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Journal of clinical microbiology2005; 43(1); 120-126; doi: 10.1128/JCM.43.1.120-126.2005

Association between respiratory disease and bacterial and viral infections in British racehorses.

Abstract: Respiratory disease is important in horses, particularly in young Thoroughbred racehorses, and inflammation that is detected in the trachea and bronchi (termed inflammatory airway disease [IAD]) is more significant in this population in terms of impact and frequency than other presentations of respiratory disease. IAD, which is characterized by neutrophilic inflammation, mild clinical signs, and accumulation of mucus in the trachea, may be multifactorial, possibly involving infections and environmental and immunological factors, and its etiology remains unclear. This 3-year longitudinal study of young Thoroughbred racehorses was undertaken to characterize the associations of IAD and nasal discharge with viral and bacterial infections. IAD was statistically associated with tracheal infection with Streptococcus pneumoniae (capsule type 3), Streptococcus zooepidemicus, Actinobacillus spp., and Mycoplasma equirhinis and equine herpesvirus 1 and 4 infections, after adjustment for variation between training yards, seasons, and age groups. The association with S. pneumoniae and S. zooepidemicus was independent of prior viral infection and, critically, was dependent on the numbers of organisms isolated. S. pneumoniae was significant only in horses that were 2 years old or younger. The prevalence and incidence of IAD, S. zooepidemicus, and S. pneumoniae decreased in parallel with age, consistent with increased disease resistance, perhaps by the acquisition of immunity. The study provided evidence for S. zooepidemicus and S. pneumoniae playing an important etiological role in the pathogenesis of IAD in young horses.
Publication Date: 2005-01-07 PubMed ID: 15634959PubMed Central: PMC540098DOI: 10.1128/JCM.43.1.120-126.2005Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article outlines a 3-year longitudinal study on thoroughbred racehorses, examining the link between respiratory disease (specifically Inflammatory Airway Disease (IAD)) and bacterial and viral infections. The findings suggest that IAD is significantly associated with specific bacterial and viral infections, particularly Streptococcus pneumoniae and Streptococcus zooepidemicus.

Objective of the Research

  • The primary aim of the research was to explore the relationship between a respiratory illness known as Inflammatory Airway Disease (IAD) and bacterial and viral infections in British racehorses. The researchers wanted to understand the etiology, or causes, of IAD and its correlation with nasal discharge and various infections.

Research Methodology

  • The research was conducted over a period of 3 years and it followed young Thoroughbred racehorses.
  • The researchers tracked the frequency of IAD and nasal discharge in relation to the presence of bacterial and viral infections.
  • The associations were then statistically analysed to account for variations such as differences between training yards, seasonality, and different age groups.

Key Findings

  • After adjusting for various factors, the research revealed a significant correlation between IAD and infection of the trachea with certain bacteria (Streptococcus pneumoniae, Streptococcus zooepidemicus, Actinobacillus spp., Mycoplasma equirhinis) and equine herpesvirus 1 and 4.
  • The relation with Streptococcus pneumoniae and Streptococcus zooepidemicus was found independent of prior viral infection. More significantly, the relationship was dependent on the number of organisms isolated, suggesting a direct association.
  • Interestingly, Streptococcus pneumoniae was observed to be significantly influential only in horses that were two years old or younger.
  • As horses grew older, the prevalence and incidence of IAD, Streptococcus pneumoniae, and Streptococcus zooepidemicus decreased proportionately. This suggested increased resistance to these diseases, possibly due to the acquisition of immunity over time.

Conclusion

  • This study provides valuable evidence that Streptococcus pneumoniae and Streptococcus zooepidemicus may play a significant etiological role in the development of IAD in young racehorses.

