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Topic:Pathogenesis

Pathogenesis in horses refers to the biological mechanisms that lead to the development and progression of diseases within equine species. This process involves a complex interaction between the horse's immune system, genetic predispositions, environmental factors, and infectious agents such as bacteria, viruses, or parasites. Understanding pathogenesis is essential for identifying how diseases manifest and progress in horses, which can inform diagnostic and therapeutic strategies. Research in this area often focuses on specific diseases, examining factors such as pathogen entry, immune response, tissue damage, and recovery processes. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, contributing factors, and implications of pathogenesis in equine health.
The Genomic Characterization of Equid Alphaherpesviruses: Structure, Function, and Genetic Similarity.
Veterinary sciences    March 3, 2025   Volume 12, Issue 3 228 doi: 10.3390/vetsci12030228
Liu D, Zhao X, Wang X.Equine herpesvirus 1 (EHV-1), EHV-4, EHV-8, and EHV-9, are classified within the subfamily and are recognized as causative agents of respiratory, urogenital, and neurological disorders in horses. These viruses, collectively referred to as αEHVs, exhibits both unique and shared characteristics in terms of host interaction, pathogenesis, epidemiology, and immune evasion, which arise from both the identities and discrepancies among respective genomic homologs. The genomic architecture of αEHVs is similar to other members of the same subfamily, such as well-known HSV-1, VZV, and PRV. However, r...
Comparative evaluation of haemato-biochemical and oxidative stress markers in natural patent and latent infection of Theileria equi in horses.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    March 1, 2025   Volume 49, Issue 3 725-734 doi: 10.1007/s12639-025-01796-1
Parashar R, Singla LD, Kaur P, Sharma SK.Relative association of haemato-biochemical findings with oxidative stress markers was evaluated between natural patent and latent infection of in horses to divulge the role of these parameters in the pathogenesis of illness due to non-availablity in literature. Blood samples were collected from 429 equines of 16 districts of the Punjab and samples positive by conventional microscopy (patent Group I; oll = 13), by polymerase chain reaction (PCR) (latent group II;  = 38) and healthy control (group III,  = 64) were compared for haematological-biochemical index and stress parameters....
Evaluation of Celastrol Antiviral Activity Against Equid Alphaherpesvirus Type 8 Infection.
Viruses    February 28, 2025   Volume 17, Issue 3 doi: 10.3390/v17030347
Yu Y, Wang J, Ruan L, Chen L, Khan MZ, You A, Wang C, Li L, Ren H, Wang T, Liu W.Equid alphaherpesvirus type 8 (EHV-8) is a contagious pathogen that causes reproductive disorders, respiratory diseases, and viral encephalitis in equids, resulting in significant economic losses for the global horse and donkey industries. Currently, there are no approved antiviral drugs or vaccines available for EHV-8 control. In this study, we investigated the antiviral efficacy of celastrol against EHV-8 both in vitro and in vivo. Our results demonstrated that celastrol significantly inhibited EHV-8 infection in Rabbit kidney (RK-13) and equine dermal cells (NBL-6) in a dose-dependent manne...
Equine neutrophils selectively release neutrophil extracellular traps in response to chemical and bacterial agonists.
Frontiers in veterinary science    February 24, 2025   Volume 12 1512343 doi: 10.3389/fvets.2025.1512343
Sheahan BJ, Schubert AG, Schubert W, Sheats MK, Schnabel LV, Gilbertie JM.Neutrophil extracellular traps (NETs) play a significant role in response to a variety of infectious and inflammatory stimuli in human and veterinary medicine. Although entrapment of bacteria can be an important function of NETs, the exuberant release of DNA and other intracellular molecules has also been negatively implicated in the pathogenesis of different diseases. Thus, NET formation must be tightly controlled and represents an opportunity for therapeutic interventions. Horses are particularly sensitive to bacterial stimuli that have previously been shown to cause NETs in other species, b...
Equine Influenza: Epidemiology, Pathogenesis, and Strategies for Prevention and Control.
