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Topic:Respiratory Disease

Respiratory disease in horses encompasses a range of conditions affecting the respiratory system, including the upper and lower airways. These diseases can result from various etiologies such as infectious agents, environmental factors, or genetic predispositions. Common respiratory conditions in horses include equine asthma, equine influenza, and strangles. Clinical signs often associated with respiratory disease in horses include coughing, nasal discharge, and labored breathing. Diagnostic approaches may involve endoscopy, imaging, and laboratory tests to assess the function and health of the respiratory tract. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, diagnosis, and management of respiratory diseases in equine populations.
Efficacy of inhaled budesonide for the treatment of severe equine asthma.
Equine veterinary journal    September 25, 2018   Volume 51, Issue 3 401-407 doi: 10.1111/evj.13018
Lavoie JP, Leclere M, Rodrigues N, Lemos KR, Bourzac C, Lefebvre-Lavoie J, Beauchamp G, Albrecht B.Corticosteroids are the most potent drugs for the control of severe equine asthma, but adverse effects limit their chronic systemic administration. Inhaled medications allow for drug delivery directly into the airways, reducing the harmful effects of these drugs. Objective: To evaluate the efficacy of inhaled budesonide specifically formulated for the equine use and administered by a novel inhalation device in horses with severe asthma. Methods: Experimental studies in horses with naturally occurring asthma with cross-over, randomised, blinded experimental designs. Methods: In Study 1, budeson...
Equine Transport and Changes in Equid Herpesvirus’ Status.
Frontiers in veterinary science    September 25, 2018   Volume 5 224 doi: 10.3389/fvets.2018.00224
Muscat KE, Padalino B, Hartley CA, Ficorilli N, Celi P, Knight P, Raidal S, Gilkerson JR, Muscatello G.The risk of respiratory disease in the transported horse can increase as a consequence of immunosuppression and stress associated primarily with opportunistic bacterial proliferation and viral reactivation. This study examines the ecology of equid herpesviruses (EHV) in these horses, exploring reactivation and changes in infection and shedding associated with transport, and any potential contributions to transport-related respiratory disease. Twelve horses were subjected to an 8-h road-transport event. Antibodies to EHV-1 and EHV-4 were detected by ELISA in serum collected prior to, immediatel...
Development and evaluation of a multiplex reverse-transcription real-time PCR assay for detection of equine respiratory disease viruses. Ghoniem SM, El Deeb AH, Aggour MG, Hussein HA.We developed a multiplex reverse-transcription real-time PCR (RT-rtPCR) assay for the simultaneous detection of the main equine respiratory viruses: equid alphaherpesviruses 1 and 4 (EHV-1, -4) and equine influenza virus (EIV; species Influenza A virus). The primers and probes amplified only the targeted viruses, and there were no inter-assay cross-amplifications or nonspecific interactions. The multiplex assay efficiencies were 92.5%, 97%, and 90% for EHV-1, EHV-4, and EIV, respectively. The R values of the monoplex and multiplex assays were ⩾0.990, and the slopes were -3.37 to -3.59. The p...
The magnitude of respiratory sinus arrhythmia of a large mammal (the horse) is like that of humans.
Respiratory physiology & neurobiology    September 18, 2018   Volume 259 170-172 doi: 10.1016/j.resp.2018.09.006
Piccione G, Giudice E, Giannetto C, Mortola JP.Heart rate (FH) accelerates in inspiration and decelerates in expiration, a phenomenon known as Respiratory Sinus Arrhythmia (RSA). Although the presence of RSA has been documented in many species, how its magnitude compares among species is unknown. We asked whether the magnitude of RSA in a large mammal, the horse, differed from that of previously measured humans. From electrocardiogram and pneumography, the peaks and troughs of FH were identified breath-by-breath in four horses (Italian Saddlebred geldings) during resting wakefulness. RSA was computed as the peak-trough FH difference, in pe...
An observational study of environmental exposures, airway cytology, and performance in racing thoroughbreds.
