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Animals : an open access journal from MDPI2025; 15(16); 2371; doi: 10.3390/ani15162371

Equine Asthma in a Comparative Perspective: Cardiovascular and Neurological Manifestations of Asthma Across Different Species.

Abstract: Asthma is a multifactorial respiratory disease that naturally occurs in horses, humans, and cats, presenting common clinical signs and species-specific mechanisms. This review addresses the impact of asthma on the cardiovascular and neurological systems, with a primary focus on horses. It highlights the need for new biomarkers beyond the respiratory system due to diagnostic difficulties in animals. A comprehensive literature search was conducted using PubMed and Google Scholar, focusing on cardiovascular and neurological manifestations of asthma in humans, horses, cats, and experimental animal models. Studies were qualitatively compared, noting species-specific differences and mechanisms. Humans with asthma show an increased risk of cardiovascular disease and elevated cardiac biomarkers during exacerbations, while horses develop pulmonary hypertension and vascular remodeling. Cats exhibit significant pulmonary vascular changes. Heart rate variability analysis reveals altered autonomic function in humans and horses. Increased peripheral airway innervation and cough reflex sensitivity are noted across species. The renin-angiotensin-aldosterone system (RAAS) plays a crucial role in asthma pathophysiology in murine models. Asthma impacts the cardiovascular and nervous systems differently across species, emphasizing the importance of comparative medicine. Future research should integrate cardiovascular, autonomic, and inflammatory pathways to develop effective therapeutic approaches in human and veterinary medicine, leveraging insights from naturally occurring asthma models.
Publication Date: 2025-08-12 PubMed ID: 40867700PubMed Central: PMC12383202DOI: 10.3390/ani15162371Google Scholar: Lookup
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  • Journal Article
  • Review

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.

Equine asthma, similar to asthma in humans and cats, affects not only the respiratory system but also has significant cardiovascular and neurological effects. This research reviews these systemic impacts across species, emphasizing the importance of comparative studies to improve diagnosis and treatment.

Overview of Asthma Across Species

  • Asthma is a complex respiratory disease affecting multiple species including horses, humans, and cats.
  • While common clinical signs exist, underlying mechanisms show species-specific differences.
  • Focus on horses due to their naturally occurring asthma, which is a valuable model for comparative studies.

Cardiovascular Manifestations

  • Humans:
    • Increased risk of developing cardiovascular diseases in asthmatic patients.
    • During asthma exacerbations, elevated cardiac biomarkers indicate stress on the heart.
  • Horses:
    • Develop pulmonary hypertension, a condition of elevated blood pressure in lung arteries.
    • Structural changes in pulmonary vasculature (vascular remodeling) are evident.
  • Cats:
    • Exhibit significant pulmonary vascular changes similar to horses, indicating vascular involvement.
  • Experimental Models (Mice):
    • Renin-angiotensin-aldosterone system (RAAS) actively involved in asthma-related cardiovascular changes.

Neurological and Autonomic Nervous System Effects

  • Humans and Horses:
    • Heart rate variability analyses suggest altered autonomic nervous system function during asthma.
    • Indicates imbalance between sympathetic and parasympathetic control affecting cardiovascular health.
  • Across Species:
    • Increased peripheral airway innervation noted, which may contribute to asthma pathophysiology.
    • Heightened cough reflex sensitivity, a symptom reflecting neurological changes related to airway irritation.

Diagnostic Challenges and Biomarker Development

  • Current diagnosis in animals primarily focuses on respiratory system assessment, which may be insufficient or difficult.
  • Need for new biomarkers related to cardiovascular and neurological involvement to improve detection and monitoring.
  • Comparative approach aids in identifying relevant systemic markers usable across species.

Implications for Comparative Medicine

  • Understanding species-specific differences enhances the appreciation of how asthma impacts whole-body health.
  • Comparative studies allow leveraging naturally occurring asthma in animals (notably horses) to glean insights relevant to human asthma.
  • Integration of cardiovascular, autonomic, and inflammatory pathway knowledge is crucial for novel therapeutic strategies.
  • Cross-species models facilitate translational research benefiting both veterinary and human medical fields.

