Analyze Diet
Journal of veterinary internal medicine2024; doi: 10.1111/jvim.17118

Bilateral bronchoalveolar lavage cytology profiles in a warmblood horse population during a 1-year period.

Abstract: Bronchoalveolar lavage (BAL) cytology results from 1 lung might not be representative of both lungs. Objective: To determine whether the lung site sampled would influence the horse's BAL cytology profile, and if a pooled BAL sample would be superior with regard to BAL cytology diagnosis in a cohort of healthy and subclinical asthmatic warmblood horses. Methods: Fifty-nine horses in 2021 and 70 horses in 2022, the follow-up included 53 of the same in each year. Methods: A cross-sectional study with follow-up included BAL cytology samples from individual lungs and from pooled BAL samples. The BAL samples were enumerated and differential cell count were applied to categorize the horses as control or with airway inflammation (AI). Results: Bronchoalveolar lavage mast cell count was higher in left lung compared to right lung (2021; median 1.6 [range, 0.6-3.3] vs 1.2 [0.7-1.5] P = .009, 2022; median 3.1 [2.1-4.2] vs 2.4 [1.7-3.4], P < .001) and compared to pooled samples (2022; median 2.6 [1.7-3.7], P < .001). Between year 2021 and 2022, 17 of the horses had changes in BAL cytology from control to AI or vice versa. Conclusions: Pooled BAL sample was the least reliable for detecting AI, and was not representative of the overall lung condition.
Publication Date: 2024-05-23 PubMed ID: 38780440DOI: 10.1111/jvim.17118Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

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 examines the reliability of bronchoalveolar lavage (BAL) cytology profiles from warmblood horses, focusing on the differences between sampling one lung versus both lungs, and pooled versus individual samples taken over a one-year period. It concluded that pooled sample was least reliable for detecting airway inflammation and did not representative overall lung condition.

Methods:

Given in the study were:

  • Cross-sectional BAL cytology data from 59 horses in 2021 and 70 horses in 2022, including 53 that were part of both groups.
  • Each horse provided BAL samples from individual lungs as well as a pooled sample combining data from both lungs.
  • Using differential cell count, researchers then categorized each horse as a control or exhibiting airway inflammation (AI).

Results:

The study’s findings included the following:

  • The BAL mast cell count was typically higher in the left lung compared to the right lung and the pooled samples. The difference between left and right lung was statistically significant in both 2021 and 2022.
  • From 2021 to 2022, 17 of the horses had changes in their BAL cytology, transitioning from the control category to AI, or vice versa.

Conclusion:

From their findings, the researchers concluded:

  • Sampling a pooled BAL was not reliable in detecting airway inflammation and did not accurately represent the horse’s overall lung condition. Instead, it appeared that analyzing individual samples from each lung provided more accurate and reliable information.
  • The inconsistent BAL cytology across time – with some horses transitioning between control and AI statuses from 2021 to 2022 – further underscored the need for careful and regular monitoring of these animals’ lung health.

Cite This Article

APA
Rasmussen N, Karlsen P, Otten ND, Fjeldborg J, Hansen S. (2024). Bilateral bronchoalveolar lavage cytology profiles in a warmblood horse population during a 1-year period. J Vet Intern Med. https://doi.org/10.1111/jvim.17118

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English

Researcher Affiliations

Rasmussen, Nanna
  • Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark.
Karlsen, Pernille
  • Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark.
Otten, Nina D
  • Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark.
Fjeldborg, Julie
  • Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark.
Hansen, Sanni
  • Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark.

