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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.
Transcriptome profiling of granulosa and theca cells during dominant follicle development in the horse.
Biology of reproduction    September 24, 2014   Volume 91, Issue 5 111 doi: 10.1095/biolreprod.114.118943
Donadeu FX, Fahiminiya S, Esteves CL, Nadaf J, Miedzinska K, McNeilly AS, Waddington D, Gérard N.Several aspects of equine ovarian physiology are unique among domestic species. Moreover, follicular growth patterns are very similar between horses and humans. This study aimed to characterize, for the first time, global gene expression profiles associated with growth and preovulatory (PO) maturation of equine dominant follicles. Granulosa cells (GCs) and theca interna cells (TCs) were harvested from follicles (n = 5) at different stages of an ovulatory wave in mares corresponding to early dominance (ED; diameter ≥22 mm), late dominance (LD; ≥33 mm) and PO stage (34 h after administration...
The distribution pattern of Halicephalobus gingivalis in a horse is suggestive of a haematogenous spread of the nematode.
Acta veterinaria Scandinavica    September 19, 2014   Volume 56, Issue 1 56 doi: 10.1186/s13028-014-0056-0
Henneke C, Jespersen A, Jacobsen S, Nielsen MK, McEvoy F, Jensen HE.The majority of Halicephalobus gingivalis-infections in horses have been fatal and are usually not diagnosed before necropsy. Therefore, knowledge about the nematode and the pathogenesis of infection in horses is limited. This has resulted in an on-going discussion about the port of entry and subsequent dissemination of H. gingivalis within the host. The present case of H. gingivalis-infection in a horse was diagnosed ante mortem. Post mortem findings, the distribution pattern of H. gingivalis nematodes in the brain, a high prevalence of inflammation in close relation to blood vessels, and the...
Pathology of Natural Cases of Equine Endocrinopathic Laminitis Associated With Hyperinsulinemia.
Veterinary pathology    September 17, 2014   Volume 52, Issue 5 945-956 doi: 10.1177/0300985814549212
Karikoski NP, McGowan CM, Singer ER, Asplin KE, Tulamo RM, Patterson-Kane JC.Laminitis in equids is a clinical syndrome usually associated with systemic disease. Endocrinopathies recently have been recognized as the most common cause of laminitis, with hyperinsulinemia playing a key role. Descriptions of laminitis-associated lesions have been confusing due to the wide range of experimental models used, failure of adequate clinical documentation for naturally occurring cases, lack of separate analysis of inflammatory and endocrinopathic laminitis, and uncertainty regarding normal morphological variation of lamellae. In this study, lamellar morphology and pathology were ...
The use of liquid chromatography tandem mass spectrometry to detect proteins in saliva from horses with and without systemic inflammation.
Veterinary journal (London, England : 1997)    September 16, 2014   Volume 202, Issue 3 483-488 doi: 10.1016/j.tvjl.2014.08.032
Jacobsen S, Top Adler DM, Bundgaard L, Sørensen MA, Andersen PH, Bendixen E.The objective of the study was to assess global expression of proteins in equine saliva using liquid chromatography tandem mass spectrometry (LC-MS/MS). Saliva was obtained from seven horses with and six horses without evidence of systemic inflammatory disease. Tryptic peptides from saliva were analysed by LC-MS/MS. Of 195 unique proteins identified, 57 were detected only in saliva samples from horses with systemic inflammation (in two to six of the seven horses). Among the differentially expressed proteins were several acute phase proteins (APPs) such as serum amyloid A, fibrinogen, haptoglob...
Laminar inflammatory events in lean and obese ponies subjected to high carbohydrate feeding: Implications for pasture-associated laminitis.
Equine veterinary journal    September 10, 2014   Volume 47, Issue 4 489-493 doi: 10.1111/evj.12314
Burns TA, Watts MR, Weber PS, McCutcheon LJ, Geor RJ, Belknap JK.Acute, massive enteral carbohydrate overload is associated with laminar inflammation in equids; it is unclear if the same is true for a more prolonged period of moderate dietary carbohydrate intake. Objective: To characterise laminar inflammation in ponies exposed to a dietary carbohydrate challenge meant to mimic acute pasture exposure. Methods: In vivo experiment. Methods: Mixed-breed ponies (n = 22) received a diet of hay chop (nonstructural carbohydrate [NSC] ∼7% on a dry matter [DM] basis) for 4 weeks prior to initiation of the experimental feeding protocol. Following dietary acclimatio...
