Laminitis Updates: Sepsis/Systemic Inflammatory Response Syndrome-Associated Laminitis.
Abstract: Sepsis or systemic inflammatory response syndrome (SIRS) -associated laminitis is a sequela to primary inflammatory conditions (eg, colitis, ischemic intestinal injury, pneumonia, metritis) and results from a dysregulated systemic inflammatory response that ultimately affects the digital lamellae. Local chemokine production, leukocyte migration, and proinflammatory mediator production occur within the lamellae that can lead to catastrophic lamellar failure. Controlling the primary disease, providing supportive care and anti-inflammatory therapy, applying digital cryotherapy, and providing mechanical support are cornerstones to the prevention of sepsis/SIRS-associated laminitis. Novel therapies targeting specific signaling pathways may provide additional therapeutic options in the future.
Published by Elsevier Inc.
Publication Date: 2021-11-17 PubMed ID: 34782098DOI: 10.1016/j.cveq.2021.08.003Google Scholar: Lookup
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Summary
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The research article focuses on understanding sepsis or systemic inflammatory response syndrome (SIRS)-associated laminitis, a secondary condition resulting from primary inflammatory conditions. The researchers outline the biological processes involved in the condition and methods of prevention and potential therapies.
Understanding Sepsis/SIRS-Associated Laminitis
- The research article sheds light on an important aspect of animal physiology pertaining to laminitis, specifically, one that is associated with sepsis or systemic inflammatory response syndrome (SIRS).
- Laminitis, in simple terms, is a disease that affects the foot of hoofed animals commonly associated with inflammation of the digital lamellae or the connective tissues within the hoof. This painful condition, which often causes lameness, can occur as a sequel to primary inflammatory conditions such as colitis, ischemic intestinal injury, pneumonia, and metritis.
- The underlying pathology of sepsis/SIRS-associated laminitis is primarily a dysregulated systemic inflammatory response, which impacts the digital lamellae, leading to their degeneration. This process involves the production of local chemokines, the migration of leukocytes, and the production of pro-inflammatory mediators within the lamellae.
Prevention of Sepsis/SIRS-Associated Laminitis
- The prevention strategy revolves around controlling the primary disease that triggers the dysregulated systemic inflammatory response. The researchers suggest that anti-inflammatory therapy, along with supportive care, is a critical component in preventing laminitis.
- Digital cryotherapy, which helps in reducing inflammation, is another recommended method for preventing this condition. Providing mechanical support can also be beneficial.
Future Therapeutic Options
- The researchers give a brief note about potential therapeutic options that could be developed in the future. They suggest that novel therapies could target specific signaling pathways associated with the inflammatory response.
- These therapies, if developed successfully, could provide additional options in treating sepsis/SIRS-associated laminitis apart from conventional treatments. However, such advances would require further scientific inquiry and experimental validation.
Cite This Article
APA
Leise BS, Fugler LA.
(2021).
Laminitis Updates: Sepsis/Systemic Inflammatory Response Syndrome-Associated Laminitis.
Vet Clin North Am Equine Pract, 37(3), 639-656.
https://doi.org/10.1016/j.cveq.2021.08.003 Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, Louisiana State University, School of Veterinary Medicine, Baton Rouge, LA 70803, USA. Electronic address: bleise@lsu.edu.
- Department of Veterinary Clinical Sciences, Louisiana State University, School of Veterinary Medicine, Baton Rouge, LA 70803, USA.
MeSH Terms
- Animals
- Foot Diseases / therapy
- Foot Diseases / veterinary
- Hoof and Claw
- Horse Diseases / therapy
- Horses
- Inflammation / therapy
- Inflammation / veterinary
- Sepsis / therapy
- Sepsis / veterinary
Conflict of Interest Statement
Disclosure The authors have no conflicts of interest to disclose.
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