Viruses    February 21, 2025   Volume 17, Issue 3 doi: 10.3390/v17030302
Branda F, Yon DK, Albanese M, Binetti E, Giovanetti M, Ciccozzi A, Ciccozzi M, Scarpa F, Ceccarelli G.Equine influenza (EI) is a highly contagious respiratory disease caused by the equine influenza virus (EIV), posing a significant threat to equine populations worldwide. EIV exhibits considerable antigenic variability due to its segmented genome, complicating long-term disease control efforts. Although infections are rarely fatal, EIV's high transmissibility results in widespread outbreaks, leading to substantial morbidity and considerable economic impacts on veterinary care, quarantine, and equestrian activities. The H3N8 subtype has undergone significant antigenic evolution, resulting in the...
Characterising equine abdominal lipomata: Can histological features improve the understanding of pathogenesis and risk?
Equine veterinary journal    February 20, 2025   doi: 10.1111/evj.14483
Gillen A, Archer D, Ireland J, Rocchigiani G.Strangulating lipomata are the most common cause of small intestinal strangulating obstruction. Evaluation of histological features of pathological and non-pathological lipomata, and the histological properties of omental and retroperitoneal fat have not been described. Objective: To characterise histological features of equine abdominal lipomata, omental and retroperitoneal adipose tissue, and associations between them. Methods: Prospective observational anatomic (gross and histological). Methods: Horses undergoing emergency laparotomy for management of abdominal pain in a single hospital wer...
Lamellar cell death and proliferation are associated with restricted ambulation and preferential weight bearing in a model relevant to supporting-limb laminitis.
American journal of veterinary research    February 19, 2025   Volume 86, Issue 4 doi: 10.2460/ajvr.24.09.0268
Engiles JB, Stefanovski D, van Eps A.To examine the effects of prolonged preferential weight bearing (PWB) and reduced ambulation (RA) on hoof lamellae using a nonpainful in vivo experimental model. Unassigned: 12 healthy Standardbred horses were housed in stocks continuously for 92 hours. A platform shoe was placed on 1 forelimb in the PWB group (n = 6) to increase the load on the supporting limb (SL) by approximately 10% bodyweight, whereas the RA group (n = 6) had normal weight bearing. Archived healthy horse (n = 8) samples were used as controls. Histomorphometry and histochemistry (terminal deoxynucleotidyl transferase dUTP ...
Whole-genome sequencing of Salmonella serovars isolated from diarrheic and non-diarrheic foals. Basso RM, Cerri FM, Possebon FS, Braga PRC, Casas MRT, Oliveira-Filho JP, Araújo Júnior JP, Ribeiro MG, Arroyo LG, Borges AS. spp. are important pathogens of foals, causing clinical enterocolitis and sepsis. We characterized the resistance, virulence, and stress response genes in isolates from foals with or without diarrhea. isolates ( = 23) recovered from fecal samples of 16 diarrheic and 7 non-diarrheic <1-y-old foals were subjected to whole-genome sequencing. The most common serovars detected in diarrheic foals were subsp. serovars Infantis and Minnesota. Multidrug resistance was observed in 9 of 23 isolates, with 8 of the 9 from diarrheic foals. All of the isolates contained at least 2 resistance genes, ...
Gastric equine myiasis: prevalence, pathogenesis, molecular and serological implications.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    February 1, 2025   Volume 49, Issue 3 489-497 doi: 10.1007/s12639-025-01782-7
Attia MM, Omar HM.This study aimed to collect data on the most common parasites of the family equidae which is spp. During this study we focused on the prevalence rate in the world; the distribution of the six known species: life cycle and the pathogenesis of the larvae inside the hosts were investigated around the world. Molecular as well as serological diagnoses were analyzed. Possible treatment strategies which were fully studied; are also, included. () and larvae are the main present larvae in equine; other species, such as , , and may be present. Although the female flies' egg-laying behavior can annoy...
Core genome multilocus sequence typing schemes for epidemiological investigation of Taylorella equigenitalis and Taylorella asinigenitalis.
Veterinary microbiology    January 30, 2025   Volume 302 110419 doi: 10.1016/j.vetmic.2025.110419
Kozak S, Merda D, Chesnais V, Breuil MF, Harrison M, Zdovc I, Golob M, Petry S, Duquesne F.Taylorella equigenitalis is the causative agent of contagious equine metritis, an internationally regulated sexually-transmitted infection in horses, which is of great concern as it usually results in temporary infertility. Taylorella asinigenitalis, the second member of the genus, is mainly found in donkeys and is considered non-pathogenic, although a first natural outbreak was reported in 2019 in the United Arab Emirates. Multilocus sequence typing (MLST) is currently used to study the epidemiology of Taylorella spp. but, while highly transposable and reproducible, it only focuses on < 0.5...
