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Veterinary surgery : VS2014; 43(3); 255-265; doi: 10.1111/j.1532-950X.2014.12100.x

Clinical outcome after intra-articular administration of bone marrow derived mesenchymal stem cells in 33 horses with stifle injury.

Abstract: To report outcome of horses with femorotibial lesions (meniscal, cartilage or ligamentous) treated with surgery and intra-articular administration of autologous bone marrow derived mesenchymal stem cells (BMSCs). Methods: Prospective case series. Methods: Horses (n = 33). Methods: Inclusion criteria included horses that had lameness localized to the stifle by diagnostic anesthesia, exploratory stifle arthroscopy and subsequent intra-articular administration of autologous BMSCs. Case details and follow-up were gathered from medical records, owner, trainer or veterinarian. Outcome was defined as returned to previous level of work, returned to work, or failed to return to work. Results: Follow-up (mean, 24 months) was obtained; 43% of horses returned to previous level of work, 33% returned to work, and 24% failed to return to work. In horses with meniscal damage (n = 24) a higher percentage in the current study (75%) returned to some level of work compared to those in previous reports (60-63%) that were treated with arthroscopy alone, which resulted in a statistically significant difference between studies (P = .038). Joint flare post injection was reported in 3 horses (9.0%); however, no long-term effects were noted. Conclusions: Intra-articular administration of BMSC postoperatively for stifle lesions appeared to be safe, with morbidity being similar to that of other biologic agents. Improvement in ability to return to work may be realized with BMSC treatment compared to surgery alone in horses with stifle injury.
Publication Date: 2014-01-16 PubMed ID: 24433318DOI: 10.1111/j.1532-950X.2014.12100.xGoogle Scholar: Lookup
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  • Journal Article
  • Multicenter Study
  • 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.

This research focuses on the clinical outcomes of administering bone marrow derived mesenchymal stem cells (BMSCs) intra-articularly in horses with stifle joint injuries. The study indicates BMSC treatment, as an adjunct to surgery, may improve the chance of return to work for horses with such kind of injuries.

Objective and Methodology of the Study

  • The study aimed to analyze the effects of using autologous BMSCs, derived from the horses own bone marrow, for treating intra-articular stifle injuries involving meniscus, cartilage, or ligaments.
  • A total of 33 horses, diagnosed with lameness localized to the stifle and were treated with BMSCs postoperatively, were roped in for this prospective case series study.
  • Detailed case information and follow-up data were collected from various sources including medical records, owner, trainer or veterinarian.
  • The success of treatment was measured based on whether the horses returned to previous level of work, returned to work at some level, or failed to return to work.

Results of the Study

  • After an average follow-up period of 24 months, it was found that 43% of the horses returned to their previous level of work, 33% returned to some level of work, while 24% failed to return to work.
  • In the subset of horses with meniscal damage (n = 24), 75% returned to some level of work post-treatment. This outcome was significantly better compared to results from previous reports, which showed a success rate of 60-63% for cases treated with arthroscopy alone.
  • Post injection joint flare was reported in 3 horses (9%), however, there were no observed long-term effects.

Conclusion of the Study

  • The intra-articular administration of BMSCs postoperatively for treating stifle injuries was deemed safe, with the level of morbidity similar to that of other biologic agents.”
  • The researchers concluded that the addition of BMSC treatment could potentially enhance the capacity to return to work for horses with injuries in the stifle joint, in comparison to those undergoing surgical treatment alone.

Cite This Article

APA
Ferris DJ, Frisbie DD, Kisiday JD, McIlwraith CW, Hague BA, Major MD, Schneider RK, Zubrod CJ, Kawcak CE, Goodrich LR. (2014). Clinical outcome after intra-articular administration of bone marrow derived mesenchymal stem cells in 33 horses with stifle injury. Vet Surg, 43(3), 255-265. https://doi.org/10.1111/j.1532-950X.2014.12100.x

