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A single pneumatic tourniquet is superior to wide rubber tourniquets for saphenous intravenous regional limb perfusion with amikacin in standing, sedated horses.
Journal of the American Veterinary Medical Association    April 8, 2026   1-8 doi: 10.2460/javma.26.01.0043
Lani NR, Schoonover MJ, Williams MR, Messina A, Rudra P.To establish whether tourniquet type and number influence synovial fluid amikacin concentrations of the tarsocrural joint (TCJ) or metatarsophalangeal joint (MTPJ) after standing saphenous IV regional limb perfusion (IVRLP) with 2 g of amikacin. Unassigned: 8 healthy adult horses underwent 4 saphenous IVRLP protocols with amikacin, differing in tourniquet type (pneumatic vs wide rubber) and number (1 placed mid-gaskin vs 1 placed mid-gaskin and 1 mid-metatarsus) in a randomized, crossover design. Amikacin concentrations were measured in serum and synovial fluid of the TCJ and MTPJ at 15 and 30...
Effect of season of collection and storage method on equine hair cortisol concentration.
Journal of equine veterinary science    April 8, 2026   105888 doi: 10.1016/j.jevs.2026.105888
Rivers S, Robertson G, O'Sullivan L, Powell T, Porr S.Serum cortisol concentration is one of the common physiological reference standards for evaluating stress in animals. However, it only evaluates acute stress at the moment of blood collection. Hair cortisol concentrations (HCC) could provide a method for assessing cortisol concentrations over extended periods of time, giving an estimate of chronic stress levels. In this case, high HCC results could help equine managers alter management practices to improve welfare. Objective: To evaluate the effect of the month of collection and the storage method on equine HCC. Methods: Tail hair was collecte...
Behavioral and cardiorespiratory effects of a medetomidine and tramadol combination in horses.
Journal of veterinary science    April 8, 2026   Volume 27, Issue 2 e17 doi: 10.4142/jvs.25252
Kim A, Lee I, Lee K, Lee EB, Seo JP.The use of combinations of sedative and analgesic drugs during standing procedures in horses is necessary to provide reliable sedation with minimal ataxia and reduced responses to surgical or other stimuli in horses. Objective: This study assessed the behavioral and cardiorespiratory effects of medetomidine (M) administered with and without tramadol (T) in horses. Methods: Eight horses were sedated intravenously with M (5 µg/kg) alone or with T (2 mg/kg) in a arandomized, blind, two-way crossover trial. Behavioral responses, including head height above the ground (HHAG), postural instability ...
Molecular typing, biofilm characteristics and biofilm-targeted inhibition strategies of Streptococcus equi subsp. zooepidemicus isolated from donkey endometritis.
Journal of equine veterinary science    April 8, 2026   Volume 162 105891 doi: 10.1016/j.jevs.2026.105891
Ma S, Luo T, Zheng Y, Wang Y, Yu J, Qu H, Liu B, Wang T, Wu C, Zhu Y, Bai X, Wang Z, Li J.Endometritis is a major cause of infertility in intensively farmed donkeys. Streptococcus equi subsp. zooepidemicus (SEZ) is a predominant pathogen that readily forms biofilms in equine endometritis, conferring resistance to conventional treatments. Objective: This study aimed to characterize the biofilm dynamics of SEZ isolates obtained from donkeys and to evaluate potential anti-biofilm strategies with different drug combinations. Methods: Uterine lavage samples were collected from 30 Dezhou Black donkeys with clinical endometritis. Bacterial cultures were performed on blood agar and MacConk...
Radiation in Veterinary Practice: Paradigm Shift Toward Precision and Curative Approaches.
Life (Basel, Switzerland)    April 8, 2026   Volume 16, Issue 4 626 doi: 10.3390/life16040626
Mârza SM, Munteanu C, Lăcătuş R, Papuc I, Bora FD, Purdoiu RC.Ionizing radiation therapy has undergone a clear paradigm shift in veterinary oncology and inflammatory disease management, moving from mainly palliative use toward structured, curative treatment programs. This review synthesizes current evidence on key modalities used in veterinary practice, including external beam radiotherapy, brachytherapy, systemic targeted radionuclide therapy, stereotactic radiosurgery, stereotactic body radiotherapy, radiosynoviorthesis, and low-dose radiotherapy. Each modality is discussed in relation to its physical and biological basis, major isotopes or beam types,...