Genetics of Muscle Disease.
The Veterinary clinics of North America. Equine practice    January 28, 2025   S0749-0739(24)00088-9 doi: 10.1016/j.cveq.2024.10.002
Finno CJ.In the field of equine muscle disorders, many conditions have a genetic basis. Therefore, genetic testing is an important part of the diagnostic evaluation. Validated genetic tests are currently available for 5 equine muscle disorders: hyperkalemic periodic paralysis, malignant hyperthermia, glycogen branching enzyme disease, type 1 polysaccharide storage myopathy, and myosin heavy chain myopathy. These diseases should be tested for in the appropriate breeds with clinical signs of disease or as part of breeding management. Genetic testing in veterinary medicine is not regulated, and therefore,...
Myosin Heavy Chain Myopathy and Immune-Mediated Muscle Disorders.
The Veterinary clinics of North America. Equine practice    January 28, 2025   Volume 41, Issue 1 61-75 doi: 10.1016/j.cveq.2024.10.005
Durward-Akhurst SA, Valberg SJ.Several inflammatory myopathies have an infectious or immune-mediated basis in the horse. Myosin heavy chain myopathy is caused by a codominant missense variant in MYH1 and has 3 clinical presentations: immune-mediated myositis, calciphylaxis, and nonexertional rhabdomyolysis in Quarter Horse-related breeds. An infarctive form of purpura hemorrhagica affects numerous breeds, presenting with focal firm, painful muscle swelling, and subsequent infarction of multiple tissues. While Streptococcus equi equi is often the inciting cause, anaplasmosis, sarcocystis, piroplasmosis, viruses, and vaccines...
Investigation of the frequency and selected prevalence factors of equid alphaherpesvirus 4 viremia in horses with acute onset of fever and respiratory signs. Pusterla N, Barnum S, Lawton K, Craig B, James K.Equid alphaherpesvirus 4 (EqAHV4; Orthoherpesviridae, Varicellovirus equidalpha4; equine rhinopneumonitis virus) has seldom been associated with complications such as abortion and myeloencephalopathy, given the low tendency of this virus to induce viremia. We investigated the frequency of EqAHV4 viremia in horses with fever and respiratory signs. Case selection included all equids with EqAHV4 quantitative real-time PCR (qPCR)-positive nasal secretions (defined as EqAHV4 qPCR-positive cases) submitted to a diagnostic laboratory. Controls consisted of each case submitted before and after each Eq...
Imaging flow cytometry reveals the mechanism of equine arteritis virus entry and internalization.
Scientific reports    January 25, 2025   Volume 15, Issue 1 3246 doi: 10.1038/s41598-025-87080-x
Kublicka A, Lorek D, Mikołajczyk-Martinez A, Chodaczek G, Chwirot A, Bażanów B, Matczuk AK.The process of viral entry into host cells is crucial for the establishment of infection and the determination of viral pathogenicity. A comprehensive understanding of entry pathways is fundamental for the development of novel therapeutic strategies. Standard techniques for investigating viral entry include confocal microscopy and flow cytometry, both of which provide complementary qualitative and quantitative data. Imaging flow cytometry, which integrates the advantages of both methodologies, offers significant potential in virological studies. In this investigation, we employed imaging flow ...
Insect-specific Alphamesonivirus-1 (Mesoniviridae) in lymph node and lung tissues from two horses with acute respiratory syndrome.
Journal of virology    January 24, 2025   e0214424 doi: 10.1128/jvi.02144-24
Jurisic L, Auerswald H, Marcacci M, Di Giallonardo F, Coetzee LM, Curini V, Averaimo D, Ortiz-Baez AS, Cammà C, Di Teodoro G, Richt JA, Holmes EC....Members of the RNA virus order infect hosts ranging from marine invertebrates to terrestrial mammals. As such, understanding the determinants of host range in this group of viruses, as well as their patterns of emergence and disease potential, is of clear importance. The are a recently documented family within the . To date, mesoniviruses have only been associated with the infection of arthropod species, particularly mosquitoes, and hence are regarded as insect-specific viruses (ISVs). Herein, we report the first detection of a mesonivirus-Alphamesonivirus-1 -in mammals. Specifically, we uti...
