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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.
Pituitary pars intermedia dysfunction: equine Cushing’s disease.
The Veterinary clinics of North America. Equine practice    January 8, 2005   Volume 18, Issue 2 237-270 doi: 10.1016/s0749-0739(02)00018-4
Schott HC.PPID in older equids has become a major health concern of horse owners. In response, equine practitioners have made greater efforts at understanding, diagnosing, and treating this disorder. Although PPID is recognized to be a different form of pituitary-dependent hyperadrenocorticism than is seen in canine or human patients, relatively little is known about the pathophysiology and natural progression of the disease. At present, the diagnosis is best supported by manifestation of characteristic clinical signs and endocrinologic test results, preferably a supportive DST result. Treatment must fo...
Distribution of TNF receptors and TNF receptor-associated intracellular signaling factors on equine tendinocytes in vitro.
The Japanese journal of veterinary research    January 6, 2005   Volume 52, Issue 3 135-144 
Hosaka Y, Sakamoto Y, Kirisawa R, Watanabe T, Ueda H, Takehana K, Yamaguchi M.Although tumor necrosis factor (TNF) alpha is an important key factor in degeneration of equine superficial digital flexor tendon (SDFT), the dynamism of TNF receptors and associated factors on tendinocytes has not been elucidated. To reveal signaling events mediated by TNF-receptors (TNF-Rs) in tendinocytes, we focused on four signaling factors, TNF-R1, TNF-R2, TNF-R-associated factor 2 (TRAF2) and nuclear factor-kappa B (NF-kappaB), and investigated the distribution and production of these factors. Cultured tendinocytes were obtained from SDFTs of thoroughbred horses. The tendinocytes were t...
Progressive swelling, hyperkeratosis, and fibrosis of distal limbs in Clydesdales, Shires, and Belgian draft horses, suggestive of primary lymphedema.
Lymphatic research and biology    December 31, 2004   Volume 1, Issue 3 191-199 doi: 10.1089/153968503768330238
De Cock HE, Affolter VK, Wisner ER, Ferraro GL, MacLachlan NJ.A condition characterized by progressive swelling, hyperkeratosis, and fibrosis of the distal limbs has been recognized in Shire, Clydesdale, and Belgian draft horses. This chronic progressive disease starts at an early age, progresses throughout the life of the horse, and often ends in disfigurement and disability of the limbs that inevitably leads to the horse's premature death. This study was undertaken to better characterize this disease. Results: Six affected horses were donated for diagnostic workup. A detailed clinical, radiologic, gross, and histologic description is given in this repo...
Distinct fibro-vascular arrangements in the periodontal ligament of the horse.
Archives of oral biology    December 8, 2004   Volume 50, Issue 4 439-447 doi: 10.1016/j.archoralbio.2004.10.001
Staszyk C, Gasse H.The periodontal ligament (PDL) of the hypsodont cheek teeth of the horse meets specific requirements of tooth support: (1) to fix the tooth; (2) to withstand pressure and tension during the laterolateral mastication movement; (3) to restore the original tooth position. These requirements are assumed to be met by the periodontal collagen fiber apparatus and by the vascular system. Distinct fibro-vascular arrangements are described here in order to reveal the structural prerequisites for these distinct functions. Methods: Specimens from nine horses were processed for (1) collagen labeling with f...
Cytokine responses to Cyathostominae larvae in the equine large intestinal wall.
Research in veterinary science    November 27, 2004   Volume 78, Issue 2 169-176 doi: 10.1016/j.rvsc.2004.07.005
Davidson AJ, Hodgkinson JE, Proudman CJ, Matthews JB.To investigate cytokine responses in cyathostomin infection, we quantified mucosal interleukin-4 (IL-4), interleukin-10 (IL-10), tumour necrosis factor (TNF)-alpha and interferon (IFN)-gamma by reverse transcriptase-competitive polymerase chain reaction. The analysis was performed on large intestinal wall samples obtained from six anatomical sites spanning the caecum and colon of 17 naturally exposed horses. The numbers of developing larvae (DL) and early third stage larvae (EL3) were ascertained using transmural illumination and pepsin digestion techniques, respectively. Levels of each cytoki...
Comparison of TGF-beta 1 concentrations in bronchoalveolar fluid of horses affected with heaves and of normal controls.
