Analyze Diet
Equine veterinary journal2006; 38(4); 300-304; doi: 10.2746/042516406777749191

Effect of tracheal mucus and tracheal cytology on racing performance in Thoroughbred racehorses.

Abstract: Accumulations of mucus within the trachea are often found during endoscopic examinations of the airways of poorly performing racehorses, but the clinical importance of this finding is unknown. Objective: To determine the effect of tracheal mucus, pharyngeal lymphoid hyperplasia (PLH) and cytological indices of tracheal aspirate on racing performance in Thoroughbred horses assessed by race place and whether the horse was raced. Methods: Endoscopic examination of the nasopharynx, larynx and trachea was performed, and a tracheal aspirate obtained monthly at Thistledown racetrack from April to December, 2002 and 2003. Horses received a score of 0-4 for the degree of PLH and 0-4 for the amount of mucus visible in the trachea. The tracheal aspirate was assessed for turbidity, and total and differential cell counts. Generalised estimating equations models were used as repeated measures models for each risk factor and the level of association assessed through the risk factor's P value in the model. Results: Moderate to severe tracheal mucus (2-4) was a risk factor for poor racing performance. There was no association between degree of PLH, cell counts or turbidity of tracheal wash fluid and racing performance. However, horses that raced had higher total neutrophil counts in tracheal wash aspirates than horses that did not race. Conclusions: Grades 2-4 tracheal mucus should be considered a potential cause of poor racing performance in Thoroughbred horses. Conclusions: Because moderate to severe tracheal mucus accumulation, and not increased tracheal neutrophils, was a risk factor for poor racing performance, functionally significant airway inflammation may best be confirmed by the presence of mucus rather than increased number of neutrophils in the trachea.
Publication Date: 2006-07-27 PubMed ID: 16866195DOI: 10.2746/042516406777749191Google 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
  • 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 studies the connection between tracheal mucus and the racing performance of Thoroughbred horses. It illustrates that moderate to severe tracheal mucus accumulation can affect the racehorses’ performance negatively.

Objective and Methodology

The objective of the study was to ascertain the impact of tracheal mucus, pharyngeal lymphoid hyperplasia, and cytological indices of tracheal aspirate on the racing performance of Thoroughbred horses. The indicators used to evaluate the performance were the racing position and whether the horse actually raced.

For the research, an endoscopic examination of the horse’s nasopharynx, larynx and trachea was performed, and monthly tracheal aspirates were collected at the Thistledown racetrack from April to December during 2002 and 2003. These horses were then rated based on a scale of 0-4 for the degree of pharyngeal lymphoid hyperplasia and volume of mucus in the trachea.

Findings

After analyzing the horses’ endoscopy results and their performance metrics, the researchers found a correlation between the accumulation of tracheal mucus and the racing performance of the horses. This basically means that the presence of a moderate to significant amount of mucus in the trachea (2-4 score), can cause the horse to underperform in the races.

However, the data did not draw a significant link between the horses’ racing performance and the degree of pharyngeal lymphoid hyperplasia, cell counts or turbidity of tracheal wash fluid. Further, it was noticed that the horses that raced had a higher total neutrophil count in the tracheal wash aspirates compared to the horses that did not race.

Conclusion

Based on the research findings, it can be concluded that Thoroughbred horses with grade 2-4 tracheal mucus are likely to have poor racing performance. It was also pointed out that the presence of mucus rather than increased number of neutrophils in the trachea is a better determinant of functionally notable airway inflammation. This indicates that the measure of mucus content could be one of the potential factors assessed for a horse’s health and racing prospective.

Cite This Article

APA
Holcombe SJ, Robinson NE, Derksen FJ, Bertold B, Genovese R, Miller R, de Feiter Rupp H, Carr EA, Eberhart SW, Boruta D, Kaneene JB. (2006). Effect of tracheal mucus and tracheal cytology on racing performance in Thoroughbred racehorses. Equine Vet J, 38(4), 300-304. https://doi.org/10.2746/042516406777749191

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 38
Issue: 4
Pages: 300-304

Researcher Affiliations

Holcombe, S J
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing 48824, USA.
Robinson, N E
    Derksen, F J
      Bertold, B
        Genovese, R
          Miller, R
            de Feiter Rupp, H
              Carr, E A
                Eberhart, S W
                  Boruta, D
                    Kaneene, J B

