Lubricin/proteoglycan 4 increases in both experimental and naturally occurring equine osteoarthritis.
Abstract: The goals of this study were (1) to quantify proteoglycan 4 (PRG4) gene expression; (2) to assess lubricin immunostaining; and (3) to measure synovial fluid lubricin concentrations in clinical and experimental models of equine carpal osteoarthritis (OA). Lubricin synovial fluid concentrations and cartilage and synovial membrane PRG4 expression were analyzed in research horses undergoing experimental OA induction (n = 8) and in equine clinical patients with carpal OA (n = 58). Lubricin concentrations were measured using a custom sandwich enzyme-linked immunosorbent assay, and PRG4 expression was quantified using qRT-PCR. Lubricin immunostaining was assessed in synovial membrane and osteochondral sections in the experimental model. Lubricin concentrations increased in synovial fluid following induction of OA, peaking at 21 days post-operatively in OA joints vs sham-operated controls (331 ± 69 μg/mL vs 110 ± 19 μg/mL, P = 0.001). Lubricin concentrations also increased in horses with naturally occurring OA as compared to control joints (152 ± 32 μg/mL vs 68 ± 4 μg/mL, P = 0.003). Synovial membrane PRG4 expression increased nearly 2-fold in naturally occurring OA (P = 0.003), whereas cartilage PRG4 expression decreased 2.5-fold (P = 0.025). Lubricin immunostaining was more pronounced in synovial membrane from OA joints as compared to controls, with intense lubricin localization to sites of cartilage damage. Although PRG4 gene expression decreases in OA cartilage, synovial membrane PRG4 expression, synovial fluid lubricin concentrations and lubricin immunostaining all increase in an equine OA model. Lubricin may be elevated to protect joints from post-traumatic OA.
Copyright © 2016 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.
Publication Date: 2016-08-04 PubMed ID: 27498214PubMed Central: PMC5489058DOI: 10.1016/j.joca.2016.07.021Google 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
- Research Support
- N.I.H.
- Extramural
- Cartilage
- Clinical Study
- Diagnosis
- Disease Diagnosis
- Disease Treatment
- Enzyme-Linked Immunosorbent Assay (ELISA)
- Equine Diseases
- Equine Health
- Equine model
- Experimental Methods
- Gene Expression
- Immunostaining
- Inflammation
- Joint Health
- Osteoarthritis
- Pathophysiology
- Post-Operative Period
- Proteoglycans
- Synovial Fluid
- Veterinary Care
- Veterinary Medicine
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.
This research study investigates the role of proteoglycan 4 (PRG4), also known as Lubricin, in horses suffering from osteoarthritis. The study found that Lubricin concentrations and gene expression increase in the synovial membrane and fluid of affected joints. The increase of Lubricin seems to be a response to protect joints affected by osteoarthritis.
Objective of the Study
- The research had three primary objectives: to quantify the gene expression of proteoglycan 4 (PRG4), to assess the performance of lubricin through immunostaining methods, and to measure the concentration of lubricin in the synovial fluid in both experimental and clinical models of equine carpal osteoarthritis (OA).
Methodology
- The study involved horses with experimentally induced osteoarthritis (8 in number) and horses with naturally occurring osteoarthritis (58 in total).
- Lubricin synovial fluid concentrations were measured using a custom sandwich enzyme-linked immunosorbent assay (ELISA), while PRG4 gene expression was assessed using qRT-PCR (quantitative Reverse Transcription Polymerase Chain Reaction).
- Immunostaining was conducted to assess lubricin in synovial membrane and osteochondral sections in the experimental model.
Results of the Study
- The study revealed that the concentrations of lubricin increased in the synovial fluid following the induction of osteoarthritis, with the highest concentrations observed 21 days after surgery.
- Similar increases in lubricin concentrations were also found in horses with naturally occurring osteoarthritis, compared to control joints.
- The synovial membrane PRG4 expression multiplied almost two times in horses with naturally occurring osteoarthritis. However, PRG4 expression in cartilage decreased by 2.5 times.
- Immuno-staining showed more pronounced presence of lubricin in the synovial membrane from osteoarthritic joints as opposed to controls, with intensive lubricin localization at sites of cartilage damage.
Conclusion
- In conclusion, the study showed that despite the decrease in PRG4 gene expression in osteoarthritic cartilage, the expression of PRG4 in the synovial membrane, as well as lubricin concentration in synovial fluid, increases in cases of osteoarthritis in horses.