Comparison of equine endometrial cytology samples collected with uterine swab, uterine brush, and low-volume lavage from healthy mares.
Veterinary clinical pathology    September 10, 2014   Volume 43, Issue 4 594-600 doi: 10.1111/vcp.12194
Bohn AA, Ferris RA, McCue PM.There have been no studies evaluating and comparing the quality of equine endometrial cytology samples obtained via the 3 most common sampling techniques from healthy mares. Objective: The objective was to compare the quality and contents of equine endometrial samples obtained by 3 different sampling techniques: double-guarded uterine swab, double-guarded uterine brush, and low-volume lavage (LVL), all collected from clinically healthy mares. Methods: Samples were collected from 24 healthy mares in early estrus. In 19 mares, samples were obtained in a sequential manner, first with the swab, th...
Inhaled corticosteroids modulate the (+)insert smooth muscle myosin heavy chain in the equine asthmatic airways.
Thorax    September 9, 2014   Volume 69, Issue 12 1113-1119 doi: 10.1136/thoraxjnl-2014-205572
Boivin R, Vargas A, Lefebvre-Lavoie J, Lauzon AM, Lavoie JP.Overexpression of the (+)insert smooth muscle myosin heavy chain (SMMHC) isoform could contribute to airway bronchospasm by increasing the velocity of contraction. Whether the (+)insert isoform is present in the small airways and its expression is reversible in asthma are unknown. Objective: To determine the anatomical location and the expression kinetics of the (+)insert SMMHC isoform in airways of horses with heaves and to evaluate its modulation in response to disease status. Methods: We evaluated the (+)insert SMMHC isoform in the airways of horses with heaves during disease exacerbation a...
Pulmonary pharmacokinetics of desfuroylceftiofur acetamide after nebulisation or intramuscular administration of ceftiofur sodium to weanling foals.
Equine veterinary journal    September 5, 2014   Volume 47, Issue 4 473-477 doi: 10.1111/evj.12316
Fultz L, Giguère S, Berghaus LJ, Grover GS, Merritt DA.Administration of ceftiofur sodium via nebulisation has been recommended for the treatment of bronchopneumonia in horses, despite the lack of pharmacokinetic and safety data. Objective: To compare concentrations of desfuroylceftiofur acetamide (DCA) in plasma and pulmonary epithelial lining fluid (PELF) of foals after nebulisation or i.m. administration of ceftiofur sodium and to determine if nebulisation of ceftiofur sodium induces airway inflammation. Methods: Randomised experimental study. Methods: Six weanling foals received ceftiofur sodium (2.2 mg/kg bwt daily for 5 doses) by the i.m. ...
Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses-a preliminary investigation.
PeerJ    September 4, 2014   Volume 2 e534 doi: 10.7717/peerj.534
Duesterdieck-Zellmer KF, Moneta L, Ott JF, Larson MK, Gorman EM, Hunter B, Löhr CV, Payton ME, Morré JT, Maier CS.To determine effects of intraarticularly administered tiludronate on articular cartilage in vivo, eight healthy horses were injected once with tiludronate (low dose tiludronate [LDT] 0.017 mg, n = 4; high dose tiludronate [HDT] 50 mg, n = 4) into one middle carpal joint and with saline into the contralateral joint. Arthrocentesis of both middle carpal joints was performed pre-treatment, and 10 min, 24 h, 48 h, 7 and 14 days after treatment. Synovial nucleated cell counts and total solids, tiludronate, sulfated glycosaminoglycan (sGAG), chondroitin sulfate 846 epitope (CS-846, a measure of aggr...
A comparison of peritoneal fluid values in mares following bilateral laparoscopic ovariectomy using a vessel sealing and dividing device versus placement of two ligating loops.