                      MeSH Terms

                      • Age Factors
                      • Analysis of Variance
                      • Animals
                      • Cough / pathology
                      • Cough / veterinary
                      • Endoscopy / methods
                      • Endoscopy / veterinary
                      • Female
                      • Horse Diseases / physiopathology
                      • Horses
                      • Hyperplasia / pathology
                      • Hyperplasia / veterinary
                      • Lymphoid Tissue / pathology
                      • Male
                      • Mucus / metabolism
                      • Neutrophils
                      • Physical Conditioning, Animal / physiology
                      • Respiratory Tract Diseases / pathology
                      • Respiratory Tract Diseases / physiopathology
                      • Respiratory Tract Diseases / veterinary
                      • Risk Factors
                      • Running
                      • Sports
                      • Time Factors
                      • Trachea / cytology
                      • Trachea / pathology

                      Citations

                      This article has been cited 25 times.
                      1. Lo Feudo CM, Stucchi L, Stancari G, Conturba B, Bozzola C, Zucca E, Ferrucci F. Associations between Medical Disorders and Racing Outcomes in Poorly Performing Standardbred Trotter Racehorses: A Retrospective Study. Animals (Basel) 2023 Aug 9;13(16).
                        doi: 10.3390/ani13162569pubmed: 37627359google scholar: lookup
                      2. Lo Feudo CM, Stucchi L, Conturba B, Stancari G, Zucca E, Ferrucci F. Medical causes of poor performance and their associations with fitness in Standardbred racehorses. J Vet Intern Med 2023 Jul-Aug;37(4):1514-1527.
                        doi: 10.1111/jvim.16734pubmed: 37148147google scholar: lookup
                      3. Cullinane A, Garvey M, Walsh C, Gibbons J, Creighton A. A Scoping Review of Non-Structural Airway Disease as a Cause of Poor Performance in Racehorses. Animals (Basel) 2023 Jan 27;13(3).
                        doi: 10.3390/ani13030429pubmed: 36766318google scholar: lookup
                      4. Finger MA, Biava JS, Dornbusch PT, Perotta JH, Ullmann LS, Serpa PBDS, Kmetiuk LB, Dos Santos AP, Biondo AW, Leutenegger C, Filho IRB. Molecular detection of equid herpesvirus in bronchoalveolar lavage fluid from asymptomatic horses in Southern Brazil. Vet World 2022 Nov;15(11):2597-2602.
                      5. Olave CJ, Ivester KM, Couetil LL, Burgess J, Park JH, Mukhopadhyay A. Effects of low-dust forages on dust exposure, airway cytology, and plasma omega-3 concentrations in Thoroughbred racehorses: A randomized clinical trial. J Vet Intern Med 2023 Jan;37(1):338-348.
                        doi: 10.1111/jvim.16598pubmed: 36478588google scholar: lookup
                      6. 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
                      7. Lo Feudo CM, Stancari G, Collavo F, Stucchi L, Conturba B, Zucca E, Ferrucci F. Upper and Lower Airways Evaluation and Its Relationship with Dynamic Upper Airway Obstruction in Racehorses. Animals (Basel) 2022 Jun 17;12(12).
                        doi: 10.3390/ani12121563pubmed: 35739899google scholar: lookup
                      8. Lo Feudo CM, Stucchi L, Stancari G, Alberti E, Conturba B, Zucca E, Ferrucci F. Associations between Exercise-Induced Pulmonary Hemorrhage (EIPH) and Fitness Parameters Measured by Incremental Treadmill Test in Standardbred Racehorses. Animals (Basel) 2022 Feb 12;12(4).
                        doi: 10.3390/ani12040449pubmed: 35203157google scholar: lookup
                      9. 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
                      10. Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP, Martin J, Moran G, Niedźwiedź A, Pusterla N, Swiderski C. Equine Asthma: Current Understanding and Future Directions. Front Vet Sci 2020;7:450.
                        doi: 10.3389/fvets.2020.00450pubmed: 32903600google scholar: lookup
                      11. Stucchi L, Alberti E, Stancari G, Conturba B, Zucca E, Ferrucci F. The Relationship between Lung Inflammation and Aerobic Threshold in Standardbred Racehorses with Mild-Moderate Equine Asthma. Animals (Basel) 2020 Jul 27;10(8).