Future Directions and Recommendations

  • Further research needed to develop and validate non-respiratory biomarkers for asthma diagnostics.
  • Studies should aim to characterize the interplay between the respiratory, cardiovascular, and nervous systems in asthma comprehensively.
  • Incorporate autonomic nervous system assessments, such as heart rate variability, into routine evaluations.
  • Refine animal models to simulate human asthma more effectively, supporting drug development and therapeutic innovation.
  • Enhance multidisciplinary collaborations among veterinarians, physicians, and researchers to deepen understanding and improve care.

Cite This Article

APA
Dlugopolska D, Siwinska N, Noszczyk-Nowak A. (2025). Equine Asthma in a Comparative Perspective: Cardiovascular and Neurological Manifestations of Asthma Across Different Species. Animals (Basel), 15(16), 2371. https://doi.org/10.3390/ani15162371

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 15
Issue: 16
PII: 2371

Researcher Affiliations

Dlugopolska, Dorota
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Grunwaldzki sq 47, 50-366 Wroclaw, Poland.
Siwinska, Natalia
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Grunwaldzki sq 47, 50-366 Wroclaw, Poland.
Noszczyk-Nowak, Agnieszka
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Grunwaldzki sq 47, 50-366 Wroclaw, Poland.

Conflict of Interest Statement

The authors declare that they have no conflicts of interest.