- Lubricin elevation may serve as a protective mechanism of the joint against post-traumatic osteoarthritis.
Cite This Article
APA
Reesink HL, Watts AE, Mohammed HO, Jay GD, Nixon AJ.
(2016).
Lubricin/proteoglycan 4 increases in both experimental and naturally occurring equine osteoarthritis.
Osteoarthritis Cartilage, 25(1), 128-137.
https://doi.org/10.1016/j.joca.2016.07.021 Publication
Researcher Affiliations
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA. Electronic address: hlr42@cornell.edu.
- Department of Large Animal Clinical Sciences, Texas A&M University, College Station, TX 77843, USA. Electronic address: Awatts@cvm.tamu.edu.
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA. Electronic address: hom1@cornell.edu.
- Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA; Department of Engineering, Brown University, Providence, RI 12903, USA. Electronic address: gregory_jay_md@brown.edu.
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA. Electronic address: ajn1@cornell.edu.
MeSH Terms
- Animals
- Enzyme-Linked Immunosorbent Assay / veterinary
- Female
- Glycoproteins / analysis
- Glycoproteins / metabolism
- Horse Diseases / metabolism
- Horses
- Male
- Osteoarthritis / metabolism
- Osteoarthritis / veterinary
- Proteoglycans / analysis
- Proteoglycans / metabolism
- Real-Time Polymerase Chain Reaction / veterinary
- Synovial Fluid / chemistry
Grant Funding
- T32 OD011000 / NIH HHS
Conflict of Interest Statement
. HLR, AEW, HOM and AJN have no competing interests to declare. GDJ has authored and was granted a United States patent “Tribonectin polypeptides and uses thereof,” no. 6743774 for the therapeutic use of lubricin in joints. Dr. Jay receives support from a Phase II STTR for clinical translation efforts related to his patent. The present paper neither materially nor financially affects Dr. Jay’s patent relating to rh. Case Western Reserve University has licensed mAb-9g3 (for GDJ) to EMD Millipore (Billerica, MA).
References
This article includes 44 references
- Bahabri SA, Suwairi WM, Laxer RM, Polinkovsky A, Dalaan AA, Warman ML. The camptodactyly-arthropathy-coxa vara-pericarditis syndrome: clinical features and genetic mapping to human chromosome 1.. Arthritis Rheum 1998 Apr;41(4):730-5.
- Marcelino J, Carpten JD, Suwairi WM, Gutierrez OM, Schwartz S, Robbins C, Sood R, Makalowska I, Baxevanis A, Johnstone B, Laxer RM, Zemel L, Kim CA, Herd JK, Ihle J, Williams C, Johnson M, Raman V, Alonso LG, Brunoni D, Gerstein A, Papadopoulos N, Bahabri SA, Trent JM, Warman ML. CACP, encoding a secreted proteoglycan, is mutated in camptodactyly-arthropathy-coxa vara-pericarditis syndrome.. Nat Genet 1999 Nov;23(3):319-22.
- Ludwig TE, McAllister JR, Lun V, Wiley JP, Schmidt TA. Diminished cartilage-lubricating ability of human osteoarthritic synovial fluid deficient in proteoglycan 4: Restoration through proteoglycan 4 supplementation.. Arthritis Rheum 2012 Dec;64(12):3963-71.
- Elsaid KA, Machan JT, Waller K, Fleming BC, Jay GD. The impact of anterior cruciate ligament injury on lubricin metabolism and the effect of inhibiting tumor necrosis factor alpha on chondroprotection in an animal model.. Arthritis Rheum 2009 Oct;60(10):2997-3006.
- Elsaid KA, Fleming BC, Oksendahl HL, Machan JT, Fadale PD, Hulstyn MJ, Shalvoy R, Jay GD. Decreased lubricin concentrations and markers of joint inflammation in the synovial fluid of patients with anterior cruciate ligament injury.. Arthritis Rheum 2008 Jun;58(6):1707-15.
- Teeple E, Elsaid KA, Fleming BC, Jay GD, Aslani K, Crisco JJ, Mechrefe AP. Coefficients of friction, lubricin, and cartilage damage in the anterior cruciate ligament-deficient guinea pig knee.. J Orthop Res 2008 Feb;26(2):231-7.