                        doi: 10.3390/ani10081278pubmed: 32727062google scholar: lookup
                      12. 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
                      13. Bond SL, Greco-Otto P, MacLeod J, Galezowski A, Bayly W, Léguillette R. Efficacy of dexamethasone, salbutamol, and reduced respirable particulate concentration on aerobic capacity in horses with smoke-induced mild asthma. J Vet Intern Med 2020 Mar;34(2):979-985.
                        doi: 10.1111/jvim.15696pubmed: 31953974google scholar: lookup
                      14. Ivester KM, Couëtil LL, Moore GE. An observational study of environmental exposures, airway cytology, and performance in racing thoroughbreds. J Vet Intern Med 2018 Sep;32(5):1754-1762.
                        doi: 10.1111/jvim.15226pubmed: 30222207google scholar: lookup
                      15. Laing G, Christley R, Stringer A, Aklilu N, Ashine T, Newton R, Radford A, Pinchbeck G. Respiratory disease and sero-epidemiology of respiratory pathogens in the working horses of Ethiopia. Equine Vet J 2018 Nov;50(6):793-799.
                        doi: 10.1111/evj.12834pubmed: 29574904google scholar: lookup
                      16. Léguillette R, Steinmann M, Bond SL, Stanton B. Tracheobronchoscopic Assessment of Exercise-Induced Pulmonary Hemorrhage and Airway Inflammation in Barrel Racing Horses. J Vet Intern Med 2016 Jul;30(4):1327-32.
                        doi: 10.1111/jvim.13959pubmed: 27278854google scholar: lookup
                      17. Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
                        doi: 10.1111/jvim.13824pubmed: 26806374google scholar: lookup
                      18. Ivester KM, Couëtil LL, Zimmerman NJ. Investigating the link between particulate exposure and airway inflammation in the horse. J Vet Intern Med 2014 Nov-Dec;28(6):1653-65.
                        doi: 10.1111/jvim.12458pubmed: 25273818google scholar: lookup
                      19. Pınar O, Çelik Doğan C, Aktaran Bala D, Kumaş C, Mete A. Analysis of the presence of Beta-hemolytic streptococci and cytological profiles in horse tracheal lavage samples with diverse clinical respiratory symptoms. BMC Vet Res 2025 Oct 2;21(1):558.
                        doi: 10.1186/s12917-025-05011-4pubmed: 41039541google scholar: lookup
                      20. Kozłowska N, Borowska M, Jasiński T, Wierzbicka M, Domino M. Computer-Aided Diagnosis of Equine Pharyngeal Lymphoid Hyperplasia Using the Object Detection-Based Processing Technique of Digital Endoscopic Images. Animals (Basel) 2025 Sep 22;15(18).
                        doi: 10.3390/ani15182758pubmed: 41008003google scholar: lookup
                      21. Röschmann J, Naef J, Doras C, Gerber V. Respiratory Rate Recovery After Submaximal Lunging Exercise Is Delayed in Asthmatic Horses with Neutrophilic Airway Inflammation. Animals (Basel) 2025 Mar 2;15(5).
                        doi: 10.3390/ani15050713pubmed: 40075996google scholar: lookup
                      22. Sanz MG, Jellen G, Cody L, Bergsma J, Cha M, Kogan C, Kordas G, Bayly WM, Leguillette R. Use of inhaled ciclesonide for treatment of moderate asthma in Thoroughbred racehorses. J Vet Intern Med 2025 Mar-Apr;39(2):e17267.
                        doi: 10.1111/jvim.17267pubmed: 39945569google scholar: lookup
                      23. Rasmussen N, Karlsen P, Otten ND, Fjeldborg J, Hansen S. Bilateral bronchoalveolar lavage cytology profiles in a warmblood horse population during a 1-year period. J Vet Intern Med 2024 Jul-Aug;38(4):2391-2398.
                        doi: 10.1111/jvim.17118pubmed: 38780440google scholar: lookup
                      24. Lee DF, Everest DJ, Cooley W, Chambers MA. Investigation of nasal epithelial cells as a surrogate for bronchial epithelial cells in the research of equine asthma. PLoS One 2023;18(11):e0293956.
                        doi: 10.1371/journal.pone.0293956pubmed: 37943759google scholar: lookup
                      25. Nath LC, Elliott A, La Gerche A, Weir J, Forbes G, Thomas G, Franklin S. Associations between postrace atrial fibrillation and measures of performance, racing history and airway disease in horses. J Vet Intern Med 2023 Nov-Dec;37(6):2573-2583.
                        doi: 10.1111/jvim.16878pubmed: 37740606google scholar: lookup