References

This article includes 90 references
  1. Woodrow JS, Sheats MK, Cooper B, Bayless R. Asthma: The Use of Animal Models and Their Translational Utility. Cells 2023;12:1091.
    doi: 10.3390/cells12071091pmc: PMC10093022pubmed: 37048164google scholar: lookup
  2. Couëtil L, Cardwell J, Gerber V, Lavoie J, Léguillette R, Richard E. Inflammatory Airway Disease of Horses—Revised Consensus Statement. J. Vet. Intern. Med. 2016;30:503–515.
    doi: 10.1111/jvim.13824pmc: PMC4913592pubmed: 26806374google scholar: lookup
  3. Pirie RS. Mild to moderate equine asthma—An overview. Equine Health 2017;2017:34–40.
    doi: 10.12968/eqhe.2017.38.34google scholar: lookup
  4. Mims JW. Asthma: Definitions and pathophysiology. Int. Forum Allergy Rhinol. 2015;5((Suppl. S1)):S2–S6.
    doi: 10.1002/alr.21609pubmed: 26335832google scholar: lookup
  5. Hammad H, Lambrecht BN. The basic immunology of asthma. Cell 2021;184:1469–1485.
    doi: 10.1016/j.cell.2021.02.016pubmed: 33711259google scholar: lookup
  6. Iordanidou M, Loukides S, Paraskakis E. Asthma phenotypes in children and stratified pharmacological treatment regimens. Expert. Rev. Clin. Pharmacol. 2017;10:293–303.
    doi: 10.1080/17512433.2017.1271322pubmed: 27936975google scholar: lookup
  7. Sze E, Bhalla A, Nair P. Mechanisms and therapeutic strategies for non-T2 asthma. Allergy 2020;75:311–325.
    doi: 10.1111/all.13985pubmed: 31309578google scholar: lookup
  8. Adamama-Moraitou KK, Patsikas MN, Koutinas AF. Feline lower airway disease: A retrospective study of 22 naturally occurring cases from Greece. J. Feline Med. Surg. 2004;6:227–233.
    doi: 10.1016/j.jfms.2003.09.004pmc: PMC10822609pubmed: 15265478google scholar: lookup
  9. Reinero CR. Advances in the understanding of pathogenesis, and diagnostics and therapeutics for feline allergic asthma. Vet. J. 2011;190:28–33.
    doi: 10.1016/j.tvjl.2010.09.022pubmed: 21036078google scholar: lookup
  10. Taylor S. Feline lower airway disease: Asthma and beyond. Vet. Nurse. 2017;8:17–23.
    doi: 10.12968/vetn.2017.8.1.17google scholar: lookup
  11. Ceriotti S, Bullone M, Leclere M, Ferrucci F, Lavoie JP. Severe asthma is associated with a remodeling of the pulmonary arteries in horses. PLoS ONE 2020;15:e0239561.
  12. Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP. Equine Asthma: Current Understanding and Future Directions. Front. Vet. Sci. 2020;7:450.
    doi: 10.3389/fvets.2020.00450pmc: PMC7438831pubmed: 32903600google scholar: lookup
  13. Pirie R. Severe equine asthma—An overview. Equine Health 2018;2018:21–28.
    doi: 10.12968/eqhe.2018.39.21google scholar: lookup
  14. Simões J, Batista M, Tilley P. The Immune Mechanisms of Severe Equine Asthma-Current Understanding and What Is Missing. Anim. Open Access J. 2022;12:744.
    doi: 10.3390/ani12060744pmc: PMC8944511pubmed: 35327141google scholar: lookup
  15. Miller RL, Grayson MH, Strothman K. Advances in asthma: New understandings of asthma’s natural history, risk factors, underlying mechanisms, and clinical management. J. Allergy Clin. Immunol. 2021;148:1430–1441.
    doi: 10.1016/j.jaci.2021.10.001pubmed: 34655640google scholar: lookup
  16. RuDusky B.M.. Acute Myocardial Infarction and Status Asthmaticus: A Case Report.. Angiology 2006;57:655–658.
    doi: 10.1177/0003319706293158pubmed: 17067992google scholar: lookup
  17. Cloutier M.M., Baptist A.P., Blake K.V., Brooks E.G., Bryant-Stephens T., DiMango E., Dixon A.E., Elward K.S., Hartert T.. 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.. J. Allergy Clin. Immunol. 2020;146:1217–1270.
    doi: 10.1016/j.jaci.2020.10.003pmc: PMC7924476pubmed: 33280709google scholar: lookup
