Omneity® Pellets
All-In-One Vitamin & Mineral Pellet
Topic:Inflammation
Inflammation is a biological response of the horse's body to harmful stimuli, such as pathogens, damaged cells, or irritants. It is a complex process that involves the activation of immune cells, the release of inflammatory mediators, and changes in blood flow. In horses, inflammation can manifest in various forms, affecting different tissues and organs, including the joints, respiratory system, and skin. The inflammatory response is an essential component of the horse's immune system, aiming to eliminate the initial cause of cell injury, clear out damaged cells and tissues, and establish tissue repair. This topic page gathers peer-reviewed research studies and scholarly articles that explore the mechanisms, effects, and management of inflammation in equine health.
The influence of a systemic non-steroidal anti-inflammatory drug on growth factors and cytokines in equine plasma, solid platelet-rich fibrin (PRF), and liquid PRF. Platelet-rich fibrin (PRF) is a second-generation platelet concentrate that contains growth factors and cytokines within a fibrin matrix, allowing prolonged release and supporting its use as a regenerative therapy for corneal wound healing. Horses with ulcerative keratitis are commonly treated with systemic NSAIDs; therefore, it is clinically important to determine whether prolonged flunixin meglumine alters the composition of PRF or plasma. Objective: To evaluate the effects of systemic NSAID administration on bio-analyte concentrations in equine plasma, solid PRF, and liquid PRF, and to comp...
Risk factors and long-term prognosis of catheter-associated thrombophlebitis in neonatal foals. Thrombophlebitis is a possible complication of the use of indwelling catheters in hospitalized neonatal foals. Limited data are available concerning associated risk factors, and long-term prognosis regarding vein patency is currently unknown. Objective: Identify risk factors for catheter-associated thrombophlebitis in neonatal foals and assess long-term prognosis in a small subset. Methods: Two hundred twenty-three foals < 31 days of age, hospitalized in Utrecht University Equine Hospital between 2019 and 2024. Methods: Retrospective review of medical records. Foals that received an indw...
Harnessing the Horse for Human Osteoarthritis: microRNA-181a-5p Antisense Oligonucleotides in Clinically Normal Equine Fetlock Joints Are Safe and Well Tolerated. Horses serve as a translational model for human osteoarthritis (OA) due to their comparable joint size, cartilage thickness, and incidence of naturally occurring disease. Overexpression of microRNA-181a-5p has been implicated in cartilage degradation in OA, and its inhibition using locked nucleic acid antisense oligonucleotides (LNA-miR-181a-5p ASOs) represents a potential therapeutic strategy. This study evaluated the safety of intraarticular (IA) LNA-miR-181a-5p ASO injection in clinically normal horse fetlock joints. Twelve horses were randomized to receive two IA injections, 28 days apart,...
Clinical tolerability and reproductive outcomes following intrauterine administration of allogeneic platelet lysate in mares resistant to post-breeding induced endometritis. Platelet-based therapies have gained interest in broodmare practice due to their immunomodulatory and antimicrobial effects. Platelet lysate (PL) is produced by freeze-thawing platelet-rich plasma (PRP), releasing growth factors and cytokines. As an acellular product, PL reduces immunogenic risk, allows long-term storage, and enables allogeneic use, supporting its application in human and veterinary medicine. Therefore, this study evaluated the safety and post-breeding reproductive outcomes in mares treated with allogeneic PL. Platelet lysate (PL) was prepared from 11 healthy mares using a dou...
Infracyanine green photodynamic therapy provides short-term disease control, but recurrence is common in equine immune-mediated keratitis. To evaluate long-term clinical outcomes, recurrence rates, and complications following photodynamic therapy (PDT) in horses with immune-mediated keratitis. Unassigned: Medical records of horses treated with PDT at the Swedish University of Agricultural Sciences Equine Clinic from May 2018 through October 2025 were reviewed retrospectively. Eyes with a clinical diagnosis of recurrent immune-mediated keratitis that had responded to immunosuppressive therapy and been subjected to PDT therapy were included. Infracyanine green was injected intrastromally, followed by irradiation with an 810-nm diod...