Veterinary journal (London, England : 1997)    September 3, 2014   Volume 202, Issue 2 297-302 doi: 10.1016/j.tvjl.2014.08.025
Seabaugh KA, Goodrich LR, Bohn AA, Morley PS, Hendrickson DA.The objective of this study was to determine the effect of bilateral laparoscopic ovariectomy on peritoneal fluid values in mares and compare how this effect was modified by the method of ovarian vessel hemostasis used. Ten mares undergoing standing bilateral laparoscopic ovariectomy were used in a randomized clinical study. During surgery, blood vessels within the mesovarium were either: (1) sealed and transected with a vessel sealing and dividing device (VSDD), or (2) ligated using two loops placed proximal to each ovary and then the mesovarium transected using laparoscopic scissors. The ova...
Immune responses to ectoparasites of horses, with a focus on insect bite hypersensitivity.
Parasite immunology    September 3, 2014   Volume 36, Issue 11 560-572 doi: 10.1111/pim.12142
Wilson AD.Horses are affected by a wide variety of arthropod ectoparasites, ranging from lice which spend their entire life on the host, through ticks which feed over a period of days, to numerous biting insects that only transiently visit the host to feed. The presence of ectoparasites elicits a number of host responses including innate inflammatory responses, adaptive immune reactions and altered behaviour; all of which can reduce the severity of the parasite burden. All of these different responses are linked through immune mechanisms mediated by mast cells and IgE antibodies which have an important ...
Fibrinous pericarditis and pericardial effusion in three neonatal foals.
Australian veterinary journal    September 1, 2014   Volume 92, Issue 10 392-399 doi: 10.1111/avj.12238
Armstrong SK, Raidal SL, Hughes KJ.Three foals, aged between 5 and 10 days, were presented for assessment of lethargy, abdominal pain and joint effusion. Fibrinous pericarditis and pericardial effusion (PE) were recognised in each foal and considered as sequelae to systemic inflammatory response syndrome (SIRS) and suspected or confirmed septicaemia. Unassigned: Diagnosis of pericarditis was made in two foals by echocardiographic examination and analysis of pericardial fluid, and during postmortem examination of the third foal. In both of the foals that underwent pericardiocentesis, PE was an exudate, no bacteria were identifie...
Analgesic effects of intraneural injection of ethyl alcohol or formaldehyde in the palmar digital nerves of horses.
American journal of veterinary research    August 27, 2014   Volume 75, Issue 9 784-791 doi: 10.2460/ajvr.75.9.784
Schneider CP, Ishihara A, Adams TP, Zekas LJ, Oglesbee M, Bertone AL.To determine analgesic effects of intraneural injection of ethyl alcohol or formaldehyde in the palmar digital nerves of horses. Methods: 6 horses. Methods: Ethyl alcohol was injected in the medial palmar digital nerve of 1 forelimb, and formaldehyde was injected in the contralateral nerve. The lateral palmar digital nerve in 1 forelimb was surgically exposed, but not injected, and the contralateral lateral palmar digital nerve was not treated. For each heel, severity of lameness in response to experimentally induced heel pain (lameness score and peak vertical force), thermal reaction time, an...
Neutrophil extracellular traps formation by bacteria causing endometritis in the mare.
Journal of reproductive immunology    August 27, 2014   Volume 106 41-49 doi: 10.1016/j.jri.2014.08.003
Rebordão MR, Carneiro C, Alexandre-Pires G, Brito P, Pereira C, Nunes T, Galvão A, Leitão A, Vilela C, Ferreira-Dias G.Besides the classical functions, neutrophils (PMNs) are able to release DNA in response to infectious stimuli, forming neutrophil extracellular traps (NETs) and killing pathogens. The pathogenesis of endometritis in the mare is not completely understood. The aim was to evaluate the in vitro capacity of equine PMNs to secrete NETs by chemical activation, or stimulated with Streptococcus equi subspecies zooepidemicus (Szoo), Escherichia coli (Ecoli) or Staphylococcus capitis (Scap) strains obtained from mares with endometritis. Ex vivo endometrial mucus from mares with bacterial endometritis wer...
Effect of endotoxin on leukocyte activation and migration into laminar tissue of isolated perfused equine limbs.
