Analyze Diet
Animals : an open access journal from MDPI2021; 11(4); doi: 10.3390/ani11040931

The Usefulness of Mesenchymal Stem Cells beyond the Musculoskeletal System in Horses.

Abstract: The differentiation ability of mesenchymal stem cells (MSCs) initially raised interest for treating musculoskeletal injuries in horses, but MSC paracrine activity has widened their scope for inflammatory and immune-mediated pathologies in both equine and human medicine. Furthermore, the similar etiopathogenesis of some diseases in both species has advanced the concept of "One Medicine, One Health". This article reviews the current knowledge on the use of MSCs for equine pathologies beyond the locomotor system, highlighting the value of the horse as translational model. Ophthalmologic and reproductive disorders are among the most studied for MSC application. Equine asthma, equine metabolic syndrome, and endotoxemia have been less explored but offer an interesting scenario for human translation. The use of MSCs in wounds also provides a potential model for humans because of the healing particularities in both species. High-burden equine-specific pathologies such as laminitis have been suggested to benefit from MSC-therapy, and MSC application in challenging disorders such as neurologic conditions has been proposed. The available data are preliminary, however, and require further development to translate results into the clinic. Nevertheless, current evidence indicates a significant potential of equine MSCs to enlarge their range of application, with particular interest in pathologies analogous to human conditions.
Publication Date: 2021-03-25 PubMed ID: 33805967PubMed Central: PMC8064371DOI: 10.3390/ani11040931Google 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
  • Review

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 discusses the potential use of mesenchymal stem cells (MSCs) in treating disorders beyond the musculoskeletal system in horses, highlighting the interest in applying the treatments to similar human conditions.

Understanding Mesenchymal Stem Cells (MSCs)

  • Mesenchymal stem cells are multipotent stromal cells that can differentiate into a variety of cell types, including: osteoblasts (bone cells), chondrocytes (cartilage cells), myocytes (muscle cells) and adipocytes (fat cells).
  • Initially, interest in MSCs was tied to the treatment of musculoskeletal injuries in horses, thanks to their differentiation ability.
  • However, researchers soon realized that the MSCs had a wider scope than initially thought, showing potential in treating inflammatory and immune-mediated disorders in not just horses but also in human medicine.

One Medicine, One Health Concept

  • The concept of “One Medicine, One Health” is brought up; this refers to a growing international movement that recognizes that human health and animal health are interconnected and that these health and disease issues are coupled with the health of the environment.
  • Given the similar etiopathogenesis of some diseases amongst horses and humans, this concept underscores the value of using the horse as a translational model for testing treatments intended for human use.

MSCs in Treating Horse Pathologies

  • The article explores the current knowledge on MSCs’ potential in treating horse pathologies beyond the locomotor system. It calls out areas such as ophthalmologic and reproductive disorders as being the most studied for MSC application.
  • Equine health issues like asthma, metabolic syndrome, and endotoxemia have garnered less research but show promise for human application.
  • Using MSCs to assist in wound healing could also translate well to human medicine due to similar healing particularities between the two species.
  • While initial data is considered preliminary and needs additional development for clinical application, it demonstrates significant potential for using equine MSCs in a broader range of applications, particularly for disorders similar to humans.

Cite This Article

APA
Cequier A, Sanz C, Rodellar C, Barrachina L. (2021). The Usefulness of Mesenchymal Stem Cells beyond the Musculoskeletal System in Horses. Animals (Basel), 11(4). https://doi.org/10.3390/ani11040931

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 11
Issue: 4

Researcher Affiliations

Cequier, Alina
  • Laboratorio de Genética Bioquímica LAGENBIO-Instituto de Investigación Sanitaria de Aragón (IIS)-Instituto Agroalimentario de Aragón (IA2), Universidad de Zaragoza, C/Miguel Servet, 177, 50013 Zaragoza, Spain.
Sanz, Carmen
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario, Universidad de Zaragoza, C/Miguel Servet, 177, 50013 Zaragoza, Spain.
Rodellar, Clementina
  • Laboratorio de Genética Bioquímica LAGENBIO-Instituto de Investigación Sanitaria de Aragón (IIS)-Instituto Agroalimentario de Aragón (IA2), Universidad de Zaragoza, C/Miguel Servet, 177, 50013 Zaragoza, Spain.
Barrachina, Laura
  • Laboratorio de Genética Bioquímica LAGENBIO-Instituto de Investigación Sanitaria de Aragón (IIS)-Instituto Agroalimentario de Aragón (IA2), Universidad de Zaragoza, C/Miguel Servet, 177, 50013 Zaragoza, Spain.
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario, Universidad de Zaragoza, C/Miguel Servet, 177, 50013 Zaragoza, Spain.

Grant Funding

  • AGL2017-84411-P / Ministerio de Economía, Industria y Competitividad, Gobierno de España
  • Pre-doctoral fellowship / Gobierno de Aragón

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 142 references
  1. Stewart M.C., Stewart A.A.. Mesenchymal stem cells: Characteristics, sources, and mechanisms of action.. Vet. Clin. N. Am. Equine Pract. 2011;27:243–261.
    doi: 10.1016/j.cveq.2011.06.004pubmed: 21872757google scholar: lookup
  2. Mao A.S., Mooney D.J.. Regenerative medicine: Current therapies and future directions.. Proc. Natl. Acad. Sci. USA 2015;112:14452–14459.
    doi: 10.1073/pnas.1508520112pmc: PMC4664309pubmed: 26598661google scholar: lookup
  3. Borjesson D.L., Peroni J.F.. The regenerative medicine laboratory: Facilitating stem cell therapy for equine disease.. Clin. Lab. Med. 2011;31:109–123.
    doi: 10.1016/j.cll.2010.12.001pubmed: 21295725google scholar: lookup
  4. Horseman S.V., Buller H., Mullan S., Whay H.R.. Current welfare problems facing horses in Great Britain as identified by equine stakeholders.. PLoS ONE 2016;11:e0160269.
  5. Theoret C.L., Olutoye O.O., Parnell L.K.S., Hicks J.. Equine exuberant granulation tissue and human keloids: A comparative histopathologic study.. Vet. Surg. 2013;42:783–789.
  6. Couëtil L.L., Cardwell J.M., Gerber V., Lavoie J.-P., Léguillette R., Richard E.A.. Inflammatory airway disease of horses—Revised consensus statement.. J. Vet. Intern. Med. 2016;30:503–515.
    doi: 10.1111/jvim.13824pmc: PMC4913592pubmed: 26806374google scholar: lookup
  7. Gershwin L.. Veterinary autoimmunity: Autoimmune diseases in domestic animals.. Ann. N. Y. Acad. Sci. 2007;1109:109–116.
    doi: 10.1196/annals.1398.013pubmed: 17785296google scholar: lookup
  8. Hurtig M.B., Buschmann M.D., Fortier L.A., Hoemann C.D., Hunziker E.B., Jurvelin J.S., Mainil-Varlet P., McIlwraith C.W., Sah R.L., Whiteside R.A.. Preclinical studies for cartilage repair: Recommendations from the International Cartilage Repair Society.. Cartilage 2011;2:137–152.
    doi: 10.1177/1947603511401905pmc: PMC4300779pubmed: 26069576google scholar: lookup
  9. Al Naem M., Bourebaba L., Kucharczyk K., Röcken M., Marycz K.. Therapeutic mesenchymal stromal stem cells: Isolation, characterization and role in equine regenerative medicine and metabolic disorders.. Stem Cell Rev. Rep. 2019;16:301–322.
    doi: 10.1007/s12015-019-09932-0pubmed: 31797146google scholar: lookup
  10. Bullone M., Lavoie J.-P.. Asthma ‘of horses and men’—How can equine heaves help us better understand human asthma immunopathology and its functional consequences?. Mol. Immunol. 2015;66:97–105.
    doi: 10.1016/j.molimm.2014.12.005pubmed: 25547716google scholar: lookup
  11. Smith R.K.W., Garvican E.R., Fortier L.A.. The current “state of play” of regenerative medicine in horses: What the horse can tell the human.. Regen. Med. 2014;9:673–685.
    doi: 10.2217/rme.14.42pubmed: 25372081google scholar: lookup
  12. Colbath A.C., Frisbie D.D., Dow S.W., Kisiday J.D., McIlwraith C.W., Goodrich L.R.. Equine models for the investigation of mesenchymal stem cell therapies in orthopaedic disease.. Oper. Tech. Sports Med. 2017;25:41–49.
  13. van der Weyden L., Brenn T., Patton E.E., Wood G.A., Adams D.J.. Spontaneously occurring melanoma in animals and their relevance to human melanoma.. J. Pathol. 2020;252:4–21.
    doi: 10.1002/path.5505pmc: PMC7497193pubmed: 32652526google scholar: lookup
  14. Witkowski L., Cywinska A., Paschalis-Trela K., Crisman M., Kita J.. Multiple etiologies of equine recurrent uveitis—A natural model for human autoimmune uveitis: A brief review.. Comp. Immunol. Microbiol. Infect. Dis. 2016;44:14–20.
    doi: 10.1016/j.cimid.2015.11.004pubmed: 26851589google scholar: lookup
  15. Horohov D.W.. The equine immune responses to infectious and allergic disease: A model for humans?. Mol. Immunol. 2015;66:89–96.
    doi: 10.1016/j.molimm.2014.09.020pubmed: 25457878google scholar: lookup
  16. Carnevale E.M.. The mare model for follicular maturation and reproductive aging in the woman.. Theriogenology 2008;69:23–30.
  17. Fureix C., Jego P., Henry S., Lansade L., Hausberger M.. Towards an ethological animal model of depression? A study on horses.. PLoS ONE 2012;7:e39280.
  18. Danek M., Danek J., Araszkiewicz A.. Large animal as a potential models of humans mental and behavioral disorders.. Psychiatr. Pol. 2017;51:1009–1027.
    doi: 10.12740/PP/74304pubmed: 29432500google scholar: lookup
  19. Fortier L.A., Goodrich L.R., Ribitsch I., Schnabel L.V., Shepard D.O., Watts A.E., Smith R.K.W.. One health in regenerative medicine: Report on the second Havemeyer symposium on regenerative medicine in horses.. Regen. Med. 2020;15:1775–1787.
    doi: 10.2217/rme-2019-0143pubmed: 32808582google scholar: lookup
  20. Ribitsch I., Baptista P.M., Lange-Consiglio A., Melotti L., Patruno M., Jenner F., Schnabl-Feichter E., Dutton L.C., Connolly D.J., van Steenbeek F.G.. Large animal models in regenerative medicine and tissue engineering: To do or not to do.. Front. Bioeng. Biotechnol. 2020;8.
    doi: 10.3389/fbioe.2020.00972pmc: PMC7438731pubmed: 32903631google scholar: lookup
  21. Wang S., Zhao R.C.. A historical overview and concepts of mesenchymal stem cells.. In: Zhao R.C., editor. Essentials of Mesenchymal Stem Cell Biology and Its Clinical Translation. Springer; Heidelberg, Germany: 2013. pp. 3–15.
  22. Dominici M., Le Blanc K., Mueller I., Slaper-Cortenbach I., Marini F.C., Krause D.S., Deans R.J., Keating A., Prockop D.J., Horwitz E.M.. Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement.. Cytotherapy 2006;8:315–317.
    doi: 10.1080/14653240600855905pubmed: 16923606google scholar: lookup
  23. Radcliffe C.H., Flaminio M.J.B.F., Fortier L.A.. Temporal analysis of equine bone marrow aspirate during establishment of putative mesenchymal progenitor cell populations.. Stem Cells Dev. 2010;19:269–282.
    doi: 10.1089/scd.2009.0091pmc: PMC3138180pubmed: 19604071google scholar: lookup
  24. Ranera B., Lyahyai J., Romero A., Vázquez F.J., Remacha A.R., Bernal M.L., Zaragoza P., Rodellar C., Martín-Burriel I.. Immunophenotype and gene expression profiles of cell surface markers of mesenchymal stem cells derived from equine bone marrow and adipose tissue.. Vet. Immunol. Immunopathol. 2011;144:147–154.
    doi: 10.1016/j.vetimm.2011.06.033pubmed: 21782255google scholar: lookup
  25. da Silva Meirelles L., Fontes A.M., Covas D.T., Caplan A.I.. Mechanisms involved in the therapeutic properties of mesenchymal stem cells.. Cytokine Growth Factor Rev. 2009;20:419–427.
    doi: 10.1016/j.cytogfr.2009.10.002pubmed: 19926330google scholar: lookup
  26. Gugjoo M.B., Amarpal, Makhdoomi D.M., Sharma G.T.. Equine mesenchymal stem cells: Properties, sources, characterization, and potential therapeutic applications.. J. Equine Vet. Sci. 2019;72:16–27.
    doi: 10.1016/j.jevs.2018.10.007pubmed: 30929778google scholar: lookup
  27. Fortier L.A., Travis A.J.. Stem cells in veterinary medicine.. Stem Cell Res. Ther. 2011;2:1–9.
    doi: 10.1186/scrt50pmc: PMC3092149pubmed: 21371354google scholar: lookup
  28. Gnecchi M., Danieli P., Malpasso G., Ciuffreda M.C.. Paracrine mechanisms of mesenchymal stem cells in tissue repair.. Methods Mol. Biol. 2016;1416:123–146.
    doi: 10.1007/978-1-4939-3584-0_7pubmed: 27236669google scholar: lookup
  29. Martinet L., Fleury-Cappellesso S., Gadelorge M., Dietrich G., Bourin P., Fournie J.J., Poupot R.. A regulatory cross-talk between Vγ9Vδ2 T lymphocytes and mesenchymal stem cells.. Eur. J. Immunol. 2009;39:752–762.
    doi: 10.1002/eji.200838812pubmed: 19197941google scholar: lookup
  30. Rasmusson I., Uhlin M., Le Blanc K., Levitsky V.. Mesenchymal stem cells fail to trigger effector functions of cytotoxic T lymphocytes.. J. Leukoc. Biol. 2007;82:887–893.
    doi: 10.1189/jlb.0307140pubmed: 17609339google scholar: lookup
  31. Sotiropoulou P.A., Perez S.A., Gritzapis A.D., Baxevanis C.N., Papamichail M.. Interactions between human mesenchymal stem cells and natural killer cells.. Stem Cells 2006;24:74–85.
    doi: 10.1634/stemcells.2004-0359pubmed: 16099998google scholar: lookup
  32. Nemeth K., Keane-Myers A., Brown J.M., Metcalfe D.D., Gorham J.D., Bundoc V.G., Hodges M.G., Jelinek I., Madala S., Karpati S.. Bone marrow stromal cells use TGF-β to suppress allergic responses in a mouse model of ragweed-induced asthma.. Proc. Natl. Acad. Sci. USA 2010;107:5652–5657.
    doi: 10.1073/pnas.0910720107pmc: PMC2851758pubmed: 20231466google scholar: lookup
  33. Asari S., Itakura S., Ferreri K., Liu C., Kuroda Y., Kandeel F., Mullen Y.. Mesenchymal stem cells suppress B-cell terminal differentiation.. Exp. Hematol. 2009;37:604–615.
  34. Jiang T.S., Cai L., Ji W.Y., Hui Y.N., Wang Y.S., Hu D., Zhu J.. Reconstruction of the corneal epithelium with induced marrow mesenchymal stem cells in rats.. Mol. Vis. 2010;16:1304–1316.
    pmc: PMC2905634pubmed: 20664793
  35. Gu S., Xing C., Han J., Mark O.M.T., Hong J.. Differentiation of rabbit bone marrow mesenchymalstem cells into corneal epithelial cells in vivo and ex vivo.. Mol. Vis. 2009;15:99–107.
    pmc: PMC2627808pubmed: 19156227
  36. Cejka C., Holan V., Trosan P., Zajicova A., Javorkova E., Cejkova J.. The favorable effect of mesenchymal stem cell treatment on the antioxidant protective mechanism in the corneal epithelium and renewal of corneal optical properties changed after Alkali Burns.. Oxid. Med. Cell. Longev. 2016;2016:1–12.
    doi: 10.1155/2016/5843809pmc: PMC4736412pubmed: 27057279google scholar: lookup
  37. Cejkova J., Trosan P., Cejka C., Lencova A., Zajicova A., Javorkova E., Kubinova S., Sykova E., Holan V.. Suppression of alkali-induced oxidative injury in the cornea by mesenchymal stem cells growing on nanofiber scaffolds and transferred onto the damaged corneal surface.. Exp. Eye Res. 2013;116:312–323.
    doi: 10.1016/j.exer.2013.10.002pubmed: 24145108google scholar: lookup
  38. Clode A.B.. Diseases and surgery of the cornea.. In: Gilger B.C., editor. Equine Ophthalmology. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2011. pp. 181–266.
  39. Greenberg S.. Ulcerative keratitis and keratomalacia in horses: Medical management and surgical considerations.. Equine Vet. Educ. 2017;31:179–182.
    doi: 10.1111/eve.12808google scholar: lookup
  40. Marfe G., Massaro-Giordano M., Ranalli M., Cozzoli E., Di Stefano C., Malafoglia V., Polettini M., Gambacurta A.. Blood derived stem cells: An ameliorative therapy in veterinary ophthalmology.. J. Cell. Physiol. 2012;227:1250–1256.
    doi: 10.1002/jcp.22953pubmed: 21792938google scholar: lookup
  41. Brooks D.E., Matthews A., Clode A.B.. Diseases of the cornea.. In: Gilger B.C., editor. Equine Ophthalmology. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2016. pp. 252–368.
  42. Sherman A.B., Gilger B.C., Berglund A.K., Schnabel L.V.. Effect of bone marrow-derived mesenchymal stem cells and stem cell supernatant on equine corneal wound healing in vitro.. Stem Cell Res. Ther. 2017;8:120.
    doi: 10.1186/s13287-017-0577-3pmc: PMC5445363pubmed: 28545510google scholar: lookup
  43. Spaas J.H., Gambacurta A., Polettini M., Broeckx S., Van Hoeck F., De Schauwer C., Van De Walle G.R., Van Soom A.. Purification and expansion of stem cells from equine peripheral blood, with clinical applications.. Vlaams Diergeneeskd. Tijdschr. 2011;80:129–135.
  44. Gilger B.C., Hollingsworth S.R.. Diseases of the uvea, uveitis, and recurrent uveitis.. In: Gilger B., editor. Equine Ophthalmology. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2016. pp. 369–415.
  45. Sauvage A.C., Monclin S.J., Elansary M., Hansen P., Grauwels M.F.. Detection of intraocular Leptospira spp. by real-time polymerase chain reaction in horses with recurrent uveitis in Belgium.. Equine Vet. J. 2019;51:299–303.
    doi: 10.1111/evj.13012pubmed: 30144314google scholar: lookup
  46. Regan D.P., Aarnio M.C., Davis W.S., Carmichael K.P., Vandenplas M.L., Lauderdale J.D., Moore P.A.. Characterization of cytokines associated with Th17 cells in the eyes of horses with recurrent uveitis.. Vet. Ophthalmol. 2012;15:145–152.
  47. Kol A., Walker N.J., Nordstrom M., Borjesson D.L.. Th17 pathway as a target for multipotent stromal cell therapy in dogs: Implications for translational research.. PLoS ONE 2016;11:e0148568.
  48. Arzi B., Mills-Ko E., Verstraete F.J.M., Kol A., Walker N.J., Badgley M.R., Fazel N., Murphy W.J., Vapniarsky N., Borjesson D.L.. Therapeutic efficacy of fresh, autologous mesenchymal stem cells for severe refractory gingivostomatitis in cats.. Stem Cells Transl. Med. 2016;5:75–86.
    doi: 10.5966/sctm.2015-0127pmc: PMC4704876pubmed: 26582907google scholar: lookup
  49. Holt D.D.C., Wood J.A., Granick J.L., Walker N.J., Clark K.C., Borjesson D.L.. Equine mesenchymal stem cells inhibit T cell proliferation through different mechanisms depending on tissue source.. Stem Cells Dev. 2014;23:1258–1265.
    doi: 10.1089/scd.2013.0537pubmed: 24438346google scholar: lookup
  50. Saldinger L.K., Nelson S.G., Bellone R.R., Lassaline M., Mack M., Walker N.J., Borjesson D.L.. Horses with equine recurrent uveitis have an activated CD4+ T-cell phenotype that can be modulated by mesenchymal stem cells in vitro.. Vet. Ophthalmol. 2020;23:160–170.
    doi: 10.1111/vop.12704pmc: PMC6980227pubmed: 31441218google scholar: lookup
  51. Malalana F., Stylianides A., McGowan C.. Equine recurrent uveitis: Human and equine perspectives.. Vet. J. 2015;206:22–29.
    doi: 10.1016/j.tvjl.2015.06.017pubmed: 26188862google scholar: lookup
  52. Matthews A., Gilger B.. Equine immune-mediated keratopathies.. Equine Vet. J. 2010;42:31–37.
  53. Davis A.B., Schnabel L.V., Gilger B.C.. Subconjunctival bone marrow-derived mesenchymal stem cell therapy as a novel treatment alternative for equine immune-mediated keratitis: A case series.. Vet. Ophthalmol. 2019;22:674–682.
    doi: 10.1111/vop.12641pubmed: 30715781google scholar: lookup
  54. Dwyer A.E.. Practical general field ophthalmology.. In: Gilger B.C., editor. Equine Ophthalmology. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2016. pp. 71–111.
  55. Lin H.-B., Li W.-L., Zhuo X., He A.-Q.. Application effect of soft corneal contact lens on corneal limbal stem cell transplantation in elderly patients with pterygium.. Int. J. Ophthalmol. 2019;19:329–331.
  56. Zhao J., Zhang Q., Wang Y., Li Y.. Uterine infusion with bone marrow mesenchymal stem cells improves endometrium thickness in a rat model of thin endometrium.. Reprod. Sci. 2015;22:181–188.
    doi: 10.1177/1933719114537715pmc: PMC4287599pubmed: 24947483google scholar: lookup
  57. Canisso I.F., Segabinazzi L.G.T.M., Fedorka C.E.. Persistent breeding-induced endometritis in mares—A multifaceted challenge: From clinical aspects to immunopathogenesis and pathobiology.. Int. J. Mol. Sci. 2020;21:1432.
    doi: 10.3390/ijms21041432pmc: PMC7073041pubmed: 32093296google scholar: lookup
  58. LeBlanc M.M., Causey R.C.. Clinical and subclinical endometritis in the mare: Both threats to fertility.. Reprod. Domest. Anim. 2009;44:10–22.
  59. Woodward E.M., Troedsson M.H.. Equine breeding-induced endometritis: A review.. J. Equine Vet. Sci. 2013;33:673–682.
  60. Canisso I.F., Stewart J., da Silva M.A.C.. Endometritis: Managing persistent post-breeding endometritis.. Vet. Clin. N. Am. Equine Pract. 2016;32:465–480.
    doi: 10.1016/j.cveq.2016.08.004pubmed: 27810036google scholar: lookup
  61. Rink B.E., Beyer T., French H.M., Watson E., Aurich C., Donadeu F.X.. The fate of autologous endometrial mesenchymal stromal cells after application in the healthy equine uterus.. Stem Cells Dev. 2018;27:1046–1052.
    doi: 10.1089/scd.2018.0056pmc: PMC6067096pubmed: 29790424google scholar: lookup
  62. Ferris R.A., Frisbie D.D., McCue P.M.. Use of mesenchymal stem cells or autologous conditioned serum to modulate the inflammatory response to spermatozoa in mares.. Theriogenology 2014;82:36–42.
  63. Navarrete F., Saravia F., Cisterna G., Rojas F., Silva P.P., Rodríguez-Alvarez L., Rojas D., Cabezas J., Mançanares A.C.F., Castro F.O.. Assessment of the anti-inflammatory and engraftment potential of horse endometrial and adipose mesenchymal stem cells in an in vivo model of post breeding induced endometritis.. Theriogenology 2020;155:33–42.
  64. Hoffmann C., Ellenberger C., Mattos R.C., Aupperle H., Dhein S., Stief B., Schoon H.-A.. The equine endometrosis: New insights into the pathogenesis.. Anim. Reprod. Sci. 2009;111:261–278.
  65. Buczkowska J., Kozdrowski R., Nowak M., Raś A., Mrowiec J.. Endometrosis—Significance for horse reproduction, pathogenesis, diagnosis, and proposed therapeutic methods.. Pol. J. Vet. Sci. 2014;17:547–554.
    doi: 10.2478/pjvs-2014-0083pubmed: 25286671google scholar: lookup
  66. Falomo M.E., Ferroni L., Tocco I., Gardin C., Zavan B.. Immunomodulatory role of adipose-derived stem cells on equine endometriosis.. Biomed Res. Int. 2015;2015:1–6.
    doi: 10.1155/2015/141485pmc: PMC4477049pubmed: 26180781google scholar: lookup
  67. Alvarenga M.A., do Carmo M.T., Segabinazzi L.G., Guastali M.D., Maia L., Landim-Alvarenga F.C.. Feasibility and safety of endometrial injection of autologous bone marrow mesenchymal stem cells in mares.. J. Equine Vet. Sci. 2016;42:12–18.
  68. Mambelli L.I., Winter G.H.Z., Kerkis A., Malschitzky E., Mattos R.C., Kerkis I.. A novel strategy of mesenchymal stem cells delivery in the uterus of mares with endometrosis.. Theriogenology 2013;79:744–750.
  69. Mambelli L.I., Mattos R.C., Winter G.H.Z., Madeiro D.S., Morais B.P., Malschitzky E., Miglino M.A., Kerkis A., Kerkis I.. Changes in expression pattern of selected endometrial proteins following mesenchymal stem cells infusion in mares with endometrosis.. PLoS ONE 2014;9:e97889.
  70. Corradetti B., Correani A., Romaldini A., Marini M.G., Bizzaro D., Perrini C., Cremonesi F., Lange-Consiglio A.. Amniotic membrane-derived mesenchymal cells and their conditioned media: Potential candidates for uterine regenerative therapy in the horse.. PLoS ONE 2014;9:e111324.
  71. Rink B.E., Amilon K.R., Esteves C.L., French H.M., Watson E., Aurich C., Donadeu F.X.. Isolation and characterization of equine endometrial mesenchymal stromal cells.. Stem Cell Res. Ther. 2017;8.
    doi: 10.1186/s13287-017-0616-0pmc: PMC5506676pubmed: 28701175google scholar: lookup
  72. Cortés-Araya Y., Amilon K., Rink B.E., Black G., Lisowski Z., Donadeu F.X., Esteves C.L.. Comparison of antibacterial and immunological properties of mesenchymal stem/stromal cells from equine bone marrow, endometrium, and adipose tissue.. Stem Cells Dev. 2018;27:1518–1525.
    doi: 10.1089/scd.2017.0241pmc: PMC6209426pubmed: 30044182google scholar: lookup
  73. Cabezas J., Rojas D., Navarrete F., Ortiz R., Rivera G., Saravia F., Rodriguez-Alvarez L., Castro F.O.. Equine mesenchymal stem cells derived from endometrial or adipose tissue share significant biological properties, but have distinctive pattern of surface markers and migration.. Theriogenology 2018;106:93–102.
  74. Snider T.A., Sepoy C., Holyoak G.R.. Equine endometrial biopsy reviewed: Observation, interpretation and application of histopathologic data.. Theriogenology 2011;75:1567–1581.
  75. Grady S.T., Watts A.E., Thompson J.A., Penedo M.C.T., Konganti K., Hinrichs K.. Effect of intra-ovarian injection of mesenchymal stem cells in aged mares.. J. Assist. Reprod. Genet. 2019;36:543–556.
    doi: 10.1007/s10815-018-1371-6pmc: PMC6439078pubmed: 30470961google scholar: lookup
  76. Takehara Y., Yabuuchi A., Ezoe K., Kuroda T., Yamadera R., Sano C., Murata N., Aida T., Nakama K., Aono F.. The restorative effects of adipose-derived mesenchymal stem cells on damaged ovarian function.. Lab. Investig. 2013;93:181–193.
    doi: 10.1038/labinvest.2012.167pmc: PMC3561594pubmed: 23212100google scholar: lookup
  77. Wang S., Yu L., Sun M., Mu S., Wang C., Wang D., Yao Y.. The therapeutic potential of bone marrow mesenchymal stem cells in premature ovarian failure.. Stem Cell Res. Ther. 2018;9.
    doi: 10.1186/s13287-018-1008-9pmc: PMC6172726pubmed: 30286808google scholar: lookup
  78. Oristaglio Turner R.M.O.. Pathogenesis, diagnosis, and management of testicular degeneration in stallions.. Clin. Tech. Equine Pract. 2007;6:278–284.
  79. Hsiao C., Ji A., Chang C., Cheng C., Lee L., Ho J.. Local injection of mesenchymal stem cells protects testicular torsion-induced germ cell injury.. Stem Cell Res. Ther. 2015;6:113.
    doi: 10.1186/s13287-015-0079-0pmc: PMC4449584pubmed: 26025454google scholar: lookup
  80. de Papa P.M., Guasti P.N., De Vita B., Nakazato N.G., Maia L., de Freitas Dell’Aqua C.P., da Scheeren V.F.C., Segabinazzi L.G.T.M., de Andrade Junior L.R.P., Silva L.F.M.C.. Clinical safety of intratesticular transplantation of allogeneic bone marrow multipotent stromal cells in stallions.. Reprod. Domest. Anim. 2020;55:429–437.
    doi: 10.1111/rda.13624pubmed: 31916315google scholar: lookup
  81. Frank N., Geor R.J., Bailey S.R., Durham A.E., Johnson P.J.. Equine metabolic syndrome.. J. Vet. Intern. Med. 2010;24:467–475.
  82. Marycz K., Michalak I., Kornicka K.. Advanced nutritional and stem cells approaches to prevent equine metabolic syndrome.. Res. Vet. Sci. 2018;118:115–125.
    doi: 10.1016/j.rvsc.2018.01.015pubmed: 29421480google scholar: lookup
  83. Fiorina P., Jurewicz M., Augello A., Vergani A., Dada S., La Rosa S., Selig M., Godwin J., Law K., Placidi C.. Immunomodulatory function of bone marrow-derived mesenchymal stem cells in experimental autoimmune type 1 diabetes.. J. Immunol. 2009;183:993–1004.
    doi: 10.4049/jimmunol.0900803pmc: PMC3895445pubmed: 19561093google scholar: lookup
  84. Lee R.H., Seo M.J., Reger R.L., Spees J.L., Pulin A.A., Olson S.D., Prockop D.J.. Multipotent stromal cells from human marrow home to and promote repair of pancreatic islets and renal glomeruli in diabetic NOD/scid mice.. Proc. Natl. Acad. Sci. USA 2006;103:17438–17443.
    doi: 10.1073/pnas.0608249103pmc: PMC1634835pubmed: 17088535google scholar: lookup
  85. Lin G., Wang G., Liu G., Yang L.-J., Chang L.-J., Lue T.F., Lin C.-S.. Treatment of type 1 diabetes with adipose tissue-derived stem cells expressing pancreatic duodenal homeobox 1.. Stem Cells Dev. 2009;18:1399–1406.
    doi: 10.1089/scd.2009.0010pmc: PMC2862049pubmed: 19245309google scholar: lookup
  86. Zhu S., Lu Y., Zhu J., Xu J., Huang H., Zhu M., Chen Y., Zhou Y., Fan X., Wang Z.. Effects of intrahepatic bone-derived mesenchymal stem cells autotransplantation on the diabetic Beagle dogs.. J. Surg. Res. 2011;168:213–223.
    doi: 10.1016/j.jss.2009.10.008pubmed: 20097376google scholar: lookup
  87. Berman D.M., Willman M.A., Han D., Kleiner G., Kenyon N.M., Cabrera O., Karl J.A., Wiseman R.W., Connor D.H., Bartholomew A.M.. Mesenchymal stem cells enhance allogeneic islet rngraftment in nonhuman primates.. Diabetes 2010;59:2558–2568.
    doi: 10.2337/db10-0136pmc: PMC3279532pubmed: 20622174google scholar: lookup
  88. Bhansali A., Upreti V., Khandelwal N., Marwaha N., Gupta V., Sachdeva N., Sharma R.R., Saluja K., Dutta P., Walia R.. Efficacy of autologous bone marrow-derived stem cell transplantation in patients with type 2 diabetes mellitus.. Stem Cells Dev. 2009;18:1407–1416.
    doi: 10.1089/scd.2009.0164pubmed: 19686048google scholar: lookup
  89. Pileggi A.. Mesenchymal stem cells for the treatment of diabetes.. Diabetes 2012;61:1355–1356.
    doi: 10.2337/db12-0355pmc: PMC3357279pubmed: 22618774google scholar: lookup
  90. Marycz K., Kornicka K., Markedziak M., Golonka P., Nicpoń J.. Equine metabolic syndrome impairs adipose stem cells osteogenic differentiation by predominance of autophagy over selective mitophagy.. J. Cell. Mol. Med. 2016;20:2384–2404.
    doi: 10.1111/jcmm.12932pmc: PMC5134411pubmed: 27629697google scholar: lookup
  91. Marycz K., Kornicka K., Grzesiak J., Śmieszek A., Szłapka J.. Macroautophagy and selective mitophagy ameliorate chondrogenic differentiation potential in adipose stem cells of equine metabolic syndrome: New findings in the field of progenitor cells differentiation.. Oxid. Med. Cell. Longev. 2016;2016:1–18.
    doi: 10.1155/2016/3718468pmc: PMC5178365pubmed: 28053691google scholar: lookup
  92. Marycz K., Kornicka K., Basinska K., Czyrek A.. Equine metabolic syndrome affects viability, senescence, and stress factors of equine adipose-derived mesenchymal stromal stem cells: New insight into EqASCs isolated from EMS horses in the context of their aging.. Oxid. Med. Cell. Longev. 2016;2016.
    doi: 10.1155/2016/4710326pmc: PMC4670679pubmed: 26682006google scholar: lookup
  93. Marycz K., Szłapka-Kosarzewska J., Geburek F., Kornicka-Garbowska K.. Systemic sdministration of rejuvenated adipose-derived mesenchymal stem cells improves liver metabolism in equine metabolic syndrome (EMS)—New approach in veterinary regenerative medicine.. Stem Cell Rev. Rep. 2019;15:842–850.
    doi: 10.1007/s12015-019-09913-3pmc: PMC6925066pubmed: 31620992google scholar: lookup
  94. Bond S., Léguillette R., Richard E.A., Couetil L., Lavoie J.-P., Martin J.G., Pirie R.S.. Equine asthma: Integrative biologic relevance of a recently proposed nomenclature.. J. Vet. Intern. Med. 2018;32:2088–2098.
    doi: 10.1111/jvim.15302pmc: PMC6271326pubmed: 30294851google scholar: lookup
  95. Urbanek K., De Angelis A., Spaziano G., Piegari E., Matteis M., Cappetta D., Esposito G., Russo R., Tartaglione G., De Palma R.. Intratracheal administration of mesenchymal stem cells modulates tachykinin system, suppresses airway remodeling and reduces airway hyperresponsiveness in an animal model.. PLoS ONE 2016;11:e0158746.
  96. Bonfield T.L., Koloze M., Lennon D.P., Zuchowski B., Yang S.E., Caplan A.I.. Human mesenchymal stem cells suppress chronic airway inflammation in the murine ovalbumin asthma model.. Am. J. Physiol. Lung Cell. Mol. Physiol. 2010;299:L760–L770.
    doi: 10.1152/ajplung.00182.2009pmc: PMC4116401pubmed: 20817776google scholar: lookup
  97. Zucca E., Corsini E., Galbiati V., Lange-Consiglio A., Ferrucci F.. Evaluation of amniotic mesenchymal cell derivatives on cytokine production in equine alveolar macrophages: An in vitro approach to lung inflammation.. Stem Cell Res. Ther. 2016;7:137.
    doi: 10.1186/s13287-016-0398-9pmc: PMC5028987pubmed: 27651133google scholar: lookup
  98. Barussi F.C.M., Bastos F.Z., Leite L.M.B., Fragoso F.Y.I., Senegaglia A.C., Brofman P.R.S., Nishiyama A., Pimpão C.T., Michelotto P.V.. Intratracheal therapy with autologous bone marrow-derived mononuclear cells reduces airway inflammation in horses with recurrent airway obstruction.. Respir. Physiol. Neurobiol. 2016;232:35–42.
    doi: 10.1016/j.resp.2016.07.002pubmed: 27396936google scholar: lookup
  99. Theoret C.L., Wilmink J.M.. Aberrant wound healing in the horse: Naturally occurring conditions reminiscent of those observed in man.. Wound Repair. Regen. 2013;21:365–371.
    doi: 10.1111/wrr.12018pubmed: 23441750google scholar: lookup
  100. Sole A., Bolwell C., Riley C., Theoret C.. Descriptive survey of wounds in horses presented to Australian veterinarians.. Austral Equine Vet. 2015;34:68–74.
  101. Theoret C.L., Bolwell C.F., Riley C.B.. A cross-sectional survey on wounds in horses in New Zealand.. N. Z. Vet. J. 2016;64:90–94.
    doi: 10.1080/00480169.2015.1091396pubmed: 26357976google scholar: lookup
  102. Deschene K., Céleste C., Boerboom D., Theoret C.L.. Hypoxia regulates the expression of extracellular matrix associated proteins in equine dermal fibroblasts via HIF1.. J. Dermatol. Sci. 2012;65:12–18.
  103. Bussche L., Harman R.M., Syracuse B.A., Plante E.L., Lu Y.-C., Curtis T.M., Ma M., de Walle G.R. Van. Microencapsulated equine mesenchymal stromal cells promote cutaneous wound healing in vitro.. Stem Cell Res. Ther. 2015;6:1–15.
    doi: 10.1186/s13287-015-0037-xpmc: PMC4413990pubmed: 25889766google scholar: lookup
  104. Textor J.A., Clark K.C., Walker N.J., Aristizobal F.A., Kol A., LeJeune S.S., Bledsoe A., Davidyan A., Gray S.N., Bohannon-Worsley L.K.. Allogeneic stem cells alter gene expression and improve healing of distal limb wounds in horses.. Stem Cells Transl. Med. 2018;7:98–108.
    doi: 10.1002/sctm.17-0071pmc: PMC5746157pubmed: 29063737google scholar: lookup
  105. Mund S.J.K., Kawamura E., Awang-Junaidi A.H., Campbell J., Wobeser B., MacPhee D.J., Honaramooz A., Barber S.. Homing and engraftment of intravenously administered equine cord blood-derived multipotent mesenchymal stromal cells to surgically created cutaneous wound in horses: A pilot project.. Cells 2020;9:1162.
    doi: 10.3390/cells9051162pmc: PMC7290349pubmed: 32397125google scholar: lookup
  106. Spaas J.H., Broeckx S., Van De Walle G.R., Polettini M.. The effects of equine peripheral blood stem cells on cutaneous wound healing: A clinical evaluation in four horses.. Clin. Exp. Dermatol. 2013;38:280–284.
    doi: 10.1111/ced.12068pmc: PMC3627309pubmed: 23517358google scholar: lookup
  107. Agrawal K., Chauhan N.. Pressure ulcers: Back to the basics.. Indian J. Plast. Surg. 2012;45:244–254.
    doi: 10.4103/0970-0358.101287pmc: PMC3495374pubmed: 23162223google scholar: lookup
  108. Knottenbelt D.. Pascoe’s Principles and Practice of Equine Dermatology.. 2nd ed. Saunders Ltd.; Philadelphia, PA, USA: 2009.
  109. Chen M., Przyborowski M., Berthiaume F.. Stem cells for skin tissue engineering and wound healing.. Crit. Rev. Biomed Eng. 2009;37:399–421.
  110. Iacono E., Merlo B., Pirrone A., Antonelli C., Brunori L., Romagnoli N., Castagnetti C.. Effects of mesenchymal stem cells isolated from amniotic fluid and platelet-rich plasma gel on severe decubitus ulcers in a septic neonatal foal.. Res. Vet. Sci. 2012;93:1439–1440.
    doi: 10.1016/j.rvsc.2012.04.008pubmed: 22579411google scholar: lookup
  111. Iacono E., Lanci A., Merlo B., Ricci F., Pirrone A., Antonelli C., Mariella J., Castagnetti C.. Effects of amniotic fluid mesenchymal stem cells in carboxymethyl cellulose gel on healing of spontaneous pressure sores: Clinical outcome in seven hospitalized neonatal foals.. Turkish J. Biol. 2016;40:484–492.
    doi: 10.3906/biy-1507-147google scholar: lookup
  112. Lanci A., Merlo B., Mariella J., Castagnetti C., Iacono E.. Heterologous Wharton’s Jelly derived mesenchymal stem cells application on a large chronic skin wound in a 6-month-old filly.. Front. Vet. Sci. 2019;6:9.
    doi: 10.3389/fvets.2019.00009pmc: PMC6363668pubmed: 30761313google scholar: lookup
  113. Katz L.M., Bailey S.R.. A review of recent advances and current hypotheses on the pathogenesis of acute laminitis.. Equine Vet. J. 2012;44:752–761.
  114. Dryden V.C., Morrison S., Bras R., Morrell S.A.. Using stem cells in clinical cases.. J. Equine Vet. Sci. 2013;33:872–873.
  115. Engiles J.B.. Pathology of the distal phalanx in equine laminitis: More than just skin deep.. Vet. Clin. N. Am. Equine Pract. 2010;26:155–165.
    doi: 10.1016/j.cveq.2009.12.001pubmed: 20381744google scholar: lookup
  116. Pollitt C.C.. The anatomy and physiology of the suspensory apparatus of the distal phalanx.. Vet. Clin. N. Am. Equine Pract. 2010;26:29–49.
    doi: 10.1016/j.cveq.2010.01.005pubmed: 20381734google scholar: lookup
  117. Carter R.A., Engiles J.B., Megee S.O., Senoo M., Galantino-Homer H.L.. Decreased expression of p63, a regulator of epidermal stem cells, in the chronic laminitic equine hoof.. Equine Vet. J. 2011;43:543–551.
  118. Morrison S.. Successful use of allogenic umbilical cord-derived stem cells in nonresponsive chronic laminitic cases.. J. Equine Vet. Sci. 2011;31:603.
  119. Sole A., Spriet M., Galuppo L.D., Padgett K.A., Borjesson D.L., Wisner E.R., Brosnan R.J., Vidal M.A.. Scintigraphic evaluation of intra-arterial and intravenous regional limb perfusion of allogeneic bone marrow-derived mesenchymal stem cells in the normal equine distal limb using 99mTc-HMPAO.. Equine Vet. J. 2012;44:594–599.
  120. Angelone M., Conti V., Biacca C., Battaglia B., Pecorari L., Piana F., Gnudi G., Leonardi F., Ramoni R., Basini G.. The contribution of adipose tissue-derived mesenchymal stem cells and platelet-rich plasma to the treatment of chronic equine laminitis: A proof of concept.. Int. J. Mol. Sci. 2017;18:2122.
    doi: 10.3390/ijms18102122pmc: PMC5666804pubmed: 29019941google scholar: lookup
  121. Cole C., Bentz B.. Treatment of equine nervous system disorders.. In: Maxwell L., editor. Equine Pharmacology. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2014. pp. 192–217.
  122. Schaakxs D., Kalbermatten D.F., Raffoul W., Wiberg M., Kingham P.J.. Regenerative cell injection in denervated muscle reduces atrophy and enhances recovery following nerve repair.. Muscle Nerve 2013;47:691–701.
    doi: 10.1002/mus.23662pubmed: 23504573google scholar: lookup
  123. Wright K.T., El Masri W., Osman A., Chowdhury J., Johnson W.E.B.. Concise Review: Bone marrow for the treatment of spinal cord injury: Mechanisms and clinical applications.. Stem Cells 2011;29:169–178.
    doi: 10.1002/stem.570pmc: PMC3083520pubmed: 21732476google scholar: lookup
  124. Sadan O., Melamed E., Offen D.. Bone-marrow-derived mesenchymal stem cell therapy for neurodegenerative diseases.. Expert Opin. Biol. Ther. 2009;9:1487–1497.
    doi: 10.1517/14712590903321439pubmed: 19821796google scholar: lookup
  125. Jamnig A., Lepperdinger G.. From tendon to nerve: An MSC for all seasons.. Can. J. Physiol. Pharmacol. 2012;90:295–306.
    doi: 10.1139/y11-109pubmed: 22375931google scholar: lookup
  126. James F.M., Engiles J.B., Beech J.. Meningitis, cranial neuritis, and radiculoneuritis associated with Borrelia burgdorferi infection in a horse.. J. Am. Vet. Med. Assoc. 2010;237:1180–1185.
    doi: 10.2460/javma.237.10.1180pubmed: 21073390google scholar: lookup
  127. Villagrán C.C., Schumacher J., Donnell R., Dhar M.S.. A novel model for acute peripheral nerve injury in the horse and evaluation of the effect of mesenchymal stromal cells applied in situ on nerve regeneration: A preliminary study.. Front. Vet. Sci. 2016;3:80.
    doi: 10.3389/fvets.2016.00080pmc: PMC5023688pubmed: 27695697google scholar: lookup
  128. Kuffler D.P.. An assessment of current techniques for inducing axon regeneration and neurological recovery following peripheral nerve trauma.. Prog. Neurobiol. 2014;116:1–12.
  129. Villagrán C.C., Amelse L., Neilsen N., Dunlap J., Dhar M.. Differentiation of equine mesenchymal stromal cells into cells of neural lineage: Potential for clinical applications.. Stem Cells Int. 2014;2014:13–18.
    doi: 10.1155/2014/891518pmc: PMC4260374pubmed: 25506367google scholar: lookup
  130. Reed S.M.. Medical aspects of traumatic brain injury.. In: Nixon A.J., editor. Equine Fracture Repair. John Wiley & Sons, Ltd.; Hoboken, NJ, USA: 2019. pp. 800–803.
  131. Casañas J., de la Torre J., Soler F., Garcia F., Rodellar C., Pumarola M., Climent J., Soler R., Orozco L.. Peripheral nerve regeneration after experimental section in ovine radial and tibial nerves using synthetic nerve grafts, including expanded bone marrow mesenchymal cells: Morphological and neurophysiological results.. Injury 2014;45:S2–S6.
    doi: 10.1016/S0020-1383(14)70003-8pubmed: 25384470google scholar: lookup
  132. Johnson A., Reed S.. Cervical vertebral stenotic myelopathy.. In: Reed S., Furr M., editors. Equine Neurology. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2015. pp. 349–367.
  133. Maia L., da Cruz Landim-Alvarenga F., Taffarel M.O., de Moraes C.N., Machado G.F., Melo G.D., Amorim R.M.. Feasibility and safety of intrathecal transplantation of autologous bone marrow mesenchymal stem cells in horses.. BMC Vet. Res. 2015;11:63.
    doi: 10.1186/s12917-015-0361-5pmc: PMC4369105pubmed: 25879519google scholar: lookup
  134. Barberini D.J., Aleman M., Aristizabal F., Spriet M., Clark K.C., Walker N.J., Galuppo L.D., Amorim R.M., Woolard K.D., Borjesson D.L.. Safety and tracking of intrathecal allogeneic mesenchymal stem cell transplantation in healthy and diseased horses.. Stem Cell Res. Ther. 2018;9:96.
    doi: 10.1186/s13287-018-0849-6pmc: PMC5891950pubmed: 29631634google scholar: lookup
  135. Draper A.C.E., Piercy R.J.. Pathological classification of equine recurrent laryngeal neuropathy.. J. Vet. Intern. Med. 2018;32:1397–1409.
    doi: 10.1111/jvim.15142pmc: PMC6060325pubmed: 29691904google scholar: lookup
  136. Biasutti S., Dart A.J., Jeffcott L.B.. A review of recent developments in the clinical application of prosthetic laryngoplasty for recurrent laryngeal neuropathy: Indications, complications and outcome.. Equine Vet. Educ. 2016;29:337–345.
    doi: 10.1111/eve.12553google scholar: lookup
  137. Sandersen C., Ceusters J., Fourez A., Tosi I., Graide H., Lejeune J.P., Serteyn D.. Nerve stimulator-guided injection of autologous stem cells near the equine left recurrent laryngeal nerve.. J. Vis. Exp. 2018;2018:58023.
    doi: 10.3791/58023pmc: PMC6235316pubmed: 30320737google scholar: lookup
  138. Sheats M.K.. A comparative review of equine SIRS, sepsis, and neutrophils.. Front. Vet. Sci. 2019;6:69.
    doi: 10.3389/fvets.2019.00069pmc: PMC6424004pubmed: 30931316google scholar: lookup
  139. Roy M.F., Kwong G.P.S., Lambert J., Massie S., Lockhart S.. Prognostic value and development of a scoring system in horses with systemic inflammatory response syndrome.. J. Vet. Intern. Med. 2017;31:582–592.
    doi: 10.1111/jvim.14670pmc: PMC5354005pubmed: 28207163google scholar: lookup
  140. Lalu M.M., Sullivan K.J., Mei S.H.J., Moher D., Straus A., Fergusson D.A., Stewart D.J., Jazi M., Macleod M., Winston B.. Evaluating mesenchymal stem cell therapy for sepsis with preclinical meta-analyses prior to initiating a first-in-human trial.. Elife 2016;5:1–28.
    doi: 10.7554/eLife.17850pmc: PMC5153252pubmed: 27870924google scholar: lookup
  141. Kilcoyne I., Nieto J.E., Watson J.L., Galuppo L.D., Borjesson D.L.. Do allogeneic bone marrow derived mesenchymal stem cells diminish the inflammatory response to lipopolysaccharide infusion in horses? A pilot study.. Vet. Immunol. Immunopathol. 2021;231:110146.
    doi: 10.1016/j.vetimm.2020.110146pubmed: 33221572google scholar: lookup
  142. Karagianni A.E., Lisowski Z.M., Hume D.A., Scott Pirie R.. The equine mononuclear phagocyte system: The relevance of the horse as a model for understanding human innate immunity.. Equine Vet. J. 2021;53:231–249.
    doi: 10.1111/evj.13341pubmed: 32881079google scholar: lookup