Cite This Article

APA
Wood JL, Newton JR, Chanter N, Mumford JA. (2005). Association between respiratory disease and bacterial and viral infections in British racehorses. J Clin Microbiol, 43(1), 120-126. https://doi.org/10.1128/JCM.43.1.120-126.2005

Publication

ISSN: 0095-1137
NlmUniqueID: 7505564
Country: United States
Language: English
Volume: 43
Issue: 1
Pages: 120-126

Researcher Affiliations

Wood, J L N
  • Epidemiology Unit, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, CB8 0NG, United Kingdom. james.wood@aht.org.uk
Newton, J R
    Chanter, N
      Mumford, J A

        MeSH Terms

        • Animals
        • Bacterial Infections / epidemiology
        • Bacterial Infections / microbiology
        • Bacterial Infections / veterinary
        • Horse Diseases / epidemiology
        • Horse Diseases / microbiology
        • Horse Diseases / virology
        • Horses
        • Inflammation
        • Respiratory Tract Infections / epidemiology
        • Respiratory Tract Infections / microbiology
        • Respiratory Tract Infections / veterinary
        • Respiratory Tract Infections / virology
        • Trachea / microbiology
        • United Kingdom / epidemiology
        • Virus Diseases / epidemiology
        • Virus Diseases / veterinary
        • Virus Diseases / virology

