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Topic:Pathophysiology

Pathophysiology in horses involves the study of functional changes that occur in the body as a result of disease or injury. This field examines the mechanisms through which diseases develop and progress, as well as how they affect the body's normal physiological processes. In equine research, pathophysiology encompasses a wide range of conditions, including respiratory disorders, musculoskeletal injuries, gastrointestinal diseases, and metabolic syndromes. Understanding these processes helps in identifying potential therapeutic targets and developing effective treatment strategies. This page collects peer-reviewed research studies and scholarly articles that explore the underlying mechanisms, clinical manifestations, and implications of various pathophysiological conditions in equine health.
Equine Cardiovascular Therapeutics.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 163-179 doi: 10.1016/j.cveq.2016.11.005
Sleeper MM.Heart disease can be defined as any abnormality of the heart whether it is a cardiac dysrhythmia or structural heart disease, either congenital or acquired. Heart failure occurs when a cardiac abnormality results in the inability of the heart to pump enough blood to meet the body's needs. Heart disease can be present without leading to heart failure. Heart failure, however, is a consequence of heart disease. There are 4 main areas where the clinician can intervene to improve cardiac output with heart failure: preload, afterload, myocardial contractility, and heart rate.
A foam model highlights the differences of the macro- and microrheology of respiratory horse mucus.
Journal of the mechanical behavior of biomedical materials    March 16, 2017   Volume 71 216-222 doi: 10.1016/j.jmbbm.2017.03.009
Gross A, Torge A, Schaefer UF, Schneider M, Lehr CM, Wagner C.Native horse mucus is characterized with micro- and macrorheology and compared to hydroxyethylcellulose (HEC) gel as a model. Both systems show comparable viscoelastic properties on the microscale and for the HEC the macrorheology is in good agreement with the microrheology. For the mucus, the viscoelastic moduli on the macroscale are several orders of magnitude larger than on the microscale. Large amplitude oscillatory shear experiments show that the mucus responds nonlinearly at much smaller deformations than HEC. This behavior fosters the assumption that the mucus has a foam like structure ...
Distal border synovial invaginations of the equine distal sesamoid bone communicate with the distal interphalangeal joint.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    February 16, 2017   Volume 30, Issue 2 107-110 doi: 10.3415/VCOT-16-08-0120
Olive J, Videau M.Macroscopic studies have suggested a link between distal border synovial invaginations of the navicular bone and the distal interphalangeal joint. However, many practitioners consider that these invaginations are directly and solely related to navicular disease. The objective was to investigate the communication pattern of these synovial invaginations with the synovial compartments of the distal interphalangeal joint and the navicular bursa, using minimally invasive imaging techniques. Methods: In a prospective observational study, 10 cadaveric limbs with radiographically evident distal border...
Molecular survey in relation to risk factors and haemato-biochemical alteration in Theileria equi infection of equines in Punjab Province, India.
Veterinary parasitology, regional studies and reports    February 6, 2017   Volume 8 43-50 doi: 10.1016/j.vprsr.2017.01.009
Sumbria D, Singla LD, Sharma A, Bal MS, Randhawa CS.Equine piroplasmosis caused by Theileria equi, an apicomplexan intracellular haemoprotozoan parasite effects equids throughout the world. Current investigation is the first detailed epidemiological survey report based on conventional (blood smear) and primary polymerase chain reaction (PCR) for the detection of T. equi on 464 equids (426 horses and 38 donkeys/mules) in Punjab province of India. PCR targeting 18S rRNA gene of T. equi produced high fidelity 709bp amplification products with 100% concordance with blood films. The prevalence of infection was proportional (P≤0.01) to temperature ...
Immune-Mediated Muscle Diseases of the Horse.
