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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.
Renal pharmacology.
The Veterinary clinics of North America. Equine practice    December 10, 1999   Volume 15, Issue 3 647-ix doi: 10.1016/s0749-0739(17)30137-2
Jose-Cunilleras E, Hinchcliff KW.Pharmacologic treatment of diseases of the urinary tract of horses is limited to administration of antibiotics for treatment of urinary tract infections (UTIs), administration of drugs that alter urine pH, administration of drugs that alter bladder smooth muscle function or urethral sphincter tone, and treatment of acute renal failure. The indications, mechanisms of action, pharmacokinetic characteristics, and adverse effects of these agents in each of these groups are discussed in this article. The use of the agents is discussed within the context of the pathophysiology of the disease being t...
Monthly, daily, and circadian variations of measurements of pulmonary mechanics in horses with chronic obstructive pulmonary disease.
American journal of veterinary research    November 24, 1999   Volume 60, Issue 11 1341-1346 
Jean D, Vrins A, Lavoie JP.To determine temporal variations of pulmonary function in horses without respiratory tract disease (controls) and horses with chronic obstructive pulmonary disease (COPD) and determine whether reversibility of airway obstruction after environmental control can be predicted by response to atropine administration. Methods: 7 COPD-affected and 5 control horses. Methods: Pulmonary function testing was performed monthly during 3 consecutive months, daily for 5 consecutive days, and at 6-hour intervals for 24 hours before and after administration of atropine (0.02 mg/kg of body weight, i.v.) and aft...
Detection and comparison of nitric oxide in clinically normal horses and those with naturally acquired small intestinal strangulation obstruction.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 26, 1999   Volume 63, Issue 4 230-240 
Mirza MH, Oliver JL, Seahorn TL, Hosgood G, Moore RM.The purpose of this study was to determine whether nitric oxide (NO) is present in clinically normal horses under basal conditions and if it increases secondary to naturally acquired small intestinal strangulation obstruction. Thirty-one horses were used; 20 horses with naturally acquired small intestinal strangulation obstruction and 11 clinically normal horses with no signs of gastrointestinal tract disease. Jugular venous blood, abdominal fluid, and urine were collected for NO quantification. Plasma, abdominal fluid, and urine were stored at -70 degrees C until analyzed for NO using a chemi...
Age-related changes to the molecular and cellular components of equine flexor tendons.
Equine veterinary journal    October 3, 1999   Volume 31, Issue 5 391-396 doi: 10.1111/j.2042-3306.1999.tb03838.x
Birch HL, Bailey JV, Bailey AJ, Goodship AE.Specific tendons show a high incidence of partial central core rupture which is preceded by degeneration. In the performance horse, the superficial digital flexor tendon (SDFT) is most often affected. We have described previously the molecular changes that are associated with degeneration in the central core region of the equine SDFT. The pathophysiological mechanism leading to change in synthetic activity of central zone cells in degenerated tendons is not known. In this study, we test the hypothesis that ageing results in matrix composition changes within the central zone of the SDFT. Extrac...
Modulation of cytokine response of pneumonic foals by virulent Rhodococcus equi.
Infection and immunity    September 25, 1999   Volume 67, Issue 10 5041-5047 doi: 10.1128/IAI.67.10.5041-5047.1999
Giguère S, Wilkie BN, Prescott JF.The ability of Rhodococcus equi to induce pneumonia in foals depends on the presence of an 85- to 90-kb plasmid. In this study, we evaluated whether plasmid-encoded products mediate virulence by modulating the cytokine response of foals. Foals infected intrabronchially with a virulence plasmid-containing strain of R. equi had similar gamma interferon (IFN-gamma) and interleukin-12 (IL-12) p35 but significantly higher IL-1beta, IL-10, IL-12 p40, and tumor necrosis factor alpha (TNF-alpha) mRNA expression in lung tissue compared to foals infected with the plasmid-cured derivative. IFN-gamma mRNA...
Pathogenicity of cyathostome infection.
Veterinary parasitology    September 15, 1999   Volume 85, Issue 2-3 113-225 doi: 10.1016/s0304-4017(99)00092-8
Love S, Murphy D, Mellor D.Cyathostomes are now the principle parasitic pathogen of the horse: a remarkable transformation during the last 25 years from virtual obscurity to focus of attention in equine parasitology. This rise to prominence coincides with the marked decrease in prevalence of large strongyle infections as a result of widespread use of modern anthelmintic compounds. On the basis that strongyle-associated diseases continue to commonly occur in the absence of these large strongyle species, clinical attention has turned to the pathogenicity of cyathostomes. Although many horses harbour burdens of tens of tho...