        References

        This article includes 62 references
        1. Agresti A. Categorical data analysis. .
        2. Allam NM, Lemcke RM. Mycoplasmas isolated from the respiratory tract of horses.. J Hyg (Lond) 1975 Jun;74(3):385-408.
          pmc: PMC2130589pubmed: 807616doi: 10.1017/s0022172400046908google scholar: lookup
        3. Benson CE, Sweeney CR. Isolation of Streptococcus pneumoniae type 3 from equine species.. J Clin Microbiol 1984 Dec;20(6):1028-30.
        4. BERLIN BS, MCQUEEN JL, MINUSE E, DAVENPORT FM. A METHOD FOR INCREASING THE SENSITIVITY OF THE HEMAGGLUTINATION-INHIBITION TEST WITH EQUINE INFLUENZA VIRUS.. Virology 1963 Dec;21:665-6.
          pubmed: 14100621doi: 10.1016/0042-6822(63)90244-7google scholar: lookup
        5. Blunden AS, Hannant D, Livesay G, Mumford JA. Susceptibility of ponies to infection with Streptococcus pneumoniae (capsular type 3).. Equine Vet J 1994 Jan;26(1):22-8.
        6. Bureau F, Lekeux P. Dysregulation of inflammation. p. 45-46. In A. M. Hoffman, N. E. Robinson, and J. F. Wade (ed.), Inflammatory airway disease: defining the syndrome. R&W Publications (Newmarket) Ltd., Boston, Mass..
        7. Burrell MH. Endoscopic and virological observations on respiratory disease in a group of young Thoroughbred horses in training.. Equine Vet J 1985 Mar;17(2):99-103.
        8. Burrell MH, Mackintosh ME, Taylor CE. Isolation of Streptococcus pneumoniae from the respiratory tract of horses.. Equine Vet J 1986 May;18(3):183-6.
        9. Burrell MH, Whitwell KE, Wood JL, Mumford JA. Pyrexia associated with respiratory disease in young thoroughbred horses.. Vet Rec 1994 Feb 26;134(9):219-20.
          pubmed: 8171811doi: 10.1136/vr.134.9.219google scholar: lookup
        10. Burrell MH, Wood JL, Whitwell KE, Chanter N, Mackintosh ME, Mumford JA. Respiratory disease in thoroughbred horses in training: the relationships between disease and viruses, bacteria and environment.. Vet Rec 1996 Sep 28;139(13):308-13.
          pubmed: 8893488doi: 10.1136/vr.139.13.308google scholar: lookup
        11. Carman S, Rosendal S, Huber L, Gyles C, McKee S, Willoughby RA, Dubovi E, Thorsen J, Lein D. Infectious agents in acute respiratory disease in horses in Ontario.. J Vet Diagn Invest 1997 Jan;9(1):17-23.
          pubmed: 9087920doi: 10.1177/104063879700900104google scholar: lookup
        12. Chanter N. Streptococci and enterococci as animal pathogens.. Soc Appl Bacteriol Symp Ser 1997;26:100S-109S.
          pubmed: 9436322
        13. Chanter N, Collin N, Holmes N, Binns M, Mumford J. Characterization of the Lancefield group C streptococcus 16S-23S RNA gene intergenic spacer and its potential for identification and sub-specific typing.. Epidemiol Infect 1997 Apr;118(2):125-35.
          pmc: PMC2808778pubmed: 9129589doi: 10.1017/s0950268896007285google scholar: lookup
        14. Chapman PS, Green C, Main JP, Taylor PM, Cunningham FM, Cook AJ, Marr CM. Retrospective study of the relationships between age, inflammation and the isolation of bacteria from the lower respiratory tract of thoroughbred horses.. Vet Rec 2000 Jan 22;146(4):91-5.
          pubmed: 10682693doi: 10.1136/vr.146.4.91google scholar: lookup
        15. Christley RM, Hodgson DR, Rose RJ, Hodgson JL, Wood JL, Reid SW. Coughing in thoroughbred racehorses: risk factors and tracheal endoscopic and cytological findings.. Vet Rec 2001 Jan 27;148(4):99-104.
          pubmed: 11232940doi: 10.1136/vr.148.4.99google scholar: lookup