Veterinary pathology    January 27, 2017   Volume 55, Issue 1 68-75 doi: 10.1177/0300985816688755
Durward-Akhurst SA, Valberg SJ.In horses, immune-mediated muscle disorders can arise from an overzealous immune response to concurrent infections or potentially from an inherent immune response to host muscle antigens. Streptococcus equi ss. equi infection or vaccination can result in infarctive purpura hemorrhagica (IPH) in which vascular deposition of IgA-streptococcal M protein complexes produces ischemia and complete focal infarction of skeletal muscle and internal organs. In Quarter Horse-related breeds with immune-mediated myositis, an apparent abnormal immune response to muscle antigens results in upregulation of maj...
Assessment of distribution of ventilation and regional lung compliance by electrical impedance tomography in anaesthetized horses undergoing alveolar recruitment manoeuvres.
Veterinary anaesthesia and analgesia    January 12, 2017   Volume 44, Issue 2 264-272 doi: 10.1016/j.vaa.2016.03.001
Ambrisko TD, Schramel J, Hopster K, Kästner S, Moens Y.To examine changes in the distribution of ventilation and regional lung compliances in anaesthetized horses during the alveolar recruitment manoeuvre (ARM). Methods: Experimental study in which a series of treatments were administered in a fixed order on one occasion. Methods: Five adult Warmblood horses. Methods: Animals were anaesthetized (xylazine, midazolam-ketamine, isoflurane), placed in dorsal recumbency and ventilated with 100% oxygen using peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP) of 20 cmHO and 0 cmHO, respectively. Thoracic electrical impedance tomo...
Histomorphometry of the placental vasculature and microcotyledons in Thoroughbred mares with chronic laminitis.
Theriogenology    December 10, 2016   Volume 91 77-81 doi: 10.1016/j.theriogenology.2016.12.009
Pazinato FM, Curcio BDR, Fernandes CG, Santos CA, Feijó LS, Varela AS, Nogueira CEW.The objective of this study was to assess the placental vasculature and microcotyledons in pregnant mares with chronic laminitis. Twenty-six pregnant mares were enrolled in the study, 13 had chronic laminitis (Laminitis Group) and 13 were healthy mares (Healthy Group). Arterial systolic pressure and heart rate were measured in the last 30 days of gestation. After foaling, the fetal membranes were grossly evaluated and samples were harvested for histopathologic examination. All mares had digitalized images taken from chorioallantois for histomorphometry analyses (software-NIH ImageJ). Images we...
Degenerative Suspensory Ligament Desmitis (DSLD) in Peruvian Paso Horses Is Characterized by Altered Expression of TGFβ Signaling Components in Adipose-Derived Stromal Fibroblasts.
PloS one    November 30, 2016   Volume 11, Issue 11 e0167069 doi: 10.1371/journal.pone.0167069
Luo W, Sandy J, Trella K, Gorski D, Gao S, Li J, Brounts S, Galante J, Plaas A.Equine degenerative suspensory ligament desmitis (DSLD) in Peruvian Paso horses typically presents at 7-15 years and is characterized by lameness, focal disorganization of collagen fibrils, and chondroid deposition in the body of the ligament. With the aim of developing a test for disease risk (that can be used to screen horses before breeding) we have quantified the expression of 76 TGFβ-signaling target genes in adipose-derived stromal fibroblasts (ADSCs) from six DSLD-affected and five unaffected Paso horses. Remarkably, 35 of the genes showed lower expression (p<0.05) in cells from DSL...
Cardiopulmonary measurements in six horses with naturally-acquired colic (acute abdominal crisis).
Veterinary anaesthesia and analgesia    November 16, 2016   Volume 27, Issue 2 106 doi: 10.1016/S1467-2987(16)31357-5
Wagner AE, Dunlop CI, Parker DA.No abstract available
Cardiovascular effects of desflurane in horses.
Veterinary anaesthesia and analgesia    November 16, 2016   Volume 27, Issue 2 106-107 doi: 10.1016/S1467-2987(16)31358-7
Steffey EP, Woliner MJ.No abstract available
Replication of neurovirulent equine herpesvirus type 1 (EHV-1) in CD172a+ monocytic cells.