- Kosinska MK, Ludwig TE, Liebisch G, Zhang R, Siebert HC, Wilhelm J, Kaesser U, Dettmeyer RB, Klein H, Ishaque B, Rickert M, Schmitz G, Schmidt TA, Steinmeyer J. Articular Joint Lubricants during Osteoarthritis and Rheumatoid Arthritis Display Altered Levels and Molecular Species.. PLoS One 2015;10(5):e0125192.
- Ruan MZ, Erez A, Guse K, Dawson B, Bertin T, Chen Y, Jiang MM, Yustein J, Gannon F, Lee BH. Proteoglycan 4 expression protects against the development of osteoarthritis.. Sci Transl Med 2013 Mar 13;5(176):176ra34.
- Cui Z, Xu C, Li X, Song J, Yu B. Treatment with recombinant lubricin attenuates osteoarthritis by positive feedback loop between articular cartilage and subchondral bone in ovariectomized rats.. Bone 2015 May;74:37-47.
- Teeple E, Elsaid KA, Jay GD, Zhang L, Badger GJ, Akelman M, Bliss TF, Fleming BC. Effects of supplemental intra-articular lubricin and hyaluronic acid on the progression of posttraumatic arthritis in the anterior cruciate ligament-deficient rat knee.. Am J Sports Med 2011 Jan;39(1):164-72.
- Jay GD, Fleming BC, Watkins BA, McHugh KA, Anderson SC, Zhang LX, Teeple E, Waller KA, Elsaid KA. Prevention of cartilage degeneration and restoration of chondroprotection by lubricin tribosupplementation in the rat following anterior cruciate ligament transection.. Arthritis Rheum 2010 Aug;62(8):2382-91.
- Flannery CR, Zollner R, Corcoran C, Jones AR, Root A, Rivera-Bermúdez MA, Blanchet T, Gleghorn JP, Bonassar LJ, Bendele AM, Morris EA, Glasson SS. Prevention of cartilage degeneration in a rat model of osteoarthritis by intraarticular treatment with recombinant lubricin.. Arthritis Rheum 2009 Mar;60(3):840-7.
- Frisbie DD, Cross MW, McIlwraith CW. A comparative study of articular cartilage thickness in the stifle of animal species used in human pre-clinical studies compared to articular cartilage thickness in the human knee.. Vet Comp Orthop Traumatol 2006;19(3):142-6.
- McIlwraith CW, Fortier LA, Frisbie DD, Nixon AJ. Equine Models of Articular Cartilage Repair.. Cartilage 2011 Oct;2(4):317-26.
- Chu CR, Szczodry M, Bruno S. Animal models for cartilage regeneration and repair.. Tissue Eng Part B Rev 2010 Feb;16(1):105-15.
- McIlwraith CW, Frisbie DD, Kawcak CE. The horse as a model of naturally occurring osteoarthritis.. Bone Joint Res 2012 Nov;1(11):297-309.
- Young AA, McLennan S, Smith MM, Smith SM, Cake MA, Read RA, Melrose J, Sonnabend DH, Flannery CR, Little CB. Proteoglycan 4 downregulation in a sheep meniscectomy model of early osteoarthritis.. Arthritis Res Ther 2006;8(2):R41.
- Barton KI, Ludwig TE, Achari Y, Shrive NG, Frank CB, Schmidt TA. Characterization of proteoglycan 4 and hyaluronan composition and lubrication function of ovine synovial fluid following knee surgery.. J Orthop Res 2013 Oct;31(10):1549-54.
- Desrochers J, Amrein MW, Matyas JR. Microscale surface friction of articular cartilage in early osteoarthritis.. J Mech Behav Biomed Mater 2013 Sep;25:11-22.
- Antonacci JM, Schmidt TA, Serventi LA, Cai MZ, Shu YL, Schumacher BL, McIlwraith CW, Sah RL. Effects of equine joint injury on boundary lubrication of articular cartilage by synovial fluid: role of hyaluronan.. Arthritis Rheum 2012 Sep;64(9):2917-26.
- Ballard BL, Antonacci JM, Temple-Wong MM, Hui AY, Schumacher BL, Bugbee WD, Schwartz AK, Girard PJ, Sah RL. Effect of tibial plateau fracture on lubrication function and composition of synovial fluid.. J Bone Joint Surg Am 2012 May 16;94(10):e64.
- Neu CP, Reddi AH, Komvopoulos K, Schmid TM, Di Cesare PE. Increased friction coefficient and superficial zone protein expression in patients with advanced osteoarthritis.. Arthritis Rheum 2010 Sep;62(9):2680-7.