  18. Franco O.S., Júnior A.O.S., Signori L.U., Prietsch S.O.M., Zhang L.. Cardiac autonomic modulation assessed by heart rate variability in children with asthma.. Pediatr. Pulmonol. 2020;55:1334–1339.
    doi: 10.1002/ppul.24714pubmed: 32119199google scholar: lookup
  19. Manastyrska M., Garbiec A., Karpinski M., Bienko M., Radzki R., Kimicka A.. The feline asthma (Bronchitis allergica)—Case report and associated overview.. HVM Bioflux 2021 13:95–100.
  20. Halliwell R., Banovic F., Mueller R.S., Olivry T.. Immunopathogenesis of the feline atopic syndrome.. Vet. Dermatol. 2021;32:13-e4.
    doi: 10.1111/vde.12928pubmed: 33470018google scholar: lookup
  21. Hirshman C.A., Malley A., Downes H.. Basenji-Greyhound dog model of asthma: Reactivity to Ascaris suum, citric acid, and methacholine.. J. Appl. Physiol. 1980;49:953–957.
    doi: 10.1152/jappl.1980.49.6.953pubmed: 7440303google scholar: lookup
  22. Bizikova P., Pucheu-Haston C.M., Eisenschenk M.N.C., Marsella R., Nuttall T., Santoro D.. Review: Role of genetics and the environment in the pathogenesis of canine atopic dermatitis.. Vet. Dermatol. 2015;26:95-e26.
    doi: 10.1111/vde.12198pubmed: 25703290google scholar: lookup
  23. Gershwin L.J.. Comparative Immunology of Allergic Responses.. Annu. Rev. Anim. Biosci. 2015;3:327–346.
  24. Zur G., Ihrke P.J., White S.D., Kass P.H.. Canine atopic dermatitis: A retrospective study of 266 cases examined at the University of California, Davis, 1992–1998. Part I. Clinical features and allergy testing results.. Vet. Dermatol. 2002;13:89–102.
  25. Yu Q.L., Chen Z.. Establishment of different experimental asthma models in mice.. Exp. Ther. Med. 2018;15:2492–2498.
    doi: 10.3892/etm.2018.5721pmc: PMC5795809pubmed: 29456654google scholar: lookup
  26. Casaro M., Souza V.R., Oliveira F.A., Ferreira C.M.. OVA-Induced Allergic Airway Inflammation Mouse Model.. In: Guest P., editor. Pre-Clinical Models: Techniques and Protocols. Springer; New York, NY, USA: 2019. pp. 297–301.
    doi: 10.1007/978-1-4939-8994-2_28pubmed: 30535706google scholar: lookup
  27. Kim D.I., Song M.K., Lee K.. Comparison of asthma phenotypes in OVA-induced mice challenged via inhaled and intranasal routes.. BMC Pulm. Med. 2019;19:241.
    doi: 10.1186/s12890-019-1001-9pmc: PMC6902567pubmed: 31823765google scholar: lookup
  28. Enilari O., Sinha S.. The Global Impact of Asthma in Adult Populations.. Ann. Glob. Health. 2019;85:2.
    doi: 10.5334/aogh.2412pmc: PMC7052341pubmed: 30741503google scholar: lookup
  29. . The Global Asthma Report 2014.. Global Asthma Network; Auckland, New Zealand: 2014.
  30. Davis K.U., Sheats M.K.. Bronchoalveolar Lavage Cytology Characteristics and Seasonal Changes in a Herd of Pastured Teaching Horses.. Front. Vet. Sci. 2019;6:74.
    doi: 10.3389/fvets.2019.00074pmc: PMC6426765pubmed: 30923711google scholar: lookup
  31. Hotchkiss J.W., Reid S.W.J., Christley R.M.. A survey of horse owners in Great Britain regarding horses in their care. Part 2: Risk factors for recurrent airway obstruction.. Equine Vet. J. 2007;39:301–308.
    doi: 10.2746/042516407X180129pubmed: 17722720google scholar: lookup
  32. Gerber V., Robinson N.E., Luethi S., Marti E., Wampfler B., Straub R.. Airway inflammation and mucus in two age groups of asymptomatic well-performing sport horses.. Equine Vet. J. 2003;35:491–495.
    doi: 10.2746/042516403775600424pubmed: 12875328google scholar: lookup
  33. Trzil J.E.. Feline Asthma: Diagnostic and Treatment Update.. Vet. Clin. North. Am. Small Anim. Pract. 2020;50:375–391.
    doi: 10.1016/j.cvsm.2019.10.002pubmed: 31812220google scholar: lookup
