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  • 文章类型: Journal Article
    据报道,马精子和驴精子的繁殖性能不同。精子蛋白在精子活力和生育力中起着至关重要的作用。虽然物种之间的差异是已知的,先前没有研究调查马和驴之间精子蛋白质组的差异。因此,这项研究使用4D-DIA质谱技术表征和比较了马和驴的精子蛋白质组。我们鉴定了马精子中的3436种蛋白质和驴精子中的3404种蛋白质。其中,3363蛋白在马和驴精子中表达,73种蛋白质在马精子中特异性表达,和41只驴精子。根据数据分析,驴在直线精子中表现出比马更高的运动和渐进运动百分比,以及静态和慢速精子的百分比低于马。对马和驴精子蛋白质组及其CEROSII读取参数的结果的联合分析表明,精子蛋白与其精子活力模式之间可能存在关联。这些发现表明,马和驴精子的表达水平和蛋白质组成存在差异,并且某些特定的蛋白质可能是这两个物种之间性能差异的原因。
    The reproductive performance of horse sperm and donkey sperm has been reported to differ. Sperm proteins play a crucial role in sperm viability and fertility. Although differences between species are known, no prior study has investigated disparities in the sperm proteome between horses and donkeys. Therefore, this study characterized and compared the sperm proteomes of horses and donkeys using 4D-DIA mass spectrometry technology. We identified 3436 proteins in horse sperm and 3404 proteins in donkey sperm. Of these, 3363 proteins were expressed in both horse and donkey sperm, with 73 proteins being specifically expressed in horse sperm, and 41 in donkey sperm. According to data analysis, donkeys exhibited a greater percentage of motility and progressive movement in straight-line sperm than horses, as well as lower percentages of static and slow sperm than horses. Joint analysis of the results from the horse and donkey sperm proteomes and their CEROS II-read parameters demonstrated a possible association between sperm proteins and their sperm viability patterns. These findings suggest that there are discrepancies in the expression levels and protein compositions of horse and donkey sperm and that certain specific proteins may be responsible for the differences in performance between these two species.
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  • 文章类型: Journal Article
    死后胎儿挤压,也被称为“棺材出生”,是指胎儿由于腹腔中气体分解的压力而被推出已故女性的现象。虽然在几个考古现场已经记录了人类的死后胎儿挤压,很少有报道说它发生在非人类动物身上。在这项研究中,我们介绍了一例在中国西北部耀和源西周时期的战马坑(CMK2)中观察到的死后胎儿挤压的病例,可追溯到公元前一千年初。这个特定的坑,在现场挖掘的四个人之一,至少有29匹马和3辆木制战车。这些马大多数是年龄在4至12岁之间的年轻人。在有性别估计的22匹马中,21是男性。在这些人中,一匹成年母马(马6)和一匹幼马(马10)特别重要。根据死亡年龄,性别,和两个人的头部取向,除了它们的空间关系,马6很可能是马10的胎儿,并在坑中被挤压。根据马10的分娩阶段,马6很可能在春末或夏初被安葬在CMK2中,在此期间,相对较高的温度可能会产生导致胎儿挤压的气体。虽然在姚河源的战马坑中列入怀孕母马的具体原因仍是未来研究的课题,该病例标志着考古马中死后胎儿挤压的第一份报告。这些发现为中国青铜时代定居精英中作为仪式实践的一部分进行马葬的时机提供了见解,并为当代马兽医学提供了有价值的参考数据。
    Post-mortem fetal extrusion, also known as \"coffin birth\", refers to the phenomenon where a fetus is pushed out of a deceased female due to pressure from decomposing gas in the abdominal cavity. While post-mortem fetal extrusion has been documented in humans at several archaeological sites, there are few reports of it occurring in non-human animals. In this study, we present a case of post-mortem fetal extrusion in equids observed in a chariot-horse pit (CMK2) at the Western Zhou period site of Yaoheyuan in northwestern China, dating to the early first millennium BC. This specific pit, one of four excavated at the site, contained at least 29 horses and 3 wooden chariots. Most of these horses were young adults aged between 4 and 12 years. Out of the 22 horses with sex estimates, 21 were males. Among these individuals, one adult female horse (Horse 6) and one infantile horse (Horse 10) were of particular importance. Based on the age-at-death, sex, and head orientation of the two individuals, alongside their spatial relationships, it is highly likely that Horse 6 was the fetus of Horse 10 and was extruded in the pit. According to the parturition stage of Horse 10, Horse 6 was likely interred in CMK2 in late spring or early summer of the year, during which the relatively high temperature may have generated gas that led to the extrusion of the fetus. Although the specific reason for the inclusion of a pregnant mare in a chariot-horse pit at Yaoheyuan remains a topic for future research, this case marks the first report of post-mortem fetal extrusion in archaeological horses. The findings offer insights into the timing of horse interment as part of ritual practices among the settled elites during the Bronze Age in China and provide valuable reference data for contemporary equine veterinary science.
