equine

  • 文章类型: Journal Article
    在人类患者中充分描述了经皮阿片渗透的解剖位置依赖性差异。虽然这已经在含有芬太尼的马匹中进行了调查,目前还没有关于经皮基质型贴剂给药时的位置依赖性血浆丁丙诺啡浓度的文献.
    本研究旨在比较放置在不同解剖部位(掌骨,加斯金,和腹尾基部)在健康的成年马中。
    这是一项具有拉丁方设计的随机实验研究。
    对六匹成年马进行三次处理,最少10天的清除期。对于每一种治疗,将两个20μgh-1基质型丁丙诺啡贴片应用于尾部基部的腹侧(TailTDP),掌骨区(掌骨TDP),或gaskin地区(GaskinTDP)。在施用贴剂之前(0小时)和之后0.5、2、4、6、8、10、12、16、24、32、48、56、72、96和120小时收集全血样品(用于测定丁丙诺啡浓度)和生理变量。放置后96小时去除斑块,并分析残留的丁丙诺啡含量。通过LC-MS/MS测量血浆中的丁丙诺啡浓度。使用混合效应模型来分析生理变量。
    在三个治疗组之间,与基线相比,以及单匹马和马之间的生理变量在不同时间点之间没有变化(p>0.3).当比较所有三个地点时,观察到丁丙诺啡的摄取与可测量的血浆浓度>0.1ngml-1更一致。在TailTDP组中,从2到32h,丁丙诺啡的平均血浆浓度>0.1ngml-1。最高组平均值为0.25ngml-1,在4h时记录。
    与尾基部的腹侧相比,掌骨和加斯金区的丁丙诺啡摄取和血浆浓度更加不稳定和不一致。进一步的研究必须针对研究最佳剂量,可达到的镇痛持续时间,可测量的血浆浓度的变化,以及行为和系统效应。
    UNASSIGNED: Anatomical location-dependent differences in transdermal opioid penetration are well described in human patients. Although this has been investigated in horses with fentanyl, there is no literature available on location-dependent plasma buprenorphine concentrations when administered as a transdermal matrix-type patch.
    UNASSIGNED: This study aims to compare the plasma concentrations achieved from the matrix-type transdermal buprenorphine patches placed at different anatomical sites (metacarpus, gaskin, and ventral tail base) in healthy adult horses.
    UNASSIGNED: This is a randomized experimental study with a Latin square design.
    UNASSIGNED: Six adult horses were given each of three treatments with a minimum 10-day washout period. For each treatment, two 20 μg h-1 matrix-type buprenorphine patches were applied to the ventral aspect of the tail base (TailTDP), metacarpus region (MetacarpusTDP), or gaskin region (GaskinTDP). Whole blood samples (for determination of buprenorphine concentration) and physiological variables were collected before (0 h) and at 0.5, 2, 4, 6, 8, 10, 12, 16, 24, 32, 48, 56, 72, 96 and 120 h after patches were applied. The patches were removed 96 h following placement and were analyzed for residual buprenorphine content. Buprenorphine concentrations were measured in plasma by LC-MS/MS. A mixed-effects model was used to analyze the physiological variables.
    UNASSIGNED: Between the three treatment groups, there was no change in physiological variables across timepoints as compared to baseline and when compared to each other in a single horse and between horses (p > 0.3). When comparing all three locations, the buprenorphine uptake was observed to be more consistent with respect to measurable plasma concentrations >0.1 ng ml-1 when applied to the ventral aspect of the tail base. In the TailTDP group, the mean plasma buprenorphine concentrations were >0.1 ng ml-1 from 2 to 32 h. The highest group mean was 0.25 ng ml-1 noted at 4 h.
    UNASSIGNED: The metacarpal and gaskin regions presented more erratic and inconsistent buprenorphine uptake and plasma concentrations as compared to the ventral aspect of the tail base. Further research must be directed at investigating the optimal dose, achievable duration of analgesia, change in measurable plasma concentrations, and behavioral and systemic effects.