- Atarod M, Ludwig TE, Frank CB, Schmidt TA, Shrive NG. Cartilage boundary lubrication of ovine synovial fluid following anterior cruciate ligament transection: a longitudinal study.. Osteoarthritis Cartilage 2015 Apr;23(4):640-7.
- Kamm JL, Nixon AJ, Witte TH. Cytokine and catabolic enzyme expression in synovium, synovial fluid and articular cartilage of naturally osteoarthritic equine carpi.. Equine Vet J 2010 Nov;42(8):693-9.
- Frisbie DD, Ghivizzani SC, Robbins PD, Evans CH, McIlwraith CW. Treatment of experimental equine osteoarthritis by in vivo delivery of the equine interleukin-1 receptor antagonist gene.. Gene Ther 2002 Jan;9(1):12-20.
- Reesink HL, Bonnevie ED, Liu S, Shurer CR, Hollander MJ, Bonassar LJ, Nixon AJ. Galectin-3 Binds to Lubricin and Reinforces the Lubricating Boundary Layer of Articular Cartilage.. Sci Rep 2016 May 9;6:25463.
- Nixon AJ, Begum L, Mohammed HO, Huibregtse B, O'Callaghan MM, Matthews GL. Autologous chondrocyte implantation drives early chondrogenesis and organized repair in extensive full- and partial-thickness cartilage defects in an equine model.. J Orthop Res 2011 Jul;29(7):1121-30.
- Ai M, Cui Y, Sy MS, Lee DM, Zhang LX, Larson KM, Kurek KC, Jay GD, Warman ML. Anti-lubricin monoclonal antibodies created using lubricin-knockout mice immunodetect lubricin in several species and in patients with healthy and diseased joints.. PLoS One 2015;10(2):e0116237.
- Teeple E, Jay GD, Elsaid KA, Fleming BC. Animal models of osteoarthritis: challenges of model selection and analysis.. AAPS J 2013 Apr;15(2):438-46.
- Musumeci G, Castrogiovanni P, Trovato FM, Imbesi R, Giunta S, Szychlinska MA, Loreto C, Castorina S, Mobasheri A. Physical activity ameliorates cartilage degeneration in a rat model of aging: a study on lubricin expression.. Scand J Med Sci Sports 2015 Apr;25(2):e222-30.
- Elsaid KA, Zhang L, Waller K, Tofte J, Teeple E, Fleming BC, Jay GD. The impact of forced joint exercise on lubricin biosynthesis from articular cartilage following ACL transection and intra-articular lubricin's effect in exercised joints following ACL transection.. Osteoarthritis Cartilage 2012 Aug;20(8):940-8.
- Svala E, Jin C, Rüetschi U, Ekman S, Lindahl A, Karlsson NG, Skiöldebrand E. Characterisation of lubricin in synovial fluid from horses with osteoarthritis.. Equine Vet J 2017 Jan;49(1):116-123.
- Musumeci G, Trovato FM, Loreto C, Leonardi R, Szychlinska MA, Castorina S, Mobasheri A. Lubricin expression in human osteoarthritic knee meniscus and synovial fluid: a morphological, immunohistochemical and biochemical study.. Acta Histochem 2014 Jun;116(5):965-72.
- Zhang D, Cheriyan T, Martin SD, Gomoll AH, Schmid TM, Spector M. Lubricin distribution in the torn human anterior cruciate ligament and meniscus.. J Orthop Res 2011 Dec;29(12):1916-22.
- Shine KM, Spector M. The presence and distribution of lubricin in the caprine intervertebral disc.. J Orthop Res 2008 Oct;26(10):1398-406.
- Shine KM, Simson JA, Spector M. Lubricin distribution in the human intervertebral disc.. J Bone Joint Surg Am 2009 Sep;91(9):2205-12.
- Leonardi R, Almeida LE, Loreto C. Lubricin immunohistochemical expression in human temporomandibular joint disc with internal derangement.. J Oral Pathol Med 2011 Aug;40(7):587-92.
- Leonardi R, Rusu MC, Loreto F, Loreto C, Musumeci G. Immunolocalization and expression of lubricin in the bilaminar zone of the human temporomandibular joint disc.. Acta Histochem 2012 Jan;114(1):1-5.