Veterinary immunology and immunopathology    September 8, 2004   Volume 101, Issue 3-4 133-141 doi: 10.1016/j.vetimm.2004.03.008
Desjardins I, Theoret C, Joubert P, Wagner B, Lavoie JP.Airway remodeling may play an important role in heaves pathophysiology. Transforming growth factor-beta 1 (TGF-beta1) is a potent profibrotic cytokine, which might contribute to airway wall thickening and fibrosis of bronchiolar and alveolar submucosa. An ELISA designed for the measurement of human TGF-beta1 was used to measured total TGF-beta1 released in bronchoalveolar lavage fluid (BALF) of normal horses and of those affected with heaves in remission. The specificity of the assay for TGF-beta1 of the horse was confirmed using recombinant equine TGF-beta1. The influence of hay exposure on T...
In-vitro contraction of the equine aortic valve.
The Journal of heart valve disease    August 18, 2004   Volume 13, Issue 4 593-599 
Bowen IM, Marr CM, Chester AH, Wheeler-Jones CP, Elliott J.The equine aortic valve is subject to non-inflammatory degenerative changes, associated with aortic valvular regurgitation (AR). This disease shares pathological and epidemiological features with AR in humans, and may serve as a useful model to study in-vitro functional responses associated with aging and disease. The study aim was to determine the contractile properties of the normal equine aortic valve. Methods: The contractile responses of equine aortic valves to angiotensin II, the thromboxane-mimetic U44069, endothelin-1, 5-hydroxytryptamine and the alpha-adrenoceptor agonists medetomidin...
Investigation of the facilitation of the nociceptive withdrawal reflex evoked by repeated transcutaneous electrical stimulations as a measure of temporal summation in conscious horses.
American journal of veterinary research    July 30, 2004   Volume 65, Issue 7 901-908 doi: 10.2460/ajvr.2004.65.901
Spadavecchia C, Andersen OK, Arendt-Nielsen L, Spadavecchia L, Doherr M, Schatzmann U.To investigate whether facilitation of the nociceptive withdrawal reflex (NWR) can be evoked and quantified as a measure of temporal summation from the distal aspect of the left forelimb and hind limb in standing nonsedated horses via repeated stimulations of various subthreshold intensities and frequencies. Methods: 10 adult horses. Methods: Surface electromyographic activity evoked by stimulation of the digital palmar and plantar nerves was recorded from the common digital extensor and cranial tibial muscles. For each horse, the NWR threshold intensity to a single stimulus was determined for...
Pulmonary artery wedge pressure measurement in healthy warmblood horses and in warmblood horses with mitral valve insufficiencies of various degrees during standardised treadmill exercise.
Research in veterinary science    July 28, 2004   Volume 77, Issue 3 257-264 doi: 10.1016/j.rvsc.2004.04.009
Gehlen H, Bubeck K, Stadler P.In 12 healthy warmblood horses and 10 horses with mitral valve insufficiencies (MVI) of various degrees heart rate and pulmonary artery wedge pressure (PWP) was measured at rest and during standardised exercise on a high speed treadmill. There was a significant increase in PWP with each change in speed of the treadmill (p < 0.01). The PWP of horses with mild mitral valve regurgitation under working conditions was not significantly different compared to the healthy horses. The horses with moderate mitral valve regurgitation showed a significant higher pulmonary artery wedge pressure at rest and...
Sarcocystis neurona (Protozoa: Apicomplexa): description of oocysts, sporocysts, sporozoites, excystation, and early development.
The Journal of parasitology    July 27, 2004   Volume 90, Issue 3 461-465 doi: 10.1645/GE-230R
Lindsay DS, Mitchell SM, Vianna MC, Dubey JP.Equine protozoal myeloencephalitis is a major cause of neurological disease in horses from the Americas. Horses are considered accidental intermediate hosts. The structure of sporocysts of the causative agent, Sarcocystis neurona, has never been described. Sporocysts of S. neurona were obtained from the intestines of a laboratory-raised opossum fed skeletal muscles from a raccoon that had been fed sporocysts. Sporocysts were 11.3 by 8.2 microm and contained 4 sporozoites. The appearance of the sporocyst residuum was variable. The residuum of some sporocysts was composed of many dispersed granu...
Equine recurrent uveitis: new methods of management.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 417-vii doi: 10.1016/j.cveq.2004.04.010
Gilger BC, Michau TM.Equine recurrent uveitis (ERU) is one of the most common causes of blindness in horses. Until recently, treatment of this condition consisted only of symptomatic therapy, typically with steroidal and nonsteroidal medications. A better understanding of the disease process(es) has permitted new medical and surgical therapies that have recently been described. This article highlights clinical features of ERU, the causes of ERU, and new management and treatment options for horses with ERU.