Effects of furosemide on athletic performance and exercise-induced pulmonary hemorrhage in horses.
Journal of the American Veterinary Medical Association    September 7, 1999   Volume 215, Issue 5 630-635 
Hinchcliff KW.No abstract available
Results of physical inspection before races and race-related characteristics and their association with musculoskeletal injuries in Thoroughbreds during races.
Journal of the American Veterinary Medical Association    September 7, 1999   Volume 215, Issue 5 654-661 
Cohen ND, Mundy GD, Peloso JG, Carey VJ, Amend NK.To estimate the relative risk of injury among horses deemed to be at increased risk of injury on the basis of prerace physical inspection findings and to examine the association of injury during races with race-related characteristics. Methods: Cohort study. Methods: 2,187 Thoroughbred horses that started 3,227 races in Kentucky. Methods: All race starts for which a horse was deemed to be at increased risk of injury on the basis of prerace physical inspection findings and a random sample of race starts for which horses were not deemed at increased risk of injury were included in the study. Fin...
The pathophysiology of developmental and acute laminitis.
The Veterinary clinics of North America. Equine practice    September 3, 1999   Volume 15, Issue 2 321-343 doi: 10.1016/s0749-0739(17)30148-7
Hood DM.This review implies that although we know more regarding the enigma of developmental and acute laminitis today than previously, there is still more to investigate. As these investigations are conducted and interpreted, new and more effective preventive and therapeutic regimens are likely to be developed, tested, and made available. As this occurs, the impact of laminitis should undoubtedly decrease. Unfortunately, due to the lack of clinical symptoms in the developmental phase and the shortness of the acute phase, it is also evident that the two sequelae of acute laminitis, subacute and chroni...
Historical perspectives on laminitis.
The Veterinary clinics of North America. Equine practice    September 3, 1999   Volume 15, Issue 2 295-v doi: 10.1016/s0749-0739(17)30146-3
Wagner IP, Heymering H.This article attempts to provide a historical perspective regarding equine laminitis. It is designed to cover, as completely as possible, the historical record of, and the research advances made, in regards to acute and chronic laminitis. With respect to the historical record, the names given to this disease, the postulated etiologies, and the various treatment protocols are discussed. This article demonstrates the historical longevity of this disease and establishes a background for the current understanding of the disease's pathologic mechanisms and treatments.
The pharmacologic basis for the treatment of developmental and acute laminitis.
The Veterinary clinics of North America. Equine practice    September 3, 1999   Volume 15, Issue 2 345-362 doi: 10.1016/s0749-0739(17)30149-9
Brumbaugh GW, Sumano López H, Hoyas Sepúlveda ML.Each horse with laminitis is presented to the veterinarian at a different stage in progression of the condition and with varying severity. The pathogenic timing is often unknown and is difficult to determine. Because timing and severity are related to both the lesion's severity and responsiveness to treatment, these factors are critical to treatment selection and success. It is erroneous to assume that each horse with laminitis should receive each treatment. It is therefore important to ascertain as logically and objectively as possible the pathophysiological stage of development of each horse...
Clinical presentation, diagnosis, and prognosis of acute laminitis.
The Veterinary clinics of North America. Equine practice    September 3, 1999   Volume 15, Issue 2 311-vi doi: 10.1016/s0749-0739(17)30147-5
Swanson TD.The purpose of this article is to describe the clinical features present in the patient affected with acute laminitis. The variations in the stance and characteristic lameness of the acute disease are described in relation to the disease severity and limb involvement. The elements of establishing a diagnosis including clinical history, physical and radiologic evaluation, and differential diagnosis are discussed. Difficulties and criteria used in establishing a prognosis of the acute phase patient are defined.
The digital pathologies of chronic laminitis.
The Veterinary clinics of North America. Equine practice    September 3, 1999   Volume 15, Issue 2 419-436 doi: 10.1016/s0749-0739(17)30153-0
Grosenbaugh DA, Morgan SJ, Hood DM.This review indicates that the patient-to-patient uniqueness commonly seen in chronic laminitis represents the variable presence of the digital pathologies. Although some degree of mechanical failure is always present, the secondary metabolic and growth dysplasias, vascular pathologies, and sepsis may or may not be evident. The presence and severity of these pathologies appear to have a more significant impact on the prognosis of individual cases than does the displacement of the distal phalanx. It should be reiterated that it is often the combined presence of these individual pathologies that...