        16. Christley RM, Hodgson DR, Rose RJ, Wood JL, Reids SW, Whitear KG, Hodgson JL. A case-control study of respiratory disease in Thoroughbred racehorses in Sydney, Australia.. Equine Vet J 2001 May;33(3):256-64.
          pubmed: 11352347doi: 10.2746/042516401776249796google scholar: lookup
        17. Cunningham MW. Pathogenesis of group A streptococcal infections.. Clin Microbiol Rev 2000 Jul;13(3):470-511.
          pmc: PMC88944pubmed: 10885988doi: 10.1128/cmr.13.3.470google scholar: lookup
        18. Diggle PJ, Heagerty PJ, Liang KY, Zeger SL. Analysis of longitudinal data, 2nd ed.. Oxford University Press, Oxford, United Kingdom.
        19. Dixon PM, Railton DI, McGorum BC. Equine pulmonary disease: a case control study of 300 referred cases. Part 2: Details of animals and of historical and clinical findings.. Equine Vet J 1995 Nov;27(6):422-7.
        20. Goldstein H. Multilevel statistical models, 2nd ed.. Edward Arnold, London, United Kingdom.
        21. Goldstein H, Healy MJR. The graphical presentation of a collection of means. J. R. Stat. Soc. Ser. A 158:175-177.
        22. Goldstein H, Spiegelhalter DJ. League tables and their limitations: statistical issues in comparisons of institutional performance. J. R. Stat. Soc. Ser. A 159:385-443.
        23. Harrington DJ, Greated JS, Chanter N, Sutcliffe IC. Identification of lipoprotein homologues of pneumococcal PsaA in the equine pathogens Streptococcus equi and Streptococcus zooepidemicus.. Infect Immun 2000 Oct;68(10):6048-51.
        24. Harrington DJ, Sutcliffe IC, Chanter N. The molecular basis of Streptococcus equi infection and disease.. Microbes Infect 2002 Apr;4(4):501-10.
          pubmed: 11932201doi: 10.1016/s1286-4579(02)01565-4google scholar: lookup
        25. HILL AB. THE ENVIRONMENT AND DISEASE: ASSOCIATION OR CAUSATION?. Proc R Soc Med 1965 May;58(5):295-300.
          pmc: PMC1898525pubmed: 14283879
        26. Hoffman AM, Mazan AM. Airway obstruction and hyper-reactivity in horses with signs of inflammatory airway disease. p. 71-74. In A. M. Hoffman, N. E. Robinson, and J. F. Wade (ed.), Inflammatory airway disease: defining the syndrome. R&W Publications (Newmarket) Ltd., Boston, Mass..
        27. Holcombe SJ, Jackson C, Gerber V, Jefcoat A, Berney C, Eberhardt S, Robinson NE. Stabling is associated with airway inflammation in young Arabian horses.. Equine Vet J 2001 May;33(3):244-9.
          pubmed: 11352345doi: 10.2746/042516401776249606google scholar: lookup
        28. Hosmer DW Jr, Lemeshow S. Applied logistic regression. John Wiley & Sons, Inc., New York, N.Y..
        29. Jeffcott LB, Rossdale PD, Freestone J, Frank CJ, Towers-Clark PF. An assessment of wastage in thoroughbred racing from conception to 4 years of age.. Equine Vet J 1982 Jul;14(3):185-98.
        30. MacNamara B, Bauer S, Iafe J. Endoscopic evaluation of exercise-induced pulmonary hemorrhage and chronic obstructive pulmonary disease in association with poor performance in racing Standardbreds.. J Am Vet Med Assoc 1990 Feb 1;196(3):443-5.
          pubmed: 2298674
        31. Malikides, N., R. M. Christley, R. S. Pirie, B. McGorum, and J. L. Hodgson. 2003. Presented at the 10th International Symposium for Veterinary Epidemiology and Economics, Viña del Mar, Chile, 17 to 21 November 2003.
        32. Martin BB Jr, Beech J, Parente EJ. Cytologic examination of specimens obtained by means of tracheal washes performed before and after high-speed treadmill exercise in horses with a history of poor performance.. J Am Vet Med Assoc 1999 Mar 1;214(5):673-7.
