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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.
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...
Respiratory disease and sero-epidemiology of respiratory pathogens in the working horses of Ethiopia.
Equine veterinary journal    May 17, 2018   Volume 50, Issue 6 793-799 doi: 10.1111/evj.12834
Laing G, Christley R, Stringer A, Aklilu N, Ashine T, Newton R, Radford A, Pinchbeck G.Pathogens are frequently implicated in equine respiratory disease. In Ethiopia, respiratory disease is a frequent cause for presentation at veterinary clinics and a priority concern for users of working horses. However, there is little existing literature on possible aetiologies. Objective: Determine prevalence of respiratory signs and exposure to major respiratory pathogens through a serological survey. Methods: Cross-sectional. Methods: Systematically selected horses from 19 sites in central Ethiopia were examined clinically and sampled once (August-December 2013). A face-to-face interview c...
Frequency of shedding of respiratory pathogens in horses recently imported to the United States.
Journal of veterinary internal medicine    May 15, 2018   Volume 32, Issue 4 1436-1441 doi: 10.1111/jvim.15145
Smith FL, Watson JL, Spier SJ, Kilcoyne I, Mapes S, Sonder C, Pusterla N.Imported horses that have undergone recent long distance transport might represent a serious risk for spreading infectious respiratory pathogens into populations of horses. Objective: To investigate the frequency of shedding of respiratory pathogens in recently imported horses. Methods: All imported horses with signed owner consent (n = 167) entering a USDA quarantine for contagious equine metritis from October 2014 to June 2016 were enrolled in the study. Methods: Prospective observational study. Enrolled horses had a physical examination performed and nasal secretions collected at the ti...
B-Cell Epitope Mapping Using a Library of Overlapping Synthetic Peptides in an Enzyme-Linked Immunosorbent Assay.
Methods in molecular biology (Clifton, N.J.)    May 2, 2018   Volume 1785 121-128 doi: 10.1007/978-1-4939-7841-0_8
Vanniasinkam T, Barton MD, Das TP, Heuzenroeder MW.This chapter describes a strategy for mapping linear B-cell epitopes of proteins using synthetic biotinylated peptides in an ELISA.A set of overlapping peptides were designed based upon a known amino acid sequence of the target protein, VapA (Virulence-associated Protein A) of the bacterium Rhodococcus equi, an important pulmonary pathogen in foals. The peptides synthesized as biotinylated peptides were coated directly onto micro titer plates which had been pre-coated with NeutrAvidin™ and used to screen sera from foals confirmed to have R. equi disease. A linear B-cell epitope was identifie...
Pathological classification of equine recurrent laryngeal neuropathy.
Journal of veterinary internal medicine    April 24, 2018   Volume 32, Issue 4 1397-1409 doi: 10.1111/jvim.15142
Draper ACE, Piercy RJ.Recurrent Laryngeal Neuropathy (RLN) is a highly prevalent and predominantly left-sided, degenerative disorder of the recurrent laryngeal nerves (RLn) of tall horses, that causes inspiratory stridor at exercise because of intrinsic laryngeal muscle paresis. The associated laryngeal dysfunction and exercise intolerance in athletic horses commonly leads to surgical intervention, retirement or euthanasia with associated financial and welfare implications. Despite speculation, there is a lack of consensus and conflicting evidence supporting the primary classification of RLN, as either a distal ("d...
Association of neutrophil morphology with bacterial isolates in equine tracheal wash samples.
Equine veterinary journal    April 17, 2018   Volume 50, Issue 6 752-758 doi: 10.1111/evj.12837
Jocelyn NA, Wylie CE, Lean M, Barrelet A, Foote AK.Tracheal wash sample neutrophilia is common in lower airway inflammation of various causes; however, relevance of cytomorphological features to culture of bacterial pathogens has not been established. Objective: To investigate whether the presence of nondegenerate or degenerate neutrophils in tracheal washes is associated with culture of bacteria and, if so, whether this is influenced by age or temporal factors. Methods: Cross-sectional study. Methods: Tracheal wash samples submitted to Rossdales LLP from 1/1/2013 to 31/7/2015 were evaluated using set criteria. Neutrophilia and degenerate neut...