Medical Therapies for the Treatment of Osteoarthritis in the Horse – 20 years later…. Osteoarthritis (OA) is a debilitating joint disease, characterized by a degenerative catabolic cascade resulting in detrimental changes to all aspects of the joint including the irreversible destruction of articular cartilage. In 2006, a narrative review by Goodrich and Nixon outlined the available treatments for the medical management of OA; however, since that time substantial progress has been made. In recent years the therapeutic options for veterinarians managing horses with OA has increased significantly with a multitude of products available on the market. While many of the conventional...
The Impact of Systemic Treatment With Flunixin Meglumine on the Two Antiproteases Alpha-2-Macroglobulin (A2M) and Alpha-1-Antitrypsin (A1AT) in Equine Plasma and Platelet-Rich Fibrin (PRF). To evaluate the effect of flunixin meglumine, a systemic non-steroidal anti-inflammatory drug (NSAID), on the antiproteases, A2M and A1AT, in equine plasma and PRF. Methods: A prospective cross-sectional study. Plasma, solid PRF, and liquid PRF were collected from a control-group that included healthy horses not treated with NSAIDs within the last 3 months. The NSAID-group were ophthalmology patients with no systemic inflammatory disease, and all received a full dose of flunixin meglumine (1.1 mg/kg BID PO or IV) for three or more days prior to collection. Samples were collected and prepar...
Multimodal characterization of equine synovitis: Correlation between arthroscopic, histopathological, and biomarker assessments in septic vs. aseptic cases. Endoscopy and synovial membrane histology are complementary modalities for evaluating synovial inflammation. Cytokine involvement in non-septic arthritis is well documented but remains poorly characterized in septic synovitis. Objective: This study aimed to characterize the inflammatory cytokine profile associated with septic and non-septic synovitis and assess correlations among endoscopic, histological, and synovial fluid biomarker findings. Methods: Three groups were defined: horses undergoing elective or therapeutic endoscopy (Group 1, n=26), horses with confirmed septic synovitis (Group 2...
Ivermectin enhances the transcription of pro-inflammatory cytokines in equine leukocytes stimulated with LPS and nigericin. Ivermectin has been reported to exert immunomodulatory effects on the innate immune system; however, the available evidence is contradictory, with both anti-inflammatory and, paradoxically, pro-inflammatory effects described depending on species, dose, and experimental context, while data specific to horses remain scarce. We hypothesised that ivermectin would exert a context-dependent immunomodulatory effect on equine leucocytes. To test this, total leucocytes isolated from six healthy horses were incubated with ivermectin (2 and 4 µg/mL) before stimulation with lipopolysaccharide (LPS) and n...
Characterizing dietary and exercise management practices and inflammatory biomarkers in a population of recreationally managed horses in Pennsylvania. Horses evolved as slow-moving grazers for 30 to 40 million years, but domesticated horses often consume greater quantities of grains and concentrates to foster athleticism. The changes in diet and exercise are hypothesized to increase the risk of chronic inflammatory conditions. Objective: The objective was to characterize relationships between dietary and exercise management practices and acute phase proteins (APPs) in horses. Methods: We collected body condition scores, blood samples, and surveys of the horse management practices from 144 horses. Plasma serum amyloid A (SAA), C-reactive prot...
Platelet-rich plasma exhibits antibacterial and anti-inflammatory effects in an in vitro donkey endometritis model. Infectious endometritis, mainly caused by Escherichia coli (E. coli) and Streptococcus equi subsp. zooepidemicus (SEZ), significantly impairs donkey reproductive performance. Platelet-rich plasma (PRP) shows promise as an anti-inflammatory and antibiotic alternative. Objective: To evaluate PRP's antimicrobial efficacy against key pathogens and assess its anti-inflammatory and tissue repair properties in an in vitro endometrial model. Methods: Non-randomised in vitro and explant experiments. Methods: In in vitro antibacterial assays, the inhibitory effects of PRP on the growth of E. coli and SE...