American journal of veterinary research    August 27, 2014   Volume 75, Issue 9 842-850 doi: 10.2460/ajvr.75.9.842
Patan-Zugaj B, Gauff FC, Plendl J, Licka TF.To investigate effects of endotoxin on leukocyte activation and infiltration of the laminar tissue in isolated perfused equine limbs. Methods: 10 right forelimbs and 3 left forelimbs collected from 10 healthy adult horses after slaughter at a licensed abattoir. procedures: Isolated right forelimbs were randomly assigned to 2 groups (5 forelimbs/group): perfusion of the distal portion for 10 hours with 80 ng of endotoxin/L and perfusion under the same conditions without endotoxin. After perfusion, samples for immunohistochemical detection of leukocytes (by use of antibodies against calprotectin...
Airway wall eosinophilia is not a feature of equine heaves.
Veterinary journal (London, England : 1997)    August 22, 2014   Volume 202, Issue 2 387-389 doi: 10.1016/j.tvjl.2014.08.020
Dubuc J, Lavoie JP.The objective of this study was to determine whether eosinophils infiltrate the airway wall of horses with heaves. Eosinophils were evaluated using paraffin embedded lung tissues from six heaves-affected horses in crisis and six aged-matched controls. Slides were stained using Luna's method and eosinophils enumerated using histomorphometric techniques. Total eosinophil counts (expressed per mm(2) of basement membrane) were significantly higher in the airways of controls horses than in horses with heaves. Intraluminal, intraepithelial, and airway smooth muscle eosinophils counts were also incre...
Use of laser capture microdissection for the assessment of equine lamellar basal epithelial cell signalling in the early stages of laminitis.
Equine veterinary journal    August 19, 2014   Volume 47, Issue 4 478-488 doi: 10.1111/evj.12283
Leise BS, Watts MR, Roy S, Yilmaz AS, Alder H, Belknap JK.Dysadhesion of laminar basal epithelial cells (LBECs) from the underlying dermis is the central event leading to structural failure in equine laminitis. Although many studies of sepsis-related laminitis have reported multiple events occurring throughout the lamellar tissue, there is minimal information regarding signalling events occurring specifically in LBECs. Objective: To determine signalling events in the LBECs during the early stages of carbohydrate-induced laminitis. Methods: Experimental study. Methods: Eight horses were given an overload of carbohydrate (CHO) consisting of corn starch...
Histopathological features of equine superficial, nonhealing, corneal ulcers.
Veterinary ophthalmology    August 16, 2014   Volume 17 Suppl 1 46-52 doi: 10.1111/vop.12117
Hempstead JE, Clode AB, Borst LB, Gilger BC.To evaluate corneal changes associated with chronic, nonhealing, superficial, corneal ulcers in horses via common histopathological stains. Methods: Retrospective study. Methods: Twenty-four horses diagnosed with chronic, nonhealing, superficial, corneal ulceration. Methods: The medical records of horses evaluated at North Carolina State University's Veterinary Teaching Hospital (NCSU-VTH) from 2005 to 2011, diagnosed with a chronic, nonhealing, superficial, corneal ulcer and treated with superficial keratectomy (SK) were reviewed. Inclusion criteria were superficial corneal ulceration, no cel...
Airborne particulates (PM10) and tracheal mucus: A case-control study at an American Thoroughbred racetrack.
Equine veterinary journal    August 15, 2014   Volume 47, Issue 4 410-414 doi: 10.1111/evj.12303
Millerick-May ML, Karmaus W, Derksen FJ, Berthold B, Robinson NE.Particle mapping within stalls has demonstrated a relationship between particulate concentrations and visible accumulations of tracheal mucus. However, measurement of breathing zone particulate concentrations, which is the most accurate way to measure exposure, has not been performed to determine the relationship between exposures and accumulations of tracheal mucus sufficient to affect performance. Objective: To compare breathing zone particulate exposures between horses with tracheal mucus scores (MS) previously demonstrated to affect performance (MS≥2) and those without (MS = 0) visible t...
Hirudotherapy in veterinary medicine.
Annals of parasitology    August 15, 2014   Volume 60, Issue 2 89-92 
Sobczak N, Kantyka M.The saliva of medicinal leeches, e.g., Hirudo medicinalis and Hirudo verbana commonly used in hirudotherapy, contains more than 100 bioactive substances with various therapeutic effects, including anticoagulant, vasodilator, thrombolytic, anti-inflammatory and anaesthetic properties. Recently, leeches have been used very successfully in veterinary medicine to treat many diseases of animals, especially dogs, cats and horses. The most common indications for the use of leeches are hip and elbow dysplasia, acute and chronic arthritis, diseases associated with inflammation of tendons, ligaments, an...