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  • 文章类型: Journal Article
    间充质干细胞(MSC)在人和兽医临床应用中的使用已成为越来越重要的主题,因为它们在免疫调节和再生过程中的作用。MSCs在马医学中尤其相关,因为它们可能具有治疗普遍存在的肌肉骨骼疾病的能力。除了其他条件。然而,最近的证据表明,由MSCs分泌的成分,特别是细胞外囊泡(EV),负责这些属性。电动汽车含有蛋白质和核酸,在细胞间通讯中具有积极作用,可用作治疗。然而,因为马兽医学与电动汽车的交叉仍然是一个相对较新的领域,有一种需求来识别生物标志物,可以辨别和丰富治疗性电动汽车,提高其临床疗效。在这项研究中,我们鉴定并表征了84个miRNAs,在细胞和EV受试者中参与免疫调节的三个马供体之间。我们发现了不同组的共享miRNA,像miR-21-5p和miR-451a,捐赠者之间的丰富和丰富的电动汽车,分别。通过定位和比较MSC-EVmiRNA表达,我们发现了许多与马临床应用相关的免疫调节和组织再生过程相关的途径。因此,本文重点介绍的miRNA可作为有价值的生物标志物,用于筛选用于潜在马治疗的MSC来源的EV.
    The use of mesenchymal stem cells (MSCs) in human and veterinary clinical applications has become a subject of increasing importance due to their roles in immunomodulation and regenerative processes. MSCs are especially relevant in equine medicine because they may have the ability to treat prevalent musculoskeletal disorders, among other conditions. However, recent evidence suggests that the components secreted by MSCs, particularly extracellular vesicles (EVs), are responsible for these properties. EVs contain proteins and nucleic acids, which possess an active role in intercellular communication and can be used as therapeutics. However, because the intersection of equine veterinary medicine with EVs remains a relatively new field, there is a demand to identify biomarkers that can discern and enrich for therapeutic EVs, progressing their clinical efficacy. In this study, we identified and characterized 84 miRNAs, between three equine donors involved in immunomodulation in cell and EV subjects. We discovered distinct groups of shared miRNAs, like miR-21-5p and miR-451a, that are abundant and enriched between the donors\' EVs, respectively. By mapping and comparing the MSC-EV miRNA expression, we discovered many pathways that are involved in immunomodulation and tissue regenerative processes related to equine clinical applications. Therefore, the miRNAs highlighted in this article can be used as valuable biomarkers for screening MSC-derived EVs for potential equine therapy.
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  • 文章类型: Case Reports
    虽然比较少见,淋巴瘤是马最常见的造血肿瘤,多中心淋巴瘤仍然是该疾病最常见的表现。马淋巴瘤的发病机制仍然知之甚少,诊断通常在疾病的晚期得到证实,影响预后。这项研究调查了临床,病态,1例马多中心淋巴瘤的分子特征。
    在Vairão动物繁殖中心住院的5岁杂交母马,葡萄牙,突然出现眶上水肿和下颌淋巴结肿大的临床症状,发展中的发烧,面部水肿,和全身淋巴结病。由于多系统器官衰竭,在第一个临床症状出现24天后,母马最终死亡。血液和生化分析,尸检,并对受影响的组织进行显微镜和分子评估。尸检时,主要发现是多发性多结节性病变,沿口咽浆液表面分布,气管,心包,胃肠道,和肠系膜.微观上,这些包括对CD3(T细胞)表现出免疫阳性的肿瘤圆形细胞的实体增殖.基于这些发现,诊断为中度多中心T细胞淋巴瘤.
    关于马淋巴瘤的分子表征的研究仍然很少。作为一个实体本身是相当异构的,重要的是要描述物种间的特殊性,以了解其发展和行为。
    UNASSIGNED: Although relatively uncommon, lymphoma is the most prevalent haematopoietic neoplasia in horses, and multicentric lymphoma remains the most common presentation of the disease. The pathogenesis of equine lymphoma is still poorly understood and the diagnosis is usually confirmed at an advanced stage of the disease, compromising the prognosis. This study investigated the clinical, pathological, and molecular features of a case of equine multicentric lymphoma.