          pubmed: 10088017
        33. McGorum BC, Pirie RS. Aetiological agents: indoor environment and endotoxin. p. 27-28. In A. M. Hoffman, N. E. Robinson, and J. F. Wade (ed.), Inflammatory airway disease: defining the syndrome. R&W Publications (Newmarket) Ltd., Boston, Mass..
        34. Meyer JC, Koterba A, Lester G, Purich BL. Bacteraemia and pneumonia in a neonatal foal caused by Streptococcus pneumoniae type 3.. Equine Vet J 1992 Sep;24(5):407-10.
        35. Montgomery JM, Lehmann D, Smith T, Michael A, Joseph B, Lupiwa T, Coakley C, Spooner V, Best B, Riley ID. Bacterial colonization of the upper respiratory tract and its association with acute lower respiratory tract infections in Highland children of Papua New Guinea.. Rev Infect Dis 1990 Nov-Dec;12 Suppl 8:S1006-16.
        36. Moore BO, Bryans JT. Antigenic classification of group C animal streptococci.. J Am Vet Med Assoc 1969 Jul 15;155(2):416-21.
          pubmed: 4978808
        37. Moore BR, Krakowka S, Robertson JT, Cummins JM. Cytologic evaluation of bronchoalveolar lavage fluid obtained from standardbred racehorses with inflammatory airway disease.. Am J Vet Res 1995 May;56(5):562-7.
          pubmed: 7661448
        38. Morley PS, Townsend HG, Bogdan JR, Haines DM. Descriptive epidemiologic study of disease associated with influenza virus infections during three epidemics in horses.. J Am Vet Med Assoc 2000 Feb 15;216(4):535-44.
          pubmed: 10687009doi: 10.2460/javma.2000.216.535google scholar: lookup
        39. Mousel MR, Harrison L, Donahue JM, Bailey E. Rhodococcus equi and genetic susceptibility: assessing transferrin genotypes from paraffin-embedded tissues.. J Vet Diagn Invest 2003 Sep;15(5):470-2.
          pubmed: 14535549doi: 10.1177/104063870301500512google scholar: lookup
        40. Mumford JA. Equine influenza. p. 546-557. In Manual of standards for diagnostic tests and vaccines. List A and B diseases of mammals, birds and bees, 4th ed. Office International des Epizooties, Paris, France.
        41. Newton JR, Verheyen K, Wood JL, Yates PJ, Mumford JA. Equine influenza in the United Kingdom in 1998.. Vet Rec 1999 Oct 16;145(16):449-52.
          pubmed: 10576277doi: 10.1136/vr.145.16.449google scholar: lookup
        42. Newton JR, Wood JL, Chanter N. A case control study of factors and infections associated with clinically apparent respiratory disease in UK Thoroughbred racehorses.. Prev Vet Med 2003 Jul 30;60(1):107-32.
          pubmed: 12900152doi: 10.1016/s0167-5877(03)00085-0google scholar: lookup
        43. Newton JR, Wood JLN, Smith KC, Marlin DJ, Chanter N. Aetiological agents: bacteria and inflammatory airway disease. p. 40-44. In A. M. Hoffman, N. E. Robinson, and J. F. Wade (ed.), Inflammatory airway disease: defining the syndrome. R&W Publications (Newmarket) Ltd., Boston, Mass..
        44. Robinson NE. Inflammatory airway disease: defining the syndrome. Conclusions of the Havemeyer Workshop. Equine Vet. Educ. 15:61-63.
        45. Robinson NE. Pathogenesis and management of airway disease. Proc. Am. Assoc. Equine Pract. 43:106-115.
        46. Rossdale PD, Hopes R, Digby NJ, offord K. Epidemiological study of wastage among racehorses 1982 and 1983.. Vet Rec 1985 Jan 19;116(3):66-9.
          pubmed: 3976145doi: 10.1136/vr.116.3.66google scholar: lookup
        47. Smith KC, Newton JR, Gower SM, Cade SM, Marlin DJ, Deaton CM, Wood JLN. Cytology of inflammatory airway disease. p. 55-58. In A. M. Hoffman, N. E. Robinson, and J. F. Wade (ed.), Inflammatory airway disease: defining the syndrome. R&W Publications (Newmarket) Ltd., Boston, Mass..