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 43
Issue: 3
Pages: 255-265

Researcher Affiliations

Ferris, Dora J
  • Equine Orthopaedic Research Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado.
Frisbie, David D
    Kisiday, John D
      McIlwraith, C Wayne
        Hague, Brent A
          Major, Michael D
            Schneider, Robert K
              Zubrod, Chad J
                Kawcak, Christopher E
                  Goodrich, Laurie R

                    MeSH Terms

                    • Animals
                    • Arthroscopy / veterinary
                    • Bone Marrow Cells / physiology
                    • Female
                    • Follow-Up Studies
                    • Horses / injuries
                    • Lameness, Animal / physiopathology
                    • Lameness, Animal / therapy
                    • Male
                    • Mesenchymal Stem Cell Transplantation / veterinary
                    • Mesenchymal Stem Cells / physiology
                    • Postoperative Care / methods
                    • Postoperative Care / standards
                    • Postoperative Care / veterinary
                    • Prospective Studies
                    • Stifle / injuries
                    • Treatment Outcome

                    Citations

                    This article has been cited 58 times.
                    1. O'Brien TJ, Hollinshead F, Goodrich LR. Extracellular vesicles in the treatment and prevention of osteoarthritis: can horses help us translate this therapy to humans?. Extracell Vesicles Circ Nucl Acids 2023 Jun;4(2):151-169.
                      doi: 10.20517/evcna.2023.11pubmed: 37829144google scholar: lookup
                    2. Jammes M, Cassé F, Velot E, Bianchi A, Audigié F, Contentin R, Galéra P. Pro-Inflammatory Cytokine Priming and Purification Method Modulate the Impact of Exosomes Derived from Equine Bone Marrow Mesenchymal Stromal Cells on Equine Articular Chondrocytes.. Int J Mol Sci 2023 Sep 16;24(18).
                      doi: 10.3390/ijms241814169pubmed: 37762473google scholar: lookup
                    3. Li H, Xiong S, Masieri FF, Monika S, Lethaus B, Savkovic V. Mesenchymal Stem Cells Isolated from Equine Hair Follicles Using a Method of Air-Liquid Interface.. Stem Cell Rev Rep 2023 Nov;19(8):2943-2956.
                      doi: 10.1007/s12015-023-10619-wpubmed: 37733199google scholar: lookup
                    4. Mayet A, Zablotski Y, Roth SP, Brehm W, Troillet A. Systematic review and meta-analysis of positive long-term effects after intra-articular administration of orthobiologic therapeutics in horses with naturally occurring osteoarthritis.. Front Vet Sci 2023;10:1125695.
                      doi: 10.3389/fvets.2023.1125695pubmed: 36908512google scholar: lookup
                    5. Pezzanite LM, Chow L, Griffenhagen GM, Bass L, Goodrich LR, Impastato R, Dow S. Distinct differences in immunological properties of equine orthobiologics revealed by functional and transcriptomic analysis using an activated macrophage readout system.. Front Vet Sci 2023;10:1109473.
                      doi: 10.3389/fvets.2023.1109473pubmed: 36876001google scholar: lookup
                    6. Jammes M, Contentin R, Cassé F, Galéra P. Equine osteoarthritis: Strategies to enhance mesenchymal stromal cell-based acellular therapies.. Front Vet Sci 2023;10:1115774.
                      doi: 10.3389/fvets.2023.1115774pubmed: 36846261google scholar: lookup
                    7. El-Husseiny HM, Mady EA, Helal MAY, Tanaka R. The Pivotal Role of Stem Cells in Veterinary Regenerative Medicine and Tissue Engineering.. Vet Sci 2022 Nov 21;9(11).