Grant Funding

  • Horse Levy Foundation

References

This article includes 35 references
  1. Orard M, Depecker M, Hue E, Pitel PH, Couroucé‐Malblanc A, Richard EA. Influence of bronchoalveolar lavage volume on cytological profiles and subsequent diagnosis of inflammatory airway disease in horses.. Vet J 2016;207:193‐195.
  2. Sweeney CR, Rossier Y, Ziemer EL, Lindborg S. Effects of lung site and fluid volume on results of bronchoalveolar lavage fluid analysis in horses.. Am J Vet Res 1992;53:1376‐1379.
  3. Pickles K, Pirie RS, Rhind S, Dixon PM, McGorum BC. Cytological analysis of equine bronchoalveolar lavage fluid. Part 3: the effect of time, temperature and fixatives.. Equine Vet J 2002;34:297‐301.
  4. Hansen S, Fjeldborg J, Hansen AJ, Baptiste KE. Reliability of cytological evaluation of mast cells from bronchoalveolar lavage fluid in horses: intraobserver agreement and mast cell identification.. Equine Vet Edu 2020;32:47‐52.
  5. Fernandez NJ, Hecker KG, Gilroy CV, Warren AL, Léguillette R. Reliability of 400‐cell and 5‐field leukocyte differential counts for equine bronchoalveolar lavage fluid.. Vet Clin Pathol 2013;42:92‐98.
  6. Hansen S, Klintoe K, Austevoll M, Baptiste KE, Fjeldborg J. Equine airway inflammation in loose‐housing management compared with pasture and conventional stabling.. Vet Rec 2019;184:590.
  7. Ivester KM, Couetil LL, Moore GE. An observational study of environmental exposures, airway cytology, and performance in racing thoroughbreds.. J Vet Intern Med 2018;32:1754‐1762.
  8. Holcombe SJ, Jackson C, Gerber V. Stabling is associated with airway inflammation in young Arabian horses.. Equine Vet J 2001;33:244‐249.
  9. Tremblay GM, Ferland C, Lapointe JM. Effect of stabling on bronchoalveolar cells obtained from normal and COPD horses.. Equine Vet J 1993;25:194‐197.
  10. Hoffman AM. Bronchoalveolar lavage: sampling technique and guidelines for cytologic preparation and interpretation.. Vet Clin North Am Equine 2008;24:423‐435.
  11. Couetil LL, Cardwell JM, Gerber V. Inflammatory airway disease of horses‐revised consensus statement.. J Vet Intern Med 2016;30:503‐515.
  12. Kinnison T, McGilvray TA, Couetil LL. Mild‐moderate equine asthma: a scoping review of evidence supporting the consensus definition.. Vet J 2022;286:105865.
  13. Rush BR, Mair TS. Non‐infectious pulmonary diseases and diagnostic techniques.. In: Oxford, ed. Equine Respiratory Diseases. Oxford: Blackwell Sciences; 2004:187‐248.
  14. Deniau V, Jaillardon L, Fortier G, Couroucé‐Malblanc A. Comparison of cytological profiles of bronchoalveolar lavage fluid—BALF—obtained from left and right lungs according to conditions of conservation and preparation.. In: Lindner A, ed. Performance Diagnosis and Purchase Examination of Elite Sport Horses. Wageningen Academic Publishers; 2010:81‐86.
  15. Jean D, Vrins A, Beauchamp G, Lavoie JP. Evaluation of variations in bronchoalveolar lavage fluid in horses with recurrent airway obstruction.. Am J Vet Res 2011;72:838‐842.
  16. Depecker M, Richard EA, Pitel PH, Fortier G, Leleu C, Couroucé‐Malblanc A. Bronchoalveolar lavage fluid in Standardbred racehorses: influence of unilateral/bilateral profiles and cut‐off values on lower airway disease diagnosis.. Vet J 2014;199:150‐156.
  17. Hermange T, Le Corre S, Bizon C. Bronchoalveolar lavage fluid from both lungs in horses: diagnostic reliability of cytology from pooled samples.. Vet J 2019;244:28‐33.