Journal of veterinary internal medicine    September 17, 2018   Volume 32, Issue 5 1754-1762 doi: 10.1111/jvim.15226
Ivester KM, Couëtil LL, Moore GE.Mild equine asthma is presumed to arise in response to environmental exposures but the relative impact of differing inflammatory phenotypes upon performance are largely unexplored. Objective: Airway inflammation negatively affects performance and cytological phenotype varies with environmental exposure. Methods: Thoroughbred racehorses in active training and racing. Methods: Thoroughbreds were recruited 24-48 hours before racing. Each horse was eligible for re-enrollment with each race entry. Within one hour of race completion, physical examination, respiratory endoscopy, and BAL were performe...
Effects of 12 and 17 cmH2O positive end-expiratory pressure applied after alveolar recruitment maneuver on pulmonary gas exchange and compliance in isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    September 7, 2018   Volume 46, Issue 1 64-73 doi: 10.1016/j.vaa.2018.08.003
Andrade FS, Facó LL, Ida KK, Silva LC, Fantoni DT, Ambrósio AM.To compare static compliance (C) and alveolar-arterial oxygen tension difference [P(a-a)O] between positive end-expiratory pressures (PEEP) of 7, 12 and 17 cmHO applied after an alveolar recruitment maneuver (RM) in isoflurane-anesthetized horses. Methods: Prospective, randomized, clinical study. Methods: A group of 30 healthy adult horses undergoing arthroscopic surgery. Methods: Animals in dorsal recumbency and mechanically ventilated with a tidal volume of 14 mL kg and 7 cmHO PEEP (control; n = 6) were subjected to an RM by increasing PEEP from 7 to 22 cmHO in 5 cmHO increments at 5 minute...
Lung Microbiome Is Influenced by the Environment and Asthmatic Status in an Equine Model of Asthma.
American journal of respiratory cell and molecular biology    September 6, 2018   Volume 60, Issue 2 189-197 doi: 10.1165/rcmb.2017-0228OC
Fillion-Bertrand G, Dickson RP, Boivin R, Lavoie JP, Huffnagle GB, Leclere M.There is evidence that the lung microbiome differs between patients with asthma and healthy humans, but the effect of environmental conditions and medication is unknown and difficult to study. Equine asthma is a naturally occurring chronic airway disease characterized by reversible airway inflammation and bronchoconstriction upon exposure to inhaled antigens. In the present study, we evaluated the effect that environmental conditions and disease status have on pulmonary, nasal, and oral microbiomes. Six asthmatic and six healthy horses were studied while at pasture ("low antigen exposure"), as...
A Comprehensive Review on Equine Influenza Virus: Etiology, Epidemiology, Pathobiology, Advances in Developing Diagnostics, Vaccines, and Control Strategies.
Frontiers in microbiology    September 6, 2018   Volume 9 1941 doi: 10.3389/fmicb.2018.01941
Singh RK, Dhama K, Karthik K, Khandia R, Munjal A, Khurana SK, Chakraborty S, Malik YS, Virmani N, Singh R, Tripathi BN, Munir M, van der Kolk JH.Among all the emerging and re-emerging animal diseases, influenza group is the prototype member associated with severe respiratory infections in wide host species. Wherein, Equine influenza (EI) is the main cause of respiratory illness in equines across globe and is caused by equine influenza A virus (EIV-A) which has impacted the equine industry internationally due to high morbidity and marginal morality. The virus transmits easily by direct contact and inhalation making its spread global and leaving only limited areas untouched. Hitherto reports confirm that this virus crosses the species ba...
Detection and genotyping of equid herpesvirus 1 in Uruguay.
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 799-806 doi: 10.20506/rst.36.3.2715
Castro ER, Arbiza J.Infection with equid alphaherpesvirus 1 (EHV-1) causes respiratory disease, abortion and neurological disorders in horses. Molecular epidemiology studies have demonstrated that a single nucleotide polymorphism (A2254/G2254) in the genome region of open reading frame 30 which results in an amino acid variation (N752/D752) of the EHV-1 DNA polymerase, is significantly associated with the neuropathogenic potential of naturally occurring strains. In recent years, an increase in the number of cases of equine neurological disease caused by neuropathogenic variants of EHV-1 has been observed in numer...