        48. Smith PG, Day NE. The design of case-control studies: the influence of confounding and interaction effects.. Int J Epidemiol 1984 Sep;13(3):356-65.
          pubmed: 6386716doi: 10.1093/ije/13.3.356google scholar: lookup
        49. Thomson GR, Mumford JA, Campbell J, Griffiths L, Clapham P. Serological detection of equid herpesvirus 1 infections of the respiratory tract.. Equine Vet J 1976 Apr;8(2):58-65.
        50. Tremblay GM, Ferland C, Lapointe JM, Vrins A, Lavoie JP, Cormier Y. Effect of stabling on bronchoalveolar cells obtained from normal and COPD horses.. Equine Vet J 1993 May;25(3):194-7.
        51. Varma KJ, Powers TE, Powers JD, Spurlock SL. Standardization of an experimental disease model of Streptococcus zooepidemicus in the equine.. J Vet Pharmacol Ther 1984 Sep;7(3):183-8.
        52. Ward CL, Wood JL, Houghton SB, Mumford JA, Chanter N. Actinobacillus and Pasteurella species isolated from horses with lower airway disease.. Vet Rec 1998 Sep 5;143(10):277-9.
          pubmed: 9787421doi: 10.1136/vr.143.10.277google scholar: lookup
        53. Whatmore AM, King SJ, Doherty NC, Sturgeon D, Chanter N, Dowson CG. Molecular characterization of equine isolates of Streptococcus pneumoniae: natural disruption of genes encoding the virulence factors pneumolysin and autolysin.. Infect Immun 1999 Jun;67(6):2776-82.
        54. Whitwell KE, Greet TR. Collection and evaluation of tracheobronchial washes in the horse.. Equine Vet J 1984 Nov;16(6):499-508.
        55. Wood JL, Chanter N, Newton JR, Burrell MH, Dugdale D, Windsor HM, Windsor GD, Rosendal S, Townsend HG. An outbreak of respiratory disease in horses associated with Mycoplasma felis infection.. Vet Rec 1997 Apr 12;140(15):388-91.
          pubmed: 9141220doi: 10.1136/vr.140.15.388google scholar: lookup
        56. Wood JL, Burrell MH, Roberts CA, Chanter N, Shaw Y. Streptococci and Pasteurella spp. associated with disease of the equine lower respiratory tract.. Equine Vet J 1993 Jul;25(4):314-8.
        57. Wood, J. L. N., N. Chanter, R. Sinclair, and J. A. Mumford. 1994. Presented at the Proceedings of the Seventh International Conference on Equine Infectious Diseases, Tokyo, Japan.
        58. Wood JL, Newton JR, Chanter N, Mumford JA. Inflammatory airway disease, nasal discharge and respiratory infections in young British racehorses.. Equine Vet J 2005 May;37(3):236-42.
          pubmed: 15892233doi: 10.2746/0425164054530579google scholar: lookup
        59. Wood JLN, Newton JR, Smith KC, Marlin DJ. Aetiological agents: viruses and inflammatory airway disease. p. 33-36. In A. M. Hoffman, N. E. Robinson, and J. F. Wade (ed.), Inflammatory airway disease: defining the syndrome. R&W Publications (Newmarket) Ltd., Boston, Mass..
        60. Wood JLN, Newton JR, Windsor G, Windsor DHM, Chanter N, Rosendal S. Epidemiological studies of the role of mycoplasma infections in equine respiratory disease. Int. Org. Mycoplasmol. Lett. 3:115-116.
        61. Yoshikawa H, Yasu T, Ueki H, Oyamada T, Oishi H, Anzai T, Oikawa M, Yoshikawa T. Pneumonia in horses induced by intrapulmonary inoculation of Streptococcus equi subsp. zooepidemicus.. J Vet Med Sci 2003 Jul;65(7):787-92.
          pubmed: 12939505doi: 10.1292/jvms.65.787google scholar: lookup
        62. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes.. Biometrics 1986 Mar;42(1):121-30.
          pubmed: 3719049