Phenotypic and genotypic characterization of antimicrobial resistance and virulence profiles of Salmonella enterica serotypes isolated from necropsied horses in Kentucky.
Microbiology spectrum    January 23, 2025   Volume 13, Issue 3 e0250124 doi: 10.1128/spectrum.02501-24
Kabir A, Kelley WG, Glover C, Erol E, Helmy YA.Salmonella is a foodborne pathogen that poses a significant threat to global public health. It affects several animal species, including horses. Salmonella infections in horses can be either asymptomatic or cause severe clinical illness. Infections caused by Salmonella are presently controlled with antibiotics. Due to the formation of biofilms and the emergence of antimicrobial resistance, the treatment has become more complicated. Our study focused on investigating the prevalence of Salmonella enterica in necropsied horses, assessing the capability for biofilm formation, and motility, determi...
Genomic analysis and replication kinetics of the closely related EHV-1 neuropathogenic 21P40 and abortigenic 97P70 strains.
Veterinary research    January 13, 2025   Volume 56, Issue 1 12 doi: 10.1186/s13567-024-01434-3
Mohamed E, Zarak I, Vereecke N, Theuns S, Laval K, Nauwynck H.Varicellovirus equidalpha 1, formerly known as Equid alphaherpesvirus 1 (EHV-1), is highly prevalent and can lead to various problems, such as respiratory problems, abortion, neonatal foal death, and neurological disorders. The latter is known as equine herpes myeloencephalopathy (EHM). Cases of EHM have significantly increased since the beginning of the twenty-first century. The genomic sequences of five isolates associated with the fatal neurological outbreak in Valencia, Spain, in 2021 were analyzed and documented. The genome and replication kinetics of the Belgian EHM isolate 21P40, associ...
Inflammation and response to bacterial infection as potential drivers of equine odontoclastic tooth resorption and hypercementosis: A proteomics insight.
Equine veterinary journal    January 8, 2025   doi: 10.1111/evj.14469
Jensen A, Clarke EJ, Nugent Z, Paice E, Gringel I, Yamamoto K, Rocchigiani G, Peffers AJ, Cooper L, Peffers MJ.Equine dental diseases significantly impact a horse's overall health, performance and quality of life. They can result in secondary infections and digestive disturbances, potentially leading to colic. A recently described disease affecting the incisors of horses is equine odontoclastic tooth resorption and hypercementosis (EOTRH). Understanding EOTRH is crucial for early diagnosis, effective management and prevention of its severe consequences. Objective: To determine proteomic differences in incisor cementum in horses with and without clinical EOTRH. Methods: Comparative and observational cli...
Multiple Gene Deletion Mutants of Equine Herpesvirus 1 Exhibit Strong Protective Efficacy Against Wild Virus Challenge in a Murine Model.
Vaccines    January 8, 2025   Volume 13, Issue 1 45 doi: 10.3390/vaccines13010045
Pradhan SS, Balena V, Bera BC, Anand T, Khetmalis R, Madhwal A, Kandasamy S, Pavulraj S, Bernela M, Mor P, Tripathi BN, Virmani N.Equine herpesvirus type 1 (EHV1) is a ubiquitous viral pathogen infecting the equine population worldwide. EHV1 infection causes respiratory illness, abortion, neonatal foal mortality, and myeloencephalopathy. The currently available modified live EHV1 vaccines have safety and efficacy limitations. The two mutant EHV1 viruses (vToH-DMV (∆IR6/gE) and vToH-QMV (∆IR6/UL43/gE/UL56)), generated by the deletion of genes responsible for virulence (gE and IR6) and immunosuppression (uL43 and uL56), have been previously characterized by our group and found to generate good immune responses. The pre...
Systemic calcinosis in horses: Pathological and genetic aspects.
Equine veterinary journal    January 6, 2025   doi: 10.1111/evj.14464
Carvalho Serena G, Marchezan Piva M, Viezzer Bianchi M, Fernandes da Fonseca HC, Chitolina Pupin R, Martins Basso R, Secorun Borges A....In horses, systemic calcinosis is a rare syndrome characterised by muscle lesion associated with the mineralisation of large muscle groups or other organs, in the absence of an alternative cause for the calcification, such as toxic, enzootic or metabolic. Molecular and histopathological aspects of the disease are still poorly elucidated. Objective: To describe the epidemiological, pathological and molecular aspects of systemic calcinosis in a convenience sample of six horses submitted to necropsy in the Southern and Midwestern regions of Brazil. Methods: Retrospective exploratory study. Method...