    UNASSIGNED: An apparently healthy 5-year-old crossbreed mare hospitalized at the Centre of Animal Reproduction of Vairão, Portugal, suddenly presented clinical signs of supraorbital oedema and mandibular lymph node enlargement, developing fever, facial oedema, and generalized lymphadenopathy. The mare ended up dying twenty-four days after the first clinical signs due to multisystem organ failure. Haematological and biochemical analyses, necropsy, and microscopic and molecular evaluation of affected tissues were performed. At necropsy, the main findings were multiple multinodular lesions, distributed along the serous surface of oropharynx, trachea, pericardium, gastrointestinal tract, and mesentery. Microscopically, these consisted of solid proliferations of neoplastic round cells that exhibited immunopositivity for CD3 (T cells). Based on these findings, a medium-grade multicentric T-cell lymphoma was diagnosed.
    UNASSIGNED: There is still very little research regarding the molecular characterization of lymphoma in horses. As an entity itself is quite heterogeneous, it is important to describe the interspecies particularities to understand its development and behaviour.
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  • 文章类型: Journal Article
    轻度-中度和重度马哮喘(MEA和SEA)是普遍的炎症气道疾病,影响许多品种和学科的马。尽管进行了广泛的研究,详细的疾病病理生理学以及MEA和SEA之间的差异仍未完全了解。支气管肺泡灌洗液细胞学,广泛应用于临床实践和马哮喘研究,代表下气道炎症状态的手段有限。脂质组学是可用于研究细胞机制和细胞间相互作用的科学领域。脂质组学的研究有各种各样的焦点,其中脂肪酸和脂质介质谱分析和全球脂质组学已在兽医学中实施。由于许多关键的促炎和促分解介质是脂质,脂质组学研究为研究马气道的炎症反应提供了一种有趣但尚未探索的方法。这篇综述的目的是收集和总结最近关于马气道炎症的脂质组学研究的发现。
    Mild-moderate and severe equine asthma (MEA and SEA) are prevalent inflammatory airway conditions affecting horses of numerous breeds and disciplines. Despite extensive research, detailed disease pathophysiology and the differences between MEA and SEA are still not completely understood. Bronchoalveolar lavage fluid cytology, broadly used in clinical practice and in equine asthma research, has limited means to represent the inflammatory status in the lower airways. Lipidomics is a field of science that can be utilized in investigating cellular mechanisms and cell-to-cell interactions. Studies in lipidomics have a broad variety of foci, of which fatty acid and lipid mediator profile analyses and global lipidomics have been implemented in veterinary medicine. As many crucial proinflammatory and proresolving mediators are lipids, lipidomic studies offer an interesting yet largely unexplored means to investigate inflammatory reactions in equine airways. The aim of this review article is to collect and summarize the findings of recent lipidomic studies on equine airway inflammation.
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  • 文章类型: Journal Article
    马匹之间的皮毛颜色变化引起了遗传学和育种研究的极大兴趣。颜色的范围主要由类型决定,浓度,和黑色素的分布,Eumelanin和pheomelanin之间的平衡受到众多遗传因素的影响。基因组和测序技术的进步已经能够鉴定出几种影响毛色的候选基因。从而阐明这些不同表型的遗传基础。在这次审查中,我们简明扼要地将马匹和驴的外衣颜色分类,关注与色素沉着有关的黑色素的生物合成和类型。此外,我们强调了一些关键候选基因的调节作用,如MC1R,TYR,MITF,ASIP,和KIT,在外套颜色变化。此外,这篇评论探讨了毛色如何与选择性育种和特定的马病相关,为开发育种策略提供有价值的见解,这些策略可以增强马种的美学和健康方面。
    Variation in coat color among equids has attracted significant interest in genetics and breeding research. The range of colors is primarily determined by the type, concentration, and distribution of melanin pigments, with the balance between eumelanin and pheomelanin influenced by numerous genetic factors. Advances in genomic and sequencing technologies have enabled the identification of several candidate genes that influence coat color, thereby clarifying the genetic basis of these diverse phenotypes. In this review, we concisely categorize coat coloration in horses and donkeys, focusing on the biosynthesis and types of melanin involved in pigmentation. Moreover, we highlight the regulatory roles of some key candidate genes, such as MC1R, TYR, MITF, ASIP, and KIT, in coat color variation. Moreover, the review explores how coat color relates to selective breeding and specific equine diseases, offering valuable insights for developing breeding strategies that enhance both the esthetic and health aspects of equine species.