  18. Bullone M, Joubert P, Gagne A. Bronchoalveolar lavage fluid neutrophilia is associated with the severity of pulmonary lesions during equine asthma exacerbations.. Equine Vet J 2018;50:609‐615.
  19. Olave CJ, Ivester KM, Couetil LL, Kritchevsky JE, Tinkler SH, Mukhopadhyay A. Dust exposure and pulmonary inflammation in Standardbred racehorses fed dry hay or haylage: a pilot study.. Vet J 2021;271:105654.
  20. Gerber V, Lindberg A, Berney C, Robinson NE. Airway mucus in recurrent airway obstruction—short‐term response to environmental challenge.. J Vet Intern Med 2004;18:92‐97.
  21. Robinson NE, Karmaus W, Holcombe SJ, Carr EA, Derksen FJ. Airway inflammation in Michigan pleasure horses: prevalence and risk factors.. Equine Vet J 2006;38:293‐299.
  22. McGorum BC, Dixon PM, Halliwell RE. Comparison of cellular and molecular components of bronchoalveolar lavage fluid harvested from different segments of the equine lung.. Res Vet Sci 1993;55:57‐59.
  23. De Brauwer EI, Jacobs JA, Nieman F. Bronchoalveolar lavage fluid differential cell count. How many cells should be counted?. Anal Quant Cytol Histol 2002;24:337‐341.
  24. Fogarty U, Buckley T. Bronchoalveolar lavage findings in horses with exercise intolerance.. Equine Vet J 1991;23:434‐437.
  25. Couetil LL, Rosenthal FS, DeNicola DB. Clinical signs, evaluation of bronchoalveolar lavage fluid, and assessment of pulmonary function in horses with inflammatory respiratory disease.. Am J Vet Res 2001;62:538‐546.
  26. Richard EA, Depecker M, Defontis M. Cytokine concentrations in bronchoalveolar lavage fluid from horses with neutrophilic inflammatory airway disease.. J Vet Intern Med 2014;28:1838‐1844.
  27. Hansen S, Honoré ML, Riihimaki M, Pringle J, Ammentorp AH, Fjeldborg J. Seasonal variation in tracheal mucous and bronchoalveolar lavage cytology for adult clinically healthy stabled horses.. J Equine Vet 2018;71:1‐5.
  28. Riihimaki M, Raine A, Elfman L. Markers of respiratory inflammation in horses in relation to seasonal changes in air quality in a conventional racing stable.. Can J Vet Res 2008;72:432‐439.
  29. Boivin R, Pilon F, Lavoie JP. Adherence to treatment recommendations and short‐term outcome of pleasure and sport horses with equine asthma.. Can J Vet Res 2018;59:1293‐1298.
  30. Clements JM, Pirie RS. Respirable dust concentrations in equine stables. Part 2: the benefits of soaking hay and optimising the environment in a neighbouring stable.. Res Vet Sci 2007;83:263‐268.
  31. Bosshard S, Gerber V. Evaluation of coughing and nasal discharge as early indicators for an increased risk to develop equine recurrent airway obstruction (RAO).. J Vet Intern Med 2014;28:618‐623.
  32. Holcombe SJ, Robinson NE, Derksen FJ. Effect of tracheal mucus and tracheal cytology on racing performance in thoroughbred racehorses.. Equine Vet J 2006;38:300‐304.
  33. Bedenice D, Mazan MR, Hoffman AM. Association between cough and cytology of bronchoalveolar lavage fluid and pulmonary function in horses diagnosed with inflammatory airway disease.. J Vet Intern Med 2008;22:1022‐1028.
  34. Hoffman AM, Mazan MR, Ellenberg S. Association between bronchoalveolar lavage cytologic features and airway reactivity in horses with a history of exercise intolerance.. Am J Vet Res 1998;59:176‐181.
  35. Leclere M, Desnoyers M, Beauchamp G, Lavoie JP. Comparison of four staining methods for detection of mast cells in equine bronchoalveolar lavage fluid.. J Vet Intern Med 2006;20:377‐381.

Citations

This article has been cited 0 times.