Uveitis and blindness in a closed herd of Equidae following leptospiral infection.
Frontiers in veterinary science    January 6, 2025   Volume 11 1504990 doi: 10.3389/fvets.2024.1504990
Gerras J, Young K, Roberts D, Waldman G, Salmon JH, Gilger BC.To describe the ocular findings, chronology of disease, and serum leptospiral titers in a group of horses, mules, and donkeys following an outbreak of leptospirosis. Unassigned: Fifty Equidae in central North Carolina had ophthalmic examinations and serum leptospiral microscopic agglutination test (MAT) titers performed every 3-6 months for 24 months followed by a final examination at 34 months. Unassigned: Throughout the nearly three-year study period, 17 horses (34%; 17/49 horses) developed signs of uveitis; 20 eyes (20/34; 58.8%) of these 17 horses were visual at the initial examinati...
Microbiological effect of topically applied Weissella cibaria on equine pastern dermatitis.
Frontiers in veterinary science    January 6, 2025   Volume 11 1493756 doi: 10.3389/fvets.2024.1493756
Styková E, Valocký I, Kačírová J, Fecskeová LK.Equine pastern dermatitis (EPD) is a multifactorial disease with a change in the skin microbiome. The present study monitored the influence of Weissella cibaria Biocenol™ 4/8 D37 CCM 9015 stabilized on alginite on the skin microbiota of healthy horses and model patients with EPD. Based on clinical signs, EPD lesions were identified as exudative or proliferative forms. A comparison of the initial microbial community based on 16S rRNA amplicon sequencing revealed that there was a statistically significant difference between healthy vs. exudative (R = 0.52, p = 0.003) and exudative vs. ...
Biochemical characterization of collagen I in Warmblood Fragile Foal Syndrome horse lysyl hydroxylase 1 mutation.
microPublication biology    January 3, 2025   Volume 2025 doi: 10.17912/micropub.biology.001399
Ishikawa Y, Tufa SF, Keene DR, Bächinger HP, Winand NJ.Mutations in the collagen-modifying enzyme lysyl hydroxylase 1 (LH1) cause Warmblood Fragile Foal Syndrome (WFFS) in horses. We investigated the impact of this mutation on collagen structure and function. Our results show that LH1 deficiency leads to reduced lysine hydroxylation, altered collagen fibril organization, and tissue abnormalities resembling human Ehlers-Danlos syndrome. These findings highlight the critical role of LH1 in collagen biosynthesis and provide insights into the pathogenesis of WFFS.
Whole genome sequences of nine Taylorella equigenitalis strains isolated in the Czech Republic between 1982-2021: Molecular dating suggests a common ancestor at the time of Roman Empire.
PloS one    January 3, 2025   Volume 20, Issue 1 e0315946 doi: 10.1371/journal.pone.0315946
Hrala M, Andrla P, Bosák J, Fedrová P, Mugutdinov A, Karpíšková R, Nedbalcová K, Raichová J, Faldyna M, Hořín P, Šmajs D.Taylorella equigenitalis is the causative agent of sexually transmitted contagious equine metritis. Infections manifest as cervicitis, vaginitis and endometritis and cause temporary infertility and miscarriages of mares. While previous studies have analyzed this organism for various parameters, the evolutionary dynamics of this pathogen, including the emergence of antibiotic resistance, remains unresolved. The aim of this study was to isolate contemporary strains, determine their genome sequences, evaluate their antibiotic resistance and compare them with other strains. We determined nine comp...
Phosphorylation of SNW1 protein associated with equine melanocytic neoplasm identified in serum and feces.
Scientific reports    December 28, 2024   Volume 14, Issue 1 30842 doi: 10.1038/s41598-024-81338-6
Vinijkumthorn R, Kingkaw A, Yanyongsirikarn P, Phaonakrop N, Roytrakul S, Vongsangnak W, Tesena P.Equine melanocytic neoplasm (EMN) represents a form of skin tumor observed predominantly in grey horses aged over 15 years. Despite its prevalence, current therapeutic and preventive strategies for EMN have been subject to limited investigation. This study endeavors to shed light on potential phosphoproteins present in equine serum and fecal samples, potentially linked to EMN, with a specific focus on functional interactions in EMN pathogenesis. We examined 50 samples (25 serum, 25 feces), divided into three groups based on EMN severity: normal (n = 16), mild (n = 18), and severe EMN (...