  34. Zhang N., Xu J., Jiang C., Lu S.. Neuro-Immune Regulation in Inflammation and Airway Remodeling of Allergic Asthma.. Front. Immunol. 2022;13:894047.
    doi: 10.3389/fimmu.2022.894047pmc: PMC9245431pubmed: 35784284google scholar: lookup
  35. Giguère S., Viel L., Lee E., MacKay R.J., Hernandez J., Franchini M.. Cytokine induction in pulmonary airways of horses with heaves and effect of therapy with inhaled fluticasone propionate.. Vet. Immunol. Immunopathol. 2002;85:147–158.
    doi: 10.1016/S0165-2427(01)00420-2pubmed: 11943316google scholar: lookup
  36. Davis K.U., Sheats M.K.. The Role of Neutrophils in the Pathophysiology of Asthma in Humans and Horses.. Inflammation 2021;44:450–465.
    doi: 10.1007/s10753-020-01362-2pubmed: 33150539google scholar: lookup
  37. Pacholewska A., Jagannathan V., Drögemüller M., Klukowska-Rötzler J., Lanz S., Hamza E., Dermitzakis E.T., Marti E., Leeb T., Gerber V.. Impaired Cell Cycle Regulation in a Natural Equine Model of Asthma.. PLoS ONE 2015;10:e0136103.
  38. Pacholewska A., Kraft M.F., Gerber V., Jagannathan V.. Differential Expression of Serum MicroRNAs Supports CD4+ T Cell Differentiation into Th2/Th17 Cells in Severe Equine Asthma.. Genes 2017;8:383.
    doi: 10.3390/genes8120383pmc: PMC5748701pubmed: 29231896google scholar: lookup
  39. Cordeau M.E., Joubert P., Dewachi O., Hamid Q., Lavoie J.P.. IL-4, IL-5 and IFN-γ mRNA expression in pulmonary lymphocytes in equine heaves.. Vet. Immunol. Immunopathol. 2004;97:87–96.
    doi: 10.1016/j.vetimm.2003.08.013pubmed: 14700540google scholar: lookup
  40. Kleiber C., McGorum B.C., Horohov D.W., Pirie R.S., Zurbriggen A., Straub R.. Cytokine profiles of peripheral blood and airway CD4 and CD8 T lymphocytes in horses with recurrent airway obstruction.. Vet. Immunol. Immunopathol. 2005;104:91–97.
    doi: 10.1016/j.vetimm.2004.10.002pubmed: 15661334google scholar: lookup
  41. Vientós-Plotts A.I., Ericsson A.C., McAdams Z.L., Rindt H., Reinero C.R.. Respiratory dysbiosis in cats with spontaneous allergic asthma.. Front. Vet. Sci. 2022;9:930385.
    doi: 10.3389/fvets.2022.930385pmc: PMC9492960pubmed: 36157187google scholar: lookup
  42. Norris Reinero C.R., Decile K.C., Berghaus R.D., Williams K.J., Leutenegger C.M., Walby W.F., Schelegle E.S., Hyde D.M., Gershwin L.J.. An Experimental Model of Allergic Asthma in Cats Sensitized to House Dust Mite or Bermuda Grass Allergen.. Int. Arch. Allergy Immunol. 2004;135:117–131.
    doi: 10.1159/000080654pubmed: 15345910google scholar: lookup
  43. Reinero C.R., DeClue A.E., Rabinowitz P.. Asthma in humans and cats: Is there a common sensitivity to aeroallegens in shared environments?. Environ. Res. 2009;109:634–640.
    doi: 10.1016/j.envres.2009.02.001pubmed: 19281975google scholar: lookup
  44. Cazzola M., Page C.P., Hanania N.A., Calzetta L., Matera M.G., Rogliani P.. Asthma and Cardiovascular Diseases: Navigating Mutual Pharmacological Interferences.. Drugs 2024;84:1251–1273.
    doi: 10.1007/s40265-024-02086-5pmc: PMC11512905pubmed: 39327397google scholar: lookup
  45. Caplan M., Hamzaoui O.. Cardio-respiratory interactions in acute asthma.. Front Physiol. 2023;14:1232345.
    doi: 10.3389/fphys.2023.1232345pmc: PMC10540856pubmed: 37781226google scholar: lookup
  46. Undem B.J., Carr M.J.. The role of nerves in asthma.. Curr. Allergy Asthma Rep. 2002;2:159–165.
    doi: 10.1007/s11882-002-0011-4pubmed: 11892096google scholar: lookup
  47. Simões J., Sales Luís J., Tilley P.. Contribution of lung function tests to the staging of severe equine asthma syndrome in the field.. Res. Vet. Sci. 2019;123:112–117.
    doi: 10.1016/j.rvsc.2018.12.014pubmed: 30616173google scholar: lookup