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          doi: 10.1371/journal.pone.0282843pubmed: 36897919google scholar: lookup
        2. Padoan E, Ferraresso S, Pegolo S, Barnini C, Castagnaro M, Bargelloni L. Gene Expression Profiles of the Immuno-Transcriptome in Equine Asthma.. Animals (Basel) 2022 Dec 20;13(1).
          doi: 10.3390/ani13010004pubmed: 36611613google scholar: lookup
        3. Bond S, McMullen C, Timsit E, Léguillette R. Topography of the respiratory, oral, and guttural pouch bacterial and fungal microbiotas in horses.. J Vet Intern Med 2023 Jan;37(1):349-360.
          doi: 10.1111/jvim.16612pubmed: 36607177google scholar: lookup
        4. Lo Feudo CM, Stucchi L, Conturba B, Stancari G, Ferrucci F. Impact of Lower Airway Inflammation on Fitness Parameters in Standardbred Racehorses.. Animals (Basel) 2022 Nov 21;12(22).
          doi: 10.3390/ani12223228pubmed: 36428455google scholar: lookup
        5. Felici M, Nanni Costa L, Zappaterra M, Bozzo G, Di Pinto P, Minero M, Padalino B. Journeys, Journey Conditions, and Welfare Assessment of Broken (Handled) Horses on Arrival at Italian Slaughterhouses.. Animals (Basel) 2022 Nov 12;12(22).
          doi: 10.3390/ani12223122pubmed: 36428350google scholar: lookup
        6. Karagianni AE, Kurian D, Cillán-Garcia E, Eaton SL, Wishart TM, Pirie RS. Training associated alterations in equine respiratory immunity using a multiomics comparative approach.. Sci Rep 2022 Jan 10;12(1):427.
          doi: 10.1038/s41598-021-04137-3pubmed: 35013475google scholar: lookup
        7. Lo Feudo CM, Stucchi L, Alberti E, Stancari G, Conturba B, Zucca E, Ferrucci F. The Role of Thoracic Ultrasonography and Airway Endoscopy in the Diagnosis of Equine Asthma and Exercise-Induced Pulmonary Hemorrhage.. Vet Sci 2021 Nov 15;8(11).
          doi: 10.3390/vetsci8110276pubmed: 34822649google scholar: lookup
        8. Uchida-Fujii E, Kinoshita Y, Niwa H, Maeda T, Nukada T, Ueno T. High prevalence of Mycoplasma equirhinis in Thoroughbred horses with respiratory symptoms in autumn 2018.. J Vet Med Sci 2021 Dec 9;83(12):1907-1912.
          doi: 10.1292/jvms.21-0163pubmed: 34732605google scholar: lookup
        9. Mainguy-Seers S, Lavoie JP. Glucocorticoid treatment in horses with asthma: A narrative review.. J Vet Intern Med 2021 Jul;35(4):2045-2057.
          doi: 10.1111/jvim.16189pubmed: 34085342google scholar: lookup
        10. Payette F, Charlebois A, Fairbrother JH, Beauchamp G, Leclere M. Nicoletella semolina in the airways of healthy horses and horses with severe asthma.. J Vet Intern Med 2021 May;35(3):1612-1619.
          doi: 10.1111/jvim.16140pubmed: 33942932google scholar: lookup
        11. Witkowska-Piłaszewicz O, Pingwara R, Szczepaniak J, Winnicka A. The Effect of the Clenbuterol-β2-Adrenergic Receptor Agonist on the Peripheral Blood Mononuclear Cells Proliferation, Phenotype, Functions, and Reactive Oxygen Species Production in Race Horses In Vitro.. Cells 2021 Apr 17;10(4).
          doi: 10.3390/cells10040936pubmed: 33920705google scholar: lookup
        12. Witkowska-Piłaszewicz O, Pingwara R, Winnicka A. The Effect of Physical Training on Peripheral Blood Mononuclear Cell Ex Vivo Proliferation, Differentiation, Activity, and Reactive Oxygen Species Production in Racehorses.. Antioxidants (Basel) 2020 Nov 20;9(11).
          doi: 10.3390/antiox9111155pubmed: 33233549google scholar: lookup
        13. Rossi TM, Milwid RM, Moore A, O'Sullivan TL, Greer AL. Descriptive network analysis of a Standardbred horse training facility contact network: Implications for disease transmission.. Can Vet J 2020 Aug;61(8):853-859.
          pubmed: 32741991
        14. Kinnison T, Cardwell JM. Conflict Between Direct Experience and Research-Based Evidence Is a Key Challenge to Evidence-Based Respiratory Medicine on British Racing Yards.. Front Vet Sci 2020;7:266.
          doi: 10.3389/fvets.2020.00266pubmed: 32537459google scholar: lookup
        15. Manguin E, Pépin E, Boivin R, Leclere M. Tracheal microbial populations in horses with moderate asthma.. J Vet Intern Med 2020 Mar;34(2):986-995.
          doi: 10.1111/jvim.15707pubmed: 31985115google scholar: lookup
        16. Back H, Weld J, Walsh C, Cullinane A. Equine Rhinitis A Virus Infection in Thoroughbred Racehorses-A Putative Role in Poor Performance?. Viruses 2019 Oct 18;11(10).
          doi: 10.3390/v11100963pubmed: 31635401google scholar: lookup
        17. Rossi TM, Moore A, O'Sullivan TL, Greer AL. Equine Rhinitis A Virus Infection at a Standardbred Training Facility: Incidence, Clinical Signs, and Risk Factors for Clinical Disease.. Front Vet Sci 2019;6:71.
