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The Veterinary clinics of North America. Equine practice2022; 38(2); 213-224; doi: 10.1016/j.cveq.2022.04.003

Equine Neuroaxonal Dystrophy and Degenerative Myeloencephalopathy.

Abstract: Neuroaxonal degenerative disease in the horse is termed equine neuroaxonal dystrophy (eNAD), when pathologic lesions are localized to the brainstem and equine degenerative myeloencephalopathy (EDM) and degenerative changes extend throughout the spinal cord. Both pathologic conditions result in identical clinical disease, most commonly characterized by the insidious onset of ataxia during early development. However, later onset of clinical signs and additional clinical features, such as behavior changes, is also observed. A definitive diagnosis of eNAD/EDM requires histologic evaluation of the caudal medulla and cervicothoracic spinal cord. Strong evidence has suggested that eNAD/EDM is an inherited disorder and there seems to be a role for vitamin E acting as an environmental modifier to determine the overall severity of the phenotype of horses affected with eNAD/EDM.
Publication Date: 2022-07-07 PubMed ID: 35811203DOI: 10.1016/j.cveq.2022.04.003Google Scholar: Lookup
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Summary

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The research focuses on the neurodegenerative diseases in horses, known as equine neuroaxonal dystrophy (eNAD) and equine degenerative myeloencephalopathy (EDM). The study showcases the clinical signs and characteristics of the diseases, their diagnostic methods, potential inheritance, and the role of vitamin E in affecting the severity of the diseases.

Identification and Characteristics of Equine Neurodegenerative Diseases

  • The research focuses on two related diseases in horses – equine neuroaxonal dystrophy (eNAD) and equine degenerative myeloencephalopathy (EDM). The former condition is characterized by pathological lesions that are localized to the brainstem, while in the latter, the degenerative changes can be found throughout the spinal cord.
  • Despite being distinct diseases, both conditions result in a similar clinical outcome, most notably ataxia, which typically develops subtly during the early stages of the disease. Ataxia is a type of movement disorder characterized by a lack of voluntary coordination.
  • In some cases, these diseases may present later in life and cause behavior changes alongside other clinical signs.

Diagnosis of eNAD/EDM

  • A definitive diagnosis of eNAD or EDM requires histological evaluation, a technique that involves the microscopic examination of cellular tissue.
  • The specific areas of examination for these diseases are the caudal medulla, which is the lowermost part of the brainstem, and the cervicothoracic spinal cord, which spans the neck and upper back region.

Inheritance and Role of Vitamin E in eNAD/EDM

  • The study suggests that eNAD/EDM is likely to be an inherited disorder, meaning that it’s passed down genetically from parents to offspring.
  • Vitamin E is identified as a significant factor that determines the overall severity of the disease. This connection introduces the concept of environmental modifiers in genetics, implying that certain environmental factors, such as diet, can interact with an individual’s genes and contribute to the expression of inherited diseases.

Cite This Article

APA
Finno CJ, Johnson AL. (2022). Equine Neuroaxonal Dystrophy and Degenerative Myeloencephalopathy. Vet Clin North Am Equine Pract, 38(2), 213-224. https://doi.org/10.1016/j.cveq.2022.04.003

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 38
Issue: 2
Pages: 213-224

Researcher Affiliations

Finno, Carrie J
  • Department of Veterinary Population Health and Reproduction, School of Veterinary Medicine, University of California Davis, Room 4206 Vet Med 3A One Shields Avenue, Davis, CA 95616, USA. Electronic address: cjfinno@ucdavis.edu.
Johnson, Amy L
  • Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine- New Bolton Center, 382 West Street Road, Kennett Square, PA 19348, USA.

MeSH Terms

  • Animals
  • Horse Diseases / pathology
  • Horses
  • Neuroaxonal Dystrophies / diagnosis
  • Neuroaxonal Dystrophies / genetics
  • Neuroaxonal Dystrophies / veterinary

Grant Funding

  • L40 TR001136 / NCATS NIH HHS

Conflict of Interest Statement

Disclosure The authors have nothing to disclose. Support for C.J.F. was provided by the National Institutes of Health (NIH) L40 TR001136.

Citations

This article has been cited 3 times.
  1. Mendoza FJ, Toribio RE. An Overview of Donkey Neonatology. Animals (Basel) 2025 Jul 6;15(13).
    doi: 10.3390/ani15131986pubmed: 40646885google scholar: lookup
  2. Willis AT, Dahlgren AR, Woolard KD, Ghosh S, Donnelly CG, de la Concha-Bermejillo A, Pacheco A, Watson KD, Berryhill E, Aleman M, Wensley F, Humphreys S, Whitehead AE, Goldsmith D, Chesen B, Ragsdale J, Tompkins JE, Nash R, Plunkett AH, Qualls HJ, Rodriguez K, Hochanadel D, Miller AD, Finno CJ. Clinicopathological and pedigree investigation of a novel spinocerebellar neurological disease in juvenile Quarter Horses in North America. J Vet Intern Med 2024 May-Jun;38(3):1808-1814.
    doi: 10.1111/jvim.17049pubmed: 38669583google scholar: lookup
  3. Brown KA, Bender SJ, Johnson AL. Clinical and histopathological features in horses with neuroaxonal degeneration: 100 cases (2017-2021). J Vet Intern Med 2024 Jan-Feb;38(1):431-439.
    doi: 10.1111/jvim.16969pubmed: 38095342google scholar: lookup