Analyze Diet
Animals : an open access journal from MDPI2025; 15(23); 3392; doi: 10.3390/ani15233392

Degenerative Changes in MCP/MTP Joints of Working Horses Without Lameness: Integrating CT-Based Assessment and Synovial Fluid Biomarkers.

Abstract: Working horses often develop distinct patterns of joint degeneration, yet research in this population remains limited. This study aimed to characterize degenerative changes in the metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints of Serbian Mountain Horses using computed tomography (CT) and to explore their associations with synovial fluid (SF) biomarkers. A cross-sectional analysis was conducted on 32 MCP/MTP joints from eight clinically sound horses. Postmortem, joints underwent CT imaging, and SF samples were analyzed for viscosity, protein content, total nucleated cell count (TNCC), and oxidative stress biomarkers, along with matrix metalloproteinase (MMP) activity. Subchondral sclerosis was present in all joints, occurring more frequently in horses aged less than nine years. Osteophytosis was observed in two-thirds of joints, and its severity correlated significantly with body weight. Both changes were localized on the medial and lateral condyles and were associated with elevated TNCC, while osteophytosis was linked to increased total oxidant status and oxidative stress index. Relatively low levels of β-hydroxybutyrate appear as a main interactive factor for both changes. No associations were found with MMP activity. These findings indicate that clinically sound working horses commonly exhibit early degenerative joint changes accompanied by mild increases in TNCC and oxidative stress biomarkers.
Publication Date: 2025-11-24 PubMed ID: 41375451PubMed Central: PMC12691147DOI: 10.3390/ani15233392Google 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.

Overview

  • This study investigated degenerative changes in the finger and toe joints (MCP and MTP joints) of working Serbian Mountain Horses that showed no signs of lameness.
  • It combined CT imaging and analysis of synovial fluid biomarkers to identify early joint degeneration and its biochemical associations.

Study Objectives

  • To characterize degenerative changes in the MCP and MTP joints of clinically sound working horses using computed tomography (CT).
  • To explore the relationship between these joint changes and synovial fluid (SF) biomarkers, such as protein content, cell counts, oxidative stress indicators, and matrix metalloproteinase (MMP) activity.

Subjects and Methodology

  • Sample: 32 MCP/MTP joints collected postmortem from eight Serbian Mountain Horses without clinical lameness.
  • Imaging: Utilized high-resolution CT scans to detect degenerative joint changes such as subchondral sclerosis and osteophytosis.
  • Synovial Fluid Analysis: Measured various biomarkers in the joint fluid, including:
    • Viscosity
    • Protein content
    • Total nucleated cell count (TNCC) – indicator of inflammation
    • Oxidative stress biomarkers: total oxidant status, oxidative stress index
    • Matrix metalloproteinase (MMP) activity – enzymes involved in cartilage matrix degradation
    • β-hydroxybutyrate levels – involved in energy metabolism and possibly influencing joint health

Key Findings on Joint Degeneration

  • Subchondral sclerosis: Increased bone density below the joint surface was seen in all examined joints.
  • This sclerosis was more frequent in horses younger than nine years old, suggesting early onset changes.
  • Osteophytosis: Bone spur formation was found in approximately two-thirds of joints.
  • The severity of osteophytosis correlated positively with the horse’s body weight, indicating heavier horses may experience more severe joint changes.
  • Both types of lesions appeared on the medial and lateral condyles of the joints, important weight-bearing regions.

Associations with Synovial Fluid Biomarkers

  • Joints showing subchondral sclerosis and osteophytosis exhibited elevated total nucleated cell count (TNCC), reflecting mild joint inflammation despite the absence of lameness.
  • Osteophytosis presence correlated with higher total oxidant status and oxidative stress index, indicating increased oxidative stress within affected joints.
  • Relatively low levels of β-hydroxybutyrate were identified as an important interactive factor associated with both sclerosis and osteophytosis, hinting at potential metabolic influences on joint health.
  • No significant relationship was found between matrix metalloproteinase (MMP) activity and degenerative joint changes, suggesting MMPs may not be active in early-stage joint degeneration in these horses.

Implications and Conclusions

  • Clinically sound working horses can have early degenerative joint changes that may be detectable only through advanced imaging techniques like CT.
  • These joint changes are accompanied by mild increases in markers of inflammation (TNCC) and oxidative stress, which could represent early biochemical signs preceding clinical lameness.
  • The findings emphasize the importance of routine monitoring and potentially developing preventive strategies to manage joint health in working horses before overt clinical signs appear.
  • Future research may explore the role of metabolic factors and oxidative stress in joint degeneration, as well as confirm whether these early changes predict the development of lameness or other clinical joint disorders.