- Wei L, Xiong H, Li B, Cheng Y, Long X. Boundary-lubricating ability and lubricin in synovial fluid of patients with temporomandibular joint disorders.. J Oral Maxillofac Surg 2010 Oct;68(10):2478-83.
- Waller KA, Zhang LX, Elsaid KA, Fleming BC, Warman ML, Jay GD. Role of lubricin and boundary lubrication in the prevention of chondrocyte apoptosis.. Proc Natl Acad Sci U S A 2013 Apr 9;110(15):5852-7.
- Rhee DK, Marcelino J, Baker M, Gong Y, Smits P, Lefebvre V, Jay GD, Stewart M, Wang H, Warman ML, Carpten JD. The secreted glycoprotein lubricin protects cartilage surfaces and inhibits synovial cell overgrowth.. J Clin Invest 2005 Mar;115(3):622-31.
- Al-Sharif A, Jamal M, Zhang LX, Larson K, Schmidt TA, Jay GD, Elsaid KA. Lubricin/Proteoglycan 4 Binding to CD44 Receptor: A Mechanism of the Suppression of Proinflammatory Cytokine-Induced Synoviocyte Proliferation by Lubricin.. Arthritis Rheumatol 2015 Jun;67(6):1503-13.
- Iqbal SM, Leonard C, Regmi SC, De Rantere D, Tailor P, Ren G, Ishida H, Hsu C, Abubacker S, Pang DS, Salo PT, Vogel HJ, Hart DA, Waterhouse CC, Jay GD, Schmidt TA, Krawetz RJ. Lubricin/Proteoglycan 4 binds to and regulates the activity of Toll-Like Receptors In Vitro.. Sci Rep 2016 Jan 11;6:18910.
- Alquraini A, Garguilo S, D'Souza G, Zhang LX, Schmidt TA, Jay GD, Elsaid KA. The interaction of lubricin/proteoglycan 4 (PRG4) with toll-like receptors 2 and 4: an anti-inflammatory role of PRG4 in synovial fluid.. Arthritis Res Ther 2015 Dec 4;17:353.
Citations
This article has been cited 21 times.- Grissom SK, Semevolos SA, Duesterdieck-Zellmer K. Role of cartilage and bone matrix regulation in early equine osteochondrosis.. Bone Rep 2023 Jun;18:101653.
- Pezzanite LM, Chow L, Phillips J, Griffenhagen GM, Moore AR, Schaer TP, Engiles JB, Werpy N, Gilbertie J, Schnabel LV, Antczak D, Miller D, Dow S, Goodrich LR. TLR-activated mesenchymal stromal cell therapy and antibiotics to treat multi-drug resistant Staphylococcal septic arthritis in an equine model.. Ann Transl Med 2022 Nov;10(21):1157.
- Pezzanite LM, Chow L, Strumpf A, Johnson V, Dow SW. Immune Activated Cellular Therapy for Drug Resistant Infections: Rationale, Mechanisms, and Implications for Veterinary Medicine.. Vet Sci 2022 Nov 4;9(11).
- Thampi P, Samulski RJ, Grieger JC, Phillips JN, McIlwraith CW, Goodrich LR. Gene therapy approaches for equine osteoarthritis.. Front Vet Sci 2022;9:962898.
- Contentin R, Jammes M, Bourdon B, Cassé F, Bianchi A, Audigié F, Branly T, Velot É, Galéra P. Bone Marrow MSC Secretome Increases Equine Articular Chondrocyte Collagen Accumulation and Their Migratory Capacities.. Int J Mol Sci 2022 May 21;23(10).
- Shah S, Esdaille CJ, Bhattacharjee M, Kan HM, Laurencin CT. The synthetic artificial stem cell (SASC): Shifting the paradigm of cell therapy in regenerative engineering.. Proc Natl Acad Sci U S A 2022 Jan 11;119(2).
- Seol D, Choe HH, Zheng H, Brouillette MJ, Fredericks DC, Petersen EB, Song I, Chakka LRJ, Salem AK, Martin JA. Intra-Articular Adeno-Associated Virus-Mediated Proteoglycan 4 Gene Therapy for Preventing Posttraumatic Osteoarthritis.. Hum Gene Ther 2022 May;33(9-10):529-540.
- Fasanello DC, Su J, Deng S, Yin R, Colville MJ, Berenson JM, Kelly CM, Freer H, Rollins A, Wagner B, Rivas F, Hall AR, Rahbar E, DeAngelis PL, Paszek MJ, Reesink HL. Hyaluronic acid synthesis, degradation, and crosslinking in equine osteoarthritis: TNF-α-TSG-6-mediated HC-HA formation.. Arthritis Res Ther 2021 Aug 20;23(1):218.