                      doi: 10.3390/vetsci9110648pubmed: 36423096google scholar: lookup
                    8. Kearney CM, Khatab S, van Buul GM, Plomp SGM, Korthagen NM, Labberté MC, Goodrich LR, Kisiday JD, Van Weeren PR, van Osch GJVM, Brama PAJ. Treatment Effects of Intra-Articular Allogenic Mesenchymal Stem Cell Secretome in an Equine Model of Joint Inflammation.. Front Vet Sci 2022;9:907616.
                      doi: 10.3389/fvets.2022.907616pubmed: 35812845google scholar: lookup
                    9. Voga M, Majdic G. Articular Cartilage Regeneration in Veterinary Medicine.. Adv Exp Med Biol 2022;1401:23-55.
                      doi: 10.1007/5584_2022_717pubmed: 35733035google scholar: lookup
                    10. Soukup R, Gerner I, Gültekin S, Baik H, Oesterreicher J, Grillari J, Jenner F. Characterisation of Extracellular Vesicles from Equine Mesenchymal Stem Cells.. Int J Mol Sci 2022 May 23;23(10).
                      doi: 10.3390/ijms23105858pubmed: 35628667google scholar: lookup
                    11. Hagen A, Holland H, Brandt VP, Doll CU, Häußler TC, Melzer M, Moellerberndt J, Lehmann H, Burk J. Platelet Lysate for Mesenchymal Stromal Cell Culture in the Canine and Equine Species: Analogous but Not the Same.. Animals (Basel) 2022 Jan 13;12(2).
                      doi: 10.3390/ani12020189pubmed: 35049811google scholar: lookup
                    12. Avellar HK, Lutter JD, Ganta CK, Beard W, Smith JR, Jonnalagadda N, Peloquin S, Kang Q, Ayub K. In vitro antimicrobial activity of equine platelet lysate and mesenchymal stromal cells against common clinical pathogens.. Can J Vet Res 2022 Jan;86(1):59-64.
                      pubmed: 34975224
                    13. Hafeez MN, d'Avanzo N, Russo V, Di Marzio L, Cilurzo F, Paolino D, Fresta M, Barboni B, Santos HA, Celia C. Tendon Tissue Repair in Prospective of Drug Delivery, Regenerative Medicines, and Innovative Bioscaffolds.. Stem Cells Int 2021;2021:1488829.
                      doi: 10.1155/2021/1488829pubmed: 34824586google scholar: lookup
                    14. Rowland AL, Burns ME, Levine GJ, Watts AE. Preparation Technique Affects Recipient Immune Targeting of Autologous Mesenchymal Stem Cells.. Front Vet Sci 2021;8:724041.
                      doi: 10.3389/fvets.2021.724041pubmed: 34595230google scholar: lookup
                    15. Rhim HC, Jeon OH, Han SB, Bae JH, Suh DW, Jang KM. Mesenchymal stem cells for enhancing biological healing after meniscal injuries.. World J Stem Cells 2021 Aug 26;13(8):1005-1029.
                      doi: 10.4252/wjsc.v13.i8.1005pubmed: 34567422google scholar: lookup
                    16. Zayed M, Adair S, Dhar M. Effects of Normal Synovial Fluid and Interferon Gamma on Chondrogenic Capability and Immunomodulatory Potential Respectively on Equine Mesenchymal Stem Cells.. Int J Mol Sci 2021 Jun 15;22(12).
                      doi: 10.3390/ijms22126391pubmed: 34203758google scholar: lookup
                    17. Pezzanite L, Chow L, Griffenhagen G, Dow S, Goodrich L. Impact of Three Different Serum Sources on Functional Properties of Equine Mesenchymal Stromal Cells.. Front Vet Sci 2021;8:634064.
                      doi: 10.3389/fvets.2021.634064pubmed: 33996964google scholar: lookup
                    18. Bertoni L, Jacquet-Guibon S, Branly T, Desancé M, Legendre F, Melin M, Rivory P, Hartmann DJ, Schmutz A, Denoix JM, Demoor M, Audigié F, Galéra P. Evaluation of Allogeneic Bone-Marrow-Derived and Umbilical Cord Blood-Derived Mesenchymal Stem Cells to Prevent the Development of Osteoarthritis in An Equine Model.. Int J Mol Sci 2021 Mar 2;22(5).
