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Topic:Respiratory Health

Respiratory health in horses encompasses the study of the equine respiratory system, its function, and the various conditions that can affect it. The respiratory system in horses includes the upper airways, lungs, and associated structures, which facilitate gas exchange and are vital for maintaining physiological homeostasis during rest and exercise. Common respiratory conditions in horses include equine asthma, infectious diseases like strangles, and exercise-induced pulmonary hemorrhage (EIPH). These conditions can impact a horse's performance and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathophysiology, and management of respiratory health in horses.
Heaves, an asthma-like disease of horses.
Respirology (Carlton, Vic.)    August 10, 2011   Volume 16, Issue 7 1027-1046 doi: 10.1111/j.1440-1843.2011.02033.x
Leclere M, Lavoie-Lamoureux A, Lavoie JP.Animal models have been developed to investigate specific components of asthmatic airway inflammation, hyper-responsiveness or remodelling. However, all of these aspects are rarely observed in the same animal. Heaves is a naturally occurring disease of horses that combines these features. It is characterized by stable dust-induced inflammation, bronchospasm and remodelling. The evaluation of horses during well-controlled natural antigen exposure and avoidance in experimental settings allows the study of disease mechanisms in the asymptomatic and symptomatic stages, an approach rarely feasible ...
PAF increases phagocytic capacity and superoxide anion production in equine alveolar macrophages and blood neutrophils.
Research in veterinary science    August 5, 2011   Volume 93, Issue 1 393-397 doi: 10.1016/j.rvsc.2011.07.008
Muehlmann LA, Michelotto PV, Nunes EA, Grando FC, da Silva FT, Nishiyama A.Phagocytosis exerted by alveolar macrophages and neutrophils is crucial in the clearance of exogenous particles deposited in the airways. Therefore, substances that activate these phagocytes in the airways can exert important effects on the particle clearance rate. PAF, particularly, was proved to be a potent activator of several immune cells and was shown to be present in the equine lower airways in specific conditions, such as after exercise. The present study aimed to investigate if PAF is able to increase the phagocytic capacity and the production of superoxide anion in equine alveolar mac...
Immunostimulation of bronchoalveolar lavage cells from recurrent airway obstruction-affected horses by different CpG-classes bound to gelatin nanoparticles.
Veterinary immunology and immunopathology    July 20, 2011   Volume 144, Issue 1-2 79-87 doi: 10.1016/j.vetimm.2011.07.009
Klier J, May A, Fuchs S, Schillinger U, Plank C, Winter G, Gehlen H, Coester C.Recurrent airway obstruction (RAO) in horses has become a common problem in stabled horses in industrialized countries and deserves new therapeutic strategies. CpG-oligodeoxynucleotides (CpG-ODNs) were developed as effective immunostimulating agents to induce a Th2/Th1 shift. These agents showed a beneficial therapeutic effect in allergic diseases with predominant Th2 immunoresponse. CpG-ODN delivery by gelatin nanoparticles (GNPs) resulted in enhanced cellular uptake in murine and human in vitro studies and was a starting point for the present trial. The aim of this study was to identify an o...
Congenital bilateral choanal stenosis in a warmblood foal.
The Veterinary record    July 16, 2011   Volume 169, Issue 9 232b doi: 10.1136/vr.d4202
Bienert-Zeit A, Ohnesorge B.No abstract available
Clinical evaluation of an end-tidal target-controlled infusion closed-loop system for isoflurane administration in horses undergoing surgical procedures.
Veterinary journal (London, England : 1997)    July 8, 2011   Volume 192, Issue 2 206-211 doi: 10.1016/j.tvjl.2011.06.001
Franci P, Bertamini A, Bertamini O, Pilla T, Busetto R.A new volatile anaesthetic agent delivery system was tested in 15 horses undergoing scheduled surgical procedures. The delivery system consisted of a laptop computer (with dedicated software), a computer-controlled syringe driver (loaded with liquid isoflurane) connected to the inspiratory arm of a large-animal circle breathing system and a respiratory gas monitor, providing isoflurane end-tidal concentrations (ET(measured)) every 20 s to the computer. Following induction and connection to the breathing system, mechanical ventilation was started. The bodyweight (BW), fresh gas flow, breathing ...