Prevention of ischaemia-induced small intestinal adhesions in foals.
Equine veterinary journal    July 16, 2004   Volume 36, Issue 5 370-375 doi: 10.2746/0425164044868431
Sullins KE, White NA, Lundin CS, Dabareiner R, Gaulin G.Treatments addressing variously theorised pathophysiological mechanisms of small intestinal adhesions have been reported. This study applied those classes of treatments to the most clinically relevant aetiology of post operative adhesions. Objective: Treatments addressing the pathophysiology of ischaemia-reperfusion induced adhesions would accordingly reduce the incidence of adhesions from this model. Methods: Four classes of treatments were administered for 72 h to 16 foals subjected to complete ischaemia followed by reperfusion to create peritoneal adhesions. These groups were: 1) FPG group-...
Polymyxin B protects horses against induced endotoxaemia in vivo.
Equine veterinary journal    July 16, 2004   Volume 36, Issue 5 397-401 doi: 10.2746/0425164044868350
Barton MH, Parviainen A, Norton N.A safe, affordable and effective treatment for endotoxaemia in horses is needed in order to reduce the incidence of this potentially fatal condition. Objective: To evaluate the effect of polymyxin B (PMB) on signs of experimentally-induced endotoxaemia. Objective: PMB ameliorates the adverse effects of endotoxaemia without causing nephrotoxicity. Methods: Four groups of 6 healthy mature horses each received 20 ng endotoxin/kg bwt i.v. over 30 mins. Additionally, each group received one of the following i.v.; 5000 u PMB/kg bwt 30 mins before endotoxin infusion; 5000 u PMB/kg bwt 30 mins after e...
Effect of laryngoplasty on respiratory noise reduction in horses with laryngeal hemiplegia.
Equine veterinary journal    July 16, 2004   Volume 36, Issue 5 420-425 doi: 10.2746/0425164044868440
Brown JA, Derksen FJ, Stick JA, Hartmann WM, Robinson NE.Laryngoplasty is the technique of choice for treatment of laryngeal hemiplegia, with the aim of improving airway function and/or eliminating respiratory noise. However, there are no quantitative data in the literature describing the effect of laryngoplasty on upper airway noise or its relationship to upper airway mechanics in horses with laryngeal hemiplegia. Objective: To determine whether laryngoplasty reduces respiratory noise in exercising horses with laryngeal hemiplegia; and to establish whether the degree of upper airway obstruction can be predicted by upper airway noise, or the degree ...
Detection of surfactant protein A (SP-A) and surfactant protein D (SP-D) in equine synovial fluid with immunoblotting. Kankavi O, Roberts MS.Once considered unique to the lung, surfactant proteins have been clearly identified in the intestine and peritoneum and are suggested to exist in several other organs. In the lung, surfactant proteins assist in the formation of a monolayer of surface-active phospholipid at the liquid-air interface of the alveolar lining, reducing the surface tension at this surface. In contrast, surface-active phospholipid adsorbed to articular surfaces has been identified as the load-bearing boundary lubricant of the joint. This raises the question of whether surfactant proteins in synovial fluid (SF) are re...
In vitro and in vivo studies of homocysteine in equine tissues: implications for the pathophysiology of laminitis.
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 279-284 doi: 10.2746/0425164044877161
Berhane Y, Bailey SR, Harris PA, Griffiths MJ, Elliott J.Elevated plasma homocysteine (HCy) concentration is a risk factor for cardiovascular diseases associated with endothelial dysfunction, including the human digital ischaemic disease, Raynaud's phenomenon. Objective: HCy causes dysfunction of equine vascular endothelium and elevated plasma concentrations predispose to laminitis. Objective: To determine 1) the concentration of HCy in vitro, which inhibits equine vascular endothelial cell function and 2) any association between risk of laminitis and plasma HCy concentration. Methods: Endothelial function was studied by measuring endothelium-depend...
The effects of vasoactive amines found in the equine hindgut on digital blood flow in the normal horse.