Comparative immunology, microbiology and infectious diseases    November 15, 2016   Volume 50 58-62 doi: 10.1016/j.cimid.2016.11.006
Laval K, Van Cleemput J, Poelaert KC, Brown IK, Nauwynck HJ.Equine herpesvirus type 1 (EHV-1) is responsible for respiratory disorders, abortion and myeloencephalopathy (EHM) in horses. Two pathotypes of EHV-1 strains are circulating in the field: neurovirulent (N) and non-neurovirulent (NN). For both strains, CD172a monocytic cells are one of the main carrier cells of EHV-1 during primary infection, allowing the virus to invade the horse's body. Recently, we showed that EHV-1 NN strains showed a restricted and delayed replication in CD172a cells. Here we characterize the in vitro replication kinetics of two EHV-1N strains in CD172a cells and investiga...
Subclinical ultrasonographic abnormalities of the suspensory ligament branches in National Hunt racehorses.
Equine veterinary journal    November 9, 2016   Volume 49, Issue 4 475-479 doi: 10.1111/evj.12639
Fairburn AJ, Busschers E, Barr ARS.Suspensory ligament branch (SLB) desmopathy is a common cause of lameness and an important cause of lost training in the Thoroughbred racing industry. Studies have assessed the impact of insertional injuries of the SLB on the careers of flat racehorses and established the prevalence of subclinical ultrasonographic SLB abnormalities in this population, but little work has investigated SLB injury in National Hunt (NH) racehorses. Objective: To investigate the prevalence of subclinical ultrasonographic SLB abnormalities in NH racehorses with no clinical signs or history of SLB injury and to estab...
Pro-inflammatory cytokines and structural biomarkers are effective to categorize osteoarthritis phenotype and progression in Standardbred racehorses over five years of racing career.
BMC veterinary research    November 8, 2016   Volume 12, Issue 1 246 doi: 10.1186/s12917-016-0873-7
Bertuglia A, Pagliara E, Grego E, Ricci A, Brkljaca-Bottegaro N.Joint impact injuries initiate a progressive articular damage finally leading to post-traumatic osteoarthritis (PTOA). Racehorses represent an ideal, naturally available, animal model of the disease. Standardbred racehorses developing traumatic osteoarthritis of the fetlock joint during the first year of their career were enrolled in our study. Age-matched controls were contemporarily included. Biomarker levels of equine osteoarthritis were measured in serum and synovial fluid (SF) at baseline, and repeated yearly over the next 4 years of training (from T1 to T4). The effect of time and disea...
Neutral solute transport across osteochondral interface: A finite element approach.
Journal of biomechanics    October 19, 2016   Volume 49, Issue 16 3833-3839 doi: 10.1016/j.jbiomech.2016.10.015
Arbabi V, Pouran B, Weinans H, Zadpoor AA.Investigation of the solute transfer across articular cartilage and subchondral bone plate could nurture the understanding of the mechanisms of osteoarthritis (OA) progression. In the current study, we approached the transport of neutral solutes in human (slight OA) and equine (healthy) samples using both computed tomography and biphasic-solute finite element modeling. We developed a multi-zone biphasic-solute finite element model (FEM) accounting for the inhomogeneity of articular cartilage (superficial, middle and deep zones) and subchondral bone plate. Fitting the FEM model to the concentra...
Bovine Papillomavirus DNA and S100 Profiles in Sarcoids and Other Cutaneous Spindle Cell Tumors in Horses.
Veterinary pathology    September 29, 2016   Volume 54, Issue 1 44-52 doi: 10.1177/0300985816653169
Epperson ED, Castleman WL.Histopathologic differentiation between deep dermal or subcuticular equine sarcoids (ie, nodular sarcoids) and other spindle cell tumors in the dermis and subcutis such as peripheral nerve sheath tumors (PNSTs) can be challenging based on morphologic criteria alone. It has been proposed that polymerase chain reaction (PCR) for bovine papillomavirus (BPV) DNA and S100 immunohistochemistry be used as diagnostic tests to separate equine sarcoids from PNSTs. We reviewed 197 skin-associated spindle cell tumors (ie, soft tissue sarcomas), including PNSTs and sarcoids, received at the University of F...
Vascular Dysfunction in Horses with Endocrinopathic Laminitis.