Evaluation of Theileria equi vertical transmission rate and routes in a cohort of asymptomatic mares and their foals.
Ticks and tick-borne diseases    December 25, 2024   Volume 16, Issue 1 102432 doi: 10.1016/j.ttbdis.2024.102432
Hermans LM, Bonsergent C, Josson A, Rocafort-Ferrer G, Le Guyader M, Angelloz-Pessey S, Leblond A, Malandrin L.Equine piroplasmosis is a tick-borne disease mainly caused by Theileria equi and Babesia caballi. The objectives of this study were to analyse the frequency and routes of vertical transmission of these blood parasites from 179 asymptomatic mares to their foals. Foals were sampled within 72 h post-partum. The seroprevalences determined by Indirect Immunofluorescent Antibody Test (IFAT) and based on a subset sample of 107 couples, were 59.8% and 42.1% for T. equi and B. caballi, respectively in the mare population, and 54.2% and 40.2% in the foal population. A species-specific nested PCR was per...
Equine Infectious Anemia Virus Cellular Partners Along the Viral Cycle.
Viruses    December 24, 2024   Volume 17, Issue 1 5 doi: 10.3390/v17010005
Equine infectious anemia virus (EIAV) is the simplest described within the family, related to the human immunodeficiency viruses (HIV-1 and HIV-2). There is an important interplay between host cells and viruses. Viruses need to hijack cellular proteins for their viral cycle completion and some cellular proteins are antiviral agents interfering with viral replication. HIV cellular partners have been extensively studied and described, with a special attention to host proteins able to inhibit specific steps of the viral cycle, called restriction factors. Viruses develop countermeasures against ...
Temporal kinetics of serum amyloid A (SAA) concentration and identification of SAA isoforms in blood and synovial fluid of horses with experimentally induced septic arthritis, non-septic synovitis, and systemic inflammation. Koziy RV, Katselis GS, Yoshimura S, Simko E, Bracamonte JL.Prompt diagnosis of equine septic arthritis is crucial for successful treatment. Serum amyloid A (SAA) has been suggested as a reliable biomarker. However, we previously found that synovial fluid SAA increases in nonaffected joints of horses with septic arthritis. We hypothesized that systemic SAA may leak into the nonaffected joints. If this is the case, we also hypothesized that locally produced joint SAA isoforms may be better candidates for septic arthritis biomarkers. Thus, our objectives were 1) to evaluate the temporal kinetics of systemic and synovial fluid SAA in horses with septic ar...
Profiling host- and parasite-derived miRNAs associated with Strongylus vulgaris infection in horses.
Veterinary parasitology    December 17, 2024   Volume 334 110379 doi: 10.1016/j.vetpar.2024.110379
Toft K, Honoré ML, Ripley N, Nielsen MK, Mardahl M, Fromm B, Hedberg-Alm Y, Tydén E, Nielsen LN, Nejsum P, Thamsborg SM, Cirera S, Pihl TH.The equine bloodworm, Strongylus vulgaris, is a common and highly pathogenic parasite in horses due to its migratory life cycle involving the intestinal arteries. Current diagnostic techniques cannot detect the prepatent migrating stages of S. vulgaris, highlighting the need for new biomarkers. Parasites release microRNAs (miRNAs) into their environment, which could potentially be detectable in host blood samples. Additionally, host miRNA expression patterns may change in response to infection. This study aimed to identify miRNAs associated with S. vulgaris infection by profiling the horse's m...
An ongoing concern: 20 years of research on equine atypical myopathy.
The Veterinary record    December 13, 2024   Volume 195, Issue 12 e5039 doi: 10.1002/vetr.5039
François AC, Renaud B, Kruse CJ, Marcillaud-Pitel C, Votion DM.Anne-Christine François, Benoît Renaud, Caroline-Julia Kruse, Christel Marcillaud-Pitel and Dominique-Marie Votion of the Atypical Myopathy Alert Group discuss insights from 20 years of research and surveillance on equine atypical myopathy.