Cite This Article

APA
Marković L, Vićić I, Lazarević Macanović M, Francuski Andrić J, Kovačević Filipović M, Radaković M. (2025). Degenerative Changes in MCP/MTP Joints of Working Horses Without Lameness: Integrating CT-Based Assessment and Synovial Fluid Biomarkers. Animals (Basel), 15(23), 3392. https://doi.org/10.3390/ani15233392

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 15
Issue: 23
PII: 3392

Researcher Affiliations

Marković, Lazar
  • Department of Equine, Small Animal, Poultry and Wild Animal Diseases, Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobođenja 18, 11000 Belgrade, Serbia.
Vićić, Ivan
  • Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobođenja 18, 11000 Belgrade, Serbia.
Lazarević Macanović, Mirjana
  • Department of Radiology and Radiation Hygiene, Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobođenja 18, 11000 Belgrade, Serbia.
Francuski Andrić, Jelena
  • Department of Pathophysiology, Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobođenja 18, 11000 Belgrade, Serbia.
Kovačević Filipović, Milica
  • Department of Pathophysiology, Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobođenja 18, 11000 Belgrade, Serbia.
Radaković, Milena
  • Department of Pathophysiology, Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobođenja 18, 11000 Belgrade, Serbia.

Grant Funding

  • Contract number: 451-03-136/2025-03/200143 / Ministry of Science, Technological Development and Innovation of the Republic of Serbia

Conflict of Interest Statement

The authors declare no conflicts of interest.