Longitudinal assessment of hemostatic adaptations in pregnant mares: Evidence of a physiological hypercoagulable state.
Animal reproduction science    April 7, 2026   Volume 290 108181 doi: 10.1016/j.anireprosci.2026.108181
Satué K, La Fauci D, Cravana C, Medica P, Fazio E.Pregnancy triggers intricate hemostatic adjustments that support placental maturation and prepare the maternal organism for delivery. We hypothesized that pregnant mares would progressively shift toward a procoagulant state throughout gestation, reflected in changes to coagulation and fibrinolytic markers. To test this hypothesis, 15 clinically healthy Spanish Purebred pregnant mares were monitored monthly from conception to term, alongside 15 non-pregnant controls of similar age and breed. A comprehensive hemostatic profile-including platelet (PLT) count, prothrombin time (PT), activated part...
Progressive structural and functional change in horses: a conceptual framework for systemic equine (patho-)physiology.
Frontiers in veterinary science    April 7, 2026   Volume 13 1767386 doi: 10.3389/fvets.2026.1767386
Diehl M, Bader K.A wide range of locomotor, postural, and behavioral pathophysiology in horses-often grouped under terms such as Topline Syndrome, Myofascial Dysfunction, or Poor Posture Syndrome-lack a coherent systemic explanation. These presentations share reduced performance, stability, and resilience, yet are commonly managed through isolated symptom-focused interventions. To address this gap, we propose progressive structural and functional change (PSF) as a systemic framework describing progressive reorganization processes within the equine body that link fragmented pathological domains into a coherent ...
Adrenocorticotropic Hormone and Thyroxine Concentrations in Young Healthy Equids: Species Differences and Seasonal Variations.
Animals : an open access journal from MDPI    April 7, 2026   Volume 16, Issue 7 1124 doi: 10.3390/ani16071124
Siwińska N, Żak-Bochenek A, Jawor P, Pietrzak A, Kutermak O, Słowikowska-Łoś M, Kaczmarek B.Due to growing interest in endocrine diseases, more studies aim to interpret the baseline concentrations and reference intervals of hormone values like adrenocorticotropic hormone (ACTH) and thyroxine (T4) in horses. Most studies available in the literature focus on evaluating ACTH and thyroid hormone values in adult and geriatric horses, with only a few considering younger donkeys and ponies. This study aimed to measure ACTH and T4 in autumn and spring in younger equids. The study included 42 young equids, which were divided into three groups: horses, ponies, and donkeys. The concentration of...
Opportunities for agency in domestic horses: Applying the behavioural domain to increase equine welfare.
Animal welfare (South Mimms, England)    April 7, 2026   Volume 35 e26 doi: 10.1017/awf.2026.10085
Goodale L.Giving animals the opportunity to exercise agency can improve their welfare, but horse owners and researchers may not be aware of the growing body of agency research in other animals, and studies on agency and choice in horses are scattered across disciplines and not connected to each other or to broader theory. This paper summarises research findings on management of domestic horses through the lens of animal agency and explores the potential applications of research on choice, control, and challenge in animals to improve the welfare of horses.
Hematological and Biochemical Profiles in Mule and Horse Neonates from Birth to 30 Days of Age: A Comparative Study with Clinical Perspectives.
Journal of equine veterinary science    April 7, 2026   105886 doi: 10.1016/j.jevs.2026.105886
Alonso MA, Boakari YL, Riccio AV, McLean A, Belli CB, Fernandes CB.Few studies have evaluated hematological and biochemical parameters in mule foals, and neonatal reference data remain limited. Objective: To compare hematological and biochemical parameters in mule and horse neonates up to 30 days of life. Methods: Mule (n=15) and horse (n=16) neonates were evaluated at birth, 12 and 24h, and at 7 and 30d of age. Results: Mules had higher mean corpuscular hemoglobin concentration (g/dL; 33.85 ± 0.18; P=0.04), platelets (× 10³/µL; 342,179 ± 15,691; P=0.0051), albumin (g/dL; 3.24 ± 0.05; P=0.0039), calcium (mg/dL; 12.27 ± 0.14; P=0.03), chloride (mmol/L; ...
Prevotella mikamonis sp. nov., isolated from equine clinical specimens.