Avian influenza A virus adaptation to the equine host and identification of host-specific markers.
Acta virologica    August 31, 2018   Volume 62, Issue 3 266-276 doi: 10.4149/av_2018_220
Mucha V, Hollý J, Varečková E, Kostolanský F.Avian influenza A viruses (IAVs) are able to overcome the interspecies barrier and adapt to the new non-avian host. The process of adaptation requires the adaptive changes of IAV genome resulting in amino acid substitutions. The aim of this work was the description of amino acid substitutions in avian influenza A viruses (IAVs) occurring during their adaptation to equine host. Today, viruses of the equine influenza H3N8 subtype, first isolated in 1963, represent a single genetic lineage of IAV causing a respiratory disease in horses. We compared the amino acid sequences of the conserve...
Evidence of equine influenza A (H3N8) activity in horses from Eastern and Central Saudi Arabia: 2013-2015.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 218-221 doi: 10.1111/evj.13001
Hemida MG, Perera RAPM, Chu DKW, Alnaeem AA, Peiris M.Equine influenza virus (EIV) is one of the main causes of viral respiratory affections in horses. Little is known about the prevalence of EIV in Saudi Arabia especially the H3N8 serotype. Objective: To assess prevalence of equine influenza in horse populations in Eastern and Central Saudi Arabia. Methods: Cross-sectional study. Methods: We collected 145 sera, 323 nasal and 323 rectal swabs from horses from six major cities in Eastern and Central regions. None of the horses were vaccinated against EIV. Sera were tested in ELISA assays for influenza A type-specific antibodies and by haemagglutin...
Bronchoalveolar lavage fluid cytology and airway hyper-reactivity in clinically normal horses.
Australian veterinary journal    August 22, 2018   Volume 96, Issue 8 291-296 doi: 10.1111/avj.12721
Cullimore AM, Secombe CJ, Lester GD, Robertson ID.To characterise the relationship between bronchoalveolar lavage fluid (BALF) cytology and pulmonary function testing with histamine bronchoprovocation (HBP) methods in a population of clinically normal horses. Methods: Cross-sectional study METHODS: Clinically normal adult horses (n = 33) underwent pulmonary function testing and HBP with a commercial flowmetric plethysmography system. BAL was performed 1-5 days later. Statistical analysis was used to assess associations between BALF cell concentration, relative inflammatory cell percentages and categorisation, and airway hyper-reactivity...
Lower airway disease: Does research fit our practice needs?
Equine veterinary journal    August 18, 2018   Volume 50, Issue 5 701 doi: 10.1111/evj.12988
Kinnison T, Cardwell J, Smith K, Couëtil L, Wylie C, Whiting M, Roder C.No abstract available
Maintenance of contractile function of isolated airway smooth muscle after cryopreservation.
American journal of physiology. Lung cellular and molecular physiology    August 9, 2018   Volume 315, Issue 5 L724-L733 doi: 10.1152/ajplung.00064.2018
Ijpma G, Liang CQ, Kachmar L, Panariti A, Benedetti A, Lavoie JP, Lauzon AM.Isolated human airway smooth muscle (ASM) tissue contractility studies are essential for understanding the role of ASM in respiratory disease, but limited availability and cost render storage options necessary for optimal use. However, to our knowledge, no comprehensive study of cryopreservation protocols for isolated ASM has been performed to date. We tested several cryostorage protocols on equine trachealis ASM using different cryostorage media [1.8 M dimethyl sulfoxide and fetal bovine serum (FBS) or Krebs-Henseleit (KH)] and different degrees of dissection (with or without epithelium and c...
Overground endoscopic findings and respiratory sound analysis in horses with recurrent laryngeal neuropathy after unilateral laser ventriculocordectomy.
