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Topic:Platelets
Platelets are small, anucleated cell fragments derived from megakaryocytes in the bone marrow, playing a key role in hemostasis and thrombosis in horses. They contribute to the formation of blood clots by adhering to the site of vascular injury, aggregating with one another, and facilitating the coagulation process. In equine medicine, platelet count and function are important parameters in assessing bleeding disorders and thrombotic conditions. Variations in platelet count can indicate underlying health issues, such as inflammation, infection, or bone marrow disorders. This page compiles peer-reviewed research studies and scholarly articles that explore the physiology, pathology, and clinical implications of platelets in equine health.
Antimicrobial effects of equine regenerative medicine products: A systematic review and meta-analysis of in vitro and in vivo studies. Equine regenerative medicine products involving platelet-rich plasma (PRP), mesenchymal stromal cells (MSCs), and their derivatives are increasingly explored for antimicrobial and therapeutic roles, but their efficacy and between-study variability remain unclear. Objective: To systematically review and meta-analyse in vitro and in vivo evidence on antimicrobial effects of equine regenerative medicine products and to evaluate their efficacy against key pathogens. Methods: Systematic review and meta-analysis: METHODS: We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses...
Seasonal modulation of platelet indices in mares. Platelet indices provide valuable information on platelet activation, heterogeneity, and production kinetics, yet their physiological variability remains poorly characterized in horses. Although seasonal changes in platelet count have been described, the seasonal modulation of derived platelet indices in mares remains poorly understood. The aim of this study was to evaluate the seasonal variation of platelet count and derived platelet indices in clinically healthy mares from the Valencia region (Spain), and to assess their interrelationships. Forty clinically healthy Spanish Purebred mares (6-...
The in vitro application of high-intensity laser therapy on equine platelet-rich plasma and autologous protein solution does not alter select cytokine and growth factor concentrations. To quantify the effects of high-intensity laser therapy (HILT) on the concentration of key immunomodulatory cytokines and growth factors in equine platelet-rich plasma (PRP) and autologous protein solution (APS). We hypothesized that HILT treatment of PRP and APS in vitro would increase the concentration of cytokines and growth factors compared to untreated controls. Unassigned: Whole blood was collected from 6 adult horses housed at the University of Pennsylvania in March 2025 and processed into PRP or APS using commercially available systems (Zoetis). Platelet-rich plasma and APS samples wer...
Platelet indices’ dynamic in broodmares: Effects of parity and lactation. Lactation and parity are physiological factors influencing platelet (PLT) indices, yet their combined effects in mares remain poorly characterized. As a dynamic process, lactation involves metabolic and endocrine changes that may influence thrombopoiesis; therefore, reproductive history and lactation stage may modulate PLT indices. Objective: To characterize longitudinal platelet (PLT) indices during early lactation in mares and evaluate the influence of parity on thrombopoietic responses. Methods: Fifty-five clinically healthy Spanish Purebred mares were included (20 primiparous and 25 multip...
Single-dose intravenous α2-agonists do not acutely alter anti-inflammatory bioactive protein profiles but reduce interleukin-8 in equine autologous protein solution and platelet-rich plasma. Determine the acute effects of xylazine and detomidine on concentrations of selected growth factors, cytokines, and α2-macroglobulin (A2M) in platelet-rich plasma (PRP) and autologous protein solution (APS) and the long-term effects of these sedatives on serum A2M. We hypothesized that sedative administration would decrease concentrations of all bioactive proteins in PRP and APS acutely and A2M in serum for 6 days following sedative administration. Unassigned: 6 horses were randomized to receive IV xylazine (200 mg) or detomidine (10 mg). Blood was collected before and 5 minutes after sedativ...
Estrous cycle-dependent changes in platelet indices in healthy mares. Platelets (PLTs) are key regulators of hemostasis, inflammation, and tissue remodeling, and their phenotype is known to fluctuate with sex steroid concentrations in several species. However, the influence of the estrous cycle on PLT characteristics in mares has not been investigated. We hypothesized that PLT indices vary between reproductive phases in association with changes in estradiol-17β (E2) and progesterone (P4). The aim of this study was to characterize PLT indices in estrus and diestrus and to determine how these hematological parameters relate to circulating E2 and P4 concentrations...
