection against disease caused by this virus. In fact, the real efficacy of vaccination against EHV-1 related disease has not been measured and no systematic reviews exist on this topic. Objective: To perform a syst...
Current status of glanders in Brazil: recent advances and challenges.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    August 31, 2022   Volume 53, Issue 4 2273-2285 doi: 10.1007/s42770-022-00814-1
Mota RA, Junior JWP.Glanders is an infectious disease that causes serious damage to the equine production chain in countries where it occurs endemically and poses a risk to public health. This study aimed to conduct an integrative review of the advances in the knowledge of glanders in Brazil over the last three decades since its re-emergence. Documentary research was conducted for the period between the years 2000 and 2022. SCOPUS and PUBMED databases were used to search for scientific articles, dissertations, and thesis, in addition to the Brazilian Digital Library of Thesis and Dissertations (BDTD). A total of ...
Whole genome sequence analysis of equid gammaherpesvirus -2 field isolates reveals high levels of genomic diversity and recombination.
BMC genomics    August 30, 2022   Volume 23, Issue 1 622 doi: 10.1186/s12864-022-08789-x
Onasanya AE, El-Hage C, Diaz-Méndez A, Vaz PK, Legione AR, Browning GF, Devlin JM, Hartley CA.Equid gammaherpesvirus 2 (EHV2) is a gammaherpesvirus with a widespread distribution in horse populations globally. Although its pathogenic significance can be unclear in most cases of infection, EHV2 infection can cause upper respiratory tract disease in foals. Co-infection of different strains of EHV2 in an individual horse is common. Small regions of the EHV2 genome have shown considerable genetic heterogeneity. This could suggest genomic recombination between different strains of EHV2, similar to the extensive recombination networks that have been demonstrated for some alphaherpesviruses. ...
Comparison of Two Leptospira Type Strains of Serovar Grippotyphosa in Microscopic Agglutination Test (MAT) Diagnostics for the Detection of Infections with Leptospires in Horses, Dogs and Pigs.
Veterinary sciences    August 29, 2022   Volume 9, Issue 9 464 doi: 10.3390/vetsci9090464
Strutzberg-Minder K, Ullerich A, Dohmann K, Boehmer J, Goris M.The MAT test is of great importance in the diagnosis of leptospiral infections. Based on various differences, the serovar Grippotyphosa has been divided into two types, Moskva V and Duyster. Differences or similarities of the two type strains in the context of leptospiral diagnostics have not yet been elucidated in more detail; therefore both strains were analysed in MAT diagnostics for the detection of leptospiral infections in pigs, dogs and horses. Serum samples from 2996 pigs, 55 dogs and 35 horses, as well as vitreous and/or aqueous fluid samples from these and 13 additional horses were a...
Emergent and Neglected Equine Filariosis in Egypt: Species Diversity and Host Immune Response.
Pathogens (Basel, Switzerland)    August 27, 2022   Volume 11, Issue 9 979 doi: 10.3390/pathogens11090979
Abo-Aziza FAM, Hendawy SHM, Abdullah HHAM, El Namaky A, Laidoudi Y, Mediannikov O.Equine filariosis (EF) is a neglected vector-borne disease caused by nematode species belonging to the Onchocercidae and Setariidae families. Aside from their zoonotic potential, some species are responsible for serious health problems in equids worldwide, leading to significant economic difficulties. Here, we molecularly investigated equine blood samples (320 horses and 109 donkeys from Egypt) and four adult worms isolated from the peritoneal cavity of 5 out of the 94 slaughtered donkeys. In addition, quantitative enzyme-linked immunoassays (ELISAs) targeting circulating cytokines were used t...
Identification of Equine Arteritis Virus Immunodominant Epitopes Using a Peptide Microarray.
Viruses    August 26, 2022   Volume 14, Issue 9 doi: 10.3390/v14091880
Mayers J, Westcott D, Steinbach F.Using the commercially available PEPperCHIP® microarray platform, a peptide microarray was developed to identify immunodominant epitopes for the detection of antibodies against Equine arteritis virus (EAV). For this purpose, the whole EAV Bucyrus sequence was used to design a total of 1250 peptides that were synthesized and spotted onto a microarray slide. A panel of 28 serum samples representing a selection of EAV strains was tested using the microarray. Of the 1250 peptides, 97 peptides (7.76%) showed reactivity with the EAV-positive samples. No single peptide was detected by all the positi...