  48. Halliwell R., Pucheu-Haston C.M., Olivry T., Prost C., Jackson H., Banovic F., Nuttall T., Santoro D., Bizikova P., Mueller R.S.. Feline allergic diseases: Introduction and proposed nomenclature.. Vet. Dermatol. 2021;32:8-e2.
    doi: 10.1111/vde.12899pubmed: 33470016google scholar: lookup
  49. . Bronchoscopic Findings in 48 Cats with Spontaneous Lower Respiratory Tract Disease (2002–2009). J. Vet. Intern. Med. 2011;25:236–243.
  50. Decloedt A., Borowicz H., Slowikowska M., Chiers K., van Loon G., Niedzwiedz A.. Right ventricular function during acute exacerbation of severe equine asthma.. Equine Vet. J. 2017;49:603–608.
    doi: 10.1111/evj.12675pubmed: 28132404google scholar: lookup
  51. Bellocchia M., Masoero M., Ciuffreda A., Croce S., Vaudano A., Torchio R., Boita M., Bucca C.. Predictors of cardiovascular disease in asthma and chronic obstructive pulmonary disease.. Multidiscip. Respir. Med. 2013;8:58.
    doi: 10.1186/2049-6958-8-58pmc: PMC3844573pubmed: 24004921google scholar: lookup
  52. Yang Z., Ge Y., Zuo R., Wang J., Wang W., Shao C., Chang C.T., Tang Y.. Type 2 Inflammation: A Potential Clinical Link Between Asthma and Cardiovascular Diseases.. Cardiovasc. Innov. Appl. 2025;10:968.
    doi: 10.15212/CVIA.2025.0014google scholar: lookup
  53. Cross T.J., Kim C.H., Johnson B.D., Lalande S.. The interactions between respiratory and cardiovascular systems in systolic heart failure.. J. Appl. Physiol. 2020;128:214–224.
  54. Cepelis A., Brumpton B.M., Malmo V., Laugsand L.E., Loennechen J.P., Ellekjær H., Langhammer A., Janszky I., Strand L.B.. Associations of Asthma and Asthma Control With Atrial Fibrillation Risk: Results From the Nord-Trøndelag Health Study (HUNT). JAMA Cardiol. 2018;3:721–728.
  55. Kulkarni H., Akwei S., Luyt D.K., Gaillard E.A., Mulla H., Pandya H.C.. Cardiac Troponin I Levels in Children with Acute Severe Asthma Treated with IV Salbutamol.. J. Lung Dis. Treat. 2015;1:1000102.
    doi: 10.4172/2472-1018.1000102google scholar: lookup
  56. Jain M., Jain D., Das B.K., Prasad R., Sihag B.K.. Evaluation of cardiac biomarkers in children with acute severe bronchial Asthma-A prospective study from tertiary care center in northern India.. Indian. Heart J. 2018;70:S204–S207.
    doi: 10.1016/j.ihj.2018.10.416pmc: PMC6310179pubmed: 30595259google scholar: lookup
  57. Yalta K., Yalta T., Gurdogan M., Palabıyık O., Yetkın E.. Cardiac Biomarkers in the Setting of Asthma Exacerbations: A Review of Clinical Implications and Practical Considerations.. Curr. Allergy Asthma Rep. 2020;20:17.
    doi: 10.1007/s11882-020-00909-5pubmed: 32346818google scholar: lookup
  58. Shafuddin E., Chang C.L., Cooray M., Tuffery C.M., Hopping S.J., Sullivan G.D., Jacobson G.A., Hancox R.J.. Changes in biomarkers of cardiac dysfunction during exacerbations of chronic obstructive pulmonary disease.. Respir. Med. 2018;145:192–199.
    doi: 10.1016/j.rmed.2018.11.008pubmed: 30509708google scholar: lookup
  59. Voelkel N.F., Cool C.D.. Pulmonary vascular involvement in chronic obstructive pulmonary disease.. Eur. Respir. J. 2003;22((Suppl. 46)):28s–32s.
    doi: 10.1183/09031936.03.00000503pubmed: 14621104google scholar: lookup
  60. D’Annunzio G., Gobbo F., Avallone G., Bacci B., Sabattini S., Sarli G.. Airway Remodeling in Feline Lungs.. Top. Companion Anim. Med. 2022;46:100587.
    doi: 10.1016/j.tcam.2021.100587pubmed: 34624551google scholar: lookup
  61. Ishaque S., Khan N., Krishnan S.. Trends in Heart-Rate Variability Signal Analysis.. Front. Digit. Health. 2021;3:639444.
    doi: 10.3389/fdgth.2021.639444pmc: PMC8522021pubmed: 34713110google scholar: lookup