Significant features of the epidemiology of equine influenza in New South Wales, Australia, 2007.
Australian veterinary journal    July 8, 2011   Volume 89 Suppl 1 56-63 doi: 10.1111/j.1751-0813.2011.00749.x
Moloney B, Sergeant ES, Taragel C, Buckley P.Equine influenza (EI) was first diagnosed in the Australian horse population on 24 August 2007 at Centennial Park Equestrian Centre (CPEC) in Sydney, New South Wales (NSW), Australia. By then, the virus had already spread to many properties in NSW and southern Queensland. The outbreak in NSW affected approximately 6000 premises populated by approximately 47,000 horses. Analyses undertaken by the epidemiology section, a distinct unit within the planning section of the State Disease Control Headquarters, included the attack risk on affected properties, the level of under-reporting of affected pr...
Spi2 gene polymorphism is not associated with recurrent airway obstruction and inflammatory airway disease in thoroughbred horses.
Genetics and molecular biology    July 1, 2011   Volume 34, Issue 3 456-458 doi: 10.1590/S1415-47572011005000017
da Silva AC, Brass KE, da Silva Loreto E, Vinocur ME, Pozzobon R, da Silva Azevedo M.The aim was to detect the presence of polymorphisms at exons 1, 2, 3 and 4 of the Spi2 gene, and evaluate a possible association between them and recurrent airway obstruction (RAO) or inflammatory airway disease (IAD) in thoroughbred horses, through single-strand conformational-polymorphism (SSCP) screening. Although polymorphism was not detected in exons 1, 2 and 3, three alleles and six genotypes were identified in exon 4. The frequencies of allele A (0.6388) and genotype AA (0.3888) were higher in horses affected by RAO, although no association was found between polymorphism and horses with...
Inhalation with NDS27 attenuates pulmonary neutrophilic inflammation in recurrent airway obstruction.
The Veterinary record    June 28, 2011   Volume 169, Issue 4 100 doi: 10.1136/vr.d2618
Sandersen C, Olejnik D, Franck T, Neven P, Serteyn D, Art T.No abstract available
A novel treatment for dynamic laryngeal collapse associated with poll flexion: the modified checkrein.
Equine veterinary journal    June 23, 2011   Volume 44, Issue 2 207-213 doi: 10.1111/j.2042-3306.2011.00388.x
Fjordbakk CT, Holcombe S, Fintl C, Chalmers H, Strand E.Dynamic laryngeal collapse (DLC) associated with poll flexion is a performance limiting dynamic upper airway disorder commonly diagnosed in Coldblooded trotters. An inspiratory obstruction occurs when affected horses are driven with tension on the reins, inducing poll flexion. To date, surgical treatment and conservative management have failed to improve racing performance in affected horses. Objective: To test the efficacy of an external device, the modified checkrein, in limiting poll flexion, diminishing laryngeal collapse and improving airway mechanics when horses are driven on a treadmill...
Oral absorption of clarithromycin is nearly abolished by chronic comedication of rifampicin in foals.
Drug metabolism and disposition: the biological fate of chemicals    June 20, 2011   Volume 39, Issue 9 1643-1649 doi: 10.1124/dmd.111.039206
Peters J, Block W, Oswald S, Freyer J, Grube M, Kroemer HK, Lämmer M, Lütjohann D, Venner M, Siegmund W.The delivery of clarithromycin (CRL) to its site of action in bronchial/alveolar epithelial cells (EC), bronchial epithelial lining fluid (ELF), and bronchoalveolar lavage cells (BALC) may be influenced by CYP3A4 and the drug transporters, ATP-binding cassette (ABC) B1 and ABCC2 and organic anion-transporting polypeptides (OATPs), which can be modulated and/or up-regulated via the nuclear pregnane X receptor (PXR) by rifampicin (RIF). Therefore, we evaluated the disposition and pulmonary distribution of CLR (7.5 mg/kg b.i.d., 21 days) and expression of ABCB1, ABCC2, OATP1A2, and OATP2B1 in EC ...
Surveillance programme for important equine infectious respiratory pathogens in the USA.