                      doi: 10.3390/ijms22052499pubmed: 33801461google scholar: lookup
                    19. Hagen A, Lehmann H, Aurich S, Bauer N, Melzer M, Moellerberndt J, Patané V, Schnabel CL, Burk J. Scalable Production of Equine Platelet Lysate for Multipotent Mesenchymal Stromal Cell Culture.. Front Bioeng Biotechnol 2020;8:613621.
                      doi: 10.3389/fbioe.2020.613621pubmed: 33553119google scholar: lookup
                    20. Kamm JL, Riley CB, Parlane N, Gee EK, McIlwraith CW. Interactions Between Allogeneic Mesenchymal Stromal Cells and the Recipient Immune System: A Comparative Review With Relevance to Equine Outcomes.. Front Vet Sci 2020;7:617647.
                      doi: 10.3389/fvets.2020.617647pubmed: 33521090google scholar: lookup
                    21. Velloso Alvarez A, Boone LH, Braim AP, Taintor JS, Caldwell F, Wright JC, Wooldridge AA. A Survey of Clinical Usage of Non-steroidal Intra-Articular Therapeutics by Equine Practitioners.. Front Vet Sci 2020;7:579967.
                      doi: 10.3389/fvets.2020.579967pubmed: 33195592google scholar: lookup
                    22. Winkler PW, Rothrauff BB, Buerba RA, Shah N, Zaffagnini S, Alexander P, Musahl V. Meniscal substitution, a developing and long-awaited demand.. J Exp Orthop 2020 Jul 25;7(1):55.
                      doi: 10.1186/s40634-020-00270-6pubmed: 32712722google scholar: lookup
                    23. Voga M, Adamic N, Vengust M, Majdic G. Stem Cells in Veterinary Medicine-Current State and Treatment Options.. Front Vet Sci 2020;7:278.
                      doi: 10.3389/fvets.2020.00278pubmed: 32656249google scholar: lookup
                    24. Mocchi M, Dotti S, Bue MD, Villa R, Bari E, Perteghella S, Torre ML, Grolli S. Veterinary Regenerative Medicine for Musculoskeletal Disorders: Can Mesenchymal Stem/Stromal Cells and Their Secretome Be the New Frontier?. Cells 2020 Jun 11;9(6).
                      doi: 10.3390/cells9061453pubmed: 32545382google scholar: lookup
                    25. Bundgaard L, Stensballe A, Elbæk KJ, Berg LC. Mass spectrometric analysis of the in vitro secretome from equine bone marrow-derived mesenchymal stromal cells to assess the effect of chondrogenic differentiation on response to interleukin-1β treatment.. Stem Cell Res Ther 2020 May 20;11(1):187.
                      doi: 10.1186/s13287-020-01706-7pubmed: 32434555google scholar: lookup
                    26. Jacob G, Shimomura K, Krych AJ, Nakamura N. The Meniscus Tear: A Review of Stem Cell Therapies.. Cells 2019 Dec 30;9(1).
                      doi: 10.3390/cells9010092pubmed: 31905968google scholar: lookup
                    27. Colbath AC, Dow SW, Hopkins LS, Phillips JN, McIlwraith CW, Goodrich LR. Single and repeated intra-articular injections in the tarsocrural joint with allogeneic and autologous equine bone marrow-derived mesenchymal stem cells are safe, but did not reduce acute inflammation in an experimental interleukin-1β model of synovitis.. Equine Vet J 2020 Jul;52(4):601-612.
                      doi: 10.1111/evj.13222pubmed: 31821594google scholar: lookup
                    28. Twomey-Kozak J, Jayasuriya CT. Meniscus Repair and Regeneration: A Systematic Review from a Basic and Translational Science Perspective.. Clin Sports Med 2020 Jan;39(1):125-163.
                      doi: 10.1016/j.csm.2019.08.003pubmed: 31767102google scholar: lookup
                    29. Kamm JL, Parlane NA, Riley CB, Gee EK, Dittmer KE, McIlwraith CW. Blood type and breed-associated differences in cell marker expression on equine bone marrow-derived mesenchymal stem cells including major histocompatibility complex class II antigen expression.. PLoS One 2019;14(11):e0225161.