Diagnosis and treatment of dynamic collapse of the cricotracheal ligament in thoroughbred racehorses.
Veterinary surgery : VS    August 13, 2014   Volume 44, Issue 2 162-167 doi: 10.1111/j.1532-950X.2014.12262.x
Kelly PG, Pollock PJ.To describe (1) diagnosis of dynamic collapse of the cricotracheal ligament in a group of horses and (2) treatment and outcome of affected horses. Methods: Retrospective case series. Methods: Thoroughbred horses (n = 8). Methods: Of 600 over ground dynamic endoscopic examinations performed, 8 Thoroughbred horses had cricotracheal ligament collapse (CTLC); 5 were 2 years old and in early training and 2 were mature horses in full work. CTLC was diagnosed if circumferential collapse of the cricotracheal ligament was identified during exercise. Seven horses had repeat endoscopic examination. T...
Viability of equine mesenchymal stem cells during transport and implantation.
Stem cell research & therapy    August 8, 2014   Volume 5, Issue 4 94 doi: 10.1186/scrt483
Garvican ER, Cree S, Bull L, Smith RK, Dudhia J.Autologous mesenchymal stem cell (MSC) injection into naturally-occurring equine tendon injuries has been shown to be safe and efficacious and protocols inform translation of the technique into humans. Efficient transfer of cells from the laboratory into tissue requires well-validated transport and implantation techniques. Methods: Cell viability in a range of media was determined over 72 hours and after injection through a 19G, 21G or 23G needle. Viability, proliferation and apoptosis were analysed using TrypanBlue, alamarBlue® and AnnexinV assays. Results: Cell viability was similar in all...
Pathology in practice. Coronary band dystrophy with proliferative pododermatitis.
Journal of the American Veterinary Medical Association    July 31, 2014   Volume 245, Issue 4 385-387 doi: 10.2460/javma.245.4.385
Twitchell EL, Hartman RA, Waxman SJ, Lescun TB, Miller MA.No abstract available
Equine mesenchymal stromal cells and embryo-derived stem cells are immune privileged in vitro.
Stem cell research & therapy    July 30, 2014   Volume 5, Issue 4 90 doi: 10.1186/scrt479
Paterson YZ, Rash N, Garvican ER, Paillot R, Guest DJ.Autologous mesenchymal stem cells (MSCs) are an attractive concept in regenerative medicine, but their mechanism of action remains poorly defined. No immune response is reported after in vivo injection of allogeneic equine MSCs or embryo-derived stem cells (ESCs) into the equine tendon, which may be due to the cells' immune-privileged properties. This study further investigates these properties to determine their potential for clinical application in other tissues. Methods: Mitomycin C-treated MSCs, ESCs, or differentiated ESCs (dESCs) were cultured with allogeneic equine peripheral blood mono...
Antioxidant activity of hyaluronic acid investigated by means of chemiluminescence of equine neutrophil bursts and electron paramagnetic resonance spectroscopy.
Journal of veterinary pharmacology and therapeutics    July 28, 2014   Volume 38, Issue 1 48-54 doi: 10.1111/jvp.12141
Braga PC, Dal Sasso M, Lattuada N, Greco V, Sibilia V, Zucca E, Stucchi L, Ferro E, Ferrucci F.Activated neutrophils (PMNs), the ROS/RNS released by PMNs and the derived inflammatory processes are involved in the pathogenesis and progression of human inflammatory airway diseases. Similar diseases are also present in horses which suffer from recurrent airway obstruction (RAO), exercise-induced pulmonary haemorrhage (EIPH) and inflammatory airway diseases (IAD). Hyaluronic acid (HA) plays numerous roles in modulating inflammatory processes. The aim of this study was to examine whether a preparation of HA (MW 900 000 Da) interferes with ROS/RNS during the course of equine PMN respiratory b...
Effects of clopidogrel on horses with experimentally induced endotoxemia.