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 267-272 doi: 10.2746/0425164044877297
Bailey SR, Menzies-Gow NJ, Marr CM, Elliott J.Disturbances of digital blood flow are thought to be fundamental to the pathophysiology of acute laminitis. However, factors linking the initiating events in the equine hindgut with these disturbances in the foot remain to be determined. Objective: Amine compounds, formed by bacteria in the equine hindgut, have digital vasoconstrictor effects in vivo. Methods: Tryptamine (1.6 microg/kg/min) and phenylethylamine (2.13 microg/kg/min) were infused i.v. into standing nonsedated horses. Digital blood flow was measured by Doppler ultrasound and foot surface temperature was monitored. Plasma 5-hydrox...
Equine laminitis: glucose deprivation and MMP activation induce dermo-epidermal separation in vitro.
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 261-266 doi: 10.2746/0425164044877170
French KR, Pollitt CC.Acute laminitis is characterised by hoof lamellar dermal-epidermal separation at the basement membrane (BM) zone. Hoof lamellar explants cultured in vitro can also be made to separate at the basement membrane zone and investigating how this occurs may give insight into the poorly understood pathophysiology of laminitis. Objective: To investigate why glucose deprivation and metalloproteinase (MMP) activation in cultured lamellar explants leads to dermo-epidermal separation. Methods: Explants, cultured without glucose or with the MMP activator p-amino-phenol-mercuric acetate (APMA), were subject...
Evidence for vascular and enzymatic events in the pathophysiology of acute laminitis: which pathway is responsible for initiation of this process in horses?
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 204-209 doi: 10.2746/0425164044877116
Moore RM, Eades SC, Stokes AM.To date, there is a substantial amount of data to support the hypotheses that vascular and enzymatic changes are ongoing in experimental laminitis. Furthermore, there is substantial in vitro evidence that the enzymatic changes weaken the dermo-epidermal attachments leading to mechanical failure of the hoof-bone interface of the equine digit. However, investigators of both the vascular and enzymatic theories have, to date, been unable to substantiate the effects of these pathophysiological changes in vivo on laminar tissues of horses afflicted with experimentally induced or naturally acquired l...
Equine cardiovascular pathology: an overview.
Animal health research reviews    May 12, 2004   Volume 4, Issue 2 109-129 doi: 10.1079/ahr200353
Buergelt CD.The few data collections that evaluate the involvement of organ systems in horse diseases are in agreement that the locomotor, gastrointestinal and nervous systems are the sites of primary disease in the vast majority of sick horses. When compared with diseases of these organ systems, equine cardiovascular diseases occur infrequently. The most detailed and comprehensive survey of equine cardiac pathology was reported in 1972 by Else and Holmes, who summarized the gross and microscopic cardiac findings from 1500 abattoir horses. This paper reviews the pathology of the cardiovascular diseases ty...
Finds fault in extracorporeal shock wave therapy study’s conclusion.
American journal of veterinary research    April 14, 2004   Volume 65, Issue 4 391 
Reilly FK.No abstract available
Coagulopathy in the equine critical care patient.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 231-251 doi: 10.1016/j.cveq.2003.11.002
Dallap BL.Disseminated intravascular coagulation (DIC) is a clinicopathologic syndrome resulting from a multitude of underlying causes that manifests itself clinically as hemostatic/fibrinolytic failure. There is much debate on the definition, diagnosis, and treatment of DIC, a situation that is most likely the result of the multifaceted clinical presentation of the syndrome and the fact that patient outcome is often influenced by the underlying disease process. The fact that DIC increases morbidity and mortality in critical care patients is well established, but the exact mechanism of what specifically...
Brain injury after head trauma: pathophysiology, diagnosis, and treatment.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 199-216 doi: 10.1016/j.cveq.2003.11.006
MacKay RJ.Brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues. In horses, traumatic brain injury occurs in three main settings: (1) poll impact in horses that flip over backwards; (2) frontal/parietal impact in horses that run into a fixed object, and (3) injury to the vestibular apparatus secondary to temporohyoid osteoarthropathy. Distinct forebrain, vestibular, midbrain, hindbrain, or multifocal syndromes may be encountered in horses with traumatic brain injury. The most important components of treatment are those consistent with p...
Sepsis in adults and foals.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 41-61 doi: 10.1016/j.cveq.2003.12.005
Roy MF.Sepsis develops in horses when the host response to the invading pathogens is not properly balanced according to the severity of the insult. Several clinical conditions frequently encountered in equine practice may be associated with the development of sepsis and have the potential to progress to more severe forms, such as severe sepsis, MODS, and septic shock. Consequently, it is important for equine practitioners to be aware of the manifestations,pathophysiology, and treatment of sepsis. Although enormous progress has been made in recent years in our understanding of the pathophysiology of s...