The pathophysiology of chronic laminitis. Pain and anatomic pathology.
The Veterinary clinics of North America. Equine practice    September 3, 1999   Volume 15, Issue 2 395-vii doi: 10.1016/s0749-0739(17)30152-9
Morgan SJ, Grosenbaugh DA, Hood DM.The potential pathologic manifestations of chronic laminitis are just as varied, and possibly more so, than the list of possible inciting agents of the disease itself. The extent to which rehabilitation and return to normal function can be attained, cannot always be accurately determined by physical examination. It should be remembered that significant physiologic and pathologic alterations occur in chronic laminitis; thus, even if radiographically the patient returns to a normal appearance, residual morphologic and structural defects are likely to remain.
Abnormal regulation of muscle contraction in horses with recurrent exertional rhabdomyolysis.
American journal of veterinary research    August 18, 1999   Volume 60, Issue 8 992-999 
Lentz LR, Valberg SJ, Balog EM, Mickelson JR, Gallant EM.To determine whether abnormal regulation of muscle contraction similar to that associated with malignant hyperthermia (MH) was evident in intact external intercostal muscle cells from Thoroughbreds with recurrent exertional rhabdomyolysis (RER). Methods: 5 adult Thoroughbred horses with RER and 7 clinically normal adult Thoroughbred or mixed-breed horses. Methods: Twitch time course variables and contracture responses to various concentrations of potassium, caffeine, and halothane were measured in small bundles of intact external intercostal muscle cells from clinically normal horses and horse...
Pre- and postjunctional effects of inflammatory mediators in horse airways.
The American journal of physiology    August 13, 1999   Volume 277, Issue 2 L327-L333 doi: 10.1152/ajplung.1999.277.2.L327
Olszewski MA, Zhang XY, Robinson NE.In addition to their direct contractile effects, histamine (Hist), serotonin [5-hydroxytryptamine (5-HT)], and leukotriene (LT) D(4), in low concentrations, dramatically augment electrical field stimulation (EFS)-induced smooth muscle contractions in equine airways. To determine the mechanism of their action, we studied, in trachealis strips, the effect of these mediators on both cholinergically induced tension and the release of ACh from cholinergic nerves. All three mediators synergistically augmented the contraction of the trachealis that was due to release of endogenous ACh, i.e., EFS-indu...
The role of prostanoids and nitric oxide in endotoxin-induced hyporesponsiveness of equine digital blood vessels.
Equine veterinary journal    July 13, 1999   Volume 31, Issue 3 212-218 doi: 10.1111/j.2042-3306.1999.tb03175.x
Bailey SR, Elliott J.Endotoxin has been implicated in the pathophysiology of acute laminitis. The aim of this study was to examine the direct effects of endotoxin on isolated equine digital blood vessels. Equine digital veins (EDV), incubated in Krebs-Henseleit solution containing lipopolysaccharide (LPS) (1 microg/ml) became hyporesponsive to 5-HT after 16 h. Cycloheximide and ibuprofen blocked this effect of LPS and increased the maximum response obtained to 5-HT when compared to control vessels. L-nitroarginine methyl ester (L-NAME) reversed the hyporesponsiveness caused by LPS. Vessels maintained in culture me...
Expression of endothelin in equine laminitis.
Equine veterinary journal    July 13, 1999   Volume 31, Issue 3 243-247 doi: 10.1111/j.2042-3306.1999.tb03180.x
Katwa LC, Johnson PJ, Ganjam VK, Kreeger JM, Messer NT.Biosynthesis of endothelin-1 (ET-1), the most potent endogenous vasoconstrictor yet identified, is increased following myocardial infarction (MI) in man. Pathological events which occur in the connective tissues of the equine hoof during laminitis are similar in some respects, to changes occurring in the myocardial connective tissues following MI in man. The objective of this study was to determine whether ET-1 expression in connective tissues obtained from the hoof of laminitic horses is increased compared with tissues obtained from healthy horses. Expression of ET-1 in connective tissues of ...
In vitro contractile responses and contracture testing of skeletal muscle from Quarter Horses with exertional rhabdomyolysis.
American journal of veterinary research    June 22, 1999   Volume 60, Issue 6 684-688 
Lentz LR, Valberg SJ, Mickelson JR, Gallant EM.To determine whether increased sensitivity to pharmacologic agents was a general property of equine exertional myopathies, including polysaccharide storage myopathy (PSSM) in Quarter Horses. Methods: 5 adult Quarter Horses with exertional rhabdomyolysis and abnormal polysaccharide accumulation in skeletal muscle and 4 clinically normal adult Quarter or Quarter-type horses. Methods: Twitch time course measurements and contracture responses to various concentrations of caffeine and halothane for small bundles of intact external intercostal muscle fibers were measured in all horses. Results: Caff...