  62. Wehrwein E.A., Orer H.S., Barman S.M.. Overview of the Anatomy, Physiology, and Pharmacology of the Autonomic Nervous System. Comprehensive Physiology John Wiley & Sons, Ltd.; Hoboken, NJ, USA: 2016. pp. 1239–1278.
    doi: 10.1002/cphy.c150037pubmed: 27347892google scholar: lookup
  63. Shaffer F., Ginsberg J.P.. An Overview of Heart Rate Variability Metrics and Norms.. Front. Public. Health. 2017;5:258.
    doi: 10.3389/fpubh.2017.00258pmc: PMC5624990pubmed: 29034226google scholar: lookup
  64. Shashikant R., Chetankumar P.. A Review on Impact Application of Heart Rate Variability (HRV). In: Satapathy S.C., Raju K.S., Shyamala K., Krishna D.R., Favorskaya M.N., editors. Advances in Decision Sciences, Image Processing, Security and Computer Vision. Springer International Publishing; Cham, Switzerland: 2020. pp. 1–8.
  65. Schiwe D., Vendrusculo F.M., Becker N.A., Donadio M.V.F.. Impact of asthma on heart rate variability in children and adolescents: Systematic review and meta-analysis.. Pediatr Pulmonol. 2023;58:1310–1321.
    doi: 10.1002/ppul.26340pubmed: 36719098google scholar: lookup
  66. Nyerges-Bohák Z, Kovács L, Povázsai Á, Hamar E, Póti P, Ladányi M. Heart rate variability in horses with and without severe equine asthma. Equine Vet. J. 2025;57:611–618.
    doi: 10.1111/evj.14414pmc: PMC11982436pubmed: 39275917google scholar: lookup
  67. Ames M.K, Atkins C.E, Pitt B. The renin-angiotensin-aldosterone system and its suppression. J. Vet. Intern. Med. 2019;33:363–382.
    doi: 10.1111/jvim.15454pmc: PMC6430926pubmed: 30806496google scholar: lookup
  68. Gregório J.F, Rodrigues-Machado M.d.G, Santos R.A.S, Carvalho-Ribeiro I.A, Nunes O.M, Oliveira I.F.A, Nunes O.M, Oliveira I.F.A, Vasconcellos A.V.d.O, Campagnole-Santos M.J. Asthma: Role of the angiotensin-(1-7)/Mas (MAS1) pathway in pathophysiology and therapy. Br. J. Pharmacol. 2021;178:4428–4439.
    doi: 10.1111/bph.15619pubmed: 34235725google scholar: lookup
  69. Mehta P.K, Griendling K.K. Angiotensin II cell signaling: Physiological and pathological effects in the cardiovascular system. Am. J. Physiol-Cell Physiol. 2007;292:C82–C97.
    doi: 10.1152/ajpcell.00287.2006pubmed: 16870827google scholar: lookup
  70. Davis J.O, Freeman R.H. Mechanisms regulating renin release. Physiol. Rev. 1976;56:1–56.
    doi: 10.1152/physrev.1976.56.1.1pubmed: 1108062google scholar: lookup
  71. Dhindsa S, Garg R, Bandyopadhyay A, Dandona P. Angiotensin II and Inflammation: The Effect of ACE Inhibition and Angiotensin II Receptor Blockade. Metab. Syndr. Relat. Disord. 2003;1:255–259.
    doi: 10.1089/1540419031361408pubmed: 18370649google scholar: lookup
  72. Groeschel M, Braam B. Connecting chronic and recurrent stress to vascular dysfunction: No relaxed role for the renin-angiotensin system. Am. J. Physiol-Ren. Physiol. 2011;300:F1–F10.
    doi: 10.1152/ajprenal.00208.2010pubmed: 20980410google scholar: lookup
  73. Kurtz A. Control of Renin Synthesis and Secretion. Am. J. Hypertens. 2012;25:839–847.
    doi: 10.1038/ajh.2011.246pubmed: 22237158google scholar: lookup
  74. Leeuw P.W.D, Bos R.D, Es P.N.V, Birkenhäger W.H. Effect of sympathetic stimulation and intrarenal alpha-blockade on the secretion of renin by the human kidney. Eur. J. Clin. Investig. 1985;15:166–170.
  75. El-Hashim A.Z, Renno W.M, Raghupathy R, Abduo H.T, Akhtar S, Benter I.F. Angiotensin-(1–7) inhibits allergic inflammation, via the MAS1 receptor, through suppression of ERK1/2- and NF-κB-dependent pathways. Br. J. Pharmacol. 2012;166:1964–1976.
  76. Magalhães G.S, Rodrigues-Machado M.G, Motta-Santos D, Silva A.R, Caliari M.V, Prata L.O, Abreu S.C, Rocco P.R.M, Barcelos L.S, Santos R.A.S. Angiotensin-(1-7) attenuates airway remodelling and hyperresponsiveness in a model of chronic allergic lung inflammation. Br. J. Pharmacol. 2015;172:2330–2342.