Serum amyloid A alone or in combination with white blood cell count and fibrinogen is associated with inflammatory disease status in horses undergoing elective anesthesia. The objective of this study was to assess the clinical utility of common systemic inflammatory markers (WBC count [WBCC], plasma fibrinogen, and serum amyloid A [SAA]) for the detection of disease in patients undergoing general anesthesia. Unassigned: A retrospective review of 1,002 surgical case records (February 2021 to June 2023) was performed. Systemically stable equine patients undergoing elective orthopedic and soft tissue procedures and that had WBCC, fibrinogen, and SAA evaluated preoperatively were eligible for inclusion. Disease status (healthy vs disease) was recorded for each case ...
Novel serum biomarkers provide evidence for an involvement of the CCL3:CCL5 axis in fatal musculoskeletal injuries in Thoroughbred racehorses. Fatal musculoskeletal (MSK) injuries in Thoroughbred (TB) racehorses adversely affect equine welfare, negatively impact public acceptance of horse racing, and cause severe economic losses for the racing industry. Biomarker assays predicting the risk of MSK injuries are currently not available. Our hypothesis was that immune system and inflammatory markers are indicators of fatal MSK injuries in TB racehorses. Unassigned: Serum samples from TB racehorses with fatal (n = 44) and nonfatal injuries (63) were collected. Serum from 2- to 5-year-old TBs submitted for annual equine infectious anemia t...
Mandibular fracture with subsequent sequestrum formation and tooth-root abscess in a 3-year-old mare. A 3-year-old quarter horse cross mare was presented to the Atlantic Veterinary College (Charlottetown, Prince Edward Island) for evaluation of a persistent draining tract on the ventral aspect of the left mandible, associated with a previous fracture. Radiography and ultrasonography confirmed the presence of a chronic sequestrum separated from the parent bone. Sequestrectomy and surgical debridement of the mandible were carried out, and the horse was discharged. Three months later, the mare was presented again to the Atlantic Veterinary College, as the draining tract had not resolved. A CT sca...
Proof of Concept for Open Flow Microperfusion for Intratumoural Drug Administration in Equine Cutaneous Neoplasia. Intratumoural drug delivery can achieve high local therapeutic exposure while limiting systemic effects, but heterogeneous distribution may compromise treatment efficacy and precision. This proof-of-concept study investigated open flow microperfusion (OFM) as a novel platform for local delivery of tigilanol tiglate (TT), an intratumoural antineoplastic agent with immunomodulatory and vascular-disrupting effects. Four horses with histologically confirmed cutaneous neoplasia (three sarcoids and one squamous cell carcinoma) underwent OFM using TT concentrations of 0.01-0.04 mg/mL delivered at 9 Â...
Low-Field Magnetic Resonance Imaging Features of Axial Proximal Sesamoid Osteomyelitis and Intersesamoidean Ligament Rupture in a Horse. A 7-year-old Warmblood mare used for show jumping was evaluated for progressive left hindlimb lameness of 5 weeks' duration, localized clinically to the metatarsophalangeal region. Radiography revealed ill-defined osteolysis of the axial apical regions of both proximal sesamoid bones (PSBs). Due to rapid clinical deterioration, low-field magnetic resonance imaging was performed and demonstrated aggressive axial osteomyelitis of both PSBs, partial rupture of the intersesamoidean ligament and proximal scutum with herniation of synovium of the plantar joint recess, and an occult penetrating tract...
A single-cell RNA-seq dataset characterizing cellular diversity in healthy equine skin. The skin serves as the primary barrier tissue in horses and is frequently affected by immune-mediated dermatological conditions, most notably insect bite hypersensitivity (IBH). Yet, the cellular composition and transcriptional landscape of normal equine skin have never been characterized at single-cell resolution. Here, we present a single-cell RNA sequencing dataset of healthy equine skin comprising 85,574 high-quality transcriptomes from two horses, with one skin biopsy collected from each horse, divided into two portions for independent processing via manual or automated tissue dissociatio...
