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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.
Galectins in Equine Placental Disease.
Veterinary sciences    March 13, 2023   Volume 10, Issue 3 218 doi: 10.3390/vetsci10030218
Fedorka CE, Ali HE, Troedsson MHT.Galectins are proteins that bind to glycans in targeted cells and function in cell-to-cell signaling throughout the body. Galectins have been found to be involved in various reproductive processes, including placental dysfunction, but this has not been investigated in the horse. Therefore, the objective of this study was to assess alterations in galectin expression of the abnormal placenta in pregnant mares. Next-generation RNA sequencing was performed on the postpartum chorioallantois of two placental pathologies following clinical cases of ascending placentitis (n = 7) and focal mucoid place...
Consequences of adiponectin deficiency: Can they be related to the pathophysiology of laminitis?
Equine veterinary journal    March 6, 2023   Volume 55, Issue 3 346-349 doi: 10.1111/evj.13932
Elliott J, Bailey SR.No abstract available
Equine metabolic syndrome: Role of the enteroinsular axis in the insulin response to oral carbohydrate.
Veterinary journal (London, England : 1997)    February 28, 2023   Volume 294 105967 doi: 10.1016/j.tvjl.2023.105967
de Laat MA, Fitzgerald DM.Equine insulin dysregulation (ID) comprises amplified insulin responses to oral carbohydrates or insulin resistance, or both, which leads to sustained or periodic hyperinsulinaemia. Hyperinsulinaemia is important in horses because of its clear association with laminitis risk, and the gravity of this common sequela justifies the need for a better understanding of insulin and glucose homoeostasis in this species. Post-prandial hyperinsulinaemia is the more commonly identified component of ID and is diagnosed using tests that include an assessment of the gastrointestinal tract (GIT). There are se...
Digital lamellar inflammatory signaling in an experimental model of equine preferential weight bearing.
Journal of veterinary internal medicine    February 24, 2023   Volume 37, Issue 2 681-688 doi: 10.1111/jvim.16662
Burns TA, Watts MR, Belknap JK, van Eps AW.Supporting limb laminitis (SLL) is a complication of severe orthopedic disease in horses and is often life-limiting, yet the pathophysiology remains obscure. Objective: To investigate the role of digital lamellar inflammatory signaling in the pathophysiology of SLL using a model of unilateral weight bearing, hypothesizing that there would be evidence of lamellar inflammation in limbs subjected to the model. Methods: Thirteen healthy adult Standardbred horses were used for this study (11 geldings, 2 mares; mean age 6.5 ± 2.5 years; mean body weight 458.3 ± 32.8 kg). Methods: Randomized...
Implication of Cellular Senescence in Osteoarthritis: A Study on Equine Synovial Fluid Mesenchymal Stromal Cells.
International journal of molecular sciences    February 4, 2023   Volume 24, Issue 4 doi: 10.3390/ijms24043109
Teti G, Mazzotti E, Gatta V, Chiarini F, Alfieri ML, Falconi M.Osteoarthritis (OA) is described as a chronic degenerative disease characterized by the loss of articular cartilage. Senescence is a natural cellular response to stressors. Beneficial in certain conditions, the accumulation of senescent cells has been implicated in the pathophysiology of many diseases associated with aging. Recently, it has been demonstrated that mesenchymal stem/stromal cells isolated from OA patients contain many senescent cells that inhibit cartilage regeneration. However, the link between cellular senescence in MSCs and OA progression is still debated. In this study, we ai...
Approach to the pruritic horse.
Journal of the American Veterinary Medical Association    January 19, 2023   Volume 261, Issue S1 S66-S74 doi: 10.2460/javma.22.10.0444
White SD.Pruritus in the horse may be due to several causes, the most common being a hypersensitivity response to salivary proteins in the Culicoides genera, which may coexist with atopic dermatitis, also known as an environmental allergy to pollens, molds, dust, storage mites, etc. Less common etiologies are food allergy and contact allergy, the latter often caused by owners applying various products to the skin. Other ectoparasites, such as Chorioptes mites, may also initiate pruritus. Secondary bacterial infections (usually Staphylococcus spp) may be pruritic in and of themselves. This article revie...
