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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.
Structural similarities of human and mammalian lipocalins, and their function in innate immunity and allergy.
Allergy    November 23, 2015   Volume 71, Issue 3 286-294 doi: 10.1111/all.12797
Jensen-Jarolim E, Pacios LF, Bianchini R, Hofstetter G, Roth-Walter F.Owners and their domestic animals via skin shedding and secretions, mutually exchange microbiomes, potential pathogens and innate immune molecules. Among the latter especially lipocalins are multifaceted: they may have an immunomodulatory function and, furthermore, they represent one of the most important animal allergen families. The amino acid identities, as well as their structures by superposition modeling were compared among human lipocalins, hLCN1 and hLCN2, and most important animal lipocalin allergens, such as Can f 1, Can f 2 and Can f 4 from dog, Fel d 4 from cats, Bos d 5 from cow's...
Effects on the equine endometrium of cervical occlusion after insemination.
Theriogenology    November 14, 2015   Volume 85, Issue 4 617-624 doi: 10.1016/j.theriogenology.2015.09.053
Reilas T, Rivera Del Alamo MM, Liepina E, Yeste M, Katila T.Cervical patency is considered to be important for uterine drainage after mating or artificial insemination (AI), and failure to relax or premature tightening of the cervix can lead to persistent endometritis. This study investigated the hypothesis that cervical occlusion after AI increases accumulation of fluid, polymorphonuclear leukocytes (PMNs), and cytokines in the uterine lumen. Endometrial swabs were obtained from 29 normal cyclic mares during the first, third, and fifth estrus and biopsies during the first and fifth estrus. All mares were inseminated during the second and fourth estrus...
Differential Gene Expression Profiles and Selected Cytokine Protein Analysis of Mediastinal Lymph Nodes of Horses with Chronic Recurrent Airway Obstruction (RAO) Support an Interleukin-17 Immune Response.
PloS one    November 12, 2015   Volume 10, Issue 11 e0142622 doi: 10.1371/journal.pone.0142622
Korn A, Miller D, Dong L, Buckles EL, Wagner B, Ainsworth DM.Recurrent airway obstruction (RAO) is a pulmonary inflammatory condition that afflicts certain mature horses exposed to organic dust particulates in hay. Its clinical and pathological features, manifested by reversible bronchoconstriction, excessive mucus production and airway neutrophilia, resemble the pulmonary alterations that occur in agricultural workers with occupational asthma. The immunological basis of RAO remains uncertain although its chronicity, its localization to a mucosal surface and its domination by a neutrophilic, non-septic inflammatory response, suggest involvement of Inter...
Characterization of mesenchymal stem cells derived from the equine synovial fluid and membrane.
BMC veterinary research    November 10, 2015   Volume 11 281 doi: 10.1186/s12917-015-0531-5
Prado AA, Favaron PO, da Silva LC, Baccarin RY, Miglino MA, Maria DA.Isolation of mesenchymal stem cells (MSCs) in equines, has been reported for different tissues including bone marrow, adipose, umbilical cord, peripheral blood, and yolk sac. In regard to the MSCs derived from synovial fluid (SF) or membrane (SM), there is data available for humans, dogs, pigs, goats and horses. Especially in equines, these cells have being considered promising candidates for articular regeneration. Herein, we established and characterized MSCs obtained from equine SF and SM. Samples were obtained during arthroscopy and cultured using MEM (Minimum Essential Medium). MSCs were ...
Chronic active interstitial pancreatitis as a cause of transverse colonic obstruction and colic in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    November 6, 2015   Volume 56, Issue 11 1177-1180 
Lohmann KL, Allen AL.A mature Quarter horse was euthanized following colic of 3 days duration. Postmortem, the large intestine, except the descending colon, was diffusely distended and associated with adhesion of the transverse colon to the pancreas, which had changes consistent with chronic active interstitial pancreatitis. Other lesions included hepatic fibrosis, erosive gastritis, and bilateral adrenal cortical hyperplasia. Pancréatite interstitielle chronique active comme cause d’une obstruction du côlon transversal et de coliques chez un cheval. Un cheval Quarter horse adulte a été euthanasié après de...