Effect of erythromycin and colistin ophthalmic ointment on post-race keratitis in Thoroughbred racehorses. This study investigated the prophylactic efficacy of administering an ophthalmic ointment containing erythromycin and colistin (EC ointment) after racing to prevent post-race keratitis in Thoroughbred racehorses. Methods: The incidence of post-race keratitis following turf and dirt races was compared between treatment groups (non-ointment group: eye flushing only; ointment group: eye flushing and application of EC ointment) and between two randomly assigned groups (non-antimicrobial group: application of ophthalmic white petrolatum; antimicrobial group: application of EC ointment). Results: Af...
Liposomal bupivacaine local analgesia reduces systemic inflammatory responses following equine laparoscopic surgery. Liposomal local anesthetics have been shown to extend analgesia duration and improve pain scores dose-dependently in horses. Our objective was to assess concurrent impact on systemic inflammatory markers. Unassigned: 18 mares (age, 2 to 20 years) with normal ovarian anatomy were enrolled. Laparoscopic bilateral ovariectomies were performed standing with sedation. Local analgesia was: 80 mL bupivacaine hydrochloride (BHCl; n = 6), 30 mL 0.75% BHCl + 20 mL (low-dose) liposomal bupivacaine (LB) expanded to 80 mL with saline (LB20, n = 6), or 30 mL 0.75% BHCl + 40 mL (high-dose) LB expanded to equ...
Bacterial isolates and antimicrobial susceptibility patterns in tracheal wash samples from horses with equine asthma in Poland. Equine asthma (EA) is a chronic inflammatory lower-airway disease. Bacterial growth from tracheal wash (TW) may occur in samples from horses with EA, but may represent colonisation rather than active infection. This study described cultivable bacterial isolates recovered from TW samples from horses with EA in Poland and assessed their antimicrobial susceptibility patterns and association with month/season of sampling and airway neutrophil percentage. Unassigned: In total, 165 adult horses diagnosed with EA according to American College of Veterinary Internal Medicine-based criteria underwent e...
Oral Mosapride Attenuates Gastrointestinal Dysmotility During Experimental Endotoxemia in Horses: A Randomized, Blinded Crossover Study. Endotoxemia is a major contributor to gastrointestinal hypomotility and postoperative ileus in horses. This study investigated whether oral mosapride retained prokinetic activity during acute lipopolysaccharide (LPS)-induced endotoxemia. Seven healthy adult horses were enrolled in a randomized, blinded, three-period crossover trial and received LPS alone, mosapride alone (MOSA), or LPS plus mosapride (LPS + MOSA), with a 14-day washout interval between periods. Mosapride was administered orally at 2 mg/kg, whereas endotoxemia was induced by an intravenous infusion of O55:B5 LPS (0.03 µg/kg) ...
Inflammatory phenotype and response to intradermal skin testing are not predictive of equine asthma diagnosis. The role of inflammation, allergy, and air quality in the pathogenesis of equine asthma has not yet been fully elucidated. Objective: To evaluate serum inflammatory cytokines, intradermal skin testing (IDT), and air quality in asthmatic horses. It was hypothesized that there would be an association between environmental allergies and poor air quality with asthma. Methods: 52 client-owned horses with clinical signs consistent with asthma were enrolled in this cross-sectional study. Horses were diagnosed with asthma based on the results of bronchoalveolar fluid (BALF) cytology. Blood samples wer...
Proteomic Profiling and Targeted Validation Reveal a More Extensive Salivary than Serum Response to a Feed-Deprivation Protocol in Horses with Gastric Lesions. Gastric ulceration is common in horses and remains challenging to diagnose, as gastroscopy is the gold standard. This study aimed to characterise the salivary and serum protein changes associated with a feed-deprivation protocol. Eight horses underwent this protocol, and gastric lesions were assessed by gastroscopy at the end of the experimental period. Saliva and blood samples were collected pre- and post-protocol, and pooled samples from each biological fluid and condition were analysed by two-dimensional gel electrophoresis to compare protein profiles. Fifteen salivary and five serum protei...