International Spread of Multidrug-Resistant Rhodococcus equi.
Emerging infectious diseases    August 24, 2022   Volume 28, Issue 9 1899-1903 doi: 10.3201/eid2809.220222
Val-Calvo J, Darcy J, Gibbons J, Creighton A, Egan C, Buckley T, Schmalenberger A, Fogarty U, Scortti M, Vázquez-Boland JA.A multidrug-resistant clone of the animal and human pathogen Rhodococcus equi, MDR-RE 2287, has been circulating among equine farms in the United States since the 2000s. We report the detection of MDR-RE 2287 outside the United States. Our finding highlights the risk for MDR-RE spreading internationally with horse movements.
Diversity of Blastocystis Subtypes in Horses in Colombia and Identification of Two New Subtypes.
Microorganisms    August 24, 2022   Volume 10, Issue 9 1693 doi: 10.3390/microorganisms10091693
Baek S, Maloney JG, Molokin A, George NS, Cortés Vecino JA, Santin M. is a common intestinal protist in humans and animals worldwide. Wild and domestic animals are thought to be reservoirs of subtypes that also infect humans. There are limited studies on the prevalence and subtype distribution of in horses. In this study, 185 fecal samples were collected from horses (1 month to 17 years of age) in four regions of Colombia (Sabana de Bogotá, Costa Atlántica, Llanos Orientales, and Bogotá D.C.). presence and subtypes were determined by PCR and next generation amplicon sequencing. Eighty-one (43.8%) horses were positive for , with positive horses in all four...
Epidemiological Study of Multiple Zoonotic Mosquito-Borne Alphaviruses in Horses in Queensland, Australia (2018-2020).
Viruses    August 23, 2022   Volume 14, Issue 9 doi: 10.3390/v14091846
Yuen KY, Henning J, Eng MD, Wang ASW, Lenz MF, Caldwell KM, Coyle MP, Bielefeldt-Ohmann H.The increased frequency of extreme weather events due to climate change has complicated the epidemiological pattern of mosquito-borne diseases, as the host and vector dynamics shift to adapt. However, little is known about the seroprevalence of common mosquito-borne virus infections in horses in Australia. In this study, serological surveys for multiple alphaviruses were performed on samples taken from 622 horses across two horse populations (racehorses and horses residing on The University of Queensland (UQ) campus) in Queensland using the gold standard virus neutralization test. As is the ca...
Synthesis and characterization of d5 -barbarin for use in barbarin-related research.
Drug testing and analysis    August 23, 2022   Volume 15, Issue 1 42-46 doi: 10.1002/dta.3357
Kudrimoti S, Machin J, Arojojoye AS, Awuah SG, Eisenberg R, Fenger C, Maylin G, Lehner AF, Tobin T.Based on structural similarities and equine administration experiments, Barbarin, 5-phenyl-2-oxazolidinethione from Brassicaceae plants, is a possible source of equine urinary identifications of aminorex, (R,S)-5-phenyl-4,5-dihydro-1,3-oxazol-2-amine, an amphetamine-related US Drug Enforcement Administration (DEA) controlled substance considered illegal in sport horses. We now report the synthesis and certification of d -barbarin to facilitate research on the relationship between plant barbarin and such aminorex identifications. D -barbarin synthesis commenced with production of d -2-oxo-2-phe...
Dose-Dependent Hepacivirus Infection Reveals Linkage between Infectious Dose and Immune Response.
Microbiology spectrum    August 22, 2022   Volume 10, Issue 5 e0168622 doi: 10.1128/spectrum.01686-22
Gömer A, Delarocque J, Puff C, Nocke MK, Reinecke B, Baumgärtner W, Cavalleri JMV, Feige K, Steinmann E, Todt D.More than 70 million people worldwide are still infected with the hepatitis C virus 30 years after its discovery, underscoring the need for a vaccine. To develop an effective prophylactic vaccine, detailed knowledge of the correlates of protection and an immunocompetent surrogate model are needed. In this study, we describe the minimum dose required for robust equine hepacivirus (EqHV) infection in equids and examined how this relates to duration of infection, seroconversion, and transcriptomic responses. To investigate mechanisms of hepaciviral persistence, immune response, and immune-media...
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