Acquired equine polyneuropathy of Nordic horses: A conspicuous inclusion body schwannopathy.
Abstract: Acquired equine polyneuropathy (AEP), formerly also known as Scandinavian knuckling syndrome, is one of the most prevalent polyneuropathies in equids in Norway and Sweden, with more than 400 cases registered since first observations in 1995. Despite geographical clustering and an association to forage feeding, its aetiology remains unknown. Clinically AEP is characterized by knuckling due to dysfunction of metatarsophalangeal extensor muscles. This neuropathological study aimed to gain further insights in the pathobiology of AEP and its underlying aetiopathogenesis. We thereby confirmed that all affected horses suffered from similar large fibre neuropathy, exhibiting conspicuous Schwann cell inclusions in most samples, suggestive of a primary disruption of Schwann cell metabolism leading to inclusion body schwannopathy with secondary inflammatory changes. The degree of nerve pathology was not predictive of clinical outcome.
Copyright © 2017 Elsevier B.V. All rights reserved.
Publication Date: 2017-06-16 PubMed ID: 28694072DOI: 10.1016/j.nmd.2017.06.005Google Scholar: Lookup
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- Journal Article
Summary
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The research study delves into the causes and effects of acquired equine polyneuropathy (AEP), a common nerve disorder found in Nordic horses. Despite the connection to forage feeding and geographical clustering, the exact cause remains unknown. Through neuropathological examinations, researchers observed clear Schwann cell inclusions in most samples, indicating a possible breakdown in Schwann cell metabolism. However, the degree of nerve damage does not predict the clinical outcome.
Overview of Acquired Equine Polyneuropathy
- Acquired equine polyneuropathy (AEP), also formerly known as Scandinavian knuckling syndrome, is a prevalent polyneuropathy disorder found in equids in areas like Norway and Sweden.
- Since its first observation in 1995, there have been more than 400 recorded instances of this condition.
- Despite its link to forage feeding and regional clustering, the exact cause of AEP is still unknown.
- AEP is characterized clinically by knuckling, which results from the dysfunction of metatarsophalangeal extensor muscles.
Objectives and Methodology of the Study
- This neuropathological study had the objective of providing more insights about AEP’s pathobiology and underlying aetiopathogenesis.
- The research encompassed a thorough examination of the affected horses, all of which were found to have suffered from a similar type of large fibre neuropathy.
Findings of the Study
- The study observed clear inclusions in the Schwann cells in most samples, indicating a primary disruption in the metabolism of Schwann cells.
- These findings suggest that the main problem leading to AEP is inclusion body schwannopathy, coupled with secondary inflammatory changes.
- However, the study also found that the extent of nerve pathology does not necessarily predict the clinical outcome of AEP.
Implications and Future Research
- Despite the study’s insights about AEP, more research is needed to fully understand and conclusively identify the exact causes of this condition in horses.
- This will contribute to the pursuit of effective treatment methods and preventive measures for AEP in the future.
Cite This Article
APA
Hanche-Olsen S, Matiasek K, Molín J, Rosati M, Hahn C, Hultin Jäderlund K, Gröndahl G.
(2017).
Acquired equine polyneuropathy of Nordic horses: A conspicuous inclusion body schwannopathy.
Neuromuscul Disord, 27(10), 931-941.
https://doi.org/10.1016/j.nmd.2017.06.005 Publication
Researcher Affiliations
- Department of Companion Animal Clinical Sciences, Norwegian University of Life Sciences, Ullevålsvn 72, 0454 Oslo, Norway. Electronic address: siv.hanche-olsen@nmbu.no.
- Section of Clinical & Comparative Neuropathology, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-Universität München, Veterinärstr 13, 80539 Munich, Germany. Electronic address: kaspar.matiasek@neuropathologie.de.
- Section of Clinical & Comparative Neuropathology, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-Universität München, Veterinärstr 13, 80539 Munich, Germany.
- Section of Clinical & Comparative Neuropathology, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-Universität München, Veterinärstr 13, 80539 Munich, Germany.
- Neuromuscular Disease Laboratory, Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush, Midlothian EH259RG, UK.
- Department of Companion Animal Clinical Sciences, Norwegian University of Life Sciences, Ullevålsvn 72, 0454 Oslo, Norway.
- Department of Animal Health and Microbial Strategies, National Veterinary Institute, 75189 Uppsala, Sweden.
MeSH Terms
- Animals
- Female
- Horse Diseases / pathology
- Horses
- Male
- Muscles / pathology
- Norway
- Polyneuropathies / etiology
- Polyneuropathies / pathology
- Polyneuropathies / veterinary
- Schwann Cells / pathology
- Sweden
Citations
This article has been cited 3 times.- Cahalan SD, Boehm I, Jones RA, Piercy RJ. Recognising the potential of large animals for modelling neuromuscular junction physiology and disease. J Anat 2022 Nov;241(5):1120-1132.
- Björnsdóttir S, Sigurðardóttir ÓG, Oddsdóttir C, Reynisdóttir I, Hanche-Olsen S, Gröndahl G. Outbreak of digital extensor dysfunction compatible with acquired equine polyneuropathy observed for the first time in Iceland. Acta Vet Scand 2025 Nov 26;67(1):50.
- May A, Hanche-Olsen S, Goehring LS, Matiasek K, Jäderlund KH, Zablotski Y, Gröndahl G. Motor pathway evaluation by transcranial magnetic stimulation in Swedish horses with acquired equine polyneuropathy. Equine Vet J 2026 Jan;58(1):115-124.
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