Distribution of CD163-positive cell and MHC class II-positive cell in the normal equine uveal tract.
The Journal of veterinary medical science    November 3, 2015   Volume 78, Issue 2 287-291 doi: 10.1292/jvms.15-0406
Sano Y, Matsuda K, Okamoto M, Takehana K, Hirayama K, Taniyama H.Antigen-presenting cells (APCs) in the uveal tract participate in ocular immunity including immune homeostasis and the pathogenesis of uveitis. In horses, although uveitis is the most common ocular disorder, little is known about ocular immunity, such as the distribution of APCs. In this study, we investigated the distribution of CD163-positive and MHC II-positive cells in the normal equine uveal tract using an immunofluorescence technique. Eleven eyes from 10 Thoroughbred horses aged 1 to 24 years old were used. Indirect immunofluorescence was performed using the primary antibodies CD163, MHC...
Tamoxifen as a new therapeutic tool for neutrophilic lung inflammation.
Respirology (Carlton, Vic.)    October 29, 2015   Volume 21, Issue 1 112-118 doi: 10.1111/resp.12664
Perez B, Henriquez C, Sarmiento J, Morales N, Folch H, Galesio JS, Uberti B, Morán G.Neutrophilic asthma is an important disease subgroup, including patients with severe phenotypes and erratic responses to standard treatments. Tamoxifen (TX), a selective estrogen receptor modulator (SERM) used as treatment of human breast cancer, has been shown to induce early apoptosis of equine blood and bronchoalveolar lavage fluid (BALF) neutrophils in vitro. Equine recurrent airway obstruction (RAO) is a naturally occurring neutrophilic condition, closely related with human asthma. Our purpose was to investigate the therapeutic potential of tamoxifen in horses with neutrophilic lung infla...
Osteoclasts are recruited to the subchondral bone in naturally occurring post-traumatic equine carpal osteoarthritis and may contribute to cartilage degradation.
Osteoarthritis and cartilage    October 24, 2015   Volume 24, Issue 3 555-566 doi: 10.1016/j.joca.2015.10.008
Bertuglia A, Lacourt M, Girard C, Beauchamp G, Richard H, Laverty S.The role of osteoclasts in osteochondral degeneration in osteoarthritis (OA) has rarely been investigated in spontaneous disease or animal models of OA. Objective: The objectives of the current study were to investigate osteoclast density and location in post-traumatic OA (PTOA) and control specimens from racehorses. Methods: Cores were harvested from a site in the equine third carpal bone, that undergoes repetitive, high intensity loading. Histological and immunohistochemical (Cathepsin K and Receptor-activator of Nuclear Factor kappa-β ligand (RANKL)) stained sections were scored (global an...
Intravenous infusion of H2-saline suppresses oxidative stress and elevates antioxidant potential in Thoroughbred horses after racing exercise.
Scientific reports    October 23, 2015   Volume 5 15514 doi: 10.1038/srep15514
Yamazaki M, Kusano K, Ishibashi T, Kiuchi M, Koyama K.Upon intensive, exhaustive exercise, exercise-induced reactive oxygen species may exceed the antioxidant defence threshold, consequently resulting in muscular damage or late-onset chronic inflammation. Recently, the therapeutic antioxidant and anti-inflammatory effects of molecular hydrogen (H2) for human rheumatoid arthritis have been demonstrated. However, it is also important to clarify the effects of administrating H2 in large animals other than humans, as H2 is thought to reach the target organ by passive diffusion upon delivery from the blood flow, indicating that the distance from the a...
Peripheral Airway Smooth Muscle, but Not the Trachealis, Is Hypercontractile in an Equine Model of Asthma.