    doi: 10.1111/bph.13057pmc: PMC4403097pubmed: 25559763google scholar: lookup
  77. Millar E.A, Angus R.M, Hulks G, Morton J.J, Connell J.M, Thomson N.C. Activity of the renin-angiotensin system in acute severe asthma and the effect of angiotensin II on lung function. Thorax 1994;49:492–495.
    doi: 10.1136/thx.49.5.492pmc: PMC474872pubmed: 8016772google scholar: lookup
  78. D’Agostino B, Advenier C, Falciani M, Gallelli L, Marrocco G, Piegari E, Filippelli A, Rossi F. Endothelin-1 increases cholinergic nerve-mediated contraction of human bronchi via tachykinin synthesis induction. Br. J. Pharmacol. 2001;134:1447–1454.
    doi: 10.1038/sj.bjp.0704395pmc: PMC1573084pubmed: 11724750google scholar: lookup
  79. Li N, Cai R, Niu Y, Shen B, Xu J, Cheng Y. Inhibition of angiotensin II-induced contraction of human airway smooth muscle cells by angiotensin-(1-7) via downregulation of the RhoA/ROCK2 signaling pathway. Int. J. Mol. Med. 2012;30:811–818.
    doi: 10.3892/ijmm.2012.1080pubmed: 22842919google scholar: lookup
  80. Magalhães G.S, Rodrigues-Machado M.G, Motta-Santos D, Alenina N, Bader M, Santos R.A, Barcelos L.S, Campagnole-Santos M.J. Chronic allergic pulmonary inflammation is aggravated in angiotensin-(1-7) Mas receptor knockout mice. Am. J. Physiol. Lung Cell Mol. Physiol. 2016;311:L1141–L1148.
    doi: 10.1152/ajplung.00029.2016pubmed: 27815255google scholar: lookup
  81. Lindsay R.M, Harmar A.J. Nerve growth factor regulates expression of neuropeptide genes in adult sensory neurons. Nature 1989;337:362–364.
    doi: 10.1038/337362a0pubmed: 2911387google scholar: lookup
  82. Barnes P.J. Neurogenic inflammation and asthma. J. Asthma Off. J. Assoc. Care Asthma 1992;29:165–180.
    doi: 10.3109/02770909209099025pubmed: 1351052google scholar: lookup
  83. Nockher W.A, Renz H. Neurotrophins and asthma: Novel insight into neuroimmune interaction. J. Allergy Clin. Immunol. 2006;117:67–71.
    doi: 10.1016/j.jaci.2005.08.029pubmed: 16387586google scholar: lookup
  84. Polverino M, Polverino F, Fasolino M, Andò F, Alfieri A, De Blasio F. Anatomy and neuro-pathophysiology of the cough reflex arc. Multidiscip. Respir. Med. 2012;7:5.
    doi: 10.1186/2049-6958-7-5pmc: PMC3415124pubmed: 22958367google scholar: lookup
  85. Leduc L, Leclère M, Gauthier L.G, Marcil O, Lavoie J.P. Severe asthma in horses is associated with increased airway innervation. J. Vet. Intern. Med. 2024;38:485–494.
    doi: 10.1111/jvim.16941pmc: PMC10800206pubmed: 38054207google scholar: lookup
  86. Matera M.G, Amorena M, Lucisano A. Innervation of Equine Airways. Pulm. Pharmacol. Ther. 2002;15:503–511.
    doi: 10.1006/pupt.2002.0390pubmed: 12493337google scholar: lookup
  87. Mazzone S.B, Undem B.J. Vagal Afferent Innervation of the Airways in Health and Disease. Physiol. Rev. 2016;96:975–1024.
    doi: 10.1152/physrev.00039.2015pmc: PMC4982036pubmed: 27279650google scholar: lookup
  88. Leclere M, Lavoie-Lamoureux A, Lavoie J.P. Heaves, an asthma-like disease of horses. Respirology 2011;16:1027–1046.
  89. Robinson N.E. International Workshop on Equine Chronic Airway Disease. Michigan State University 16-18 June 2000. Equine Vet. J. 2001;33:5–19.
    doi: 10.2746/042516401776767412pubmed: 11191611google scholar: lookup
  90. Barchilon M, Reinero C.R. Breathe easy: Inhalational therapy for feline inflammatory airway disease. J. Feline Med. Surg. 2023;25:1098612X231193054.
    doi: 10.1177/1098612X231193054pmc: PMC10812033pubmed: 37675792google scholar: lookup

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