The Veterinary record    June 15, 2011   Volume 169, Issue 1 12 doi: 10.1136/vr.d2157
Pusterla N, Kass PH, Mapes S, Johnson C, Barnett DC, Vaala W, Gutierrez C, McDaniel R, Whitehead B, Manning J.The prevalence and epidemiology of important viral (equine influenza virus [EIV], equine herpesvirus type 1 [EHV-1] and EHV-4) and bacterial (Streptococcus equi subspecies equi) respiratory pathogens shed by horses presented to equine veterinarians with upper respiratory tract signs and/or acute febrile neurological disease were studied. Veterinarians from throughout the USA were enrolled in a surveillance programme and were asked to collect blood and nasal secretions from equine cases with acute infectious upper respiratory tract disease and/or acute onset of neurological disease. A questionn...
Effects of constant rate infusion of lidocaine and ketamine, with or without morphine, on isoflurane MAC in horses.
Equine veterinary journal    June 13, 2011   Volume 43, Issue 6 721-726 doi: 10.1111/j.2042-3306.2010.00355.x
Villalba M, Santiago I, Gomez de Segura IA.Lidocaine and ketamine are administered to horses as a constant rate infusion (CRI) during inhalation anaesthesia to reduce anaesthetic requirements. Morphine decreases the minimum alveolar concentration (MAC) in some domestic animals; when administered as a CRI in horses, morphine does not promote haemodynamic and ventilatory changes and exerts a positive effect on recovery. Isoflurane-sparing effect of lidocaine, ketamine and morphine coadministration has been evaluated in small animals but not in horses. Objective: To determine the reduction in isoflurane MAC produced by a CRI of lidocaine ...
Growth and differentiation of primary and passaged equine bronchial epithelial cells under conventional and air-liquid-interface culture conditions.
BMC veterinary research    June 7, 2011   Volume 7 26 doi: 10.1186/1746-6148-7-26
Abraham G, Zizzadoro C, Kacza J, Ellenberger C, Abs V, Franke J, Schoon HA, Seeger J, Tesfaigzi Y, Ungemach FR.Horses develop recurrent airway obstruction (RAO) that resembles human bronchial asthma. Differentiated primary equine bronchial epithelial cells (EBEC) in culture that closely mimic the airway cells in vivo would be useful to investigate the contribution of bronchial epithelium in inflammation of airway diseases. However, because isolation and characterization of EBEC cultures has been limited, we modified and optimized techniques of generating and culturing EBECs from healthy horses to mimic in vivo conditions. Results: Large numbers of EBEC were obtained by trypsin digestion and successfull...
Lower airway disease, now and in the future.
Equine veterinary journal    June 3, 2011   Volume 43, Issue 4 388-392 doi: 10.1111/j.2042-3306.2011.00375.x
Smith KC.Respiratory disease is an important cause of wastage in the Thoroughbred industry and is a cause of welfare problems in all types of horse. This review concerns developments in our understanding of equine respiratory disease since 1998 and illustrates how strategic funding from the Horserace Betting Levy Board has contributed to this understanding.
Effect of 50% and maximal inspired oxygen concentrations on respiratory variables in isoflurane-anesthetized horses.
BMC veterinary research    June 3, 2011   Volume 7 23 doi: 10.1186/1746-6148-7-23
Hubbell JA, Aarnes TK, Bednarski RM, Lerche P, Muir WW.The purpose of this study was to compare the effects of 0.5 fraction of inspired oxygen (FiO₂) and >0.95 FiO₂ on pulmonary gas exchange, shunt fraction and oxygen delivery (DO₂) in dorsally recumbent horses during inhalant anesthesia. The use of 0.5 FiO₂ has the potential to reduce absorption atelectasis (compared to maximal FiO₂) and augment alveolar oxygen (O₂) tensions (compared to ambient air) thereby improving gas exchange and DO₂. Our hypothesis was that 0.5 FiO₂ would reduce ventilation-perfusion mismatching and increase the fraction of pulmonary blood flow that is ox...
Effects of chronic acetazolamide administration on gas exchange and acid-base control in pulmonary circulation in exercising horses.