References

This article includes 40 references
  1. Bertoni L, Jacquet-Guibon S, Branly T, Legendre F, Desancé M, Mespoulhes C, Melin M, Hartmann DJ, Schmutz A, Denoix JM. An experimentally induced osteoarthritis model in horses performed on both metacarpophalangeal and metatarsophalangeal joints: Technical, clinical, imaging, biochemical, macroscopic and microscopic characterization.. PLoS ONE 2020;15:235–251.
  2. Stewart HL, Kawcak CE. The importance of subchondral bone in the pathophysiology of osteoarthritis.. Front. Vet. Sci. 2018;5:178.
    doi: 10.3389/fvets.2018.00178pmc: PMC6122109pubmed: 30211173google scholar: lookup
  3. McCoy AM, Scolman KN. Impact of periarticular osteophytes of the distal tarsus diagnosed in nonlame yearling Standardbred horses on racing performance.. Vet. Surg. 2023;52:1050–1056.
    doi: 10.1111/vsu.13987pmc: PMC10848655pubmed: 37395547google scholar: lookup
  4. van der Kraan PM, van den Berg WB. Osteophytes: Relevance and biology.. Osteoarthr. Cartil. 2007;15:237–244.
    doi: 10.1016/j.joca.2006.11.006pubmed: 17204437google scholar: lookup
  5. Baccarin RYA, Seidel SRT, Michelacci YM, Tokawa PKA, Oliveira TM. Osteoarthritis: A common disease that should be avoided in the athletic horse’s life.. Anim. Front. 2022;12:25–36.
    doi: 10.1093/af/vfac026pmc: PMC9197312pubmed: 35711506google scholar: lookup
  6. Villasante A, Araneda OF, Behn C, Galleguillos M, Adarmes H. Antioxidant capacity and oxidative damage determination in synovial fluid of chronically damaged equine metacarpophalangeal joint.. Vet. Res. Commun. 2010;34:133–141.
    doi: 10.1007/s11259-009-9338-9pubmed: 20012721google scholar: lookup
  7. Tsuzuki N, Kanbayashi Y, Kusano K. Markers for oxidative stress in the synovial fluid of Thoroughbred horses with a carpal bone fracture.. J. Equine Sci. 2019;30:13–16.
    doi: 10.1294/jes.30.13pmc: PMC6445753pubmed: 30944542google scholar: lookup
  8. Lepetsos P, Papavassiliou AG. ROS/oxidative stress signaling in osteoarthritis.. Biochim. Biophys. Acta Mol. Basis Dis. 2016;1862:576–591.
    doi: 10.1016/j.bbadis.2016.01.003pubmed: 26769361google scholar: lookup
  9. Liang HPH, Xu J, Xue M, Jackson CJ. Matrix metalloproteinases in bone development and pathology.. Met. Med. 2016;3:93–102.
    doi: 10.2147/mnm.s92187google scholar: lookup
  10. Zrim P, Ek V, Mrkun J, Kosec M. Diagnostic value of MMP-2 and MMP-9 in equine DIP joint OA.. Acta Vet. Brno. 2007;76:87–95.
  11. Fietz S, Einspanier R, Hoppner S, Hertsch B, Bondzio A. Determination of MMP-2 and -9 activities in synovial fluid of horses with osteoarthritic and arthritic joint diseases using gelatin zymography and immunocapture activity assays.. Equine Vet. J. 2008;40:266–271.
    doi: 10.2746/042516408X251921pubmed: 18089467google scholar: lookup
  12. Buckwalter JA, Felson DT. Post-Traumatic Arthritis: Pathogenesis, Diagnosis and Management.. .
  13. Singh A, Pal Y, Kumar R, Kumar S, Rani K, Prasad J. Working equids: Their conditions, invisible earning and challenges—A review.. Asian J. Agric. Ext. Econ. Sociol. 2021;39:357–364.
  14. Trailović R, Ivanov S, Dimitrijević V, Trailović D. Eksterijerne Karakteristike i Zdravstveno Stanje Domaćeg Magarca u Parku Prirode Stara Planina.. Drugi Međunarodni Sajam Konjarstva “Horseville” 2011; pp. 180–186.
  15. Stashak TS. Adams’ Lameness in Horses.. 2002; pp. 113–183.
  16. Olive J, D’Anjou M-A, Girard C, Laverty S, Theoret C. Fat-suppressed spoiled gradient-recalled imaging of equine metacarpophalangeal articular cartilage.. Vet. Radiol. Ultrasound 2010;51:107–115.
  17. Olive J, D’Anjou M.A, Alexander K, Laverty S, Theoret C. Comparison of MRI, CT, and radiography for noncartilaginous changes in equine MCP OA.. Vet. Radiol. Ultrasound 2010;51:267–279.
  18. Steel CM. Equine synovial fluid analysis.. Vet. Clin. N. Am. Equine Pract. 2008;24:437–454.
    doi: 10.1016/j.cveq.2008.05.004pubmed: 18652964google scholar: lookup
  19. Erel O. A new automated colorimetric method for measuring total oxidant status.. Clin. Biochem. 2005;38:1103–1111.
  20. Erel O. A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation.. Clin. Biochem. 2004;37:277–285.
  21. Ellman GL. Tissue sulfhydryl groups.. Arch. Biochem. Biophys. 1959;82:70–77.
    doi: 10.1016/0003-9861(59)90090-6pubmed: 13650640google scholar: lookup
  22. Witko-Sarsat V, Friedlander M, Capeillère-Blandin C, Nguyen-Khoa T, Nguyen AT, Zingraff J, Jungers P, Descamps-Latscha B. Advanced oxidation protein products as a novel marker of oxidative stress in uremia.. Kidney Int. 1996;49:1304–1313.
    doi: 10.1038/ki.1996.186pubmed: 8731095google scholar: lookup