PloS one    September 29, 2016   Volume 11, Issue 9 e0163815 doi: 10.1371/journal.pone.0163815
Morgan RA, Keen JA, Walker BR, Hadoke PW.Endocrinopathic laminitis (EL) is a vascular condition of the equine hoof resulting in severe lameness with both welfare and economic implications. EL occurs in association with equine metabolic syndrome and equine Cushing's disease. Vascular dysfunction, most commonly due to endothelial dysfunction, is associated with cardiovascular risk in people with metabolic syndrome and Cushing's syndrome. We tested the hypothesis that horses with EL have vascular, specifically endothelial, dysfunction. Healthy horses (n = 6) and horses with EL (n = 6) destined for euthanasia were recruited. We studied v...
The Calcium-Sensing Receptor and the Reproductive System.
Frontiers in physiology    August 30, 2016   Volume 7 371 doi: 10.3389/fphys.2016.00371
Ellinger I.Active placental transport of maternal serum calcium (Ca(2+)) to the offspring is pivotal for proper development of the fetal skeleton as well as various organ systems. Moreover, extracellular Ca(2+) levels impact on distinct processes in mammalian reproduction. The calcium-sensing receptor (CaSR) translates changes in extracellular Ca(2+)-concentrations into cellular reactions. This review summarizes current knowledge on the expression of CaSR and its putative functions in reproductive organs. CaSR was detected in placental cells mediating materno-fetal Ca(2+)-transport such as the murine int...
Pigment retinopathy in warmblood horses with equine degenerative myeloencephalopathy and equine motor neuron disease.
Veterinary ophthalmology    August 5, 2016   Volume 20, Issue 4 304-309 doi: 10.1111/vop.12417
Finno CJ, Kaese HJ, Miller AD, Gianino G, Divers T, Valberg SJ.A pigment retinopathy has been reported in adult horses with equine motor neuron disease (EMND) arising from chronic α-tocopherol (α-TP) deficiency. A pigment retinopathy has not been identified in horses with neuroaxonal dystrophy/equine degenerative myeloencephalopathy (NAD/EDM) that affects genetically susceptible young horses with α-TP deficiency. The objective of this report is to describe, for the first time, a pigment retinopathy in a family of α-TP-deficient Warmbloods (WB) with clinically apparent NAD/EDM or EMND. Unassigned: Twenty-five WB horses from one farm underwent complete ...
Lubricin/proteoglycan 4 increases in both experimental and naturally occurring equine osteoarthritis.
Osteoarthritis and cartilage    August 4, 2016   Volume 25, Issue 1 128-137 doi: 10.1016/j.joca.2016.07.021
Reesink HL, Watts AE, Mohammed HO, Jay GD, Nixon AJ.The goals of this study were (1) to quantify proteoglycan 4 (PRG4) gene expression; (2) to assess lubricin immunostaining; and (3) to measure synovial fluid lubricin concentrations in clinical and experimental models of equine carpal osteoarthritis (OA). Lubricin synovial fluid concentrations and cartilage and synovial membrane PRG4 expression were analyzed in research horses undergoing experimental OA induction (n = 8) and in equine clinical patients with carpal OA (n = 58). Lubricin concentrations were measured using a custom sandwich enzyme-linked immunosorbent assay, and PRG4 expressio...
Risk Factors for Equine Gastric Glandular Disease: A Case-Control Study in a Finnish Referral Hospital Population.
Journal of veterinary internal medicine    July 28, 2016   Volume 30, Issue 4 1270-1275 doi: 10.1111/jvim.14370
Mönki J, Hewetson M, Virtala AM.Equine gastric glandular disease (EGGD) is a term used to classify erosive and ulcerative diseases of the glandular mucosa of the equine stomach. Epidemiologic studies of risk factors for EGGD have not been reported. Objective: To determine risk factors for EGGD. Methods: Cases (n = 83) had endoscopic evidence of EGGD; controls (n = 34) included healthy horses and horses with equine squamous gastric disease (ESGD) without EGGD. Methods: Retrospective case-control study. The data were analyzed by multivariable logistic regression modeling. Analysis was performed on the full dataset. An addi...