                      doi: 10.1371/journal.pone.0225161pubmed: 31747418google scholar: lookup
                    30. Abdelrazik H, Giordano E, Barbanti Brodano G, Griffoni C, De Falco E, Pelagalli A. Substantial Overview on Mesenchymal Stem Cell Biological and Physical Properties as an Opportunity in Translational Medicine.. Int J Mol Sci 2019 Oct 29;20(21).
                      doi: 10.3390/ijms20215386pubmed: 31671788google scholar: lookup
                    31. Magri C, Schramme M, Febre M, Cauvin E, Labadie F, Saulnier N, François I, Lechartier A, Aebischer D, Moncelet AS, Maddens S. Comparison of efficacy and safety of single versus repeated intra-articular injection of allogeneic neonatal mesenchymal stem cells for treatment of osteoarthritis of the metacarpophalangeal/metatarsophalangeal joint in horses: A clinical pilot study.. PLoS One 2019;14(8):e0221317.
                      doi: 10.1371/journal.pone.0221317pubmed: 31465445google scholar: lookup
                    32. Gugjoo MB, Fazili MR, Gayas MA, Ahmad RA, Dhama K. Animal mesenchymal stem cell research in cartilage regenerative medicine - a review.. Vet Q 2019 Dec;39(1):95-120.
                      doi: 10.1080/01652176.2019.1643051pubmed: 31291836google scholar: lookup
                    33. Bertoni L, Branly T, Jacquet S, Desancé M, Desquilbet L, Rivory P, Hartmann DJ, Denoix JM, Audigié F, Galéra P, Demoor M. Intra-Articular Injection of 2 Different Dosages of Autologous and Allogeneic Bone Marrow- and Umbilical Cord-Derived Mesenchymal Stem Cells Triggers a Variable Inflammatory Response of the Fetlock Joint on 12 Sound Experimental Horses.. Stem Cells Int 2019;2019:9431894.
                      doi: 10.1155/2019/9431894pubmed: 31191689google scholar: lookup
                    34. Capomaccio S, Cappelli K, Bazzucchi C, Coletti M, Gialletti R, Moriconi F, Passamonti F, Pepe M, Petrini S, Mecocci S, Silvestrelli M, Pascucci L. Equine Adipose-Derived Mesenchymal Stromal Cells Release Extracellular Vesicles Enclosing Different Subsets of Small RNAs.. Stem Cells Int 2019;2019:4957806.
                      doi: 10.1155/2019/4957806pubmed: 31011332google scholar: lookup
                    35. Cabon Q, Febre M, Gomez N, Cachon T, Pillard P, Carozzo C, Saulnier N, Robert C, Livet V, Rakic R, Plantier N, Saas P, Maddens S, Viguier E. Long-Term Safety and Efficacy of Single or Repeated Intra-Articular Injection of Allogeneic Neonatal Mesenchymal Stromal Cells for Managing Pain and Lameness in Moderate to Severe Canine Osteoarthritis Without Anti-inflammatory Pharmacological Support: Pilot Clinical Study.. Front Vet Sci 2019;6:10.
                      doi: 10.3389/fvets.2019.00010pubmed: 30805348google scholar: lookup
                    36. Broeckx SY, Seys B, Suls M, Vandenberghe A, Mariën T, Adriaensen E, Declercq J, Van Hecke L, Braun G, Hellmann K, Spaas JH. Equine Allogeneic Chondrogenic Induced Mesenchymal Stem Cells Are an Effective Treatment for Degenerative Joint Disease in Horses.. Stem Cells Dev 2019 Mar 15;28(6):410-422.
                      doi: 10.1089/scd.2018.0061pubmed: 30623737google scholar: lookup
                    37. Grady ST, Britton L, Hinrichs K, Nixon AJ, Watts AE. Persistence of fluorescent nanoparticle-labelled bone marrow mesenchymal stem cells in vitro and after intra-articular injection.. J Tissue Eng Regen Med 2019 Feb;13(2):191-202.
                      doi: 10.1002/term.2781pubmed: 30536848google scholar: lookup