American journal of respiratory cell and molecular biology    October 17, 2015   Volume 54, Issue 5 718-727 doi: 10.1165/rcmb.2015-0180OC
Matusovsky OS, Kachmar L, Ijpma G, Bates G, Zitouni N, Benedetti A, Lavoie JP, Lauzon AM.Heaves is a naturally occurring equine disease that shares many similarities with human asthma, including reversible antigen-induced bronchoconstriction, airway inflammation, and remodeling. The purpose of this study was to determine whether the trachealis muscle is mechanically representative of the peripheral airway smooth muscle (ASM) in an equine model of asthma. Tracheal and peripheral ASM of heaves-affected horses under exacerbation, or under clinical remission of the disease, and control horses were dissected and freed of epithelium to measure unloaded shortening velocity (Vmax), stress...
The Effect of Different Types of Musculoskeletal Injuries on Blood Concentration of Serum Amyloid A in Thoroughbred Racehorses.
PloS one    October 14, 2015   Volume 10, Issue 10 e0140673 doi: 10.1371/journal.pone.0140673
Turło A, Cywińska A, Czopowicz M, Witkowski L, Niedźwiedź A, Słowikowska M, Borowicz H, Jaśkiewicz A, Winnicka A.Training-induced muscle, skeletal and joint trauma may result in acute phase response reflected by the changes in the blood concentration of serum amyloid A (SAA) in racehorses. It remains yet unclear if such systemic reaction could be triggered by sport injuries and what is the impact of different types of musculoskeletal trauma on SAA concentrations in racehorses. This study aimed to determine changes in the SAA blood concentration in racehorses with different types of injuries of musculoskeletal system. Methods: The study involved 28 racehorses diagnosed after the race with bone fractures (...
Enucleation in equids with and without the use of an orbital suture meshwork implant: a retrospective study of 37 cases.
The Veterinary record    October 6, 2015   Volume 177, Issue 14 367 doi: 10.1136/vr.103305
Maninchedda U, Nottrott K, Gangl M.This retrospective study on 37 horses was conducted to assess long-term complications, scarring, cosmetic appearance and owner satisfaction of horses that underwent transpalpebral enucleation with (n=26) or without (n=11) non-absorbable sutured meshwork prosthesis between 2006 and 2013. Postoperative complications related to the surgery were wound infection, discharge and dehiscence, and no significant difference between groups was found. In one horse, the meshwork had to be removed in order to treat a chronic fistula. Horses with infection or inflammation before surgery were more likely to en...
Evaluation of serum amyloid A and haptoglobin concentrations as prognostic indicators for horses with inflammatory disease examined at a tertiary care hospital.
American journal of veterinary research    September 29, 2015   Volume 76, Issue 10 882-888 doi: 10.2460/ajvr.76.10.882
Westerman TL, Tornquist SJ, Foster CM, Poulsen KP.To evaluate use of serum amyloid A (SAA) and haptoglobin concentrations as prognostic indicators for horses with inflammatory disease in regard to euthanasia, complications, and hospitalization duration and cost. Methods: 20 clinically normal horses and 53 horses with inflammatory disease. Methods: Total WBC count, neutrophil count, and fibrinogen, SAA, and haptoglobin concentrations were determined for clinically normal horses and horses with suspected inflammatory disease. Clinicopathologic values at admission were compared to test the use of SAA and haptoglobin concentrations in predicting ...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 26 doi: 10.1111/evj.12486_58
Klier J, Geis S, Steuer J, Reese S, Fuchs S, Mueller RS, Winter G, Gehlen H.New therapeutic strategies to modulate immune responses in human and equine allergic airway diseases are under extensive investigation. Stimulation of Treg cells with immune modulating agents is a novel therapeutic option. Objective: The aim of this field study was to compare the effects of a nebulised nanoparticulate CpG immunotherapy (CpG-GNP) with and without specific allergens. Methods: Longitudinal clinical study comparing 2 therapeutic options. Methods: Twenty RAO-affected horses were divided into 2 treatment groups (CpG alone and CpG with allergens). Two specific allergens were selected...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 19 doi: 10.1111/evj.12486_43