International journal of systematic and evolutionary microbiology    April 7, 2026   Volume 76, Issue 4 doi: 10.1099/ijsem.0.007112
Hayashi M, Yonetamari J, Muto Y, Kinoshita Y, Uchida E, Niwa H, Fujiwara N, Nakaya M, Yamagishi Y, Tanaka K.In this study, five strains of anaerobic, Gram-negative, rod-shaped bacteria were characterized phenotypically, biochemically and genotypically. These strains were clinically isolated from horse specimens in Japan. Phylogenetic trees constructed based on 16S rRNA gene sequence comparisons showed distinct clustering of the five strains with the type strains of closely related species. The genomic DNA G+C content was 46.7 mol%. The major cellular fatty acids identified were C, 3-OH-C and 3-OH-iso-C. Whole-genome comparisons based on average nucleotide identity using blast (ANIb) and digital DNA...
Comparative analysis of the transcriptome and methylome in distinct trophoblast populations at the time of embryo implantation in mares.
BMC genomics    April 7, 2026   doi: 10.1186/s12864-026-12822-8
Jaworska J, Tobolski D, Salem SE, Ropka-Molik K, Ząbek T, Szmatoła T, Kahler A, Wocławek-Potocka I, Piórkowska K, de Mestre AM.BACKGROUND: During equine implantation, two distinct trophoblast subpopulations are identified: the invasive chorionic girdle (CG) and the non-invasive allantochorion. The invasive CG trophoblast is believed to modulate the maternal immune response and facilitates embryo attachment to the endometrium, while the allantochorion contributes to placental development without breaching the endometrium. However, the mechanisms underlying differential adhesion and immune modulation by these two lineages remain poorly understood. This study aimed to investigate the regulation of biological processes un...
Case Report: Neurologic signs following rattlesnake envenomation.
Frontiers in veterinary science    April 7, 2026   Volume 13 1756610 doi: 10.3389/fvets.2026.1756610
Weintraub L, Fielding CL, Bouton J, Rhodes D.Rattlesnake envenomation is a common emergency in horses in California. Rattlesnakes belong to a group of venomous snakes: pit vipers. The Northern Pacific Rattlesnake (), a subspecies of the Western Rattlesnake, is the most widespread rattlesnake in California (1). A 5-year-old miniature horse mare presented for a presumed Western Rattlesnake bite. The owners found the horse the morning of presentation with severe facial swelling and the horse was housed in an area where rattlesnakes are commonly observed. The horse was reported to be normal the day prior to presentation. On blood examination...
Analytical Challenges and Emerging Detection Strategies of Synthetic Cannabinoids in Horse Doping Control.
Biomedical chromatography : BMC    April 6, 2026   Volume 40, Issue 5 e70432 doi: 10.1002/bmc.70432
Kabil E, Ural MN, Göktaş EF.Synthetic cannabinoids (SCs) were originally synthesized to advance the understanding of the endocannabinoid system, facilitate disease research, and support the development of novel therapeutic agents. Compared with tetrahydrocannabinol, these compounds exhibit substantially higher psychoactive potency and enhanced receptor-binding affinity. The rapid and continuous evolution of SC derivatives presents significant challenges for analytical laboratories and increases the risk of misuse. Furthermore, SCs may be exploited to alter performance in both human and animal sports. The scarcity of comp...
Mucosal T cell activation pathways are upregulated by equine herpesvirus type 1 infection.
Veterinary research    April 6, 2026   doi: 10.1186/s13567-026-01741-x
Holmes CM, Babasyan S, Wagner B.Equine herpesvirus type 1 (EHV-1) is a high morbidity and mortality virus that impacts horse populations worldwide. As a respiratory virus, it enters through the upper respiratory tract (URT), where mucosal immunity plays a crucial role in preventing severe disease. In this study, flow cytometry was used to characterize the nasal leukocyte population during EHV-1 infection, and RNA sequencing of nasal secretions was employed to assess transcriptional markers of the mucosal immune response. Horses with distinct immune statuses were compared at four stages: pre-infection, early (day 1 and 3 post...
Competitive enzyme-linked immunosorbent assay to quantify hepcidin in horse serum.