Lethal variants of equine pregnancy: is it the placenta or foetus leading the conceptus in the wrong direction?
Reproduction, fertility, and development    January 3, 2023   Volume 35, Issue 2 51-69 doi: 10.1071/RD22239
Shilton CA, Kahler A, Roach JM, Raudsepp T, de Mestre AM.Embryonic and foetal loss remain one of the greatest challenges in equine reproductive health with 5-10% of established day 15 pregnancies and a further 5-10% of day 70 pregnancies failing to produce a viable foal. The underlying reason for these losses is variable but ultimately most cases will be attributed to pathologies of the environment of the developing embryo and later foetus, or a defect intrinsic to the embryo itself that leads to lethality at any stage of gestation right up to birth. Historically, much research has focused on the maternal endometrium, endocrine and immune responses ...
A one-health approach to identifying and mitigating the impact of endocrine disorders on human and equine athletes.
American journal of veterinary research    December 27, 2022   Volume 84, Issue 2 ajvr.22.11.0194 doi: 10.2460/ajvr.22.11.0194
Manfredi JM, Jacob SI, Boger BL, Norton EM.Endocrinopathies affect multiple species in ever-increasing percentages of their populations, creating an opportunity to apply one-health approaches to determining creative preventative measures and therapies in athletes. Obesity and alterations in insulin and glucose dynamics are medical concerns that play a role in whole-body health and homeostasis in both horses and humans. The role and impact of endocrine disorders on the musculoskeletal, cardiovascular, and reproductive systems are of particular interest to the athlete. Elucidation of both physiologic and pathophysiologic mechanisms invol...
Transcutaneous Detection of Intramural Microchips for Tracking the Migration of the Equine Large Colon: A Pilot Study.
Animals : an open access journal from MDPI    December 5, 2022   Volume 12, Issue 23 3421 doi: 10.3390/ani12233421
Steward SK, McKee HM, Watson AM, Salman MD, Hassel DM.Colic remains the number one cause of mortality in horses, and large colon displacement including colonic volvulus is one of the leading causes for equine hospitalization and surgery. Currently, there is not an adequate model to study the pathophysiology of this condition. The objective of this proof-of-concept study was to determine if subserosal implantation of bioinert microchips in the large intestine would be detectable by a RFID (radio-frequency identification) receiver when the implanted microchips were adjacent to the body wall, thus identifying the location of the colon within the abd...
An Investigation into the Effects of Changing Dorso-Plantar Hoof Balance on Equine Hind Limb Posture.
Animals : an open access journal from MDPI    November 24, 2022   Volume 12, Issue 23 3275 doi: 10.3390/ani12233275
Sharp Y, Tabor G.Links between poor hind hoof balance, pathologies in the hind limb and associated altered posture have been suggested but not quantified. The hoof is proposed as a neuro-sensory organ responsible for informing equine stance with implications for musculoskeletal health in the hind limb and trunk of the horse. This study aims to quantify equine limb posture and its relationship with hoof balance. Twelve horses presenting with negative plantar angles were photographed and limb posture documented before and after the creation of positive plantar angles and improved three-dimensional proportions ar...
The combination of trailer transport and exercise increases gastrointestinal permeability and markers of systemic inflammation in horses.
Equine veterinary journal    November 9, 2022   Volume 55, Issue 5 853-861 doi: 10.1111/evj.13888
McGilloway M, Manley S, Aho A, Heeringa KN, Lou Y, Squires EJ, Pearson W.Leaky gut syndrome (LGS) is an idiopathic disorder characterised by alterations in intestinal permeability and low-grade systemic inflammation. Factors contributing to development of LGS are not well-understood but physiological stressors such as exercise and transport may play a role which may be of pathophysiological relevance in horses. Objective: To characterise the combined effect of transport stress and exercise on gastrointestinal permeability, and to determine whether these effects are associated with increased inflammatory biomarkers in plasma. Methods: Controlled, randomised and cros...