Association Between Vaquejada Practice and Biomarkers of Oxidative Stress, Inflammation, and Muscle Damage in Quarter Horses. Vaquejada (VQ) is a traditional Brazilian sport demanding high performance from Quarter Horse (QH) athletes. This study aimed to identify modifications in hematological, biochemical, inflammatory, and oxidative stress biomarkers associated with VQ training, comparing conditioned and non-conditioned horses. Blood samples were collected at rest from 70 healthy QH horses: 60 athletes (VQ-conditioned athlete group-AG) and 10 sedentary controls (breeding horses-CG). Using Linear Mixed Models alongside comprehensive hematological and biochemical analyses, the study found that AG horses exhibited an ...
Composition of allogeneic equine orthobiologics and their repeated intra-articular administrations. Orthobiologics such as platelet-rich plasma (PRP) and alpha-2-macroglobulin (A2MG) are increasingly used for equine musculoskeletal injuries. However, their composition and safety with repeated allogeneic intra-articular administration remain poorly investigated. Objective: To characterise orthobiological preparations with or without 1 h incubation at 37°C (PRP, PRP + Inc, A2MG, A2MG + Inc) and evaluate immunological safety following repeated intra-articular administration (autologous and allogeneic) of PRP combined with A2MG + Inc in healthy horses. Methods: In vivo experiments...
Allogeneic Platelet-Rich Gel Supernatant Reprograms the Cytokine and Growth Factor Microenvironment in an Equine In Vitro Inflammatory Tendon System. Tendinopathy involves a dysregulated inflammatory microenvironment in which cytokines, growth factors (GF) and extracellular matrix components interact dynamically. Platelet-rich plasma (PRP) is widely used as a regenerative therapy, but its mechanisms of action in inflamed tendon remain unclear. This study evaluated whether platelet-rich gel supernatant (PRGS) reprograms the inflammatory-anabolic mediator network in an equine in vitro tendon explant system stimulated with lipopolysaccharide (LPS). Tendon explants were cultured under six experimental conditions, including non-stimulated contro...
Successful Use of Vincristine in a Quarter Horse Gelding with Immune-Mediated Thrombocytopenia. This case reports the successful use of vincristine in a Quarter Horse with presumed immune-mediated thrombocytopenia. A 15-year-old Quarter Horse gelding presented for a pinch skin graft procedure on the left forelimb over the cannon bone. On day 10 of hospitalization, the horse developed a fever (102.6°F, RI: 99-101°F), and severe petechiae of the mucous membranes. A complete blood count (CBC) (Advia 2120i) revealed a severe thrombocytopenia (16,000 platelets/μL, RI:100,000-400,000/μL). Diagnostic testing was negative for Anaplasma phagocytophilum by PCR, Theileria equi and Babesia cabal...
Hematological and Biochemical Profiles in Mule and Horse Neonates from Birth to 30 Days of Age: A Comparative Study with Clinical Perspectives. Few studies have evaluated hematological and biochemical parameters in mule foals, and neonatal reference data remain limited. Objective: To compare hematological and biochemical parameters in mule and horse neonates up to 30 days of life. Methods: Mule (n=15) and horse (n=16) neonates were evaluated at birth, 12 and 24h, and at 7 and 30d of age. Results: Mules had higher mean corpuscular hemoglobin concentration (g/dL; 33.85 ± 0.18; P=0.04), platelets (× 10³/µL; 342,179 ± 15,691; P=0.0051), albumin (g/dL; 3.24 ± 0.05; P=0.0039), calcium (mg/dL; 12.27 ± 0.14; P=0.03), chloride (mmol/L; ...
Longitudinal assessment of hemostatic adaptations in pregnant mares: Evidence of a physiological hypercoagulable state. Pregnancy triggers intricate hemostatic adjustments that support placental maturation and prepare the maternal organism for delivery. We hypothesized that pregnant mares would progressively shift toward a procoagulant state throughout gestation, reflected in changes to coagulation and fibrinolytic markers. To test this hypothesis, 15 clinically healthy Spanish Purebred pregnant mares were monitored monthly from conception to term, alongside 15 non-pregnant controls of similar age and breed. A comprehensive hemostatic profile-including platelet (PLT) count, prothrombin time (PT), activated part...