Journal of equine veterinary science    April 6, 2026   105887 doi: 10.1016/j.jevs.2026.105887
Gluck-Flynn CR, Han H, Valenzuela M, Routh P, Ostland VE, Pratt-Phillips SE.Hepcidin (Hepc) is a peptide hormone primarily produced by hepatocytes and considered the master regulator of iron homeostasis, with Hepc controlling the release of iron within the circulation. Despite the renewed interest in iron-related research due to Hepc discovery, there is limited data on serum hepcidin in horses. The objective of the study was to develop and partially validate a competitive enzyme-linked immunosorbent assay (ELISA) to quantify serum hepcidin in horses. Precision was evaluated using horse serum samples representing low, medium and high Hepc concentrations, yielding intra...
Crimean-Congo Haemorrhagic Fever Virus Exposure in Horses and Donkeys in Border Livestock Markets of Nigeria.
Zoonoses and public health    April 5, 2026   doi: 10.1111/zph.70056
Ehizibolo DO, Oyekan O, Mkpuma N, Haliru H, Garba I, Turaki IZ, Kennedy S, Shallangwa JM, Kilyobas CS, Mohammed A, Muhammad MA, Abubakar M....Crimean-Congo haemorrhagic fever virus (CCHFV) is a tick-borne zoonotic pathogen of major public health importance in Africa. Although CCHFV exposure has been reported in several livestock species in Nigeria, data on equids remain limited despite their extensive involvement in livestock movement and trade. This study assessed CCHFV seroprevalence in horses and donkeys in major international livestock markets in northern Nigeria and examined factors associated with exposure. Methods: From June 2023 to July 2024, a longitudinal sero-surveillance study was conducted in three high-volume livestock...
Seroprevalence of Sarcocystis neurona and Neospora hughesi in healthy horses from the province of Alberta, Canada.
Journal of veterinary internal medicine    April 5, 2026   Volume 40, Issue 2 aalag058 doi: 10.1093/jvimsj/aalag058
Sjolin E, Zakia LS, Galezowski A, Whitehead AE.Literature on the seroprevalence of antibodies to the causative agents of equine protozoal myeloencephalitis (EPM) in Canada is limited. Objective: To determine the prevalence of serum antibodies against Sarcocystis neurona and Neospora hughesi in apparently healthy horses without signs of neurologic disease which have always resided in Alberta, Canada, using commercially available immunodiagnostic tests. Methods: Samples from 116 healthy horses were obtained from a biobank containing horse serum collected across Alberta in 2021 and 2022. Samples were selected based on owner survey responses, ...
Adult Equine Optic Nerve Head Measurements Using Spectral Domain Optical Coherence Tomography.
Veterinary ophthalmology    April 4, 2026   Volume 29, Issue 3 e70174 doi: 10.1111/vop.70174
Bostick HN, Keys DA, Bowden AC, McMullen RJ.To compare equine optic nerve head (ONH) measurements using spectral domain optical coherence tomography (SD-OCT) to detect clinically relevant ONH cupping. Methods: Forty-five eyes from 34 horses were categorized as CONTROL or CUPPED based on indirect ophthalmoscopy and were measured using SD-OCT: Bruch's membrane opening (BMO), optic cup width (OC), anterior laminar depth (ALD), prelaminar thickness (PLT), and cup-to-disk ratio (OC: BMO) at superior (sup.), central (ctr.), and inferior (inf.) ONH locations. Results: The OC:BMO was 0.61 ± 0.09 (sup.), 0.64 ± 0.09 (ctr.), and 0.55 ...
United States stakeholder insights on genetic testing for equine health and breeding.
Journal of equine veterinary science    April 4, 2026   105882 doi: 10.1016/j.jevs.2026.105882
Mienaltowski MJ, Hernandez S, Nastrini E, Wickens CL, McCue ME, Rosa LP, Norton EM, McCoy AM, Brooks SA.The S1094 United States Department of Agriculture Multistate Research Project is a collaborative effort utilizing equine genetics and genomics to improve horse health and well-being. It also provides educational resources and genetic testing tools to equine industry stakeholders. Objective: A survey assessed the knowledge, priorities, and information sources of U.S. horse owners and enthusiasts regarding equine genetic testing to inform future outreach and research efforts. Methods: An online survey was distributed from March to October 2024, targeting horse owners and enthusiasts across the U...
Polyphenol-Rich Feed Material increases Anaerostipes and reduces methanogenic archaea in the horse hindgut microbiome.