Management of equine sarcoids.
Veterinary journal (London, England : 1997)    November 2, 2022   Volume 291 105926 doi: 10.1016/j.tvjl.2022.105926
Hollis AR.Sarcoids are the most common cutaneous neoplasm of the horse, arising as a result of a neoplastic proliferation of fibroblasts associated with infection with bovine papillomavirus, most notably types 1 and 2. Although they do not metastasise, they are locally invasive and aggressive, and can lead to important welfare concerns, interfere with tack and therefore impede athleticism, and undoubtedly lead to a reduction in the value of affected horses. This review discusses the evidence behind the most commonly used treatments for equine sarcoids. The most commonly used treatments are discussed. No...
Energy endocrine physiology, pathophysiology, and nutrition of the foal.
Journal of the American Veterinary Medical Association    October 26, 2022   Volume 260, Issue S3 S83-S93 doi: 10.2460/javma.22.08.0348
Kinsella HM, Hostnik LD, Toribio RE.Most homeostatic systems in the equine neonate should be functional during the transition from intra- to extrauterine life to ensure survival during this critical period. Endocrine maturation in the equine fetus occurs at different stages, with a majority taking place a few days prior to parturition and continuing after birth. Cortisol and thyroid hormones are good examples of endocrine and tissue interdependency. Cortisol promotes skeletal, respiratory, cardiovascular, thyroid gland, adrenomedullary, and pancreatic differentiation. Thyroid hormones are essential for cardiovascular, respirator...
Prospective Case Series of Clinical Signs and Adrenocorticotrophin (ACTH) Concentrations in Seven Horses Transitioning to Pituitary Pars Intermedia Dysfunction (PPID).
Veterinary sciences    October 17, 2022   Volume 9, Issue 10 572 doi: 10.3390/vetsci9100572
Kirkwood NC, Hughes KJ, Stewart AJ.Poor recognition of subtle clinical abnormalities and equivocal ACTH concentrations make early diagnosis of PPID difficult. Progressive clinical findings and corresponding ACTH concentrations in horses transitioning to PPID over time have not been documented. Seven horses with ACTH concentrations equivocal for PPID (utilizing locally derived, seasonally adjusted diagnostic-cut off values (DCOV)) and no clinical signs of PPID were selected. Sequential measurement of basal and thyrotropin-releasing hormone (TRH)-stimulated ACTH concentrations and recording of clinical findings occurred from Octo...
Enriched Pathways of Calcium Regulation, Cellular/Oxidative Stress, Inflammation, and Cell Proliferation Characterize Gluteal Muscle of Standardbred Horses between Episodes of Recurrent Exertional Rhabdomyolysis.
Genes    October 14, 2022   Volume 13, Issue 10 doi: 10.3390/genes13101853
Valberg SJ, Velez-Irizarry D, Williams ZJ, Henry ML, Iglewski H, Herrick K, Fenger C.Certain Standardbred racehorses develop recurrent exertional rhabdomyolysis (RER-STD) for unknown reasons. We compared gluteal muscle histopathology and gene/protein expression between Standardbreds with a history of, but not currently experiencing rhabdomyolysis (N = 9), and race-trained controls (N = 7). Eight RER-STD had a few mature fibers with small internalized myonuclei, one out of nine had histologic evidence of regeneration and zero out of nine degeneration. However, RER-STD versus controls had 791/13,531 differentially expressed genes (DEG). The top three gene ontology (GO) enriched ...
Equine Influenza Virus: An Old Known Enemy in the Americas.