van Loon G, Lefère L, Bauwens C, Kleyn K, Broux B, De Clercq D, Deprez P.Yellow fat disease or steatitis is characterised by a local or general inflammation of fat tissue and is occasionally found in horses. Diagnosis is challenging because of the wide range of nonspecific clinical signs. Objective: To describe clinical signs, treatment, outcome and ultrasonographic findings in horses with steatitis. Methods: Retrospective study (January 2008 to January 2015). Methods: History, clinical signs, ultrasonographic findings, diagnosis, treatment and outcome were recorded. Results: Twenty cases (18 horses, 2 donkeys; 9 mares, 9 stallions, 2 geldings) were retrieved from ...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 24 doi: 10.1111/evj.12486_54
Hammersley E, Duz M, Marshall JF.Triamcinolone is commonly used in equine practice for the treatment of orthopaedic conditions. A serious potential adverse effect of triamcinolone is laminitis. However, evidence for the risk of laminitis associated with triamcinolone use is limited. Objective: To determine the risk of laminitis within 90 days of triamcinolone administration and compare with the risk of laminitis in a veterinary-attended horse population. Methods: Retrospective study of clinical records. Methods: Text mining and data extraction was performed using content analysis software (SimStat-WordStat v.6) on a database ...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 7 doi: 10.1111/evj.12486_14
Delesalle CJ, Callens C, Van Colen I, Lefebvre RA.Selective 5-HT4 receptor agonists such as prucalopride are used as human prokinetics, since activation of 5-HT4 receptors on intestinal cholinergic neurons facilitates acetylcholine release. 5-HT4 receptors, linked to adenylyl cyclase, act via generation of cAMP. None of the 4 in vitro studies on 5-HT in horses provided evidence for neuronal 5-HT4 receptors, but none used the protocol as described in human studies [1-4]. Objective: To investigate whether functional 5-HT4 receptors are present in the equine small intestine. Methods: In vitro organ bath set up, applying electrical field stimulat...
Increased susceptibility of skin from HERDA (Hereditary Equine Regional Dermal Asthenia)-affected horses to bacterial collagenase degradation: a potential contributing factor to the clinical signs of HERDA.
Veterinary dermatology    September 16, 2015   Volume 26, Issue 6 476-e111 doi: 10.1111/vde.12256
Rashmir-Raven A, Lavagnino M, Sedlak A, Gardner K, Arnoczky S.Hereditary equine regional dermal asthenia (HERDA) is a genetic disorder of collagen resulting in fragile, hyper-extensible skin and ulcerative lesions. The predominance of skin lesions have been shown to occur on the dorsum of HERDA-affected horses. While this has been postulated to be due to increased exposure to sunlight of these areas, the precise pathological mechanism which causes this to occur is unclear. Objective: We hypothesized that an increase in collagenase activity, that has been associated with the exposure of dermal fibroblasts to sunlight, will significantly degrade the materi...
Equine recurrent uveitis: Lessons from and for autoimmune anterior uveitis in humans.
Veterinary journal (London, England : 1997)    September 9, 2015   Volume 206, Issue 3 245-246 doi: 10.1016/j.tvjl.2015.09.003
Hughes KJ.No abstract available
Differential diagnoses, investigation, and management of a periocular swelling close to the nasolacrimal duct in a horse – A case report of Dacryops.
Veterinary ophthalmology    September 4, 2015   Volume 19, Issue 5 427-431 doi: 10.1111/vop.12309
Dawson C, Dixon J, Lam R, Priestnall SL, Escanilla N.To describe the differential diagnoses, investigation, and management of a periocular swelling close to the nasolacrimal duct in a horse that was consistent with a nasolacrimal duct dacryops (lacrimal cyst). A 16-year-old gelding, Connemara cross presented with a history of a periocular swelling rostroventral medial to the right eye that had been sampled by the referring veterinary surgeon. A cystic lesion was diagnosed following standing computed tomography. Surgical removal of the cystic lesion was performed, and the tissue was submitted for histopathologic and immunohistochemical examinatio...
Secretoglobin and Transferrin Expression in Bronchoalveolar Lavage Fluid of Horses with Chronic Respiratory Disease.