Journal of equine veterinary science    April 4, 2026   105885 doi: 10.1016/j.jevs.2026.105885
Bettio MK, Vidal T, Rose JJ, Jois M, Flavel M, Petrovski S.The gastrointestinal microbiota plays a critical role in horse health and performance. While sugarcane-derived polyphenols have shown microbiota-modulating properties in other species, their effects in horses remain unexplored. Objective: This study investigated whether supplementation with a sugarcane-derived polyphenol feed material modulates the hindgut microbiota of healthy adult horses. Methods: An observational longitudinal study was conducted on six horses over 12 weeks. Faecal samples were collected at three time points: baseline (P1), during supplementation (P2), and post-supplementat...
Malignant Ovarian Teratoma in a Lusitano Filly: Diagnostic Challenges and Clinical Significance.
Journal of equine veterinary science    April 3, 2026   105883 doi: 10.1016/j.jevs.2026.105883
Campilho R, Saraiva S, Chaves S, Quaresma M, Silva F, Pires I.An 8-month-old Lusitano filly (a young female horse) was referred with a five-day history of abdominal distension, respiratory distress, and hyporexia. Clinical and ultrasonographic examinations revealed ventral edema, anemia, leukocytosis, hypoalbuminemia, and bilateral pleural effusion. The filly subsequently developed progressive clinical deterioration, including persistent hyporexia, scant fecal output, and acute colic with nasogastric reflux, followed by sudden respiratory decompensation, collapse, and death. Post-mortem examination revealed a large, multilobulated abdominal mass involvin...
DMRT3 Gene Variations in Horse Breeds Selected for Gaited Movement – Established Research and Novel Findings.
Journal of equine veterinary science    April 3, 2026   105877 doi: 10.1016/j.jevs.2026.105877
Ropka-Molik K, Musiał AD, Majtyka A, Bieniek A, Ayad A, Muszyński S, Stefaniuk-Szmukier M.The DMRT3 gene, often referred to as the "gait keeper," plays a key role in controlling alternative gaits in horses, such as tölt and pace. This study aimed to determine the frequency of known and to screen for potential novel polymorphisms within the second exon of the DMRT3 gene. Methods: A total of 244 blood or hair samples were collected from representative individuals of the six horse breeds: gaited (Icelandic Horse, French Trotter), non-gaited (Arabian Horse, Malopolski Horse), and pony breeds (Welsh Pony, Shetland Pony). Methods: The second exon of the DMRT3 gene analyzed using Sanger ...
Fungal endometritis in broodmares: clinical presentation, prevalence in Ireland and diagnostic performance of cytology.
Journal of equine veterinary science    April 3, 2026   105879 doi: 10.1016/j.jevs.2026.105879
Breton AL, Storme J, Gibbons J, Lewis N.Fungal endometritis is an uncommon uterine condition associated with poor fertility. Objective: This study aimed to 1) provide a descriptive summary of 11 cases of fungal endometritis, 2) assess prevalence trends of fungal endometritis over time, 3) assess fungal species distribution in diagnostic samples, and 4) evaluate the diagnostic accuracy of cytology. Methods: Study 1 reviewed records of 11 mares diagnosed with fungal endometritis for history, presentation, treatment, and outcome. Study 2 analysed 6,727 uterine samples (swabs and lavages; 2019-2024) for factors influencing fungal cultur...
Periovulatory administration of therapeutic and supratherapeutic doses of firocoxib does not impair induced ovulation or follicular dynamics in mares treated with a GnRH analogue.
Journal of equine veterinary science    April 3, 2026   Volume 161 105878 doi: 10.1016/j.jevs.2026.105878
Faria LG, Zutter BM, Freitas-Dell'Aqua CP, Camillo BL, Ávila-Júnior OS, Bassetti FS, Marcolino LC, Alvarenga MA.To evaluate the effects of therapeutic and supratherapeutic periovulatory doses of firocoxib on ovulation and follicular dynamics in mares. Methods: Seventy cycling mares were randomly assigned to receive firocoxib at 0.1 mg/kg (n = 27), firocoxib at 0.3 mg/kg (n = 22), or no treatment (control; n = 21). Treatments were initiated on Day 0, defined as the day of ovulation induction with a GnRH analogue administered intramuscularly, with firocoxib administered intravenously on Day 0 and Day 1 (24 h apart). Follicular diameter and ovulation timing were assessed by transrectal ultrasonography. Res...