                    38. Bundgaard L, Stensballe A, Elbæk KJ, Berg LC. Mapping of equine mesenchymal stromal cell surface proteomes for identification of specific markers using proteomics and gene expression analysis: an in vitro cross-sectional study.. Stem Cell Res Ther 2018 Oct 25;9(1):288.
                      doi: 10.1186/s13287-018-1041-8pubmed: 30359315google scholar: lookup
                    39. Piuzzi NS, Dominici M, Long M, Pascual-Garrido C, Rodeo S, Huard J, Guicheux J, McFarland R, Goodrich LR, Maddens S, Robey PG, Bauer TW, Barrett J, Barry F, Karli D, Chu CR, Weiss DJ, Martin I, Jorgensen C, Muschler GF. Proceedings of the signature series symposium "cellular therapies for orthopaedics and musculoskeletal disease proven and unproven therapies-promise, facts and fantasy," international society for cellular therapies, montreal, canada, may 2, 2018.. Cytotherapy 2018 Nov;20(11):1381-1400.
                      doi: 10.1016/j.jcyt.2018.09.001pubmed: 30316562google scholar: lookup
                    40. Barrachina L, Remacha AR, Romero A, Vitoria A, Albareda J, Prades M, Roca M, Zaragoza P, Vázquez FJ, Rodellar C. Assessment of effectiveness and safety of repeat administration of proinflammatory primed allogeneic mesenchymal stem cells in an equine model of chemically induced osteoarthritis.. BMC Vet Res 2018 Aug 17;14(1):241.
                      doi: 10.1186/s12917-018-1556-3pubmed: 30119668google scholar: lookup
                    41. Rink BE, Beyer T, French HM, Watson E, Aurich C, Donadeu FX. The Fate of Autologous Endometrial Mesenchymal Stromal Cells After Application in the Healthy Equine Uterus.. Stem Cells Dev 2018 Aug 1;27(15):1046-1052.
                      doi: 10.1089/scd.2018.0056pubmed: 29790424google scholar: lookup
                    42. Bogers SH. Cell-Based Therapies for Joint Disease in Veterinary Medicine: What We Have Learned and What We Need to Know.. Front Vet Sci 2018;5:70.
                      doi: 10.3389/fvets.2018.00070pubmed: 29713634google scholar: lookup
                    43. Chew E, Prakash R, Khan W. Mesenchymal stem cells in human meniscal regeneration: A systematic review.. Ann Med Surg (Lond) 2017 Dec;24:3-7.
                      doi: 10.1016/j.amsu.2017.09.018pubmed: 29062478google scholar: lookup
                    44. Li JR, Qu TT. Into the eyes of bone marrow-derived mesenchymal stem cells therapy for myocardial infarction and other diseases.. Stem Cell Investig 2017;4:69.
                      doi: 10.21037/sci.2017.08.01pubmed: 28920062google scholar: lookup
                    45. Sherman AB, Gilger BC, Berglund AK, Schnabel LV. Effect of bone marrow-derived mesenchymal stem cells and stem cell supernatant on equine corneal wound healing in vitro.. Stem Cell Res Ther 2017 May 25;8(1):120.
                      doi: 10.1186/s13287-017-0577-3pubmed: 28545510google scholar: lookup
                    46. Bertone AL, Reisbig NA, Kilborne AH, Kaido M, Salmanzadeh N, Lovasz R, Sizemore JL, Scheuermann L, Kopp RJ, Zekas LJ, Brokken MT. Equine Dental Pulp Connective Tissue Particles Reduced Lameness in Horses in a Controlled Clinical Trial.. Front Vet Sci 2017;4:31.
                      doi: 10.3389/fvets.2017.00031pubmed: 28344975google scholar: lookup
                    47. Lang HM, Schnabel LV, Cassano JM, Fortier LA. Effect of needle diameter on the viability of equine bone marrow derived mesenchymal stem cells.. Vet Surg 2017 Jul;46(5):731-737.
                      doi: 10.1111/vsu.12639pubmed: 28328147google scholar: lookup
                    48. Korpershoek JV, de Windt TS, Hagmeijer MH, Vonk LA, Saris DB. Cell-Based Meniscus Repair and Regeneration: At the Brink of Clinical Translation?: A Systematic Review of Preclinical Studies.. Orthop J Sports Med 2017 Feb;5(2):2325967117690131.