Inotropes and vasopressors in adults and foals.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 77-106 doi: 10.1016/j.cveq.2003.12.003
Corley KT.Successful treatment with inotropes and vasopressors depends on an understanding of the interplay of flow, pressure, and resistance in the cardiovascular system and an appreciation of the pathophysiologic mechanisms leading to inadequate tissue perfusion. Any treatment strategy is necessarily a compromise between the requirements of different vascular beds.Furthermore. the underlying hemodynamic derangements can change rapidly. Therefore. inotropes and vasopressors should be titrated to measures of improved hemodynamic status, and the treatments should be frequently reviewed.
Neurologic abnormalities and cerebrospinal fluid changes in horses administered fumonisin B1 intravenously.
Journal of veterinary internal medicine    April 3, 2004   Volume 18, Issue 2 223-230 doi: 10.1892/0891-6640(2004)18<223:naacfc>2.0.co;2
Foreman JH, Constable PD, Waggoner AL, Levy M, Eppley RM, Smith GW, Tumbleson ME, Haschek WM.The objective of this experiment was to characterize a dose-dependent toxic effect of fumonisin B1 (FB1) and to document initial neurologic signs, clinical progression, and terminal cerebrospinal fluid (CSF) changes in horses administered FB1 IV. Seventeen healthy horses were administered 0.00 (n = 4), 0.01 (n = 3), 0.05 (n = 3), 0.10 (n = 3), or 0.20 mg (n = 4) of purified FB1 IV q24h. When neurologic abnormalities observed by a masked observer became severe, atlanto-occipital CSF taps were performed and CSF pressure, cell count, cytology, protein, albumin and glucose concentrations, and crea...
Assessment of leukotriene B4 production in leukocytes from horses with recurrent airway obstruction.
American journal of veterinary research    March 19, 2004   Volume 65, Issue 3 289-295 doi: 10.2460/ajvr.2004.65.289
Lindberg A, Robinson NE, Näsman-Glaser B, Jensen-Waern M, Lindgren JA.To determine the ex vivo leukotriene (LT) biosynthesis in peripheral blood neutrophils (PBNs) and inflammatory cells in bronchoalveolar lavage fluid (BALF) obtained from horses affected with recurrent airway obstruction (RAO). Methods: 6 RAO-affected and 6 control horses. Methods: Before and 6, 24, and 48 hours after stabling, disease severity was determined subjectively by clinical and mucus scores and measurement of the maximal change in pleural pressure (deltaPpl(max)); PBNs were isolated and BALF samples were examined cytologically. The PBN and BALF cells were activated with a calcium iono...
Cholinergic, nitrergic and peptidergic (Substance P- and CGRP-utilizing) innervation of the horse intestine. A histochemical and immunohistochemical study.
Histology and histopathology    March 17, 2004   Volume 19, Issue 2 357-370 doi: 10.14670/HH-19.357
Domeneghini C, Radaelli G, Arrighi S, Bosi G, Dolera M.The small and large intestine of adult horses were histochemically and immunohistochemically investigated in order to evidence components of the intramural nervous system. The general structural organization of the intramural nervous system was examined by using Nissl-thionin staining as well as the anti-neurofilament 200 (NF200) immunoreaction, which demonstrated the presence of neurons in the submucous as well as myenteric plexuses. The additional presence of subserosal ganglia was shown in the large intestine. Acetylcholinesterase (AChEase) activity was observed in both the submucous and my...
Piebaldism and neurofibromatosis type 1: horses of very different colors.
The Journal of investigative dermatology    March 11, 2004   Volume 122, Issue 2 xxxiv-xxxv doi: 10.1046/j.0022-202X.2004.22235.x
Spritz RA, Itin PH, Gutmann DH.No abstract available
Current research and theories on the pathogenesis of acute laminitis in the horse.
Veterinary journal (London, England : 1997)    February 21, 2004   Volume 167, Issue 2 129-142 doi: 10.1016/S1090-0233(03)00120-5
Bailey SR, Marr CM, Elliott J.A large number of studies have been undertaken in recent years aimed at furthering our understanding of the complex mechanisms underlying the common and debilitating condition of acute laminitis in the horse. Many of these studies have either reinforced or cast doubt on previously held theories on the pathogenesis of this disease, while others have suggested new mechanisms which may play a key role in its development. This review seeks to put the current hypotheses into the context of this recent body of evidence. While a unifying theory may not yet seem to be achievable, this review demonstra...
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