Retrospective Analysis of the Clinical Findings of 114 Horses with Eosinophilic Keratoconjunctivitis. Eosinophilic keratoconjunctivitis (EKC) is an inflammatory eye disease of horses with an unknown cause and suspected immune-mediated pathogenesis. This single-center retrospective case series included 114 horses (163 affected eyes) examined at a German equine referral hospital from January 2012 to December 2020. Of these horses, 71 (62.3%) were Warmbloods, 77 (67.5%) were presented from July to September, and 49 (43.0%) had bilateral disease. The cornea was involved in 139 of 163 eyes (85.3%). During the study period, 114 EKC cases occurred among 5742 ophthalmology cases (2.0%), with an increa...
Myocardial dysfunction associated with low-dose endotoxin administration in adult horses. Horses with endotoxemia have variable myocardial function, but little is known about the severity or persistence of myocardial dysfunction (MD). Objective: Horses with experimentally induced endotoxemia have systolic and diastolic MD. Methods: Twelve systemically healthy horses. Methods: Horses were given Escherichia coli lipopolysaccharide 30Â ng/kg over 60Â min. Echocardiography and cardiac troponin I (cTnI) measurements were performed at baseline, 1, 3, and 5Â h post-endotoxin. Fluid therapy (10Â L), polymyxin B (6000Â IU/kg), and flunixin meglumine (1.1Â mg/kg) were administered intravenou...
Mare endometrosis induces endometrial proteome changes. Endometrosis, characterized by excessive endometrial fibrosis, is a major reproductive disorder that impairs fertility and remains a significant challenge in equine breeding. The molecular mechanisms underlying equine endometrosis are not fully understood. This study investigated endometrial proteomic changes induced by endometrosis to identify the biological processes (BP) and pathways involved. Cyclic mares' endometrial biopsies were categorized as category IIA (n = 5) or category IIB (n = 5), according to Kenney and Doig's classification. LC-MS/MS assessed the endometrial proteome, ...
Prolyl-Hydroxyproline Promotes Structural Matrix Organization in 3D Equine Tendon Proper and Peritenon Post-Injury Model. Tendinopathy of the superficial digital flexor tendon affects horse health and performance, with slow healing and high re-injury rates due to the formation of mechanically weaker scar tissue. Tendons are rich in Type I collagen and may benefit from supplementation with collagen-derived dipeptide prolyl hydroxyproline (H-Pro-Hyp-OH) which improves collagen regeneration and reduces scarring in murine injury models. However, its effects on equine tenocytes in the tendon proper (TP) and peritenon (PERI) under stress are unknown. Three-dimensional fibrin-based TP and PERI constructs were used to ev...
Disorders of Calcium in Horses and Foals. Disorders of calcium homeostasis are frequent in equids with acute and chronic disorders. These animals may have abnormal phosphorus concentrations. Prompt identification and treatment are central for a positive outcome. A basic understanding of calcium regulation facilitates the diagnosis and treatment of calcium dysregulation. In horses, hypocalcemia is more often associated with acute conditions linked to systemic inflammation (eg, sepsis, gastrointestinal diseases), although hypocalcemia is also a feature of hypoparathyroidism and acute kidney injury. Magnesium supplementation should be co...
Equine asthma – old disease and new concepts. Equine asthma is increasingly recognised as a biologically heterogeneous syndrome in which similar clinical manifestations may arise from distinct molecular mechanisms. Although clinical phenotypes have substantially improved disease classification, increasing evidence indicates that molecular endotypes more accurately reflect the biological mechanisms underlying disease heterogeneity. This review summarises current knowledge regarding the pathophysiological mechanisms of equine asthma, with particular emphasis on inflammatory pathways, molecular endotypes, genetic susceptibility, airway remod...
Hypothalamic-pituitary-adrenal Axis Dysfunction in Critically Ill Foals and Horses. Critical illness-related corticosteroid insufficiency is a transient dysfunction of the hypothalamic-pituitary-adrenal axis, leading to inadequate cortisol responses during severe stress from endotoxemia and sepsis in horses and foals. This condition is associated with poor outcomes, and its diagnosis is complicated by interindividual variability in cortisol response. Recent advances in dynamic testing and point-of-care hormone tests offer promise for better assessment and treatment, enabling more precise steroid replacement therapy in affected equine patients.