                      doi: 10.1177/2325967117690131pubmed: 28321424google scholar: lookup
                    49. Joswig AJ, Mitchell A, Cummings KJ, Levine GJ, Gregory CA, Smith R 3rd, Watts AE. Repeated intra-articular injection of allogeneic mesenchymal stem cells causes an adverse response compared to autologous cells in the equine model.. Stem Cell Res Ther 2017 Feb 28;8(1):42.
                      doi: 10.1186/s13287-017-0503-8pubmed: 28241885google scholar: lookup
                    50. Berglund AK, Schnabel LV. Allogeneic major histocompatibility complex-mismatched equine bone marrow-derived mesenchymal stem cells are targeted for death by cytotoxic anti-major histocompatibility complex antibodies.. Equine Vet J 2017 Jul;49(4):539-544.
                      doi: 10.1111/evj.12647pubmed: 27862236google scholar: lookup
                    51. Maumus M, Roussignol G, Toupet K, Penarier G, Bentz I, Teixeira S, Oustric D, Jung M, Lepage O, Steinberg R, Jorgensen C, Noel D. Utility of a Mouse Model of Osteoarthritis to Demonstrate Cartilage Protection by IFNγ-Primed Equine Mesenchymal Stem Cells.. Front Immunol 2016;7:392.
                      doi: 10.3389/fimmu.2016.00392pubmed: 27729913google scholar: lookup
                    52. Williams LB, Co C, Koenig JB, Tse C, Lindsay E, Koch TG. Response to Intravenous Allogeneic Equine Cord Blood-Derived Mesenchymal Stromal Cells Administered from Chilled or Frozen State in Serum and Protein-Free Media.. Front Vet Sci 2016;3:56.
                      doi: 10.3389/fvets.2016.00056pubmed: 27500136google scholar: lookup
                    53. Barrachina L, Remacha AR, Romero A, Vázquez FJ, Albareda J, Prades M, Ranera B, Zaragoza P, Martín-Burriel I, Rodellar C. Inflammation affects the viability and plasticity of equine mesenchymal stem cells: possible implications in intra-articular treatments.. J Vet Sci 2017 Mar 30;18(1):39-49.
                      doi: 10.4142/jvs.2017.18.1.39pubmed: 27297420google scholar: lookup
                    54. Espina M, Jülke H, Brehm W, Ribitsch I, Winter K, Delling U. Evaluation of transport conditions for autologous bone marrow-derived mesenchymal stromal cells for therapeutic application in horses.. PeerJ 2016;4:e1773.
                      doi: 10.7717/peerj.1773pubmed: 27019778google scholar: lookup
                    55. Williams LB, Russell KA, Koenig JB, Koch TG. Aspiration, but not injection, decreases cultured equine mesenchymal stromal cell viability.. BMC Vet Res 2016 Mar 7;12:45.
                      doi: 10.1186/s12917-016-0671-2pubmed: 26952099google scholar: lookup
                    56. Kiefer KM, O'Brien TD, Pluhar EG, Conzemius M. Canine adipose-derived stromal cell viability following exposure to synovial fluid from osteoarthritic joints.. Vet Rec Open 2015;2(1):e000063.
                      doi: 10.1136/vetreco-2014-000063pubmed: 26392889google scholar: lookup
                    57. Yu H, Adesida AB, Jomha NM. Meniscus repair using mesenchymal stem cells - a comprehensive review.. Stem Cell Res Ther 2015 Apr 30;6(1):86.
                      doi: 10.1186/s13287-015-0077-2pubmed: 25925426google scholar: lookup
                    58. Schnabel LV, Pezzanite LM, Antczak DF, Felippe MJ, Fortier LA. Equine bone marrow-derived mesenchymal stromal cells are heterogeneous in MHC class II expression and capable of inciting an immune response in vitro.. Stem Cell Res Ther 2014 Jan 24;5(1):13.
                      doi: 10.1186/scrt402pubmed: 24461709google scholar: lookup