The occurrence of dynamic structural disorders in the pharynx and larynx, at rest and during exercise, in horses diagnosed with mild and moderate Equine Asthma (Inflammatory Airway Disease).
Polish journal of veterinary sciences    April 7, 2018   Volume 21, Issue 1 203-211 doi: 10.24425/119042
Wysocka B, Kluciński W.The goal of the present study was to establish the occurrence of structural disorders in the larynx and pharynx during treadmill exercise tests in horses diagnosed with Equine Asthma (EA). Investigation was performed in 29 horses, patients of the Equine Clinic of the Warsaw University of Life Sciences in Poland, admitted with poor exercise performance. Upper and lower airway examinations were performed in all patients revealing both mild to moderate Equine Asthma (13 horses), and no lower airway abnormalities (16 animals). In the group of horses with EA, 11 did not have structural disorders of...
Phagocytosis, bacterial killing, and cytokine activation of circulating blood neutrophils in horses with severe equine asthma and control horses.
American journal of veterinary research    March 28, 2018   Volume 79, Issue 4 455-464 doi: 10.2460/ajvr.79.4.455
Vanderstock JM, Lecours MP, Lavoie-Lamoureux A, Gottschalk M, Segura M, Lavoie JP, Jean D.OBJECTIVE To evaluate in vitro phagocytosis and bactericidal activity of circulating blood neutrophils in horses with severe equine asthma and control horses and to determine whether circulating blood neutrophils in horses with severe equine asthma have an increase in expression of the proinflammatory cytokine tumor necrosis factor (TNF)-α and the chemokine interleukin (IL)-8 and a decrease in expression of the anti-inflammatory cytokine IL-10 in response to bacteria. ANIMALS 6 horses with severe equine asthma and 6 control horses. PROCEDURES Circulating blood neutrophils were isolated from h...
Combining long-acting bronchodilators with different mechanisms of action: A pharmacological approach to optimize bronchodilation of equine airways.
Journal of veterinary pharmacology and therapeutics    March 26, 2018   Volume 41, Issue 4 546-554 doi: 10.1111/jvp.12504
The ultra long-acting β -adrenoceptor agonist olodaterol plus the ultra long-acting muscarinic antagonist tiotropium bromide are known to relax equine airways. In human bronchi combining these drugs elicits a positive interaction, thus we aimed to characterize this information further in equine isolated airways stimulated by electrical field stimulation (EFS) and using the Concentration-Reduction Index (CRI) and Combination Index (CI) equations. The drugs were administered alone and together by reproducing ex vivo the concentration-ratio delivered by the currently available fixed-dose combina...
Comparison of Tracheal Wash and Bronchoalveolar Lavage Cytology in 154 Horses With and Without Respiratory Signs in a Referral Hospital Over 2009-2015.
Frontiers in veterinary science    March 26, 2018   Volume 5 61 doi: 10.3389/fvets.2018.00061
Rossi H, Virtala AM, Raekallio M, Rahkonen E, Rajamäki MM, Mykkänen A.Most equine lower respiratory diseases present as increased airway neutrophilia, which can be detected in tracheal wash (TW) or bronchoalveolar lavage fluid (BALF) cytology samples. The aim was to compare the TW and BALF results in a population of client-owned horses with and without clinical respiratory disease signs. A secondary aim was to determine the sensitivity (Se) and specificity (Sp) of TW and BALF neutrophilia in detecting respiratory disease. The cutoff values for neutrophils were also evaluated. Retrospective data from 154 horses of various breeds that had been subject to both TW a...
Characterization of isolates of Bordetella bronchiseptica from horses.
Journal of equine science    March 23, 2018   Volume 29, Issue 1 25-31 doi: 10.1294/jes.29.25
Vaid RK, Shanmugasundaram K, Anand T, Bera BC, Tigga M, Dedar R, Riyesh T, Bardwaj S, Virmani N, Tripathi BN, Singh R. is a well-known Gram-negative bacterial pathogen causing a plethora of diseases in different animals. Although its infection has been reported from pigs and dogs in India, no report of B. bronchiseptica from horses is described. We report for the first time, isolation, identification and characterization of strains of B. bronchiseptica from respiratory infection in horses from different states in India. The antimicrobial susceptibility testing showed resistance to penicillins, ceftazidime, and chloramphanicol. The virulence capability of the strains was confirmed by sequencing genes such as a...