Treatment of endotoxaemia and septicaemia in the equine patient.
Journal of veterinary pharmacology and therapeutics    July 24, 2016   Volume 40, Issue 1 1-15 doi: 10.1111/jvp.12329
Werners AH.Endotoxins, constituents of the cell wall of gram-positive and gram-negative bacteria, regularly result in severe illness and death in horses. In endotoxaemia, these constituents are present in the systemic circulation; in septicaemia, whole microbes invade normally sterile parts of the body. Interaction of these endotoxins with pathogen recognition receptors leads to an inflammatory response that cannot always be sufficiently contained and hence needs direct treatment. Over the last decennia, our understanding of the pathophysiology of endotoxaemia and septicaemia has significantly increased....
Mitochondrial function is altered in horse atypical myopathy.
Mitochondrion    June 29, 2016   Volume 30 35-41 doi: 10.1016/j.mito.2016.06.005
Lemieux H, Boemer F, van Galen G, Serteyn D, Amory H, Baise E, Cassart D, van Loon G, Marcillaud-Pitel C, Votion DM.Equine atypical myopathy in Europe is a fatal rhabdomyolysis syndrome that results from the ingestion of hypoglycin A contained in seeds and seedlings of Acer pseudoplatanus (sycamore maple). Acylcarnitine concentrations in serum and muscle OXPHOS capacity were determined in 15 atypical myopathy cases. All but one acylcarnitine were out of reference range and mitochondrial respiratory capacity was severely decreased up to 49% as compared to 10 healthy controls. The hallmark of atypical myopathy thus consists of a severe alteration in the energy metabolism including a severe impairment in muscl...
Exertional heat illness: a review of the syndrome affecting racing Thoroughbreds in hot and humid climates.
Australian veterinary journal    June 29, 2016   Volume 94, Issue 7 240-247 doi: 10.1111/avj.12454
Brownlow MA, Dart AJ, Jeffcott LB.Metabolic heat produced by Thoroughbred racehorses during racing can rapidly elevate core body temperature (1°C/min). When environmental conditions are hot and humid, the normal physiological cooling mechanisms become ineffective. The heat accumulated may exceed a critical thermal maximum (estimated to be 42°C), which may trigger a complex pathophysiological cascade with potentially lethal consequences. This syndrome has been labelled exertional heat illness (EHI). EHI is described in humans, but has not been well documented in Thoroughbred racehorses. The clinical signs described in racehor...
Horses Auto-Recruit Their Lungs by Inspiratory Breath Holding Following Recovery from General Anaesthesia.
PloS one    June 22, 2016   Volume 11, Issue 6 e0158080 doi: 10.1371/journal.pone.0158080
Mosing M, Waldmann AD, MacFarlane P, Iff S, Auer U, Bohm SH, Bettschart-Wolfensberger R, Bardell D.This study evaluated the breathing pattern and distribution of ventilation in horses prior to and following recovery from general anaesthesia using electrical impedance tomography (EIT). Six horses were anaesthetised for 6 hours in dorsal recumbency. Arterial blood gas and EIT measurements were performed 24 hours before (baseline) and 1, 2, 3, 4, 5 and 6 hours after horses stood following anaesthesia. At each time point 4 representative spontaneous breaths were analysed. The percentage of the total breath length during which impedance remained greater than 50% of the maximum inspiratory impeda...
Alkaline phosphatase activity in airway fluid obtained by tracheal wash from adult horses.
Veterinary clinical pathology    May 26, 2016   Volume 45, Issue 2 376-380 doi: 10.1111/vcp.12360
Viscardi V, Jorge ML, Silva KM, Sad EP, Fonseca AB, Alencar NX, Lessa DA.Collection of fluid from the lower respiratory tract (LRT) plays an important role in both the pathophysiological investigation and diagnosis of respiratory tract disease. Enzymes such as ALP are, among others, indicators of cell damage or death, type II pneumocyte proliferation, and neutrophil invasion, and have been useful as biomarkers of respiratory disease in other species. Objective: The purpose of this study was to determine and compare tracheal wash (TW) ALP activity in healthy horses and horses with LRT inflammation (LRTI) determined by TW cytology profile. Methods: Tracheal washes we...