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  • 文章类型: Case Reports
    背景:这项研究评估了一组重返工作岗位的运动马的近掌骨区MRI的变化。这项回顾性分析评估了由17匹马代表的18条肢体。
    结果:在大多数情况下,T1W/T2*WGRE序列上,近端悬韧带(PSL)背侧胶原部分的高信号降低或保持不变。PSL背侧胶原部分的高强度STIR信号在大多数患者中得到解决,所有患者的第三掌骨(McIII)高强度STIR信号均消失。PSL的背缘不规则性保持不变,在大多数情况下,McIII硬化和McIII手掌边缘的吸收保持不变。McIII高强度STIR信号分辨率具有很宽的时间范围,平均94天,范围47-202天。
    结论:PSL背侧胶原部分的完全正常化对于恢复健康似乎没有必要,但是,对于恢复健康的马匹,预计会有McIII高强度STIR信号的分辨率。建议对近端掌骨区域进行120天的重新扫描。此外,在初始MRI和最终MRI之间,PSL的大小没有显著变化.
    BACKGROUND: This study evaluates the change in an MRI of the proximal metacarpal region in a group of sport horses that returned to work. This retrospective analysis evaluated 18 limbs represented by 17 horses.
    RESULTS: The hyperintense signal within the dorsal collagenous part of the proximal suspensory ligament (PSL) on T1W/T2*W GRE sequences decreased or stayed the same in the majority of cases. The hyperintense STIR signal within the dorsal collagenous part of the PSL resolved in the majority of the patients, and the third metacarpal bone (McIII) hyperintense STIR signal resolved in all patients. The dorsal margin irregularity of the PSL stayed the same, and McIII sclerosis and resorption of the palmar margin of McIII stayed the same in the majority of cases. McIII hyperintense STIR signal resolution carries a broad time range, with a mean of 94 days and a range of 47-202 days.
    CONCLUSIONS: Complete normalization of the dorsal collagenous part of the PSL does not appear necessary for a return to soundness, but a resolution of the McIII hyperintense STIR signal is expected for horses returning to soundness. A rescan period of 120 days for the proximal metacarpal region is suggested. In addition, there was no significant change in the size of the PSL between the initial and final MRI.
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  • 文章类型: Journal Article
    本研究旨在评估经皮耳迷走神经刺激(tAVNS)在健康马匹中的可行性及其对心率变异性(HRV)的影响。该研究包括三个阶段:选择母马,他们对tAVNS的适应,和刺激阶段。用位于右耳廓上的两个电极进行刺激。设置为0.5mA,250μs,和25Hz的脉冲幅度,脉冲宽度,和脉冲频率,分别。HRV在(B1)之前进行了分析,在(T)期间,在(B2)tAVNS之后。从最初包括的44匹母马中,只有7个完成了三个阶段。在这些母马中,心率(HR)明显降低,和频域参数显示B2与B1相比,副交感神经张力增加。然而,在3/7母马中,与B1和B2相比,T期间的HR显着升高,与副交感神经张力降低相容,在4/7母马中,与B1相比,T和B2期间的HR显着降低,副交感神经系统指数显着升高。tAVNS是一种经济且易于执行的程序,并且有可能刺激迷走神经活动;然而,在本研究中纳入的母马中耐受性较差.
    This study aimed to evaluate the feasibility of transcutaneous auricular vagal nerve stimulation (tAVNS) in healthy horses and its effect on heart rate variability (HRV). The study comprised three phases: the selection of mares, their acclimatization to the tAVNS, and the stimulation phase. Stimulation was performed with two electrodes positioned on the right pinna. The settings were 0.5 mA, 250 μs, and 25 Hz for pulse amplitude, pulse width, and pulse frequency, respectively. HRV was analysed before (B1), during (T), and after (B2) the tAVNS. From the 44 mares initially included, only 7 completed the three phases. In these mares, the heart rate (HR) was significantly lower, and frequency domain parameters showed an increased parasympathetic tone in B2 compared with B1. However, in 3/7 mares, the HR was significantly higher during T compared with B1 and B2, compatible with a decreased parasympathetic tone, while in 4/7 mares, the HR was significantly lower and the parasympathetic nervous system index was significantly higher during T and B2 compared with B1. The tAVNS is an economical and easy procedure to perform and has the potential to stimulate vagal activity; however, it was poorly tolerated in the mares included in this study.
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  • 文章类型: Journal Article
    掌指神经阻滞后潜在的滑膜渗透尚未研究。
    使用计算机断层扫描(CT)评估用于手掌指神经阻滞的针头与附近滑膜结构的接近度。
    描述性观察研究。
    在18具尸体前肢中,连续注射舟骨囊(NB),远端指间关节(DIPJ)和指屈肌腱鞘(DFTS)使用3、5和10mL稀释的放射性造影剂进行,分别。每次滑膜注射后,将25号针放置在无蹄骨软骨近端的掌指神经上(远端注射)和近端1厘米(近端注射),并进行CT检查。随后,针头被拔掉了,滑膜结构以与第一次注射相同的体积进一步扩张。重复神经周围针的放置和图像采集。在重建图像中测量针尖和相邻滑膜结构之间的距离(mm)。结果在单独的一般线性混合模型中进行分析,为了确定针的位置和滑膜扩张对从针尖到NB的距离的影响,DFTS和DIPJ。
    在12/420(3%)针头放置后(NBn=5,近端注射后1和远端注射后4;DIPJn=2,DFTSn=2,NB或DIPJn=3,均在远端注射后)确认了滑液渗透。在第二次扩张后(NB:p=0.025;DIPJ:p<0.001)和远端针放置后(NB:p<0.001;DIPJ:p<0.001),从针尖到NB和DIPJ的平均距离显著较小。对于DFTS,针的近端位置与针尖的距离显著较小(p=0.001).
    离体研究。
    进行掌指神经阻滞时,滑膜渗透的风险很小,尤其是当存在邻近滑膜结构的扩张时。
    UNASSIGNED: Potential synovial penetration following palmar digital nerve blocks has not been investigated.
    UNASSIGNED: To evaluate the proximity of needles placed for palmar digital nerve blocks to nearby synovial structures using computed tomography (CT).
    UNASSIGNED: Descriptive observational study.
    UNASSIGNED: In 18 cadaver forelimbs, sequential injection of the navicular bursa (NB), distal interphalangeal joint (DIPJ) and digital flexor tendon sheath (DFTS) was performed using 3, 5 and 10 mL diluted radiodense contrast medium, respectively. After each synovial injection, 25 gage needles were placed over the palmar digital nerves at the proximal aspect of the ungular cartilages (distal injections) and 1 cm further proximally (proximal injections), and CT examination was performed. Subsequently, needles were removed, and the synovial structures further distended with the same volume as for the first injection. Perineural needle placement and image acquisition were repeated. The distance between the needle tip and adjacent synovial structures was measured (mm) in reconstructed images. Results were analyzed in separate general linear mixed models, to determine the effect of needle position and synovial distension on the distance from the tip of the needle to the NB, DFTS and DIPJ.
    UNASSIGNED: Synovial penetration was confirmed following 12/420 (3%) needle placements (NB n = 5, 1 after proximal and 4 after distal injections; DIPJ n = 2, DFTS n = 2, NB or DIPJ n = 3, all after distal injections). The mean distance from the needle tip to the NB and DIPJ was significantly smaller after the second distension (NB: p = 0.025; DIPJ: p < 0.001) and with the distal needle placements (NB: p < 0.001; DIPJ: p < 0.001). For the DFTS, the distance from the needle tip was significantly smaller with the proximal needle placements (p = 0.001).