Journal of veterinary internal medicine    August 30, 2015   Volume 29, Issue 6 1692-1699 doi: 10.1111/jvim.13604
Miskovic Feutz M, Couetil LL, Riley CP, Zhang X, Adamec J, Raskin RE.Lower expression of secretoglobin and transferrin has been found in the bronchoalveolar lavage fluid (BALF) of a small number of horses with experimentally induced signs of recurrent airway obstruction (RAO) compared to healthy controls. Objective: Secretoglobin and transferrin BALF expression will be similarly decreased in horses with naturally occurring clinical signs of RAO and in horses with experimentally induced clinical signs of RAO as compared to healthy controls and intermediate in horses with inflammatory airway disease (IAD). Methods: Recurrent airway obstruction-affected and contro...
Mitogen-activated kinase pathway activation in epidermal lamellae in the acute stages of carbohydrate overload laminitis models and the effect of regional deep hypothermia on signalling pathways.
Equine veterinary journal    August 29, 2015   Volume 48, Issue 5 633-640 doi: 10.1111/evj.12488
Gardner AK, Kelly CS, van Eps AW, Burns TA, Watts MR, Belknap JK.In sepsis models, mitogen-activated protein kinases (MAPKs) are reported to incite inflammatory injury to tissues and are purported to be a therapeutic target. Objective: To assess MAPK signalling in lamellae in sepsis-related laminitis (SRL) at different time points after induction of laminitis via carbohydrate overload, and to determine the effect of regional deep hypothermia (RDH) on MAPK signalling. Methods: In vitro study using archived tissue samples. Methods: Lamellar concentrations of MAPKs were assessed in archived lamellar samples from 2 studies: 1) the starch gruel model of SRL with...
Surgical resolution of accidental intramuscular injection of Gudair® vaccine in a mare.
Australian veterinary journal    August 28, 2015   Volume 93, Issue 9 301-304 doi: 10.1111/avj.12360
Willsallen H, Yang PJ, Jacobs KA.This case report describes the accidental intramuscular administration of 20 mL Gudair® vaccine to a 7-year-old Standardbred mare and successful treatment of the resulting inflammatory reaction by radical surgical resection.
Impaired Cell Cycle Regulation in a Natural Equine Model of Asthma.
PloS one    August 20, 2015   Volume 10, Issue 8 e0136103 doi: 10.1371/journal.pone.0136103
Pacholewska A, Jagannathan V, Drögemüller M, Klukowska-Rötzler J, Lanz S, Hamza E, Dermitzakis ET, Marti E, Leeb T, Gerber V.Recurrent airway obstruction (RAO) is a common and potentially debilitating lower airway disease in horses, which shares many similarities with human asthma. In susceptible horses RAO exacerbation is caused by environmental allergens and irritants present in hay dust. The objective of this study was the identification of genes and pathways involved in the pathology of RAO by global transcriptome analyses in stimulated peripheral blood mononuclear cells (PBMCs). We performed RNA-seq on PBMCs derived from 40 RAO affected and 45 control horses belonging to three cohorts of Warmblood horses: two h...
Serum Surfactant Protein D and Haptoglobin as Potential Biomarkers for Inflammatory Airway Disease in Horses.
Journal of veterinary internal medicine    August 19, 2015   Volume 29, Issue 6 1707-1711 doi: 10.1111/jvim.13602
Bullone M, de Lagarde M, Vargas A, Lavoie JP.The identification of serum biomarkers of lung inflammation would facilitate the diagnosis of inflammatory airway disease (IAD) in horses. Objective: Horses with IAD have higher serum concentrations of markers of inflammation compared to controls. Methods: Twelve horses with IAD and 10 control horses. Methods: This was a prospective case-control study. Blood and BALF were collected from horses with IAD and controls. Serum concentration of surfactant protein D (SP-D), haptoglobin, serum amyloid A (SAA) and of the soluble form of triggering receptor expressed on myeloid cells 1 (sTREM-1) was mea...
Relationships between equine airway reactivity measured by flowmetric plethysmography and specific indicators of airway inflammation in horses with suspected inflammatory airway disease.
