Effects of hylan on amphotericin-induced carpal lameness in equids.
Abstract: In this double-blind study, the effectiveness of and dose response to intra-articular administration of modified hyaluronan (hylan) was determined in an equine carpal lameness model over a 23-day period, using a computerized three-dimensional motion analysis system, synovial fluid variables, and synovial histologic examination. In 24 clinically sound horses, baseline motion data was acquired from horses trotting at 4 m/s on a high-speed treadmill. Then, to induce lameness, 25 mg of amphotericin B in 5 ml of sterile water was injected into the left middle carpal joint of each horse every other day for 3 treatments. Phenybutazone (2.2 mg/kg of body weight, PO, once) and butorphanol tartrate (0.1 mg/kg, IM, q 6 h, for 36 hours) were used to control signs of discomfort. Horses were assigned at random to 4 equal groups and received intracarpal administration of either 1, 2, 4 ml of hylan (8 mg/ml), or 2 ml of balanced electrolyte solution (control). Intracarpal administration of amphotericin B caused significant (P < or = 0.01) increase in subjective lameness grades over the 2-week evaluation period, and hylan administration did not significantly (P < or = 0.01) change the subjective lameness grade. Lameness induction caused significant (P < or = 0.01) decrease in head and withers excursions during the lame forelimb support phase and significant (P < or = 0.05) increase in head and withers excursions during the sound forelimb support phase.(ABSTRACT TRUNCATED AT 250 WORDS)
Publication Date: 1993-09-01 PubMed ID: 8239145
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- Clinical Trial
- Journal Article
- Randomized Controlled Trial
- Research Support
- Non-U.S. Gov't
Summary
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This research explores the impact of hyaluronan (hylan), a modified form of hyaluronic acid, on lameness induced by amphotericin in horses. Although the hylan treatment did not notably alter the severity of lameness, it provided significant insight into the mechanisms of equine movement and discomfort during lameness.
Study Overview
- This study was conducted as a double-blind experiment, meaning both the researchers and the participating horses’ caretakers did not know which treatment the horse received. This method helps to prevent bias in results.
- The study aimed to assess the efficacy of hylan in treating amphotericin-induced lameness in horses. To establish a baseline, horses were observed trotting on a high-speed treadmill before any treatments were administered.
- Subsequently, lameness was artificially induced in all the horses by administering a preparation of 25 mg of amphotericin B, known for inducing lameness in horses.
Intervention and Pain Management
- After the lameness was induced, the horses were given phenylbutazone and butorphanol tartrate to manage pain and discomfort.
- The horses were then split into four equal groups, each assigned to receive different amounts of hylan (one group with 1 ml, another with 2 ml, third one with 4 ml) or a balanced electrolyte solution (the control group).
Results of the Study
- Over the course of the two-week evaluation period, administering amphotericin B clearly increased lameness in the horses.
- However, the doses of hylan given – regardless of the quantity provided – did not significantly alter the lameness grades.
- The lameness caused noticeable changes in the horses’ movements, including a decrease in the movement of the head and withers (the area between the shoulder blades) during the support phase of the lame forelimb.
- Conversely, there was an increase in the movements of the head and withers during locomotion using the sound, or unimpaired, forelimb.
Summarized Findings
- Despite the apparent potential of hylan, this study shows it did not dramatically change the lameness degree in horses upon administration.
- The research did highlight the significant modification of horse locomotion that occurs as a result of lameness, which is valuable information for potential future therapeutic approaches.
Cite This Article
APA
Peloso JG, Stick JA, Caron JP, Peloso PM, Soutas-Little RW.
(1993).
Effects of hylan on amphotericin-induced carpal lameness in equids.
Am J Vet Res, 54(9), 1527-1534.
Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, Michigan State University, East Lansing 48824-1314.
MeSH Terms
- Amphotericin B
- Animals
- Double-Blind Method
- Horse Diseases / chemically induced
- Horse Diseases / drug therapy
- Horses
- Hyaluronic Acid / analogs & derivatives
- Hyaluronic Acid / therapeutic use
- Lameness, Animal / chemically induced
- Lameness, Animal / drug therapy
- Movement / physiology
- Synovial Fluid / chemistry
- Synovial Fluid / cytology
Citations
This article has been cited 3 times.- Cope PJ, Ourradi K, Li Y, Sharif M. Models of osteoarthritis: the good, the bad and the promising. Osteoarthritis Cartilage 2019 Feb;27(2):230-239.
- McIlwraith CW, Frisbie DD, Kawcak CE. The horse as a model of naturally occurring osteoarthritis. Bone Joint Res 2012 Nov;1(11):297-309.
- Korac L, St George L, MacNicol J, McCrae P, Jung L, Golestani N, Karrow N, Cánovas A, Pearson W. Functional and biochemical inflammatory responses to low-dose intra-articular recombinant equine IL-1β: a pilot study. Front Vet Sci 2025;12:1746738.
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