Behaviour during transportation predicts stress response and lower airway contamination in horses.
PloS one    March 22, 2018   Volume 13, Issue 3 e0194272 doi: 10.1371/journal.pone.0194272
Padalino B, Raidal SL, Knight P, Celi P, Jeffcott L, Muscatello G.This study aimed to document the effects of an eight hour journey on behavioural, clinical, haematological, environmental and respiratory parameters, and to identify possible associations between factors. Twelve horses underwent clinical examination, respiratory endoscopy with tracheal wash (TW) aspiration, and collection of venous and arterial blood before (BJ) and after the journey (AJ). TW were submitted for conventional quantitative bacteriological evaluation and genetic microbiome analyses. Behaviour was assessed in stables prior to transportation and throughout the journey. Transportatio...
Use of Nasotracheal Intubation during General Anesthesia in Two Ponies with Tracheal Collapse.
Frontiers in veterinary science    March 13, 2018   Volume 5 42 doi: 10.3389/fvets.2018.00042
Ida KK, Sauvage A, Gougnard A, Grauwels M, Serteyn D, Sandersen C.Ponies with tracheal collapse may have an increased anesthetic risk due to airway obstruction during induction and recovery. To our knowledge, there are no anesthetic descriptions of these patients, despite a reported 5.6% incidence and 77% mortality rate. Two Shetland ponies with tracheal collapse, a 12-year-old male (pony 1) and a 27-year-old female (pony 2), were referred for right eye enucleation due to a perforating corneal ulcer and severe recurrent uveitis, respectively. Pony 1 was stressed, had lung stridor and hyperthermia, and developed inspiratory dyspnea with handling. Radiography ...
Molecular allergen profiling in horses by microarray reveals Fag e 2 from buckwheat as a frequent sensitizer.
Allergy    February 27, 2018   Volume 73, Issue 7 1436-1446 doi: 10.1111/all.13417
Einhorn L, Hofstetter G, Brandt S, Hainisch EK, Fukuda I, Kusano K, Scheynius A, Mittermann I, Resch-Marat Y, Vrtala S, Valenta R, Marti E, Rhyner C....Companion animals are also affected by IgE-mediated allergies, but the eliciting molecules are largely unknown. We aimed at refining an allergen microarray to explore sensitization in horses and compare it to the human IgE reactivity profiles. Methods: Custom-designed allergen microarray was produced on the basis of the ImmunoCAP ISAC technology containing 131 allergens. Sera from 51 horses derived from Europe or Japan were tested for specific IgE reactivity. The included horse patients were diagnosed for eczema due to insect bite hypersensitivity, chronic coughing, recurrent airway obstructio...
Effect of ionization, bedding, and feeding on air quality in a horse stable.
Journal of veterinary internal medicine    February 27, 2018   Volume 32, Issue 3 1234-1240 doi: 10.1111/jvim.15069
Siegers EW, Anthonisse M, van Eerdenburg FJCM, van den Broek J, Wouters IM, Westermann CM.Organic dust is associated with Equine asthma. Ionization should reduce airborne dust levels. Objective: To determine the effect of ionization of air, type of bedding, and feed on the levels of airborne dust, endotoxin, and fungal colonies in horse stables. Methods: 24 healthy University-owned horses occupied the stables. Methods: A randomized controlled cross-over study. Four units with 6 stables were equipped with an ionization installation (25 VA, 5000 Volt Direct Current). Horses were kept either on wood shavings and fed haylage (2 units), or on straw and fed dry hay (2 units). Measurement...
Clinical effect of corticosteroids in asthma-affected horses: A quantitative synthesis.
Equine veterinary journal    February 23, 2018   Volume 50, Issue 5 594-601 doi: 10.1111/evj.12815
There are limited findings from low-powered studies based on few number of subjects with equine asthma. Furthermore, no studies have been performed to assess a meaningful clinically detectable impact of corticosteroids in equine asthma. Objective: To assess and compare the clinical effect of inhaled and systemic corticosteroids in equine asthma and identify a quantitative clinical score suitable to assess the Minimal Important Difference (MID), expressed as the Minimally Clinically Detectable Difference (MCDD). Methods: Pair-wise and network meta-analysis. Methods: Literature searches for stud...
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