Equine veterinary journal    August 18, 2015   Volume 48, Issue 4 466-471 doi: 10.1111/evj.12482
Wichtel M, Gomez D, Burton S, Wichtel J, Hoffman A.Agreement between airway reactivity measured by flowmetric plethysmography and histamine bronchoprovocation, and lower airway inflammation measured by bronchoalveolar lavage (BAL) cytology, has not been studied in horses with suspected inflammatory airway disease (IAD). Objective: We tested the hypothesis that airway reactivity is associated with BAL cytology in horses presenting for unexplained poor performance and/or chronic cough. Methods: Prospective clinical study. Methods: Forty-five horses, predominantly young Standardbred racehorses, presenting for unexplained poor performance or chron...
Equine allogeneic umbilical cord blood derived mesenchymal stromal cells reduce synovial fluid nucleated cell count and induce mild self-limiting inflammation when evaluated in an lipopolysaccharide induced synovitis model.
Equine veterinary journal    August 14, 2015   Volume 48, Issue 5 619-625 doi: 10.1111/evj.12477
Williams LB, Koenig JB, Black B, Gibson TW, Sharif S, Koch TG.Improvement has been reported following intra-articular (i.a.) injection of mesenchymal stromal cells (MSCs) in several species. These observations have led to the use of i.a. MSCs in equine practice with little understanding of the mechanisms by which perceived improvement occurs. Objective: To evaluate the effect of i.a. allogeneic umbilical cord blood (CB-) derived MSCs using a lipopolysaccharide (LPS) induced synovitis model. We hypothesised that i.a. CB-MSCs would reduce the inflammatory response associated with LPS injection. Methods: Randomised, blinded experimental study. Methods: Feas...
Concentrations of serum amyloid A and plasma fibrinogen in horses undergoing emergency abdominal surgery.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 14, 2015   Volume 26, Issue 3 344-351 doi: 10.1111/vec.12365
Daniel AJ, Leise BS, Burgess BA, Morley PS, Cloninger M, Hassel DM.To compare the perioperative response of serum amyloid A (SAA) to fibrinogen in horses requiring exploratory celiotomy for colic and to determine if SAA could be used to predict complications and outcome. Methods: Prospective observational clinical study. Methods: University teaching hospital. Methods: Eighteen horses undergoing exploratory celiotomy for colic. Inclusion criteria for the study included survival and anesthetic recovery from exploratory celiotomy, no history of surgery within the past year. Methods: Blood was obtained via jugular venipuncture before surgery (time 0) and at 24, 4...
Short- and long-term effects of platelet-rich plasma upon healthy equine joints: Clinical and laboratory aspects.
The Canadian veterinary journal = La revue veterinaire canadienne    August 8, 2015   Volume 56, Issue 8 831-838 
Moraes AP, Moreira JJ, Brossi PM, Machado TS, Michelacci YM, Baccarin RY.This study aimed to verify whether transient inflammatory reactions incited by the administration of intra-articular platelet-rich plasma (PRP) affected joint components through short- and long-term in vivo evaluation of inflammatory biomarkers and extracellular matrix degradation products in synovial fluid. The effects of PRP were analyzed in a short phase protocol (SPP) and in a prolonged phase protocol (PPP), using saline-injected joints as controls. In the SPP, higher white blood cell counts and prostaglandin E2 and total protein concentrations were observed in the synovial fluid of PRP-tr...
EquiNox2: A new method to measure NADPH oxidase activity and to study effect of inhibitors and their interactions with the enzyme.
Talanta    August 4, 2015   Volume 144 1252-1259 doi: 10.1016/j.talanta.2015.08.007
Derochette S, Serteyn D, Mouithys-Mickalad A, Ceusters J, Deby-Dupont G, Neven P, Franck T.Excessive neutrophil stimulation and reactive oxygen species (ROS) production are involved in numerous human or horse pathologies. The modulation of the neutrophil NADPH oxidase (NOX) has a great therapeutic potential since this enzyme produces superoxide anion whose most of the other ROS derive. The measurement of NOX activity by cell-free systems is often used to test potential inhibitors of the enzyme. A major drawback of this technique is the possible interferences between inhibitors and the probe, ferricytochrome c, used to measure the activity. We designed the "EquiNox2", a new pharmacol...
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