The effect of hypothermia on influx of leukocytes in the digital lamellae of horses with oligofructose-induced laminitis.
Veterinary immunology and immunopathology    May 24, 2016   Volume 178 22-28 doi: 10.1016/j.vetimm.2016.05.013
Godman JD, Burns TA, Kelly CS, Watts MR, Leise BS, Schroeder EL, van Eps AW, Belknap JK.Sepsis-related laminitis (SRL) is a common complication in the septic/endotoxemic critically-ill equine patient, in which lamellar injury and failure commonly lead to crippling distal displacement of the distal phalanx. Similar to organ injury in human sepsis, lamellar injury in SRL has been associated with inflammatory events, including the influx of leukocytes into the lamellar tissue and markedly increased expression of a wide array of inflammatory mediators at the onset of Obel grade 1 (OG1) laminitis. The only treatment reported both clinically and experimentally to protect the lamellae i...
Equine aortic regurgitation: The search for objective repeatable and reproducible indicators of severity.
Veterinary journal (London, England : 1997)    May 4, 2016   Volume 213 91-92 doi: 10.1016/j.tvjl.2016.04.016
Keen JA.No abstract available
Fumonisin B₁ (FB₁) Induces Lamellar Separation and Alters Sphingolipid Metabolism of In Vitro Cultured Hoof Explants.
Toxins    March 24, 2016   Volume 8, Issue 4 89 doi: 10.3390/toxins8040089
Reisinger N, Dohnal I, Nagl V, Schaumberger S, Schatzmayr G, Mayer E.One of the most important hoof diseases is laminitis. Yet, the pathology of laminitis is not fully understood. Different bacterial toxins, e.g. endotoxins or exotoxins, seem to play an important role. Additionally, ingestion of mycotoxins, toxic secondary metabolites of fungi, might contribute to the onset of laminitis. In this respect, fumonsins are of special interest since horses are regarded as species most susceptible to this group of mycotoxins. The aim of our study was to investigate the influence of fumonisin B₁ (FB₁) on primary isolated epidermal and dermal hoof cells, as well as ...
Endoscopic Evaluation of Angiogenesis in the Large Airways of Horses with Heaves Using Narrow Band Imaging.
Journal of veterinary internal medicine    March 1, 2016   Volume 30, Issue 2 671-674 doi: 10.1111/jvim.13890
Herteman N, Bullone M, Lavoie JP.Heaves is a severe debilitating condition of horses, characterized by lower airway inflammation and permanent structural changes of the bronchial wall. Chronic inflammation promotes the formation of new vessels, a phenomenon known as angiogenesis. Narrow band imaging (NBI) endoscopy is a noninvasive technique that enhances the visualization of submucosal vessels, and commonly is employed for the study of angiogenesis in human patients. Objective: Using NBI, we aimed to determine whether or not the central airways of horses with heaves undergo angiogenesis. Methods: Horses with heaves during ex...
Extracellular matrix remodeling in equine sarcoid: an immunohistochemical and molecular study.
BMC veterinary research    February 2, 2016   Volume 12 24 doi: 10.1186/s12917-016-0648-1
Martano M, Corteggio A, Restucci B, De Biase ME, Borzacchiello G, Maiolino P.Equine sarcoids are locally invasive, fibroblastic benign skin tumors. Bovine papillomavirus type-1 (BPV-1) and/or Bovine papillomavirus type-2 (BPV-2) are believed to be the causative agent of sarcoids, although the mechanisms by which the virus induce the tumor are still poorly understood. We hypothesized that in genetically predisposed equines latent BPV infection may be reactivated by immunosoppression and/or mechanical injury leading to a form of pathologic wound which may transform into a sarcoid. In this study, we investigated in 25 equine sarcoids and in five normal skin samples the hi...
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