Sequential Application of Autologous Platelet Rich Plasma and Muscle-Derived Mesenchymal Stem Cells for Acute Tendon Injuries in Horses: Early Clinical and Ultrasonographic Outcomes in a Randomized, Double-Blind Controlled Study. Tendon and ligament injuries are frequent in sport horses and are prone to recurrence due to incomplete healing. Platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) are increasingly used, but data controlled on the early effects of autologous MSCs remain limited. A prospective randomized, double-blind, placebo-controlled trial was conducted in horses with naturally occurring tendinopathies. After standardized PRP pretreatment, non-responders were randomized to receive intralesional autologous muscle-derived MSCs (mdMSCs, = 17) or placebo ( = 6). Clinical and ultrasonographic paramete...
Equine autologous platelet concentrate is a leukocyte-rich platelet-rich plasma with a high interleukin-1Ra-to-interleukin-1β ratio and high transforming growth factor-β1 concentration. To quantify platelets, leukocytes, cytokines, and growth factors in ProVet autologous platelet concentrate (APC). We hypothesized that APC would contain significantly increased leukocytes and platelets compared to whole blood and significantly increased concentrations of anti-inflammatory cytokines and growth factors compared to serum. Unassigned: Blood was obtained from 6 horses and processed to produce APC. Leukocyte and platelet concentrations were quantified in whole blood and APC. Cytokines, including interleukin (IL)-1β, IL-4, IL-6, IL-10, tumor necrosis factor-α, and IL-1Ra, and growt...
Effects of sample storage time and temperature on equine complete blood counts. Equine blood samples are often collected in uncontrolled, distant environments and stored for later analysis. Objective: This study aimed to determine how sample storage methods influence complete blood count (CBC) parameters, hypothesizing that temperature and time elapsed from collection to analysis would affect CBC parameters. Methods: Blood samples were collected from 10 healthy Quarter Horse mares (age: 13 ± 4.5 years old) and stored in EDTA tubes at room temperature (22°C), above ice (8°C), refrigerated (4°C), or in contact with ice (2°C). The IDEXX ProcyteDx was used to obtain CBCs...
Equine platelet lysate exhibits bacteriostatic effects against gram-negative clinical bacterial isolates. Investigation of alternative antibiotic therapies is critical for the future of medicine. Platelet lysate (PL) is a blood product that has shown antibiotic potential, which could be used to augment or replace current antibiotics. Objective: To compare the effects of equine PL versus antibiotics on growth of clinically isolated antibiotic resistant bacteria. We hypothesized that PL would exert an antimicrobial effect on equine bacterial isolates resistant to antibiotics. Methods: In vitro experimental study. Platelets were collected via apheresis from nine donor horses and underwent two freeze-...
Addressing Heterogeneity in Equine PRP Therapies: A Scoping Review of Methods, Evidence, and Commercial Validation. (1) Background: Platelet-rich plasma (PRP) therapy has become a cornerstone of equine regenerative medicine, yet significant methodological variability compromises reproducibility and clinical comparability. (2) Methods: This scoping review systematically mapped and analyzed peer-reviewed studies describing equine PRP preparation methods and commercial systems (2000-2024) following PRISMA-ScR guidelines. (3) Results: Twenty-four studies met the inclusion criteria, encompassing 317 horses and both manual and commercial devices. Double-spin manual protocols predominated, though centrifugation pa...
In Vitro Effects of PRP, Ozonized PRP, Hyaluronic Acid, Paracetamol, and Polyacrylamide on Equine Synovial Fluid-Derived Mesenchymal Stem Cells. Musculoskeletal disorders are a major cause of lameness in horses, often necessitating innovative regenerative strategies to restore joint function and improve quality of life. This study investigated the effects of platelet-rich plasma (PRP), ozonized PRP, hyaluronic acid, paracetamol, and polyacrylamide hydrogel (NOLTREX) on the behavior of mesenchymal stem cells (MSCs) derived from equine synovial fluid. Synovial fluid samples were collected under strict cytological criteria to ensure viability, followed by in vitro expansion and phenotypic characterization of MSCs. Cultures were supplement...