Modulation of ACh release from airway cholinergic nerves in horses with recurrent airway obstruction.
The American journal of physiology    May 18, 1999   Volume 276, Issue 5 L769-L775 doi: 10.1152/ajplung.1999.276.5.L769
Zhang XY, Robinson NE, Zhu FX.To evaluate the functional status of neuronal alpha2-adrenoceptors (ARs) and beta2-ARs on ACh release in horses with recurrent airway obstruction (RAO), we examined the effects of the physiological agonists epinephrine (Epi) and norepinephrine (NE) and the beta2-agonists RR- and RR/SS-formoterol on ACh release from airway cholinergic nerves of horses with RAO. Because SS-formoterol, a distomer of the beta2-agonist, increases ACh release from airways of control horses only after the autoinhibitory muscarinic receptors are blocked by atropine, we also tested the hypothesis that if there is an M2...
The neurology and enterology of equine grass sickness: a review of basic mechanisms.
Neurogastroenterology and motility    May 13, 1999   Volume 11, Issue 2 79-92 doi: 10.1046/j.1365-2982.1999.00140.x
Cottrell DF, McGorum BC, Pearson GT.Autonomic dysfunction constitutes a prominent clinical feature of equine grass sickness (EGS). Significant injury to the nervous control of the alimentary system is life threatening, partly because of dysphagia but also because of the failure of the unique regulatory mechanisms in equine digestion involving water and electrolyte balance. The neuropathology also indicates the presence of a somatic polyneuropathy. The morphological features of EGS are similar to those of excitotoxic neuronal degeneration, which resembles neuronal apoptosis. It is difficult to ascertain from published accounts th...
[Hypothesis concerning the anatomical basis of cauda equina syndrome and transient nerve root irritation after spinal anesthesia].
Revista espanola de anestesiologia y reanimacion    May 6, 1999   Volume 46, Issue 3 99-105 
Reina MA, López A, de Andrés JA.Cauda equine syndrome is a rare neurological complication associated with subarachnoid anesthesia, and particularly with the use of 5% hyperbaric lidocaine and small gauge catheters. Our aim was to study a possible anatomical factor that might impede adequate dilution of local anesthetic and explain the development of cauda equine syndrome and transitory radicular irritation. Methods: The spinal dura matters and their contents from two male human cadavers were examined after organs had been extracted for transplantation. Both men had recently died at ages 56 and 65 years of age. Samples were f...
Back problems. Chiropractic evaluation and management.
The Veterinary clinics of North America. Equine practice    April 28, 1999   Volume 15, Issue 1 195-209 doi: 10.1016/s0749-0739(17)30172-4
Haussler KK.A thorough knowledge of equine spinal anatomy, biomechanics, and potential pathology is required to understand the principles and theories behind chiropractic and to apply its techniques properly. Chiropractic provides additional diagnostic and therapeutic means that may help equine practitioners to identify and treat the primary cause of lameness or poor performance. Specialized training in the evaluation and treatment of vertebral joint dysfunction and neuromusculoskeletal disorders places chiropractic in the forefront of conservative treatment of spinal-related disorders. Nevertheless, limi...
Galloping exercise induces regional changes in bone density within the third and radial carpal bones of Thoroughbred horses.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 111-115 doi: 10.1111/j.2042-3306.1999.tb03802.x
Firth EC, Delahunt J, Wichtel JW, Birch HL, Goodship AE.This study was performed to test the hypothesis that a localised bone hypertrophy could occur within the subchondral cancellous architecture of the third and radial carpal bones. Using 2 levels of controlled and defined exercise, it was observed that a high intensity treadmill exercise protocol resulted in functional adaptation of the carpal bones. The increase in trabecular thickening and density was seen to be localised to those regions underlying common sites of cartilage degradation, the interface of the thickened trabeculae with the normal architecture in the third carpal bone was coincid...
Endotoxin induction of nitric oxide synthase and cyclooxygenase-2 in equine alveolar macrophages.