- Pezzanite L, Chow L, Hendrickson D, Gustafson DL, Russell Moore A, Stoneback J, Griffenhagen GM, Piquini G, Phillips J, Lunghofer P, Dow S, Goodrich LR. Evaluation of Intra-Articular Amikacin Administration in an Equine Non-inflammatory Joint Model to Identify Effective Bactericidal Concentrations While Minimizing Cytotoxicity.. Front Vet Sci 2021;8:676774.
- Watkins A, Fasanello D, Stefanovski D, Schurer S, Caracappa K, D'Agostino A, Costello E, Freer H, Rollins A, Read C, Su J, Colville M, Paszek M, Wagner B, Reesink H. Investigation of synovial fluid lubricants and inflammatory cytokines in the horse: a comparison of recombinant equine interleukin 1 beta-induced synovitis and joint lavage models.. BMC Vet Res 2021 May 12;17(1):189.
- Cheng JH, Yen KT, Chou WY, Jhan SW, Hsu SL, Ko JY, Wang CJ, Kuo CA, Wu SY, Hsu TC, Hsu CC. Autologous Adipose-Derived Mesenchymal Stem Cells Combined with Shockwave Therapy Synergistically Ameliorates the Osteoarthritic Pathological Factors in Knee Joint.. Pharmaceuticals (Basel) 2021 Apr 1;14(4).
- Noordwijk KJ, Qin R, Diaz-Rubio ME, Zhang S, Su J, Mahal LK, Reesink HL. Metabolism and global protein glycosylation are differentially expressed in healthy and osteoarthritic equine carpal synovial fluid.. Equine Vet J 2022 Mar;54(2):323-333.
- Matheson A, Regmi SC, Jay GD, Schmidt TA, Scott WM. The Effect of Intense Exercise on Equine Serum Proteoglycan-4/Lubricin.. Front Vet Sci 2020;7:599287.
- Watkins AR, Reesink HL. Lubricin in experimental and naturally occurring osteoarthritis: a systematic review.. Osteoarthritis Cartilage 2020 Oct;28(10):1303-1315.
- Irwin RM, Feeney E, Secchieri C, Galesso D, Cohen I, Oliviero F, Ramonda R, Bonassar LJ. Distinct tribological endotypes of pathological human synovial fluid reveal characteristic biomarkers and variation in efficacy of viscosupplementation at reducing local strains in articular cartilage.. Osteoarthritis Cartilage 2020 Apr;28(4):492-501.
- Peal BT, Gagliardi R, Su J, Fortier LA, Delco ML, Nixon AJ, Reesink HL. Synovial fluid lubricin and hyaluronan are altered in equine osteochondral fragmentation, cartilage impact injury, and full-thickness cartilage defect models.. J Orthop Res 2020 Aug;38(8):1826-1835.
- Feeney E, Peal BT, Inglis JE, Su J, Nixon AJ, Bonassar LJ, Reesink HL. Temporal changes in synovial fluid composition and elastoviscous lubrication in the equine carpal fracture model.. J Orthop Res 2019 May;37(5):1071-1079.
- Reesink HL, Nixon AJ, Su J, Liu S, Sutton RM, Mann S, Watts AE, Peterson RP. Galectins-1 and-3 Increase in Equine Post-traumatic Osteoarthritis.. Front Vet Sci 2018;5:288.
- Hurtig M, Zaghoul I, Sheardown H, Schmidt TA, Liu L, Zhang L, Elsaid KA, Jay GD. Two compartment pharmacokinetic model describes the intra-articular delivery and retention of rhprg4 following ACL transection in the Yucatan mini pig.. J Orthop Res 2019 Feb;37(2):386-396.
- Donahue SW. Krogh's principle for musculoskeletal physiology and pathology.. J Musculoskelet Neuronal Interact 2018 Sep 1;18(3):284-291.
- Gilbertie JM, Long JM, Schubert AG, Berglund AK, Schaer TP, Schnabel LV. Pooled Platelet-Rich Plasma Lysate Therapy Increases Synoviocyte Proliferation and Hyaluronic Acid Production While Protecting Chondrocytes From Synoviocyte-Derived Inflammatory Mediators.. Front Vet Sci 2018;5:150.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists