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Equine veterinary journal2001; 33(3); 244-249; doi: 10.2746/042516401776249606

Stabling is associated with airway inflammation in young Arabian horses.

Abstract: We examined the effect of stabling on upper and lower airway inflammation in 14 yearling Arabian horses that had been at pasture since birth. Horses were divided into 2 groups of 7. One group was stabled for 3 months and the other remained at pasture. The groups were then switched over for another 3 months. The nasopharynx, guttural pouches and trachea were examined endoscopically and bronchoalveolar lavage performed every month. An upper airway inflammation score was devised based on the magnitude of pharyngeal lymphoid hyperplasia and guttural pouch inflammation. During stabling this score remained constant, whereas it decreased during the 3 months at pasture. Stabling was also associated with a higher number and percentage of neutrophils in bronchoalveolar lavage fluid and with a smaller percentage of lymphocytes. There was no correlation between upper airway inflammation score and bronchoalveolar lavage cytology. During a nasal occlusion test, dorsal displacement of the soft palate occurred more times in stabled than in pastured horses, but this was heavily biased by the results from one animal. We conclude that stabling is associated with inflammation of both the upper and lower airway of young horses.
Publication Date: 2001-05-16 PubMed ID: 11352345DOI: 10.2746/042516401776249606Google Scholar: Lookup
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  • Clinical Trial
  • Controlled Clinical Trial
  • Journal Article

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.

The research article investigates how stabling affects airway inflammation in young Arabian horses and concludes that it increases inflammation in both the upper and lower airway.

Research Methodology

  • The study involved 14 Arabian horses, all one-year-olds who had been kept in pastures since their birth.
  • The horses were divided into two groups of seven. One group was stabled for three months while the other group stayed in the pasture.
  • After three months, the groups were switched. The group initially in the stable was moved to the pasture and vice versa, for another three months.
  • Every month, researchers performed endoscopic examinations of the nasopharynx, guttural pouches, and trachea of the horses, along with a bronchoalveolar lavage – a medical procedure in which a bronchoscope is passed through the mouth or nose into the lungs to obtain cells from the bronchioles and alveoli.

Scoring & Findings

  • The researchers devised an upper airway inflammation score based on the level of pharyngeal lymphoid hyperplasia (an abnormal increase in the lymphoid cells in the pharynx) and guttural pouch inflammation.
  • The findings suggest that during the stabling period, this inflammation score remained constant, meaning the inflammation in the horse’s upper airway did not decrease. However, when the horses were moved back to the pasture, the inflammation lessened.
  • Furthermore, stabling was linked with a higher number and percentage of neutrophils (a type of immune cell) in the bronchoalveolar lavage fluid, indicating an amplified immune response and hence, increased inflammation. A lower percentage of lymphocytes (another variety of immune cell) was also observed in the stabled horses.

Additional Observations and Conclusion

  • The researchers also performed a nasal occlusion test, during which dorsal displacement of the soft palate (a condition where the soft part of the roof of the mouth, or the soft palate, moves out of its normal position) occurred more in stabled horses than in those kept in pasture. Nevertheless, this result was heavily influenced by one particular animal’s results.
  • The study found no correlation between the upper airway inflammation score and the cytology (cell characteristics) of the bronchoalveolar lavage.
  • In conclusion, the research suggests that stabling is associated with both upper and lower airway inflammation in young horses.

Cite This Article

APA
Holcombe SJ, Jackson C, Gerber V, Jefcoat A, Berney C, Eberhardt S, Robinson NE. (2001). Stabling is associated with airway inflammation in young Arabian horses. Equine Vet J, 33(3), 244-249. https://doi.org/10.2746/042516401776249606

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 33
Issue: 3
Pages: 244-249

Researcher Affiliations

Holcombe, S J
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing 48824-1314, USA.
Jackson, C
    Gerber, V
      Jefcoat, A
        Berney, C
          Eberhardt, S
            Robinson, N E

              MeSH Terms

              • Animals
              • Bronchoalveolar Lavage / veterinary
              • Bronchoalveolar Lavage Fluid / cytology
              • Bronchoscopy / veterinary
              • Cell Count / veterinary
              • Cross-Over Studies
              • Female
              • Horse Diseases / etiology
              • Horses
              • Housing, Animal
              • Inflammation / veterinary
              • Male
              • Respiratory Tract Diseases / etiology
              • Respiratory Tract Diseases / veterinary

              Citations

              This article has been cited 45 times.
              1. Kic P, Wohlmuthová M. The Indoor Environment at the University Equestrian Facility in the Autumn Semester: A Case Study. Animals (Basel) 2025 Nov 18;15(22).
                doi: 10.3390/ani15223322pubmed: 41302030google scholar: lookup
              2. Pınar O, Çelik Doğan C, Aktaran Bala D, Kumaş C, Mete A. Analysis of the presence of Beta-hemolytic streptococci and cytological profiles in horse tracheal lavage samples with diverse clinical respiratory symptoms. BMC Vet Res 2025 Oct 2;21(1):558.
                doi: 10.1186/s12917-025-05011-4pubmed: 41039541google scholar: lookup
              3. Kozłowska N, Borowska M, Jasiński T, Wierzbicka M, Domino M. Computer-Aided Diagnosis of Equine Pharyngeal Lymphoid Hyperplasia Using the Object Detection-Based Processing Technique of Digital Endoscopic Images. Animals (Basel) 2025 Sep 22;15(18).
                doi: 10.3390/ani15182758pubmed: 41008003google scholar: lookup
              4. Dély S, Gerber V, Peters LM, Sage SE. Association between equine asthma and fungal elements in the tracheal wash: An environment-matched case-control study. PLoS One 2024;19(9):e0309835.
                doi: 10.1371/journal.pone.0309835pubmed: 39240830google scholar: lookup
              5. Symoens A, Westerfeld R, Vives BM, André V, Moulon L, Collomb M, Richard H, Juette T, Bédard C, Leclère M. Steamed hay and alfalfa pellets for the management of severe equine asthma. Equine Vet J 2025 May;57(3):756-765.
                doi: 10.1111/evj.14209pubmed: 39164027google scholar: lookup
              6. Rasmussen N, Karlsen P, Otten ND, Fjeldborg J, Hansen S. Bilateral bronchoalveolar lavage cytology profiles in a warmblood horse population during a 1-year period. J Vet Intern Med 2024 Jul-Aug;38(4):2391-2398.
                doi: 10.1111/jvim.17118pubmed: 38780440google scholar: lookup
              7. Poochipakorn C, Joongpan W, Tongsangiam P, Phooseerit A, Leelahapongsathon K, Chanda M. The impact of strategic ventilation adjustments on stress responses in horses housed full-time in a vector-protected barn during the African horse sickness outbreak in Thailand. Anim Welf 2023;32:e19.
                doi: 10.1017/awf.2023.10pubmed: 38487428google scholar: lookup
              8. Bond S, Léguillette R. A CONSORT-guided, randomized controlled clinical trial of nebulized administration of dexamethasone and saline on lower airway cytokine mRNA expression in horses with moderate asthma. J Vet Intern Med 2024 Mar-Apr;38(2):1214-1223.
                doi: 10.1111/jvim.16983pubmed: 38205666google scholar: lookup
              9. Simões J, Tilley P. Decision Making in Severe Equine Asthma-Diagnosis and Monitoring. Animals (Basel) 2023 Dec 16;13(24).
                doi: 10.3390/ani13243872pubmed: 38136909google scholar: lookup
              10. Mönki J, Holopainen M, Ruhanen H, Karikoski N, Käkelä R, Mykkänen A. Lipid species profiling of bronchoalveolar lavage fluid cells of horses housed on two different bedding materials. Sci Rep 2023 Dec 8;13(1):21778.
                doi: 10.1038/s41598-023-49032-1pubmed: 38066223google scholar: lookup
              11. Riihimäki M, Fegraeus K, Nordlund J, Waern I, Wernersson S, Akula S, Hellman L, Raine A. Single-cell transcriptomics delineates the immune cell landscape in equine lower airways and reveals upregulation of FKBP5 in horses with asthma. Sci Rep 2023 Sep 27;13(1):16261.
                doi: 10.1038/s41598-023-43368-4pubmed: 37758813google scholar: lookup
              12. Morini M, Gobbo F, Rinnovati R, Romagnoli N, Peli A, Massarenti C, Spadari A, Pietra M. Bronchoalveolar Lavage Cytology in Severe Equine Asthma: Cytocentrifugated versus Sediment Smear Preparations. Vet Sci 2023 Aug 16;10(8).
                doi: 10.3390/vetsci10080527pubmed: 37624314google scholar: lookup
              13. Bradshaw-Wiley E, Randle H. The Effect of Stabling Routines on Potential Behavioural Indicators of Affective State in Horses and Their Use in Assessing Quality of Life. Animals (Basel) 2023 Mar 15;13(6).
                doi: 10.3390/ani13061065pubmed: 36978606google scholar: lookup
              14. Padoan E, Ferraresso S, Pegolo S, Barnini C, Castagnaro M, Bargelloni L. Gene Expression Profiles of the Immuno-Transcriptome in Equine Asthma. Animals (Basel) 2022 Dec 20;13(1).
                doi: 10.3390/ani13010004pubmed: 36611613google scholar: lookup
              15. Rutledge JJ, Paegelow J, Ritchey J, Singh A, Rizzi T, Murray C, Gilliam L, Crisman E, Williams NJ, Holbrook TC. Nebulized glycosylated caffeic acid phenylether ester attenuation of environmental particulate-induced airway inflammation in horses. Front Vet Sci 2022;9:958567.
                doi: 10.3389/fvets.2022.958567pubmed: 36406065google scholar: lookup
              16. Stucchi L, Lo Feudo CM, Stancari G, Conturba B, Ferrucci F. Effect of the Administration of a Nutraceutical Supplement in Racehorses with Lower Airway Inflammation. Animals (Basel) 2022 Sep 19;12(18).
                doi: 10.3390/ani12182479pubmed: 36139339google scholar: lookup
              17. Lo Feudo CM, Stancari G, Collavo F, Stucchi L, Conturba B, Zucca E, Ferrucci F. Upper and Lower Airways Evaluation and Its Relationship with Dynamic Upper Airway Obstruction in Racehorses. Animals (Basel) 2022 Jun 17;12(12).
                doi: 10.3390/ani12121563pubmed: 35739899google scholar: lookup
              18. Adamič N, Prpar Mihevc S, Blagus R, Kramarič P, Krapež U, Majdič G, Viel L, Hoffman AM, Bienzle D, Vengust M. Effect of intrabronchial administration of autologous adipose-derived mesenchymal stem cells on severe equine asthma. Stem Cell Res Ther 2022 Jan 21;13(1):23.
                doi: 10.1186/s13287-022-02704-7pubmed: 35063028google scholar: lookup
              19. Mönki J, Saastamoinen M, Karikoski N, Norring M, Rajamäki M, Mykkänen A. Effects of Bedding Material on Equine Lower Airway Inflammation: A Comparison of Two Peat Beddings, Wood Pellet, and Straw Pellet. Front Vet Sci 2021;8:799645.
                doi: 10.3389/fvets.2021.799645pubmed: 34977227google scholar: lookup
              20. Lo Feudo CM, Stucchi L, Alberti E, Stancari G, Conturba B, Zucca E, Ferrucci F. The Role of Thoracic Ultrasonography and Airway Endoscopy in the Diagnosis of Equine Asthma and Exercise-Induced Pulmonary Hemorrhage. Vet Sci 2021 Nov 15;8(11).
                doi: 10.3390/vetsci8110276pubmed: 34822649google scholar: lookup
              21. Morini M, Peli A, Rinnovati R, Magazzù G, Romagnoli N, Spadari A, Pietra M. Immunohistochemical Expression of Neurokinin-A and Interleukin-8 in the Bronchial Epithelium of Horses with Severe Equine Asthma Syndrome during Asymptomatic, Exacerbation, and Remission Phase. Animals (Basel) 2021 May 12;11(5).
                doi: 10.3390/ani11051376pubmed: 34066204google scholar: lookup
              22. Payette F, Charlebois A, Fairbrother JH, Beauchamp G, Leclere M. Nicoletella semolina in the airways of healthy horses and horses with severe asthma. J Vet Intern Med 2021 May;35(3):1612-1619.
                doi: 10.1111/jvim.16140pubmed: 33942932google scholar: lookup
              23. Kinnison T, Cardwell JM. Conflict Between Direct Experience and Research-Based Evidence Is a Key Challenge to Evidence-Based Respiratory Medicine on British Racing Yards. Front Vet Sci 2020;7:266.
                doi: 10.3389/fvets.2020.00266pubmed: 32537459google scholar: lookup
              24. Brankston G, Greer AL, Marshall Q, Lang B, Moore K, Hodgins D, Hennessey JTG, Beeler-Marfisi J. Increased Weekly Mean PM(2.5), and NO(2) Are Associated With Increased Proportions of Lower Airway Granulocytes in Ontario Horses. Front Vet Sci 2020;7:185.
                doi: 10.3389/fvets.2020.00185pubmed: 32432128google scholar: lookup
              25. Bond SL, Workentine M, Hundt J, Gilkerson JR, Léguillette R. Effects of nebulized dexamethasone on the respiratory microbiota and mycobiota and relative equine herpesvirus-1, 2, 4, 5 in an equine model of asthma. J Vet Intern Med 2020 Jan;34(1):307-321.
                doi: 10.1111/jvim.15671pubmed: 31793692google scholar: lookup
              26. Bond SL, Hundt J, Léguillette R. Effect of injected dexamethasone on relative cytokine mRNA expression in bronchoalveolar lavage fluid in horses with mild asthma. BMC Vet Res 2019 Nov 6;15(1):397.
                doi: 10.1186/s12917-019-2144-xpubmed: 31694631google scholar: lookup
              27. Sheats MK, Davis KU, Poole JA. Comparative Review of Asthma in Farmers and Horses. Curr Allergy Asthma Rep 2019 Oct 10;19(11):50.
                doi: 10.1007/s11882-019-0882-2pubmed: 31599358google scholar: lookup
              28. van Leenen K, Van Driessche L, De Cremer L, Gille L, Masmeijer C, Boyen F, Deprez P, Pardon B. Factors associated with lung cytology as obtained by non-endoscopic broncho-alveolar lavage in group-housed calves. BMC Vet Res 2019 May 24;15(1):167.
                doi: 10.1186/s12917-019-1921-xpubmed: 31126282google scholar: lookup
              29. Davis KU, Sheats MK. Bronchoalveolar Lavage Cytology Characteristics and Seasonal Changes in a Herd of Pastured Teaching Horses. Front Vet Sci 2019;6:74.
                doi: 10.3389/fvets.2019.00074pubmed: 30923711google scholar: lookup
              30. Dauvillier J, Ter Woort F, van Erck-Westergren E. Fungi in respiratory samples of horses with inflammatory airway disease. J Vet Intern Med 2019 Mar;33(2):968-975.
                doi: 10.1111/jvim.15397pubmed: 30576012google scholar: lookup
              31. Orard M, Hue E, Couroucé A, Bizon-Mercier C, Toquet MP, Moore-Colyer M, Couëtil L, Pronost S, Paillot R, Demoor M, Richard EA. The influence of hay steaming on clinical signs and airway immune response in severe asthmatic horses. BMC Vet Res 2018 Nov 15;14(1):345.
                doi: 10.1186/s12917-018-1636-4pubmed: 30442129google scholar: lookup
              32. Bond S, Léguillette R, Richard EA, Couetil L, Lavoie JP, Martin JG, Pirie RS. Equine asthma: Integrative biologic relevance of a recently proposed nomenclature. J Vet Intern Med 2018 Nov;32(6):2088-2098.
                doi: 10.1111/jvim.15302pubmed: 30294851google scholar: lookup
              33. Ivester KM, Couëtil LL, Moore GE. An observational study of environmental exposures, airway cytology, and performance in racing thoroughbreds. J Vet Intern Med 2018 Sep;32(5):1754-1762.
                doi: 10.1111/jvim.15226pubmed: 30222207google scholar: lookup
              34. Junkkari R, Simojoki H, Heiskanen ML, Pelkonen S, Sankari S, Tulamo RM, Mykkänen A. A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study. Acta Vet Scand 2017 Oct 26;59(1):73.
                doi: 10.1186/s13028-017-0339-3pubmed: 29073941google scholar: lookup
              35. Barton AK, Gehlen H. Pulmonary Remodeling in Equine Asthma: What Do We Know about Mediators of Inflammation in the Horse?. Mediators Inflamm 2016;2016:5693205.
                doi: 10.1155/2016/5693205pubmed: 28053371google scholar: lookup
              36. Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
                doi: 10.1111/jvim.13824pubmed: 26806374google scholar: lookup
              37. Nogradi N, Couetil LL, Messick J, Stochelski MA, Burgess JR. Omega-3 fatty acid supplementation provides an additional benefit to a low-dust diet in the management of horses with chronic lower airway inflammatory disease. J Vet Intern Med 2015 Jan;29(1):299-306.
                doi: 10.1111/jvim.12488pubmed: 25307169google scholar: lookup
              38. Ivester KM, Couëtil LL, Zimmerman NJ. Investigating the link between particulate exposure and airway inflammation in the horse. J Vet Intern Med 2014 Nov-Dec;28(6):1653-65.
                doi: 10.1111/jvim.12458pubmed: 25273818google scholar: lookup
              39. Kusano K, Ishikawa Y, Seki K, Kusunose R. Characteristic of inflammatory airway disease in Japanese thoroughbred racehorses. J Equine Sci 2008;19(2):25-9.
                doi: 10.1294/jes.19.25pubmed: 24833952google scholar: lookup
              40. Ivester KM, Couëtil LL, Moore GE, Zimmerman NJ, Raskin RE. Environmental exposures and airway inflammation in young thoroughbred horses. J Vet Intern Med 2014 May-Jun;28(3):918-24.
                doi: 10.1111/jvim.12333pubmed: 24773603google scholar: lookup
              41. Niedzwiedz A, Jaworski Z, Tykalowski B, Smialek M. Neutrophil and macrophage apoptosis in bronchoalveolar lavage fluid from healthy horses and horses with recurrent airway obstruction (RAO). BMC Vet Res 2014 Jan 24;10:29.
                doi: 10.1186/1746-6148-10-29pubmed: 24460911google scholar: lookup
              42. Wålinder R, Riihimäki M, Bohlin S, Hogstedt C, Nordquist T, Raine A, Pringle J, Elfman L. Installation of mechanical ventilation in a horse stable: effects on air quality and human and equine airways. Environ Health Prev Med 2011 Jul;16(4):264-72.
                doi: 10.1007/s12199-010-0195-5pubmed: 21431789google scholar: lookup
              43. Mazan MR, Svatek J, Maranda L, Christiani D, Ghio A, Nadeau J, Hoffman AM. Questionnaire assessment of airway disease symptoms in equine barn personnel. Occup Med (Lond) 2009 Jun;59(4):220-5.
                doi: 10.1093/occmed/kqp003pubmed: 19223434google scholar: lookup
              44. Riihimäki M, Raine A, Elfman L, Pringle J. Markers of respiratory inflammation in horses in relation to seasonal changes in air quality in a conventional racing stable. Can J Vet Res 2008 Oct;72(5):432-9.
                pubmed: 19086376
              45. Wood JL, Newton JR, Chanter N, Mumford JA. Association between respiratory disease and bacterial and viral infections in British racehorses. J Clin Microbiol 2005 Jan;43(1):120-6.
                doi: 10.1128/JCM.43.1.120-126.2005pubmed: 15634959google scholar: lookup