Vaccines    October 14, 2022   Volume 10, Issue 10 doi: 10.3390/vaccines10101718
Gonzalez-Obando J, Forero JE, Zuluaga-Cabrera AM, Ruiz-Saenz J.Equine influenza is a highly contagious disease caused by the H3N8 equine influenza virus (EIV), which is endemically distributed throughout the world. It infects equids, and interspecies transmission to dogs has been reported. The H3N8 Florida lineage, which is divided into clades 1 and 2, is the most representative lineage in the Americas. The EIV infects the respiratory system, affecting the ciliated epithelial cells and preventing the elimination of foreign bodies and substances. Certain factors related to the disease, such as an outdated vaccination plan, age, training, and close contact ...
Pituitary Pars Intermedia Dysfunction (PPID) in Horses.
Veterinary sciences    October 10, 2022   Volume 9, Issue 10 556 doi: 10.3390/vetsci9100556
Kirkwood NC, Hughes KJ, Stewart AJ.Substantial morbidity results from pituitary pars intermedia dysfunction (PPID) which is often underestimated by owners and veterinarians. Clinical signs, pathophysiology, diagnostic tests, and treatment protocols of this condition are reviewed. The importance of improved recognition of early clinical signs and diagnosis are highlighted, as initiation of treatment will result in improved quality of life. Future research should be targeted at improving the accuracy of the diagnosis of PPID, as basal adrenocorticotropic hormone (ACTH) concentration can lack sensitivity and thyrotropin releasing ...
Equine insulin dysregulation causes tissue specific alterations of proinflammatory cytokines and acute phase proteins in a NF-kB independent manner.
Veterinary immunology and immunopathology    October 8, 2022   Volume 253 110500 doi: 10.1016/j.vetimm.2022.110500
Jayathilake WMNK, Furr M, Risco C, Lacombe VA.Similar to human diabetes, equine metabolic syndrome (EMS) causes insulin dysregulation leading to debilitating sequela including laminitis. The pathophysiological mechanisms underlying EMS and laminitis are not well known. Therefore, using an insulin-resistant equine model, we hypothesized that insulin dysregulation induces an increased expression of inflammatory proteins in a tissue specific manner. Two groups of horses (n = -5/group) were categorized as insulin-resistant (IR) or insulin-sensitive (IS), using a frequently sampled intra-venous glucose tolerance test. Biopsies from skeletal ...
Biomarkers of Kidney Disease in Horses: A Review of the Current Literature.
Animals : an open access journal from MDPI    October 5, 2022   Volume 12, Issue 19 2678 doi: 10.3390/ani12192678
Galen GV, Olsen E, Siwinska N.Creatinine only allows detection of kidney disease when 60 to 75% of the glomerular function is lost and is therefore not an ideal marker of disease. Additional biomarkers could be beneficial to assess kidney function and disease. The objectives are to describe new equine kidney biomarkers. This systematic review assesses the available literature, including the validation process and reference values, following which the authors suggest recommendations for clinical use. SDMA may have some potential as equine kidney biomarker, but there is currently a lack of evidence that SDMA offers any advan...
Retrospective review of atrial fibrillation in Standardbred racehorses at a tertiary care facility in Atlantic Canada.
The Canadian veterinary journal = La revue veterinaire canadienne    October 4, 2022   Volume 63, Issue 10 1051-1056 doi: 10.1111/evj.13551
Burns JJ, MacMillan KM, John EE.Atrial fibrillation (AF) is the most clinically relevant cardiac arrhythmia identified in the Standardbred racehorse. However, there is limited literature regarding athletic ability in Standardbred racehorses following AF conversion. To investigate this issue, the objectives of this review were to: i) determine the success rate in using quinidine sulphate to treat AF in a population of hospitalized equine patients in Atlantic Canada between January 2008 and December 2019; and ii) measure return to athletic ability (using racetrack earnings and top-3 finishes) following cardioversion with quini...
The effect of manually facilitated flexion of the thoracic spine on the interspinous space among horses with impinging dorsal spinous processes of the thoracic vertebrae.
Veterinary journal (London, England : 1997)    September 29, 2022   Volume 289 105909 doi: 10.1016/j.tvjl.2022.105909
O'Sullivan S, McGowan CM, Junnila J, Hyytiäinen HK.Impinging dorsal spinous processes (IDSP) are typically diagnosed and graded using radiography, during which the effect of the horses' thoracolumbar posture on the interspinous spaces is not commonly considered. Posture can be altered from a spontaneous, relatively extended, or lordotic, position by manual facilitation of thoracic flexion ('thoracic lift'). This study aimed to ascertain if the thoracic vertebral interspinous space distances were increased by using facilitated thoracic flexion to alter the posture in horses diagnosed with IDSP. Seven horses of mixed breed and sex, median age 9....
Criteria for Progressive Pulmonary Fibrosis: Getting the Horse Ready for the Cart.
American journal of respiratory and critical care medicine    September 7, 2022   Volume 207, Issue 1 11-13 doi: 10.1164/rccm.202208-1639ED
Cottin V.No abstract available
Expression of Cell-Cycle Regulatory Proteins pRb, Cyclin D1, and p53 Is Not Associated with Recurrence Rates of Equine Sarcoids.
Veterinary sciences    September 1, 2022   Volume 9, Issue 9 474 doi: 10.3390/vetsci9090474
Tura G, Brunetti B, Brigandì E, Rinnovati R, Sarli G, Avallone G, Muscatello LV, La Ragione RM, Durham AE, Bacci B.Sarcoids are among the most common tumors diagnosed in equids; their association with bovine papillomaviruses (BPV) infection has been widely reported, but the mechanism of carcinogenesis has not been fully elucidated. To verify whether BPV infection causes dysregulation of the pRb-Cyclin D1-p16-p53 pathway as reported for human papillomavirus (HPV), the study employed immunohistochemistry to test 55 equine sarcoid biopsies for the expression of pRb, Cyclin D1, and p53 cell cycle regulatory proteins and to evaluate the proliferative rate through Ki67. High Cyclin D1 and pRb expression were obs...
Study on NGF and VEGF during the Equine Perinatal Period-Part 2: Foals Affected by Neonatal Encephalopathy.
Veterinary sciences    August 26, 2022   Volume 9, Issue 9 459 doi: 10.3390/vetsci9090459
Ellero N, Lanci A, Baldassarro VA, Alastra G, Mariella J, Cescatti M, Castagnetti C, Giardino L.Neonatal Encephalopathy (NE) may be caused by hypoxic ischemic insults or inflammatory insults and modified by innate protective or excitatory mechanisms. Understanding the underlying pathophysiology is important in formulating a rational approach to diagnosis. The preliminary aim was to clinically characterize a population of foals spontaneously affected by NE. The study aimed to: (i) evaluate nerve growth factor (NGF) and vascular endothelial growth factor (VEGF) levels in plasma samples obtained in the affected population at parturition from the mare’s jugular vein, umbilical cord vein an...
Correlation of pituitary histomorphometry with dopamine and dopamine D2 receptor expression in horses with pituitary pars intermedia dysfunction.
Research in veterinary science    August 24, 2022   Volume 152 427-433 doi: 10.1016/j.rvsc.2022.08.018
Huang L, Palmieri C, Bertin FR.Pituitary pars intermedia dysfunction (PPID) is an endocrinopathy commonly affecting old horses. It is a spontaneously occurring, progressive disease that is still poorly understood. Previous studies have observed neurodegeneration of the dopaminergic inhibition of melanotrophs, which leads to decreased dopamine (DA) in the pars intermedia (PI) and increased pro-opiomelanocortin-derived peptides circulating in plasma. However, rats knockout for the dopamine D2 receptor (D2r) similarly develop PI hypertrophy and hyperplasia. Thus, based on the current pathophysiological theory of PPID, whether ...
Pre-Activated Granulocytes from an Autoimmune Uveitis Model Show Divergent Pathway Activation Profiles upon IL8 Stimulation In Vitro.
International journal of molecular sciences    August 23, 2022   Volume 23, Issue 17 doi: 10.3390/ijms23179555
Hoffmann ALC, Hauck SM, Deeg CA, Degroote RL.In the pathophysiology of autoimmune-mediated uveitis, granulocytes have emerged as possible disease mediators and were shown to be pre-activated in equine recurrent uveitis (ERU), a spontaneous disease model. We therefore used granulocytes from ERU horses to identify early molecular mechanisms involved in this dysregulated innate immune response. Primary granulocytes from healthy and ERU horses were stimulated with IL8, and cellular response was analyzed with differential proteomics, which revealed significant differences in protein abundance of 170 proteins in ERU. Subsequent ingenuity pathw...
Blood Transfusion in Equids-A Practical Approach and Review.
Animals : an open access journal from MDPI    August 23, 2022   Volume 12, Issue 17 2162 doi: 10.3390/ani12172162
Jamieson CA, Baillie SL, Johnson JP.Transfusion medicine is a crucial part of equine intensive and critical care. Blood transfusions can save lives in both acute and chronic cases of anemia, hemorrhage, and hemolysis. It is vital to have a comprehensive theoretical and practical understanding of the techniques, implications, risks, and complications. This review covers the physiology and pathophysiology of conditions requiring transfusion, as well as step by step guidance for practitioners of all experience levels. This review is designed to serve as a practical reference for those who are treating horses in either the field or ...
Arboviral Equine Encephalitides.
The Veterinary clinics of North America. Equine practice    August 12, 2022   Volume 38, Issue 2 299-321 doi: 10.1016/j.cveq.2022.04.004
Toribio RE.A number of viruses transmitted by biological vectors or through direct contact, air, or ingestion cause neurologic disease in equids. Of interest are viruses of the Togaviridae, Flaviviridae, Rhabdoviridae, Herpesviridae, Bornaviridae, and Bunyaviridae families. Many are classified as arboviruses because they use arthropod vectors, whereas others are transmitted directly via ingestion, inhalation, or integument damage. The goal of this article is to provide an overview on pathophysiologic and clinical aspects of arboviruses of equine importance, including alphaviruses (Togaviridae) and flaviv...
Cervical Vertebral Stenotic Myelopathy.
The Veterinary clinics of North America. Equine practice    August 12, 2022   Volume 38, Issue 2 225-248 doi: 10.1016/j.cveq.2022.05.002
Woodie B, Johnson AL, Grant B.Cervical vertebral stenotic myelopathy is a common cause of ataxia in horses secondary to spinal cord compression. Early articles describing this problem indicate genetic predisposition as a known risk factor. Further studies have shown the problem is a developmental abnormality which might have genetic predisposition and environmental influences.
Cardiac ion channel expression in the equine model – In-silico prediction utilising RNA sequencing data from mixed tissue samples.
Physiological reports    July 27, 2022   Volume 10, Issue 14 e15273 doi: 10.14814/phy2.15273
Premont A, Saadeh K, Edling C, Lewis R, Marr CM, Jeevaratnam K.Understanding cardiomyocyte ion channel expression is crucial to understanding normal cardiac electrophysiology and underlying mechanisms of cardiac pathologies particularly arrhythmias. Hitherto, equine cardiac ion channel expression has rarely been investigated. Therefore, we aim to predict equine cardiac ion channel gene expression. Raw RNAseq data from normal horses from 9 datasets was retrieved from ArrayExpress and European Nucleotide Archive and reanalysed. The normalised (FPKM) read counts for a gene in a mix of tissue were hypothesised to be the average of the expected expression in e...