Equine veterinary journal    August 9, 2018   Volume 51, Issue 2 185-191 doi: 10.1111/evj.12993
Barakzai SZ, Wells J, Parkin TDH, Cramp P.Unilateral ventriculocordectomy (VeC) is frequently performed, yet objective studies in horses with naturally occurring recurrent laryngeal neuropathy (RLN) are few. Objective: To evaluate respiratory noise and exercising overground endoscopy in horses with grade B and C laryngeal function, before and after unilateral laser VeC. Methods: Prospective study in clinically affected client-owned horses. Methods: Exercising endoscopy was performed and concurrent respiratory noise was recorded. A left-sided laser VeC was performed under standing sedation. Owners were asked to present the horse for re...
Effects of magnesium sulfate infusion on clinical signs and lung function of horses with severe asthma.
American journal of veterinary research    August 8, 2018   Volume 79, Issue 6 664-673 doi: 10.2460/ajvr.79.6.664
Tanquerel L, Fillion-Bertrand G, Lavoie JP, Leclere M.OBJECTIVE To evaluate whether MgSO solution administered IV would improve the clinical signs and lung function of horses with severe asthma and potentiate the effects of salbutamol inhalation in those horses. ANIMALS 6 adult horses with severe asthma. PROCEDURES Asthmatic horses were used in 3 crossover design experiments (6 treatments/horse). Clinical scores for nasal flaring and the abdominal component associated with breathing and lung function were determined before and after administration of salbutamol (800 μg, by inhalation), MgSO solution (2.2 mg/kg/min, IV, over 20 minutes), and comb...
Efficacy of tamoxifen for the treatment of severe equine asthma.
Journal of veterinary internal medicine    August 7, 2018   Volume 32, Issue 5 1748-1753 doi: 10.1111/jvim.15289
Mainguy-Seers S, Picotte K, Lavoie JP.Tamoxifen, a selective estrogen receptor modulator, decreased airway neutrophilia and improved clinical signs in an experimental model of equine asthma, and induced neutrophilic apoptosis in vitro. Objective: Tamoxifen reduces airway neutrophilia and improves lung function in severe asthmatic horses. Methods: Twelve severe asthmatic horses from a research herd. Methods: Randomized controlled blinded study design. The effects of a 12-day oral treatment with tamoxifen (0.22 mg/kg, q24h) or dexamethasone (0.06 mg/kg, q24h) on lung function, endoscopic tracheal mucus score and bronchoalveolar ...
Impact of pharyngeal endoscopic tip placement and water flushing interval on upper respiratory tract disorders in horses undergoing overground endoscopy.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 2 173-178 doi: 10.1111/evj.12991
McGivney CL, Sweeney J, Gough KF, Hill EW, Katz LM.Endoscopic tip placement in the pharynx and water flushing interval (FI) may affect exercising upper respiratory tract (URT) endoscopic results. Objective: To determine associations between the endoscopic tip position in the pharynx and automated FI with overground endoscopic (OGE) results. Methods: Randomised balanced 2X5 factorial design. Methods: A total of n = 200 horses undergoing OGE were randomly assigned into 10 groups (n = 20/group) of different automated endoscopic FIs (no flushing, 60, 120, 180, 240 s) with the endoscope tip positioned either rostrally (position A) or caudally ...
eQTL discovery and their association with severe equine asthma in European Warmblood horses.
BMC genomics    August 2, 2018   Volume 19, Issue 1 581 doi: 10.1186/s12864-018-4938-9
Mason VC, Schaefer RJ, McCue ME, Leeb T, Gerber V.Severe equine asthma, also known as recurrent airway obstruction (RAO), is a debilitating, performance limiting, obstructive respiratory condition in horses that is phenotypically similar to human asthma. Past genome wide association studies (GWAS) have not discovered coding variants associated with RAO, leading to the hypothesis that causative variant(s) underlying the signals are likely non-coding, regulatory variant(s). Regions of the genome containing variants that influence the number of expressed RNA molecules are expression quantitative trait loci (eQTLs). Variation associated with RAO ...
Exhaled breath condensate hydrogen peroxide, pH and leukotriene B4 are associated with lower airway inflammation and airway cytology in the horse.