  23. Dantoine TF, Debord J, Charmes JP, Merle L, Marquet P, Lachatre G, Leroux-Robert C. Decrease of serum paraoxonase activity in chronic renal failure.. J. Am. Soc. Nephrol. 1998;9:2082–2088.
    doi: 10.1681/ASN.V9112082pubmed: 9808094google scholar: lookup
  24. Hussein HA, Bäumer J, Staufenbiel R. Validation of an automated assay for measurement of bovine plasma ceruloplasmin.. Acta Vet. Scand. 2019;61:34.
    doi: 10.1186/s13028-019-0470-4pmc: PMC6647283pubmed: 31331378google scholar: lookup
  25. Kovačić M, Marković D, Maslovarić I, Obrenović S, Grujić-Milanović J, Arsić A, Milanović Z, Savić O, Fratrić N, Ilić V. Serum proteins and lipids in mild form of calf bronchopneumonia: Candidates for reliable biomarkers.. Acta Vet.-Beogr. 2017;67:201–221.
    doi: 10.1515/acve-2017-0018google scholar: lookup
  26. Murray RC, Dyson SJ, Tranquille C, Adams V. Association of type of sport and performance level with anatomical site of orthopaedic injury diagnosis.. Equine Vet. J. 2006;38:411–416.
  27. McIlwraith CW, Frisbie DD, Kawcak CE. The horse as a model of naturally occurring osteoarthritis.. Bone Joint J. 2012;1:297–309.
  28. Kawcak CE, McIlwraith CW, Norrdin RW, Park RD, James SP. The role of subchondral bone in joint disease: A review.. Equine Vet. J. 2001;33:120–126.
  29. Smith S. Becoming horse in the duration of the moment: The trainer’s challenge.. Phenom Pract. 2011;5:7–26.
    doi: 10.29173/pandpr19833google scholar: lookup
  30. Frisbie DD, McIlwraith CW. Evaluation of gene therapy as a treatment for equine traumatic arthritis and osteoarthritis.. Clin. Orthop. Relat. Res. 2000;379:S273–S287.
  31. van Weeren P.R., de Grauw J.C. Pain in osteoarthritis. Vet. Clin. N. Am. Equine Pract. 2010;26:619–642. doi: 10.1016/j.cveq.2010.07.007.
    doi: 10.1016/j.cveq.2010.07.007pubmed: 21056303google scholar: lookup
  32. Marković L., Radaković M., Radovanović A., Francuski Andrić J., Đoković S., Milošević I., Kovačević Filipović M. Association of cartilage, synovial fluid and membrane pathological findings in Serbian mountain horses without signs of lameness. Acta Vet. Beogr. 2024;74:331–346. doi: 10.2478/acve-2024-0024.
    doi: 10.2478/acve-2024-0024google scholar: lookup
  33. Ziskoven C., Jäger M., Zilkens C., Bloch W., Brixius K., Krauspe R. Oxidative stress in secondary osteoarthritis: From cartilage destruction to clinical presentation? Orthop. Rev. 2010;2:e23. doi: 10.4081/or.2010.e23.
    doi: 10.4081/or.2010.e23pmc: PMC3143971pubmed: 21808712google scholar: lookup
  34. Koike M., Nojiri H., Ozawa Y., Watanabe K., Muramatsu Y., Kaneko H., Morikawa D., Kobayashi K., Saita Y., Sasho T., et al. Mechanical overloading causes mitochondrial superoxide and SOD2 imbalance in chondrocytes resulting in cartilage degeneration. Sci. Rep. 2015;5:11722. doi: 10.1038/srep11722.
    doi: 10.1038/srep11722pmc: PMC4480010pubmed: 26108578google scholar: lookup
  35. Awan U.N., Noor S.S., Siddiqui I.A., Nangrejo R. Correlation of radiographic and histopathological changes with IL-17 and advanced oxidation protein products in knee osteoarthritic individuals with metabolic syndrome. Innov. Surg. Sci. 2025 doi: 10.1515/iss-2024-0037.
    doi: 10.1515/iss-2024-0037google scholar: lookup
  36. Xia G., Wen Z., Zhang L., Huang J., Wang X., Liang C., Cui X., Cao X., Wu S. β-Hydroxybutyrate alleviates cartilage senescence through hnRNP A1-mediated up-regulation of PTEN. Exp. Gerontol. 2023;175:112140. doi: 10.1016/j.exger.2023.112140.
    doi: 10.1016/j.exger.2023.112140pubmed: 36921676google scholar: lookup
  37. Nesterova V.V., Babenkova P.I., Brezgunova A.A., Samoylova N.A., Sadovnikova I.S., Semenovich D.S., Andrianova N.V., Gureev A.P., Plotnikov E.Y. Differences in the effect of β-hydroxybutyrate on mitochondrial biogenesis, oxidative stress and inflammation markers in tissues from young and old rats. Biochemistry. 2024;89:1336–1348. doi: 10.1134/S0006297924070149.
    doi: 10.1134/S0006297924070149pubmed: 39218029google scholar: lookup
  38. Mora R., Binanti D., Mora N., Fantinato E., Ferrante V., Pedrotti L., Riccaboni P. Pathological findings and IHC evaluation of MMP-2 and TIMPs in equine fetlock DJD. Am. J. Clin. Exp. Med. 2015;3:172–177. doi: 10.11648/j.ajcem.20150304.18.
  39. Lerchbacher C.F., Ribitsch I., Kofler J., Fuchs-Baumgartinger A., Geyer H., Gehwolf R., Brehm W., Weinberger T. Evaluation of MMP-2 and -9 activity in SF of horses with OA. Vet. Comp. Orthop. Traumatol. 2018;31:354–362.
  40. Rai M.F., Sandell L.J., Cheverud J.M., Brophy R.H. Relationship of age and BMI to expression of obesity/OA-related genes in human meniscus. Int. J. Obes. 2013;37:1238–1246. doi: 10.1038/ijo.2012.221.
    doi: 10.1038/ijo.2012.221pmc: PMC3751987pubmed: 23318714google scholar: lookup

Citations

This article has been cited 0 times.