          doi: 10.3389/fvets.2019.00071pubmed: 30918893google scholar: lookup
        18. Stasiak K, Dunowska M, Rola J. Prevalence and sequence analysis of equid herpesviruses from the respiratory tract of Polish horses.. Virol J 2018 Jul 11;15(1):106.
          doi: 10.1186/s12985-018-1018-3pubmed: 29996858google scholar: lookup
        19. Bond SL, Timsit E, Workentine M, Alexander T, Léguillette R. Upper and lower respiratory tract microbiota in horses: bacterial communities associated with health and mild asthma (inflammatory airway disease) and effects of dexamethasone.. BMC Microbiol 2017 Aug 23;17(1):184.
          doi: 10.1186/s12866-017-1092-5pubmed: 28835202google scholar: lookup
        20. Björnsdóttir S, Harris SR, Svansson V, Gunnarsson E, Sigurðardóttir ÓG, Gammeljord K, Steward KF, Newton JR, Robinson C, Charbonneau ARL, Parkhill J, Holden MTG, Waller AS. Genomic Dissection of an Icelandic Epidemic of Respiratory Disease in Horses and Associated Zoonotic Cases.. mBio 2017 Aug 1;8(4).
          doi: 10.1128/mBio.00826-17pubmed: 28765219google scholar: lookup
        21. Barton AK, Gehlen H. Pulmonary Remodeling in Equine Asthma: What Do We Know about Mediators of Inflammation in the Horse?. Mediators Inflamm 2016;2016:5693205.
          doi: 10.1155/2016/5693205pubmed: 28053371google scholar: lookup
        22. Barton AK, Pelli A, Rieger M, Gehlen H. Procalcitonin as a biomarker in equine chronic pneumopathies.. BMC Vet Res 2016 Dec 9;12(1):281.
          doi: 10.1186/s12917-016-0912-4pubmed: 27938364google scholar: lookup
        23. Doubli-Bounoua N, Richard EA, Léon A, Pitel PH, Pronost S, Fortier G. Multiple molecular detection of respiratory viruses and associated signs of airway inflammation in racehorses.. Virol J 2016 Nov 29;13(1):197.
          doi: 10.1186/s12985-016-0657-5pubmed: 27899161google scholar: lookup
        24. Houtsma A, Bedenice D, Pusterla N, Pugliese B, Mapes S, Hoffman AM, Paxson J, Rozanski E, Mukherjee J, Wigley M, Mazan MR. Association between inflammatory airway disease of horses and exposure to respiratory viruses: a case control study.. Multidiscip Respir Med 2015;10:33.
          doi: 10.1186/s40248-015-0030-3pubmed: 26535117google scholar: lookup
        25. Toombs-Ruane LJ, Riley CB, Kendall AT, Bolwell CF, Benschop J, Rosanowski SM. Antimicrobial Susceptibilities of Aerobic Isolates from Respiratory Samples of Young New Zealand Horses.. J Vet Intern Med 2015 Nov-Dec;29(6):1700-6.
          doi: 10.1111/jvim.13600pubmed: 26289293google scholar: lookup
        26. Frellstedt L, Gosset P, Kervoaze G, Hans A, Desmet C, Pirottin D, Bureau F, Lekeux P, Art T. The innate immune response of equine bronchial epithelial cells is altered by training.. Vet Res 2015 Jan 17;46(1):3.
          doi: 10.1186/s13567-014-0126-3pubmed: 25595212google scholar: lookup
        27. Kusano K, Ishikawa Y, Seki K, Kusunose R. Characteristic of inflammatory airway disease in Japanese thoroughbred racehorses.. J Equine Sci 2008;19(2):25-9.
          doi: 10.1294/jes.19.25pubmed: 24833952google scholar: lookup
        28. Irvine KL, Hopkins LJ, Gangloff M, Bryant CE. The molecular basis for recognition of bacterial ligands at equine TLR2, TLR1 and TLR6.. Vet Res 2013 Jul 4;44(1):50.
          doi: 10.1186/1297-9716-44-50pubmed: 23826682google scholar: lookup
        29. Diaz-Mendez A, Viel L, Hewson J, Doig P, Carman S, Chambers T, Tiwari A, Dewey C. Surveillance of equine respiratory viruses in Ontario.. Can J Vet Res 2010 Oct;74(4):271-8.
          pubmed: 21197227
        30. Paillot R, Darby AC, Robinson C, Wright NL, Steward KF, Anderson E, Webb K, Holden MT, Efstratiou A, Broughton K, Jolley KA, Priestnall SL, Marotti Campi MC, Hughes MA, Radford A, Erles K, Waller AS. Identification of three novel superantigen-encoding genes in Streptococcus equi subsp. zooepidemicus, szeF, szeN, and szeP.. Infect Immun 2010 Nov;78(11):4817-27.
          doi: 10.1128/IAI.00751-10pubmed: 20713629google scholar: lookup
        31. Heather Z, Holden MT, Steward KF, Parkhill J, Song L, Challis GL, Robinson C, Davis-Poynter N, Waller AS. A novel streptococcal integrative conjugative element involved in iron acquisition.. Mol Microbiol 2008 Dec;70(5):1274-92.
        32. Yoon KJ, Cooper VL, Schwartz KJ, Harmon KM, Kim WI, Janke BH, Strohbehn J, Butts D, Troutman J. Influenza virus infection in racing greyhounds.. Emerg Infect Dis 2005 Dec;11(12):1974-6.
          doi: 10.3201/eid1112.050810pubmed: 16485496google scholar: lookup