Are Immune-Integrative Biomarkers Predictors of Systemic Inflammation in Show Jumping Horses? This study evaluated the dynamics of blood immune-inflammatory biomarkers in response to exercise-induced changes in jumping horses. Methods: For this purpose, adult Brazilian Sport Horses (n = 9), aged 10.1 years, both sexes, underwent a specific training test consisting of warm-up, flatwork, and jumping exercises, and recovery on a 900 m sand track over 40 min. Clinical examinations and blood collections were performed at three time points: before (T0), immediately after (T1), and 1 h after (T2) the final exercise. Hematologic and biochemical parameters, such as total protein, gl...
A Simple Double Centrifugation Tube Method to Obtain Platelet-rich Plasma from Equine Blood. Platelet-rich plasma (PRP) is widely utilized as a routine treatment for chronic musculoskeletal conditions in horses, such as osteoarthritis, tendinopathies, and desmopathies. This effectiveness stems from the high concentration of growth factors and anti-inflammatory cytokines that are released upon activation of this orthobiologic agent, whether activated endogenously or exogenously. Despite its growing popularity, there is a notable absence of instructional videos that demonstrate the techniques for obtaining PRP in horses. This study examines a double centrifugation tube method for obtain...
Safety study of leucoreduced allogeneic pooled freeze-dried platelet-rich plasma in healthy equine joints. Clinical use of blood-derived intra-articular therapies, such as platelet-rich plasma (PRP), have increased in equine athletes due to their proposed disease-modifying effects. Need for a shelf-stable, allogeneic PRP product with known composition for standardized treatment exists. The objective of this study was to compare systemic and local effects of a single intra-articular injection of equine leucoreduced allogeneic pooled freeze-dried PRP (alloPRP) to a placebo control (saline) in normal, healthy equine joints. Unassigned: Twelve healthy horses were randomly assigned to either control (sa...
Methodology of easy-to-use horizontally centrifuged platelet-rich fibrin as a topical treatment for equine ulcerative keratitis in 5 horses. To describe the most efficient topical horizontally centrifuged platelet-rich fibrin (H-PRF) treatment protocol for equine ulcerative keratitis (EUK) that is easy to use, and to report the preliminary concentration of growth factors and cytokines in equine H-PRF. Unassigned: 5 client-owned horses diagnosed with EUK were enrolled over an 11-month period. Unassigned: 3 horses were geldings, and 2 were mares. The mean (± SD) age was 5.95 ± 5.01 years. The owners' main goal was to avoid surgery for EUK. Unassigned: H-PRF was used in 3 different protocols: solid H-PRF, sutured to the EUK area (n ...
PRP and hyaluronic acid reduce synovitis in horses after arthroscopic OCD removal in Andalusian horses. This study was performed to evaluate the efficacy of intra-articular (IA) injections of a combination of platelet rich plasma (PRP) and hyaluronic acid (HA) on joint effusion following arthroscopic removal of OCD in the tarso-crural joint (TCJ) in young Andalusian horses. Methods: Forty Andalusian horses diagnosed with OCD of the distal intermediate ridge of the tibia (DIRT) were included in the study. Horses enrolled in this study had persisting synovial effusion after arthroscopic removal of OCD in the TCJ. A subjective semi-quantitative effusion score was adopted in the study to define the ...
Proteomic profiling reveals the potential role of allogenic equine platelet-rich plasma and extracellular vesicles in modulating tendon inflammation and repair. To determine the protein composition of equine platelet-rich plasma (PRP) and PRP-derived extracellular vesicles (EVs) and evaluate their effects on tendon inflammation in vitro. As tendon injuries are common in horses and treatment with PRP derived from the horse's own blood shows promise, but outcomes vary due to inconsistent composition. PRP contains EVs that facilitate cell communication. Unassigned: From December 2022 through May 2023, equine plasma (n = 3, adult) was isolated via double centrifugation and PRP produced using a commercial kit. Extracellular vesicles were isolated using dif...