American journal of veterinary research    April 22, 1999   Volume 60, Issue 4 426-431 
Hammond RA, Hannon R, Frean SP, Armstrong SJ, Flower RJ, Bryant CE.To determine the amount of cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) enzymes induced in vitro in equine alveolar macrophages in response to lipopolysaccharide (LPS). Sample Population-Alveolar macrophages obtained from 12 horses. Methods: Alveolar macrophages were collected by bronchoalveolar lavage from 12 horses and incubated for 6 hours with LPS (0.001 to 10 microg/ml) or vehicle. Total RNA was extracted and purified. After first-strand cDNA synthesis, mRNA induction was measured, using a polymerase chain reaction (PCR) technique for COX-2, iNOS, and glyceraldehyde...
Alveolar clearance in horses with chronic obstructive pulmonary disease.
American journal of veterinary research    April 22, 1999   Volume 60, Issue 4 495-500 
Votion DM, Vandenput SN, Duvivier DH, Lambert P, van Erck E, Art T, Lekeux PM.To assess sensitivity of scintigraphic alveolar clearance rate as an indicator of alveolar epithelium damage in horses. Methods: 5 healthy horses (group A) and 5 with chronic obstructive pulmonary disease (COPD; group B). Methods: Horses underwent clearance rate (k [%/min]) determination. Clearance rate of group-B horses was determined after remission of the disease following 2 months at pasture (remission 1), stabling in a controlled environment (remission 2), and during crisis induced by exposure to moldy hay and straw. Methacholine challenge test was performed at each investigation period t...
[Examination of systemic tumor necrosis factor activity under physiologic and pathophysiologic conditions].
Berliner und Munchener tierarztliche Wochenschrift    April 21, 1999   Volume 112, Issue 3 91-97 
Kretzschmar C, Krüger M.Tumor necrosis factor (TNF) activity in the circulation of several animal species was determined by a bioassay, using the murine cell line L929. In healthy adult cattle, horses, pigs and dogs, species specific differences of systemic TNF activity were visible. In cattle, TNF activity in the circulation increased during growing up from calf to adult animal. In cattle suffering from various diseases, unchanged, elevated, but also reduced systemic TNF activity have proved to possess clinical relevance. Low systemic TNF activity frequently occurs during lethal inflammatory diseases and may be an i...
Analysis of scintigraphical lung images before and after treatment of horses suffering from chronic pulmonary disease.
The Veterinary record    April 6, 1999   Volume 144, Issue 9 232-236 doi: 10.1136/vr.144.9.232
Votion D, Ghafir Y, Vandenput S, Duvivier DH, Art T, Lekeux P.Scintigraphical analysis of the ratio of inhalation (I) to perfusion (Q) was designed to determine whether chronic pulmonary disease in horses induced mismatches in I/Q and to assess whether medical treatment would restore an I/Q distribution pattern identical to that of control horses. In addition, the results of the I/Q analysis were correlated with the alveolar-arterial PO2 difference (AaDO2). The I/Q matching found in a group of control horses was compared with the I/Q analysis of a group of diseased horses before and after their clinical signs had been treated. The analysis indicated that...
Influence of site and age on biochemical characteristics of the collagen network of equine articular cartilage.
American journal of veterinary research    April 3, 1999   Volume 60, Issue 3 341-345 
Brama PA, TeKoppele JM, Bank RA, van Weeren PR, Barneveld A.To determine variations in biochemical characteristics of equine articular cartilage in relation to age and the degree of predisposition for osteochondral disease at a specific site. Methods: Articular cartilage specimens from 53 horses 4 to 30 years old. Methods: Healthy specimens were obtained from 2 locations on the proximal articular surface of the first phalanx that had different disease prevalences (site 1 at the mediodorsal margin and site 2 at the center of the medial cavity). Water, total collagen, and hydroxylysine contents and enzymatic (hydroxylysylpyridinoline [HP]) and nonenzymat...
Mediators of anaphylaxis but not activated neutrophils augment cholinergic responses of equine small airways.
The American journal of physiology    March 10, 1999   Volume 276, Issue 3 L522-L529 doi: 10.1152/ajplung.1999.276.3.L522
Olszewski MA, Robinson NE, Zhu FX, Zhang XY, Tithof PK.Neutrophilic inflammation in small airways (SA) and bronchospasm mediated via muscarinic receptors are features of chronic obstructive pulmonary disease in horses (COPD). Histamine, serotonin, and leukotrienes (LTs) are reported to be involved in the exacerbation of COPD, and currently, histamine has been shown to increase tension response to electrical field simulation (EFS) in equine SA. We tested the effects of these mediators and the effects of activated neutrophils on the cholinergic responses in SA. Histamine, serotonin, and LTD4 had a synergistic effect on EFS responses and only an addi...
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