American journal of veterinary research    July 26, 2014   Volume 75, Issue 8 760-769 doi: 10.2460/ajvr.75.8.760
Watts AE, Ness SL, Divers TJ, Fubini SL, Frye AH, Stokol T, Cummings KJ, Brooks MB.To evaluate the effects of clopidogrel on clinical and clinicopathologic variables in healthy horses with experimentally induced endotoxemia. Methods: 12 adult mares. Procedures-Horses were assigned with a randomization procedure to receive clopidogrel (4 mg/kg, once, then 2 mg/kg, q 24 h; n = 6) or a placebo (6) through a nasogastric tube. After 72 hours of treatment, horses received lipopolysaccharide (LPS; 30 ng/kg, IV). Heart rate, respiratory rate, rectal temperature, CBC variables, plasma fibrinogen concentration, serum tumor necrosis factor-α concentration, plasma von Willebrand factor...
Concentrations of stromal cell-derived factor-1 in serum, plasma, and synovial fluid of horses with osteochondral injury.
American journal of veterinary research    July 26, 2014   Volume 75, Issue 8 722-730 doi: 10.2460/ajvr.75.8.722
Dymock DC, Brown MP, Merritt KA, Trumble TN.To determine whether stromal cell-derived factor-1 (SDF-1) concentrations in serum, plasma, and synovial fluid differed among untrained, race-trained, and osteochondral-injured Thoroughbred racehorses. Methods: 22 racehorses without osteochondral injury and 37 racehorses with osteochondral injury. Methods: Horses without osteochondral injury were examined before and after 5 to 6 months of race training. Horses with osteochondral injury were undergoing arthroscopic surgery for removal of osteochondral fragments from carpal or metacarpophalangeal or metatarsophalangeal joints (fetlock joints). S...
Diagnostic and predictive capability of routine laboratory tests for the diagnosis and staging of equine inflammatory disease.
Journal of veterinary internal medicine    July 23, 2014   Volume 28, Issue 5 1587-1593 doi: 10.1111/jvim.12404
Hooijberg EH, van den Hoven R, Tichy A, Schwendenwein I.A wide spectrum of laboratory tests is available to aid diagnosis and classification of equine inflammatory disease. Objective: To compare diagnostic efficacy and combined predictive capability of the myeloperoxidase index (MPXI), and plasma fibrinogen, iron and serum amyloid A (SAA) concentrations for the diagnosis of inflammation. Methods: Twenty-six hospitalized horses with systemic inflammation (SI), 114 with local inflammation (LI) and 61 healthy horses or those with noninflammatory disease (NI) were included. Methods: A retrospective study was performed; clinicopathologic data from horse...
Parallel testing of plasma iron and fibrinogen concentrations to detect systemic inflammation in hospitalized horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    July 15, 2014   Volume 24, Issue 4 414-420 doi: 10.1111/vec.12189
Corradini I, Armengou L, Viu J, Rodríguez-Pozo ML, Cesarini C, Jose-Cunilleras E.To determine if plasma iron concentration is different between horses with and without systemic inflammation (SI) and to assess the accuracy for the detection of SI by assaying plasma iron and fibrinogen concentrations, individually or combined. To assess the prognostic value of plasma iron concentration and to describe the progression of plasma iron and fibrinogen concentrations during hospital follow-up, and its relation to SI and survival. Methods: Prospective observational study evaluating plasma iron and fibrinogen. Methods: University veterinary teaching hospital. Methods: Equine patient...
A fast method for the determination of the PC/LPC ratio in intact serum by MALDI-TOF MS: an easy-to-follow lipid biomarker of inflammation.
Chemistry and physics of lipids    July 9, 2014   Volume 183 169-175 doi: 10.1016/j.chemphyslip.2014.07.001
The PC/LPC ratio of blood serum is increasingly considered to represent an important clinical parameter that reflects various kinds of diseases. Here, a simple and fast method of lipid analyses of "intact" blood serum (i.e. without extraction) by MALDI-TOF mass spectrometry is described. The novel procedure allows the accurate determination of the PC/LPC ratio, utilizing only a tiny amount of blood. The serum is diluted with distilled water and directly applied onto the MALDI target and, after drying, covered by a thin layer of the matrix solution (either 9-aminoacridine or 2,5-dihydroxybenzoi...
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