Equine veterinary journal    July 19, 2018   Volume 51, Issue 1 24-32 doi: 10.1111/evj.12979
du Preez S, Raidal SL, Doran GS, Prescott M, Hughes KJ.Exhaled breath condensate (EBC) analysis is a noninvasive method to assess the lower respiratory tract. In human subjects, EBC hydrogen peroxide (H O ), pH and leukotriene B (LTB ) are useful for detection and monitoring of inflammatory lung diseases, including asthma. Objective: To determine associations between EBC biomarkers and cytological and endoscopic definitions of lower airway inflammation (LAI) while controlling for sampling and environmental variables. Methods: Prospective, cross-sectional study. Methods: Clinical, endoscopic and airway cytological findings from 47 horses were compa...
Effect of antigen challenge on dynamics of CD62P and CD41/61 expression on platelets in horses with recurrent airway obstruction (RAO).
Veterinary immunology and immunopathology    July 18, 2018   Volume 202 172-180 doi: 10.1016/j.vetimm.2018.07.007
Iwaszko A, Borowicz H, Graczyk S, Slowikowska M, Pliszczak-Krol A, Niedzwiedz A.Recurrent airway obstruction (RAO), also known as heaves, is an allergic respiratory condition that develops in horses following an exposure to aeroallergens in hay and straw. This is manifested by airway hyperreactivity, inflammation, bronchoconstriction, as well as a leukocyte and platelet infiltration into the airways. Platelet activation and an increase in circulating platelet-leukocyte aggregates may lead to airway remodeling. The aim of this study was to explore the effect of seven-day antigen challenge on dynamics of platelet indices and CD41/61 and CD62 P expression on platelets in h...
Impact of Trendelenburg (head down) and reverse Trendelenburg (head up) position on respiratory and cardiovascular function in anaesthetized horses.
Veterinary anaesthesia and analgesia    July 18, 2018   Volume 45, Issue 6 760-771 doi: 10.1016/j.vaa.2018.01.012
Binetti A, Mosing M, Sacks M, Duchateau L, Gasthuys F, Schauvliege S.To describe the cardiorespiratory effects of a change in table position in anaesthetized horses. Methods: Prospective, crossover, randomized, experimental study. Methods: Six adult horses (mean body weight 621 ± 59 kg, aged 13 ± 4 years). Methods: The horses were anaesthetized twice in dorsal recumbency. They were either placed in the Trendelenburg position (head down; HD) followed by reverse Trendelenburg position (head up; HU) or in reverse order. Every position was maintained for 90 minutes. The order of positions was randomly assigned at initial anaesthesia. Extensive cardiorespiratory m...
Lower Airway Disease in the Athletic Horse.
The Veterinary clinics of North America. Equine practice    July 17, 2018   Volume 34, Issue 2 443-460 doi: 10.1016/j.cveq.2018.04.010
Mazan MR.The airways are the first part of the pathway in the oxygen transport chain that is critical to excellent athletic performance, and the lower airways are considered the final gatekeeper before oxygen enters the blood and carbon dioxide exits. Horses are blessed with large airways and lungs that allow them to be superb athletes, but the down side of this largesse on the part of evolution is that unless they are truly elite athletes they may withstand noninfectious disease of the lower respiratory tract for months to years before the owner or trainer notices. The two conditions of the lower resp...
Prevalence and sequence analysis of equid herpesviruses from the respiratory tract of Polish horses.
Virology journal    July 11, 2018   Volume 15, Issue 1 106 doi: 10.1186/s12985-018-1018-3
Stasiak K, Dunowska M, Rola J.Equid herpesviruses (EHVs) are widespread in equine populations worldwide. While the infection with equine α-herpesviruses (EHV-1 and EHV-4) has been linked to several clinical outcomes, the pathogenic potential for equine γ-herpesviruses (EHV-2 and EHV-5) is still unclear. The objective of the current study was to determine the prevalence of infection with EHVs among Polish horses, to investigate factors associated with EHV infections among horses sampled, and to determine genetic variability within Polish EHV-2 isolates. Virus-specific real-time PCR assays were used for detection of EHV-1,...
Equine lower airway disease.