Equine veterinary journal. Supplement    May 28, 2011   Issue 38 40-50 doi: 10.1111/j.2042-3306.2010.00240.x
Vengust M, Stämpfli H, De Moraes AN, Teixeiro-Neto F, Viel L, Heigenhauser G.Carbonic anhydrase (CA) catalyses the hydration/dehydration reaction of CO(2) and increases the rate of Cl(-) and HCO(3)(-) exchange between the erythrocytes and plasma. Therefore, chronic inhibition of CA has a potential to attenuate CO(2) output and induce greater metabolic and respiratory acidosis in exercising horses. Objective: To determine the effects of Carbonic anhydrase inhibition on CO(2) output and ionic exchange between erythrocytes and plasma and their influence on acid-base balance in the pulmonary circulation (across the lung) in exercising horses with and without CA inhibition....
Metabolic changes in four beat gaited horses after field marcha simulation.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 105-109 doi: 10.1111/j.2042-3306.2010.00288.x
Wanderley EK, Manso Filho HC, Manso HE, Santiago TA, McKeever KH.Mangalarga-Marchador is a popular 4-gaited Brazilian horse breed; however, there is little information about their metabolic and physiological response to exercise. Objective: To measure physiological and metabolic responses of the Mangalarga-Marchador to a simulated marcha field test and to compare these responses between 2 types of marcha gaits (picada and batida). Methods: Thirteen horses were used in the study and randomly assigned to either the picada or batida gait for the simulated marcha field test (speed ∼ 3.2 m/s; 30 min; load ∼ 80 kg). Methods: Included body composition, heart r...
Effects of three warm-up regimens of equal distance on VO2 kinetics during supramaximal exercise in Thoroughbred horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 33-39 doi: 10.1111/j.2042-3306.2010.00227.x
Mukai K, Hiraga A, Takahashi T, Ohmura H, Jones JH.Several studies have indicated that even low-intensity warm-up increases O(2) transport kinetics and that high-intensity warm-up may not be needed in horses. However, conventional warm-up exercise for Thoroughbred races is more intense than those utilised in previous studies of equine warm-up responses. Objective: To test the hypothesis that warm-up exercise at different intensities alters the kinetics and total contribution of aerobic power to total metabolic power in subsequent supramaximal (sprint) exercise in Thoroughbred horses. Methods: Nine well-trained Thoroughbreds ran until fatigue a...
Oxygen consumption and gait variables of Arabian endurance horses measured during a field exercise test.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 1-5 doi: 10.1111/j.2042-3306.2010.00184.x
Cottin F, Metayer N, Goachet AG, Julliand V, Slawinski J, Billat V, Barrey E.Arabian horses have morphological, muscular and metabolic features designed for endurance races. Their gas exchange and gait variables were therefore measured during a field exercise test. This study presents original respiratory and locomotor data recorded in endurance horses under field conditions. Objective: Respiratory gas exchange ratio (RER) of Arabian horses at the speed required to win endurance races (18 km/h for 120-160 km) are <1 and running economy (RE) is also low in order to maintain exercise intensity using aerobic metabolism for long intervals. The purpose of this study was to ...
Risk factors for exercise-induced pulmonary haemorrhage in Thoroughbred racehorses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 228-234 doi: 10.1111/j.2042-3306.2010.00245.x
Hinchcliff KW, Morley PS, Jackson MA, Brown JA, Dredge AF, O'Callaghan PA, McCaffrey JP, Slocombe RF, Clarke AF.Risk factors for occult exercise-induced pulmonary haemorrhage (EIPH) are poorly defined or quantified. Objective: To investigate the importance of putative risk factors for EIPH amongst Thoroughbred racehorses in Australia. Methods: Tracheobronchoscopy was used to determine EIPH status of 744 Thoroughbred racehorses after flat racing in Melbourne, Australia. Horses were identified for study before racing, and over 50% of horses racing during the study period were examined. Statistical analysis included use of bivariate and multivariate logistic regression analysis to account for simultaneous ...
The effect of sildenafil citrate administration on selected physiological parameters of exercising Thoroughbred horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 606-612 doi: 10.1111/j.2042-3306.2010.00286.x
Colahan PT, Jackson CA, Rice B, Szabo N, Jones JH.Sildenafil, a phosphodiesterase-5 inhibitor vasodilator, increases cGMP concentrations by inhibiting enzymatic degradation. Marketed to treat erectile dysfunction in men, it also reduces pulmonary arterial pressure (PAP). Because it reduces PAP, sildenafil may enhance performance and/or prevent exercise induced-pulmonary haemorrhage (EIPH). Objective: To determine if sildenafil citrate administration altered commonly measured indices of performance or reduced EIPH in exercised horses. Methods: Thirteen athletically conditioned Thoroughbred horses (2 mares and 11 geldings, age 3-12 years) were ...
Effects of intravenous aminocaproic acid on exercise-induced pulmonary haemorrhage (EIPH).
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 256-260 doi: 10.1111/j.2042-3306.2010.00247.x
Buchholz BM, Murdock A, Bayly WM, Sides RH.The antifibrinolytic, 6-aminohexanoic acid, also named aminocaproic acid (ACA), has been used empirically as a treatment for exercise-induced pulmonary haemorrhage (EIPH) on the unsubstantiated basis that transient coagulation dysfunction may contribute to its development. Objective: To assess the effect of ACA on bronchoalveolar lavage fluid (BALF) erythrocyte counts in horses performing treadmill exercise at an intensity greater than that needed to reach maximal oxygen consumption. Methods: Eight Thoroughbreds were exercised to fatigue 3 times on a 10% inclined treadmill at a speed for which...
Evaluation of a mask for breath-by-breath respirometry during exercise in horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 240-245 doi: 10.1111/j.2042-3306.2010.00250.x
Ramseyer A, Sides R, Slinker B, Evans D, Bayly W.The ability to obtain breath-by-breath measures of ventilatory mechanics for the entirety of an exercise test, regardless of speed(s) or duration enables evaluations of equine ventilation during exercise that are necessary for assessments of performance. Objective: Evaluation of a new ergospirometer (Quadflow; QF) system's accuracy and repeatability for measuring pulmonary variables in contrast to the established pneumotachometer-based system (control) and assessment of its effects, if any, on exercise capacity at high speeds. Methods: Five Thoroughbred horses each performed 10 incremental exe...
Assessment of the exercise tests used during overground endoscopy in UK Thoroughbred racehorses and how these may affect the diagnosis of dynamic upper respiratory tract obstructions.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 587-591 doi: 10.1111/j.2042-3306.2010.00281.x
Allen KJ, Franklin SH.Overground endoscopy is being performed with increasing frequency in the UK. A previous study has shown that the type of exercise test may affect the diagnosis of upper respiratory tract (URT) obstructions. The successful clinical application of overground endoscopy systems requires understanding of appropriate field exercise testing protocols. Objective: The aim of this study was to report the exercise test parameters used during overground endoscopy in UK Thoroughbred racehorses and to investigate potential effects of these on the diagnosis of URT obstructions. Methods: The exercise test par...
Cytokine mRNA expression of pulmonary macrophages varies with challenge but not with disease state in horses with heaves or in controls.
Veterinary immunology and immunopathology    May 24, 2011   Volume 142, Issue 3-4 236-242 doi: 10.1016/j.vetimm.2011.05.022
Joubert P, Cordeau ME, Lavoie JP.Heaves in horses is characterized by lower airway neutrophilic inflammation, and reversible airflow obstruction. Pulmonary macrophages contribute to the inflammation observed in a number of human and animal pulmonary diseases, and it has been postulated that they are responsible for the neutrophilic inflammation present in heaves by the release of cytokines and chemokines. To test this hypothesis, the mRNA expression of TNF-α, IL-1β, IL-8, and MIP-2 by macrophages isolated from bronchoalveolar lavage cells was quantified using real-time RT-PCR in horses with heaves (n-6) and controls (n-6). ...
Evaluation of a risk-screening questionnaire to detect equine lung inflammation: results of a large field study.