Identification of the role of SEL1L in platelet function through a multi-species genetic investigation. SEL1L is a well-known protein in the endoplasmic reticulum associated degradation (ERAD) pathway. While it is known to be expressed in platelets, SEL1L has never been shown to play an active role. Here we find evidence that SEL1L regulates platelet function. We first identified SEL1L through the study of Atypical Equine Thrombasthenia (AET), an autosomal recessive platelet disorder found in Thoroughbred horses. A missense variant in (c.1810A>G p.Ile604Val) was found in AET-affected horses, which we show is associated with decreased protein expression. SEL1L is intracellular in equine plate...
Efficacy of Platelet-Rich Plasma in the Treatment of Equine Tendon and Ligament Injuries: A Systematic Review of Clinical and Experimental Studies. (1) Background: Tendon and ligament injuries are a leading cause of lameness in horses, with significant economic implications. Platelet-rich plasma (PRP) has gained attention for its regenerative potential, but its efficacy remains uncertain due to inconsistent study designs and reporting. (2) Methods: This systematic review, following the PRISMA guidelines, evaluated 22 studies (clinical and experimental) to assess the safety and efficacy of PRP in treating equine tendon and ligament injuries. The risk of bias was analyzed using the ROBINS-I and RoB 2.0 tools. (3) Results: PRP demonstrated a...
Effects of Wharton’s jelly mesenchymal stromal/stem cells-derived conditioned medium and platelet-rich plasma on in vitro induced equine endometrial inflammation. Over the years, regenerative therapies have emerged as promising alternatives for persistent breeding-induced endometritis. In vitro studies testing the effects of these therapies on equine endometrial cells are still scarce. This study aimed to evaluate in vitro the effect of Wharton's jelly (WJ) mesenchymal stromal/stem cell (MSCs)-derived conditioned medium (WJ-CM) and platelet-rich plasma (PRP) on equine endometrial cells, with or without lipopolysaccharide (LPS)-induced inflammation. The WJ-CM was obtained after 24 h of starvation in Ringer's lactate of WJ-MSCs and PRP was prepared using...
Equine bone marrow aspirate and bone marrow aspirate concentrate are enriched with interleukin-1 receptor antagonist protein. To analyze the cellular, growth factor, and cytokine composition of equine sternal bone marrow aspirate (BMA) and laboratory-centrifuged BMA concentrate (BMAC). Unassigned: This was an in vitro experimental study. Cellular composition, growth factors (IGF-I, VEGF, PDGF, TGF-β1), and cytokines (IL-6, IL-10, tumor necrosis factor-α (TNF-α), and IL-1 receptor antagonist protein [IL-1Ra]) were quantified using a standard automated hematology analyzer and ELISA methods, respectively, in donor-matched BMA, BMAC (in-house centrifugation protocol), whole blood, and platelet-rich plasma (E-PET; Pall...
Dickkopf-1 is present in equine platelet-rich plasma and correlates to platelet concentration. To determine if equine platelet-rich plasma (PRP) contains Dickkopf-1 (Dkk-1) and, if so, to quantify the amount of Dkk-1 in bovine thrombin (BT)-activated PRP and a control platelet lysate created using a freeze-thaw (FT) method. Unassigned: 10 adult horses were used in this experimental study. Blood was collected and processed in November 2019 and stored at -80 °C until the ELISAs were performed in October of 2023. Blood was collected from each horse, and PRP was created using a commercially available kit. Known concentrations of platelets were activated using BT or by an FT cycle to create...
Equine autologous blood-based products contain variable quantities of transforming growth factor-β1, interleukin-1 receptor antagonist, and α2-macroglobulin. Quantify the concentration of α2-macroglobulin (A2M), immunomodulatory cytokines, and TGF-β1 factors in 4 commercially available autologous blood-based products including conditioned A2M (CA2M; Alpha2EQ; Astaria Global), autologous protein solution (APS; Pro-Stride; Zoetis), platelet-rich plasma (PRP; Restigen; Zoetis), and autologous conditioned plasma (ACP; Arthrex ACP). We hypothesized that CA2M would have higher concentrations of A2M and lower concentrations of cytokines and growth factors compared to APS, PRP, and ACP. Unassigned: Blood was obtained from 6 healthy, adult horses and proc...