The Veterinary record    June 30, 2018   Volume 182, Issue 26 748-749 doi: 10.1136/vr.k2761
Kinnison T, Cardwell J, Smith K, Couëtil L, Wylie C, Whiting M, Roder C.No abstract available
Tumor necrosis factor-alpha protein concentrations in bronchoalveolar lavage fluid from healthy horses and horses with severe equine asthma.
Veterinary immunology and immunopathology    June 24, 2018   Volume 202 70-73 doi: 10.1016/j.vetimm.2018.06.014
Montgomery JB, Husulak ML, Kosolofski H, Dos Santos S, Burgess H, Meachem MD.The objective of this study was to determine if TNF-α protein concentration differs in bronchoalveolar lavage fluid (BALF) obtained from healthy horses, horses with naturally occurring exacerbations of severe equine asthma and horses in remission from severe equine asthma. Tumor necrosis factor-alpha (TNF- α) protein concentrations were determined in BALF by commercial equine ELISA. Horses with naturally occurring exacerbation of severe equine asthma were found to have significantly lower BALF TNF-α protein concentrations than healthy horses (p = 0.0026). There was no significant differ...
Interventional Radiology Management of Tracheal and Bronchial Collapse.
The Veterinary clinics of North America. Small animal practice    June 23, 2018   Volume 48, Issue 5 765-779 doi: 10.1016/j.cvsm.2018.05.010
Clarke DL.Chondromalacia of the tracheal and bronchial cartilages and redundancy of the dorsal tracheal membrane result in collapse of the large airways, leading to coughing and airway obstruction. It most commonly affects small-breed dogs, although larger-breed dogs, cats, and miniature horses are also sporadically reported. Dynamic airway imaging is used to confirm the diagnosis. The primary goal of medical management is to control clinical signs attributable to coughing and airway inflammation. When this is no longer effective, tracheal stents provide a minimally invasive, rapid way to restore airway...
Role of neutrophils in equine asthma.
Animal health research reviews    May 24, 2018   Volume 19, Issue 1 65-73 doi: 10.1017/S146625231800004X
Uberti B, Morán G.Neutrophilic bronchiolitis is the primary lesion in asthma-affected horses. Neutrophils are key actors in host defense, migrating toward sites of inflammation and infection, where they act as early responder cells toward external insults. However, neutrophils can also mediate tissue damage in various non-infectious inflammatory processes. Within the airways, these cells likely contribute to bronchoconstriction, mucus hypersecretion, and pulmonary remodeling by releasing pro-inflammatory mediators, including the cytokines interleukin (IL)-8 and IL-17, neutrophil elastase, reactive oxygen specie...
Glucocorticosteroids administration is associated with increased regulatory T cells in equine asthmatic lungs.
Veterinary immunology and immunopathology    May 24, 2018   Volume 201 67-71 doi: 10.1016/j.vetimm.2018.05.010
Boivin R, Vargas A, Cano P, Lavoie JP.Recurrent inflammation in severe equine asthma causes a remodeling of the airways leading to incompletely reversible airway obstruction. Despite the improvement of clinical signs and lung function with glucocorticoids (GC), inflammation, translated by an increased percentage of neutrophils, persists in the airways. Regulatory T cells (Treg) have been shown to have anti-inflammatory properties and play an important role in balancing the immune response by suppressing effector lymphocyte activity. However, interactions between Treg, neutrophils and glucocorticosteroids in vivo are unclear, parti...
Upper Airway Conditions Affecting the Equine Athlete.
The Veterinary clinics of North America. Equine practice    May 21, 2018   Volume 34, Issue 2 427-441 doi: 10.1016/j.cveq.2018.04.008
Parente EJ.Many abnormalities of the upper airway that can inhibit performance are determined on a critical resting endoscopic evaluation. Some dynamic abnormalities can only be seen during an exercising endoscopic evaluation, which should be performed whenever the history of abnormal noise or performance limitations is not completely consistent with the resting endoscopic findings. Head and neck position may play a critical role in the evaluation process and the exact position during performance should be reproduced during the clinical examination to definitively define the abnormality. Treatments and p...
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