Evaluation of episcleral silicone matrix cyclosporine implants for presumed equine immune-mediated keratitis: a retrospective study.
Journal of equine veterinary science    April 3, 2026   105880 doi: 10.1016/j.jevs.2026.105880
Bruneel E, Hermange T, Casamatta JM, Pereira A, Pimenta J, Caseiro AR.Immune-mediated keratitis (IMMK) is a chronic inflammatory corneal disease in horses. Long-term topical therapy with cyclosporine is often impractical, highlighting the need for sustained-release alternatives. Objective: To assess clinical response, tolerability, and duration of effect of episcleral silicone matrix cyclosporine implants (ESMC) in horses with presumed IMMK. Methods: Medical records of 12 horses (14 eyes) treated between 2019 and 2023 were retrospectively reviewed. IMMK subtypes were classified as epithelial (n = 3 eyes), anterior stromal (n = 9), or mid-stromal (n =â€...
Preprocedural Radiographic Measurements Facilitate Centesis of the Equine Navicular Bursa.
Journal of equine veterinary science    April 3, 2026   105881 doi: 10.1016/j.jevs.2026.105881
Belova N, Malle A, Schieder K, Licka TF.For centesis of the equine navicular bursa radiographs confirming needle placement are recommended, this can be a logistical challenge. Therefore, we aimed to identify the usefulness of radiographic measurements for centesis of the navicular bursa. On lateromedial radiographs localization of the centre of the flexor surface of the navicular bone was determined in 26 isolated limbs. Based on these measurements, 21 novice veterinary students performed 130 needle placements using the axial distal palmar technique injecting one of five dyes per cadaver limb. Success was identified on dissection as...
The transition from winter to spring has an impact on the airway metabolome profile of asthmatic horses.
PloS one    April 3, 2026   Volume 21, Issue 4 e0346250 doi: 10.1371/journal.pone.0346250
Drespling J, Heelemann S, Strathmeyer S, Kühn H, Schwarz B, Mundhenk L.Equine asthma is a chronic, non-infectious inflammatory disease of the lower airways in horses, classified as mild to moderate (MEA) or severe (SEA). Its pathogenesis is not fully understood and is influenced by environmental and seasonal factors. In this cross-sectional study, seasonal effects on the bronchoalveolar lavage fluid (BALF) metabolome were investigated in asthmatic and non-asthmatic horses. The metabolome of 230 BALF samples from horses across different seasons, classified as cytologically unremarkable (CUA), MEA, or SEA, was analyzed using proton nuclear magnetic resonance spectr...
Multi-omics profiling of the testes in Kazakh horses across sexual maturation.
Genomics    April 2, 2026   111239 doi: 10.1016/j.ygeno.2026.111239
Yang X, Wen L, Wen M, Yao X, Meng J, Zeng Y, Ren W.Equus caballus is a species of considerable economic and cultural significance. However, the regulatory networks involved in equine sexual maturation remain unclear and eventually limit its reproduction and utilization. In this study, testicular tissues from eight Kazakh horses at two developmental stages (2 years, representing pre-maturation, and 3 years, representing post-maturation) were analyzed using whole transcriptome sequencing, data-independent acquisition (DIA) proteomics, and untargeted metabolomics. An integrated regulatory network was constructed encompassing ceRNA, mRNA, prot...
Development and evaluation of an enzyme-linked immunosorbent assay for measuring antibodies against VP8∗ receptor binding domain of equine rotavirus A.
Virology    April 2, 2026   Volume 619 110898 doi: 10.1016/j.virol.2026.110898
Naveed A, Eertink LG, Soni S, Kennedy MA, Adam E, Wang D, Li F.Equine rotavirus A (ERVA) poses a significant threat to foal health, necessitating reliable serological tools for assessing protective immune responses. This study focused on the development of an enzyme-linked immunosorbent assay (ELISA) for the measurement of antibodies against the VP8∗ receptor binding core domain of ERVA. Following the expression and purification of VP8∗ receptor binding domain from the bacterial expression system, the ELISA for detecting anti-ERVA VP8∗ antibodies with VP8∗ as a coating antigen was developed and its performance was validated by the comparative anal...