Equine veterinary journal    May 20, 2011   Volume 43, Issue 2 145-152 doi: 10.1111/j.2042-3306.2010.00150.x
Wasko AJ, Barkema HW, Nicol J, Fernandez N, Logie N, Léguillette R.The diagnosis of equine recurrent airway obstruction (RAO) and inflammatory airway disease (IAD) is based on clinical signs and increased inflammatory cell percentages in the bronchoalveolar lavage (BAL) fluid. Since a BAL is an invasive procedure, a risk-screening questionnaire (RSQ) would be a valuable screening tool for lung inflammation. Objective: To evaluate the accuracy of a RSQ to detect lower airway inflammation (LAI) in a large population of horses. Methods: A standardised BAL was performed in the field on 167 horses in Alberta, Canada. Horses were separated into 3 categories: 1) BAL...
Occupational exposure to isoflurane during anaesthesia induction with standard and scavenging double masks in dogs, pigs and ponies.
Laboratory animals    May 17, 2011   Volume 45, Issue 3 191-195 doi: 10.1258/la.2011.010128
Säre H, Ambrisko TD, Moens Y.Induction of anaesthesia using a face mask may cause workplace pollution with anaesthetics. The aim of this study was to compare the effect of the use of a standard versus a scavenging double face mask on isoflurane pollution during induction of anaesthesia in experimental animals: six dogs, 12 pigs and five ponies. Pigs were anaesthetized only once using either mask type randomly (n = 6). Dogs and ponies were anaesthetized twice, using different mask types for each occasion in a random order with at least 14 days between experiments. The masks were attached to a Bain breathing system (dogs an...
Muc5b is the major polymeric mucin in mucus from thoroughbred horses with and without airway mucus accumulation.
PloS one    May 13, 2011   Volume 6, Issue 5 e19678 doi: 10.1371/journal.pone.0019678
Rousseau K, Cardwell JM, Humphrey E, Newton R, Knight D, Clegg P, Thornton DJ.Mucus accumulation is a feature of inflammatory airway disease in the horse and has been associated with reduced performance in racehorses. In this study, we have analysed the two major airways gel-forming mucins Muc5b and Muc5ac in respect of their site of synthesis, their biochemical properties, and their amounts in mucus from healthy horses and from horses with signs of airway mucus accumulation. Polyclonal antisera directed against equine Muc5b and Muc5ac were raised and characterised. Immunohistochemical staining of normal equine trachea showed that Muc5ac and Muc5b are produced by cells ...
Modulatory activities of Agelanthus dodoneifolius (Loranthaceae) extracts on stimulated equine neutrophils and myeloperoxidase activity.
International journal of molecular medicine    May 9, 2011   Volume 28, Issue 2 261-270 doi: 10.3892/ijmm.2011.695
Boly R, Dessy S, Kohnen S, Kini F, Lompo M, Mouithys-Mickalad A, Guissou IP, Dubois J, Deby-Dupont G, Serteyn D, Franck T.Agelanthus dodoneifolius DC Danser (Loranthaceae) is used for the treatment of various diseases including asthma. The aqueous and hydroalcoholic extracts have been reported to have anti-inflammatory, spasmolytic and bronchorelaxant activities. The present study investigates the effects of the aqueous decoction and the diethyl ether, ethyl acetate and butanolic fractions of Agelanthus dodoneifolius DC Danser (Loranthaceae) on reactive oxygen species (ROS) production and myeloperoxidase (MPO) release by phorbol 12-myristate 13-acetate (PMA)-stimulated equine neutrophils and on purified equine MP...
Biomechanical characterisation of equine laryngeal cartilage.
Equine veterinary journal    May 5, 2011   Volume 43, Issue 5 592-598 doi: 10.1111/j.2042-3306.2010.00315.x
Passman SN, Cheetham J, Bonassar LJ, Ducharme NG, Rawlinson JJ.Upper airway obstruction is a common problem in the performance horse as the soft tissues of the larynx collapse into the airway, yet there is a paucity of information on biomechanical properties for the structural cartilage components. Objective: To measure the geometry and compressive mechanical properties of the hyaline cartilage to improve understanding of laryngeal function and morphology. Methods: A total of 11 larynges were harvested from Thoroughbred and Standardbred racehorses. During gross dissection, linear dimensions of the cricoid were obtained. From both the cricoid and arytenoid...
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