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  • 文章类型: Journal Article
    腹泻是马常见的胃肠道疾病,饮食引起的腹泻是一个新兴的挑战。本研究旨在调查健康和饮食诱导的腹泻马的肠道微生物群差异,并评估粪便微生物群移植(FMT)和碳酸盐缓冲液混合物(CBM)作为潜在治疗方法的有效性。20匹健康的马被纳入研究,有四组:控制,腹泻,CBM,和FMT。腹泻是用低聚果糖诱导的,收集粪便样品进行微生物群分析。使用供体粪便物质口服FMT和CBM治疗,和配方混合物,分别。临床参数,血清水平,肠组织病理学,和粪便微生物区系进行了评估。结果表明,腹泻诱导使肠道菌群失衡,多样性和丰富度降低,受影响的临床参数,包括体温升高和腹泻评分,粪便pH值下降,炎症反应增加,如血清LPS增加,IL-17A,乳酸和总蛋白质,造成结肠组织损伤.CBM和FMT治疗改变了肠道菌群组成,与腹泻相比,将其恢复到更健康的状态,将肠道微生物群组成恢复到更健康的状态,改善临床症状,包括体温下降和腹泻评分,增加粪便的pH值,炎症反应减少,如血清LPS增加,IL-17A,乳酸和总蛋白质,修复组织损伤。CBM和FMTSpearman相关性分析确定了与宿主参数和炎症相关的特定细菌类群。FMT和CBM治疗在管理马的低聚果糖引起的腹泻方面显示出有希望的治疗效果。这些发现为马腹泻的管理和治疗提供了有价值的见解,并提出了CBM和FMT联合方法对最佳治疗结果的潜力。
    Diarrhea is a common gastrointestinal disorder in horses, with diet-induced diarrhea being an emerging challenge. This study aimed to investigate the gut microbiota differences in healthy and diet-induced diarrheic horses and evaluate the effectiveness of fecal microbiota transplantation (FMT) and carbonate buffer mixture (CBM) as potential therapeutic approaches. Twenty healthy horses were included in the study, with four groups: Control, Diarrhea, CBM, and FMT. Diarrhea was induced using oligofructose, and fecal samples were collected for microbiota analysis. FMT and CBM treatments were administered orally using donor fecal matter, and formula mixture, respectively. Clinical parameters, serum levels, intestinal tissue histopathology, and fecal microbiota profiles were evaluated. The results showed that diarrhea induction disbalanced the gut microbiota with decreased diversity and richness, affected clinical parameters including elevated body temperature and diarrhea score, and decreased fecal pH, increased inflammatory responses such as increased serum LPS, IL-17A, lactic acid and total protein, and caused damage in the colon tissue. CBM and FMT treatments altered the gut microbiota composition, restoring it towards a healthier profile compared to diarrheic, restored the gut microbiota composition to healthier states, improved clinical symptoms including decreased body temperature and diarrhea score, and increased fecal pH, decreased inflammatory responses such as increased serum LPS, IL-17A, lactic acid and total protein, and repaired tissue damage. CBM and FMT Spearman correlation analysis identified specific bacterial taxa associated with host parameters and inflammation. FMT and CBM treatments showed promising therapeutic effects in managing oligofructose-induced diarrhea in horses. The findings provide valuable insights into the management and treatment of diarrhea in horses and suggest the potential of combined CBM and FMT approaches for optimal therapeutic outcomes.
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  • 文章类型: Journal Article
    背景:子宫内膜炎是母马的常见病,会造成重大的经济损失。缺乏明显的临床症状,母马子宫内膜炎的临床诊断依赖于逐例临床检查,这在大型农场中效率特别低。因此,潜在生物标志物的鉴定可以作为一种非侵入性和有效的筛查技术来筛查母马子宫内膜炎.
    目的:比较能育母马和患有子宫内膜炎的母马之间的血液蛋白质组,以确定可能与子宫内膜炎发展相关的生物标志物,并验证其预测潜力。
    方法:观察和实验研究。
    方法:在由8只健康母马和8只患有子宫内膜炎的母马组成的筛选队列中,通过数据独立采集(DIA)蛋白质组学分析鉴定差异表达的蛋白质。随后,采用酶联免疫吸附试验,包括40只健康母马和40只患有子宫内膜炎的母马的验证队列,以验证所鉴定蛋白质的准确性和敏感性,从而建立诊断阈值。
    结果:在筛查队列中,12种蛋白质在子宫内膜炎母马和健康对照之间的表达显着差异(p<0.05,在1/1.2至1.2倍之外)。在验证实验中,评估所有6种筛选的蛋白质,曲线下面积(AUC)>0.8.
    结论:样本显示出一定程度的个体异质性,分析的样本数量有限。此外,确定的生物标志物主要与全身性炎症相关,这可能限制了它们对子宫内膜炎的特异性。
    结论:血浆蛋白水平是马子宫内膜炎的敏感指标,也是子宫内膜炎筛查的潜在工具。在等离子体中,胎球蛋白B,vonWillebrand因子,维生素K依赖性蛋白C,胰岛素样生长因子结合蛋白3,白细胞介素1受体辅助蛋白,II型细胞骨架表现出很强的预测能力,胎球蛋白B是最佳预测因子(AUC=0.93,95%CI:0.89-0.98),当与所有六种检测到的蛋白质组合时表现更好(AUC=1,95%CI:0.99-1.00)。
    BACKGROUND: Endometritis is a common condition in mares that causes significant economic loss. Lacking obvious clinical signs, the clinical diagnosis of endometritis in mares relies on case-by-case clinical examinations, which can be particularly inefficient in large-scale farms. Therefore, the identification of potential biomarkers can serve as a non-invasive and efficient screening technique for endometritis in mares.
    OBJECTIVE: To compare the blood proteome between fertile mares and mares with endometritis to identify biomarkers potentially associated with the development of endometritis and validate their predictive potential.
    METHODS: Observational and experimental study.
    METHODS: Differentially expressed proteins were identified via Data Independent Acquisition (DIA) proteomic profiling in a screening cohort composed of eight healthy mares and eight mares with endometritis. Subsequently, enzyme-linked immunosorbent assay was employed that included a validation cohort of 40 healthy mares and 40 mares with endometritis to verify the accuracy and sensitivity of the identified proteins, thereby establishing a diagnostic threshold.
    RESULTS: In the screening cohort, 12 proteins were significantly differentially expressed between endometritis mares and healthy controls (p < 0.05, outside the 1/1.2 to 1.2-fold). In the validation experiment, all six screened proteins were assessed with area under the curve (AUC) >0.8.
    CONCLUSIONS: The samples displayed certain levels of individual heterogeneity, and the number of samples analysed was limited. Additionally, the identified biomarkers were primarily associated with generalised inflammation, which potentially limited their specificity for endometritis.
    CONCLUSIONS: Levels of plasma proteins are sensitive indicators of equine endometritis and potential tools for endometritis screening. In plasma, fetuin B, von Willebrand factor, vitamin K-dependent protein C, insulin-like growth factor binding protein 3, interleukin 1 receptor accessory protein, and type II cell cytoskeleton showed great predictive ability, with fetuin B being the best predictor (AUC = 0.93, 95% CI: 0.89-0.98), which performs better when combined with all six detected proteins (AUC = 1, 95% CI: 0.99-1.00).
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  • 文章类型: Journal Article
    骨关节炎是马跛行和关节疾病的主要原因。一个简单的,经济,和准确的诊断测试是需要常规筛查OA。这项研究旨在评估基于红外(IR)的滑液生物标志物概况,以检测与创伤诱发的马腕骨关节炎(OA)模型相关的早期变化。17只健康纯种雌马中有9只通过关节镜诱发了单侧腕骨OA;其余的用作假手术对照。两组的中位年龄为2岁。在手术诱导OA(第0天)之前每周获得滑液(SF),直到第63天。从干燥的SF膜获得IR吸收光谱。在光谱预处理之后,使用随机森林的预测模型来区分OA,Sham,和对照样品。区分OA和任何其他关节组的准确性为80%。采样日的分类准确率为87%。对于成对分类任务,OA与OA的关节精度为75%。OA控制和70%的OA与Sham.按组分离马匹的准确性(OA与Sham)为68%。总之,SFIR光谱法可准确区分外伤引起的OA关节与对照。
    Osteoarthritis is a leading cause of lameness and joint disease in horses. A simple, economical, and accurate diagnostic test is required for routine screening for OA. This study aimed to evaluate infrared (IR)-based synovial fluid biomarker profiling to detect early changes associated with a traumatically induced model of equine carpal osteoarthritis (OA). Unilateral carpal OA was induced arthroscopically in 9 of 17 healthy thoroughbred fillies; the remainder served as Sham-operated controls. The median age of both groups was 2 years. Synovial fluid (SF) was obtained before surgical induction of OA (Day 0) and weekly until Day 63. IR absorbance spectra were acquired from dried SF films. Following spectral pre-processing, predictive models using random forests were used to differentiate OA, Sham, and Control samples. The accuracy for distinguishing between OA and any other joint group was 80%. The classification accuracy by sampling day was 87%. For paired classification tasks, the accuracies by joint were 75% for OA vs. OA Control and 70% for OA vs. Sham. The accuracy for separating horses by group (OA vs. Sham) was 68%. In conclusion, SF IR spectroscopy accurately discriminates traumatically induced OA joints from controls.
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  • 文章类型: Journal Article
    中药(TCM)广泛用于人类和动物,这对健康非常重要。中医影响机体免疫力和肠道菌群的变化。本研究旨在研究马饮食中添加红百兰神(HBLS)对血清生化特征的影响,抗氧化酶和肠道菌群。
    在这项研究中,选择了五匹马。在第0、14、28天,在第0、14和28天收集血液样本和粪便以分析肠道微生物群。血清生化和氧化还原指标。
    结果表明,在马的日粮中添加HBLS可显着降低丙氨酸转氨酶的水平,碱性磷酸酶,肌酸激酶和丙二醛(p<0.05,p<0.01),并显着增加了总抗氧化能力的活性,超氧化物歧化酶和过氧化氢酶(p<0.05,p<0.01)。与第14天相比,丙氨酸转氨酶水平,碱性磷酸酶和肌酸激酶显著下降;然而,连续饲喂HBLS28天的马过氧化氢酶水平显着增加(p<0.05,p<0.01)。进行α多样性分析,chao1(p<0.05),观察到的_规格,信仰\'pd和货物_覆盖率在喂HBLS的马匹中上调。共检测到24个差异属,在饮食中添加HBLS增加了芽孢杆菌的丰度,乳酸杆菌科,明串珠科,Christensenellaceae,肽链球菌科,粪杆菌,Erysipelotricaceae,吡喃杆菌,Sphaerochaeta,WCHB1-25,细菌,螺旋体,和醋杆菌科,虽然减少了空气球菌,EtOH8,合成单胞菌,Caulobacter,根瘤菌科,W22,丁烟菌科,和脱硫弧菌(p<0.05,p<0.01)。
    在饮食中添加HBLS可能是改善马健康的潜在有效策略。
    UNASSIGNED: Traditional Chinese medicine (TCM) is widely used in humans and animals, which is very important for health. TCM affects the body \'s immunity and changes in intestinal flora. This study was conducted to investigate the effects of dietary Hong-bailanshen (HBLS) supplementation in horses on serum biochemical profile, antioxidant enzymes and gut microbiota.
    UNASSIGNED: In this study, five horses were selected. On day 0, 14, 28, blood samples and feces were collected on days 0, 14, and 28 to analyse gut microbiota, serum biochemical and redox indexes.
    UNASSIGNED: The results showed that the addition of HBLS to horse diets significantly decreased the level of alanine aminotransferase, alkaline phosphatase, creatine kinase and malondialdehyde (p < 0.05, p < 0.01) and significantly increased the activity of total antioxidant capacity, superoxide dismutase and catalase (p  < 0.05, p  < 0.01). Compared with day 14, the levels of alanine aminotransferase, alkaline phosphatase and creatine kinase were significantly decreased; however, the level of catalase was significantly increased in the horses continuously fed with HBLS for 28 days (p  < 0.05, p < 0.01). Alpha diversity analysis was performed that chao1 (p  < 0.05), observed_specicies, faith\'pd and goods_coverage upregulated in the horses fed HBLS. A total of 24 differential genera were detected adding HBLS to diet increased the abundance of Bacillus, Lactobacillaceae, Leuconostocaceae, Christensenellaceae, Peptostreptococcaceae, Faecalibacterium, Erysipelotrichaceae, Pyramidobacter, Sphaerochaeta, WCHB1-25, Bacteria, Oscillospira, and Acetobacteraceae, while reduced Aerococcus, EtOH8, Syntrophomonas, Caulobacter, Bradyrhizobiaceae, W22, Succinivibrionaceae, and Desulfovibrio (p < 0.05, p < 0.01).
    UNASSIGNED: Adding HBLS to the diet could be a potentially effective strategy to improve horses\' health.
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  • 文章类型: Journal Article
    哈萨克马,以其卓越的品种而闻名,表现出独特的生殖特征,其特征是早熟和季节性发情。虽然正常的生殖功能对于确保哈萨克马种群的繁殖和扩大至关重要,达到14岁后,生殖能力显着下降。
    在这项研究中,从年龄1,2,7和15岁以上(不包括15岁)的哈萨克族马精心收集卵巢颗粒细胞(GC),用于全转录组测序.
    分析鉴定并选择了差异表达的mRNA,lncRNAs,miRNA,和每个年龄组的circRNAs,然后通过GO富集分析进行彻底检查。该研究揭示了mRNA表达谱的显著差异,lncRNAs,miRNA,和不同成熟阶段GC内的circRNAs。值得注意的是,eca-miR-486-3p和miR-486-y显示最高程度的连接。后续GO,KEGG,PPI,和ceRNA网络分析阐明,差异表达的靶基因积极参与与细胞增殖相关的信号通路,凋亡,和荷尔蒙调节。这些途径包括但不限于MAPK信号通路,河马信号通路,Wnt信号通路,钙信号通路,醛固酮的合成和分泌,细胞衰老,和NF-κB信号通路-基本上包括对生殖过程至关重要的信号转导通路。
    这项研究极大地有助于揭示哈萨克族马卵泡发育的分子机制。它建立并初步验证了涉及lncRNA-miRNA-mRNA的差异调控网络,与细胞增殖等过程密切相关,分化,和细胞凋亡以及基质卵泡发育复杂性的组成部分。本研究的发现为深入研究哈萨克母马的生殖衰老领域提供了坚实的理论基础。在马卵巢发育的背景下,它是一条关键的调节途径。
    The Kazakh horse, renowned for its excellence as a breed, exhibits distinctive reproductive traits characterized by early maturity and seasonal estrus. While normal reproductive function is crucial for ensuring the breeding and expansion of the Kazakh horse population, a noteworthy decline in reproductive capabilities is observed after reaching 14 years of age.
    In this study, ovarian granulosa cells (GCs) were meticulously collected from Kazakh horses aged 1, 2, 7, and above 15 years old (excluding 15 years old) for whole transcriptome sequencing.
    The analysis identified and selected differentially expressed mRNAs, lncRNAs, miRNAs, and circRNAs for each age group, followed by a thorough examination through GO enrichment analysis. The study uncovered significant variations in the expression profiles of mRNAs, lncRNAs, miRNAs, and circRNAs within GCs at different stages of maturity. Notably, eca-miR-486-3p and miR-486-y exhibited the highest degree of connectivity. Subsequent GO, KEGG, PPI, and ceRNA network analyses elucidated that the differentially expressed target genes actively participate in signaling pathways associated with cell proliferation, apoptosis, and hormonal regulation. These pathways include but are not limited to the MAPK signaling pathway, Hippo signaling pathway, Wnt signaling pathway, Calcium signaling pathway, Aldosterone synthesis and secretion, Cellular senescence, and NF-kappa B signaling pathway-essentially encompassing signal transduction pathways crucial to reproductive processes.
    This research significantly contributes to unraveling the molecular mechanisms governing follicular development in Kazakh horses. It establishes and preliminarily validates a differential regulatory network involving lncRNA-miRNA-mRNA, intricately associated with processes such as cell proliferation, differentiation, and apoptosis and integral to the developmental intricacies of stromal follicles. The findings of this study provide a solid theoretical foundation for delving deeper into the realm of reproductive aging in Kazakh mares, presenting itself as a pivotal regulatory pathway in the context of horse ovarian development.
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  • 文章类型: Journal Article
    6岁的母马,一匹珍贵的马,结肠手术后死于并发症。为了保护它的遗传学,死亡后立即收集耳朵皮肤样品,并在4°C下在马胚胎移植培养基中储存5天。胰蛋白酶消化后,建立单层成纤维细胞培养物,但是所有这些都有大量细菌感染的迹象。作为救援的终极尝试,在四个96孔培养皿的所有孔中分别培养严格和反复洗涤的细胞。从几个没有污染的孔中建立新的单层,并用于体细胞核转移。在排卵后第5天,将来自14个重建受精卵的6个第7天囊胚中的4个转移到4个自然循环母马中。胚胎移植导致2次怀孕,一个来自新鲜的,一个来自玻璃化的胚泡。玻璃化胚胎移植产生了一个健康的后代,现在21个月大,在遗传和表型上与体细胞供体动物相同。
    A 6-year-old mare, a valuable polo horse, died of complications following postcolic surgery. To preserve its genetics, ear skin samples were collected immediately after death and stored in an equine embryo transfer medium at 4°C for 5 days. After trypsin digestion, monolayer fibroblast cultures were established, but signs of massive bacterial infection were found in all of them. As an ultimate attempt for rescue, rigorously and repeatedly washed cells were individually cultured in all wells of four 96-well dishes. New monolayers were established from the few wells without contamination and used for somatic cell nuclear transfer. Four of the six Day 7 blastocysts derived from 14 reconstructed zygotes were transferred in four naturally cycling mares on Day 5 after ovulation. The embryo transfers resulted in 2 pregnancies, one from a fresh and one from a vitrified blastocyst. The vitrified embryo transfer resulted in a healthy offspring, now 21 months old, genetically and phenotypically identical to the somatic cell donor animal.
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  • 文章类型: Journal Article
    记录了在同行评审期刊上发表的纯种赛车中发生骨折的风险率和诱发因素。根据原则讨论了当前可用技术识别骨折风险增加的马匹的潜力,实用性,优势,缺点和当前数据。根据合理的决策以及对赛马社会执照的破裂的重要性,对所有内容进行了审查。
    Risk rates for and predisposing factors to fractures occurring in Thoroughbred racing that have been published in peer reviewed journals are documented. The potential for currently available techniques to identify horses at increased risk for fracture is discussed on the bases of principles, practicalities, advantages, disadvantages and current data. All are reviewed in light of justifiable decision making and importance of fractures to horseracing\'s social license.
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  • 文章类型: Systematic Review
    背景:包括化脓性关节炎(SA)和骨关节炎(OA)的马关节病是马跛行的关键原因。富血小板血浆(PRP)是治疗马OA最流行的再生疗法之一,即使是SA,但是支持这种治疗的证据是相互矛盾的。
    目的:本研究的目的是系统回顾目前关于用于SA和OA的PRP产品的证据,以及基于现有文献的荟萃分析,PRP产品治疗OA的疗效。
    方法:系统评价和荟萃分析。
    方法:对相关数据库的系统搜索(PubMed,WebofScience,根据PRISMA指南,进行Scopus)以确定2013年至2023年发表的研究。随机对照试验,纳入了使用至少一种PRP产品的非随机试验和对照实验室研究.使用比值比(OR)和95%置信区间(95%CIs)呈现二分结果。
    结果:在系统综述中确定了21篇出版物,在荟萃分析中确定了5篇出版物。这些出版物涉及各种类型的PRP产品,并报告了不同的结果。尽管大多数研究都与高偏倚风险相关,与对照组相比,PRP产品治疗组的总体估计疗效与显著改善一致(OR:15.32;95%CI:3.00-78.15;p<0.05).两组之间的临床表现结果显着改善(OR:36.64;95%CI:3.69-364.30;p<0.05)。
    结论:PRP产品作为关节内治疗可能对治疗马OA有效,并具有治疗SA的潜力。这些结论可能会受到有限数量的随机对照研究和不同类型PRP产品的高变异性的影响。为了更好地评价PRP的疗效,广泛认可的分类系统和随机化的利用,失明,需要进行等效或非劣性试验。
    BACKGROUND: Equine joint disease including septic arthritis (SA) and osteoarthritis (OA) is a critical cause of equine lameness. Platelet-rich plasma (PRP) is one of the most popular regenerative therapies to treat equine OA, even SA, but the evidence in support of the treatment is conflicting.
    OBJECTIVE: The aim of the study was to systematically review the current evidence on PRP products used for SA and OA, as well as the efficacy of PRP products as treatment for OA on the basis of a meta-analysis of the available literature.
    METHODS: Systematic review and meta-analysis.
    METHODS: A systematic search of relevant databases (PubMed, Web of Science, Scopus) was performed to identify studies published from 2013 to 2023, in accordance with the PRISMA guidelines. Randomised controlled trials, non-randomised trials and controlled laboratory studies that used at least one type of PRP products were included. Dichotomous outcomes were presented using odds ratios (ORs) and 95% confidence intervals (95% CIs).
    RESULTS: A total of 21 publications were identified in the systematic review and 5 of them in the meta-analysis. These publications involved various types of PRP products and reported different outcomes. Although most of the studies were associated with a high risk of bias, the overall estimated effect was consistent with a significant improvement in the PRP products treatment group compared with the control group (OR: 15.32; 95% CI: 3.00-78.15; p < 0.05). There was a significant improvement in clinical performance outcomes between the groups (OR: 36.64; 95% CI: 3.69-364.30; p < 0.05).
    CONCLUSIONS: PRP products as intra-articular treatment are likely efficacious for treatment of equine OA and have potential for treating SA. These conclusions might be affected by the limited number of randomised controlled studies and high variability of different types of PRP products. To better evaluate the efficacy of PRP, a widely recognised classification system and the utilisation of randomised, blinded, equivalency or non-inferiority trials are required.
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