    UNASSIGNED: Ex-vivo study.
    UNASSIGNED: There is a small risk of synovial penetration when performing palmar digital nerve blocks, especially when distension of adjacent synovial structures is present.
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  • 文章类型: Journal Article
    了解控制内皮细胞(EC)功能和血管生成的因素对于将马发展为疾病模型至关重要。但是马ECs的研究仍然很少。在这项研究中,我们优化了分离和培养马主动脉内皮细胞(EAoECs)的方法,并对其体外血管生成功能进行了表征.机械离解,然后使用抗VE-钙粘蛋白抗体进行磁性纯化,导致富含EC的培养物适合进一步研究。成纤维细胞生长因子2(FGF2)增加了EAoEC的增殖率,并刺激了EAoEC在细胞外基质上的划痕伤口闭合和管形成。FGF受体1(FGFR1)(SU5402)或丝裂原活化蛋白激酶(MEK)(PD184352)的药理学抑制剂阻断FGF2诱导的细胞外信号调节激酶1/2(ERK1/2)磷酸化和功能反应,这表明这些依赖于FGFR1/MEK-ERK信号传导。与此形成鲜明对比的是,血管内皮生长因子-A(VEGF-A)对EAoEC增殖无影响,迁移,或肾小管发生,并且不促进ERK1/2磷酸化,表明对这种经典的促血管生成生长因子缺乏敏感性。基因表达分析表明,与人类ECs不同,FGFR1由EAoEC以比VEGF受体(VEGFR)1和VEGFR2高得多的水平表达。这些结果表明FGF2与VEGF-A在控制马ECs的血管生成功能中的主要作用。总的来说,我们的新数据为研究马的血管生成过程提供了良好的基础,并为马与人的EC生物学的比较研究奠定了基础.
    Understanding the factors which control endothelial cell (EC) function and angiogenesis is crucial for developing the horse as a disease model, but equine ECs remain poorly studied. In this study, we have optimised methods for the isolation and culture of equine aortic endothelial cells (EAoECs) and characterised their angiogenic functions in vitro. Mechanical dissociation, followed by magnetic purification using an anti-VE-cadherin antibody, resulted in EC-enriched cultures suitable for further study. Fibroblast growth factor 2 (FGF2) increased the EAoEC proliferation rate and stimulated scratch wound closure and tube formation by EAoECs on the extracellular matrix. Pharmacological inhibitors of FGF receptor 1 (FGFR1) (SU5402) or mitogen-activated protein kinase (MEK) (PD184352) blocked FGF2-induced extracellular signal-regulated kinase 1/2 (ERK1/2) phosphorylation and functional responses, suggesting that these are dependent on FGFR1/MEK-ERK signalling. In marked contrast, vascular endothelial growth factor-A (VEGF-A) had no effect on EAoEC proliferation, migration, or tubulogenesis and did not promote ERK1/2 phosphorylation, indicating a lack of sensitivity to this classical pro-angiogenic growth factor. Gene expression analysis showed that unlike human ECs, FGFR1 is expressed by EAoECs at a much higher level than both VEGF receptor (VEGFR)1 and VEGFR2. These results suggest a predominant role for FGF2 versus VEGF-A in controlling the angiogenic functions of equine ECs. Collectively, our novel data provide a sound basis for studying angiogenic processes in horses and lay the foundations for comparative studies of EC biology in horses versus humans.
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  • 文章类型: Journal Article
    炎症性肠病(IBD)是一种慢性疾病,其特征是肠道中不同的细胞浸润。这项研究的目的是报告具有与十二指肠IBD相容的组织学变化的马的临床和临床病理发现。Further,研究了IBD的临床进展和生存率.回顾了在内窥镜检查期间收集的十二指肠活检中发现IBD组织学证据的马的患者记录。组织学改变被归类为轻度,记录中度或重度和主要浸润细胞类型.活检后6周,患者通过问卷调查评估临床改善情况,以及一年后的生存。总的来说,包括149匹马,最常见的临床症状是体重减轻,腹部触诊时表现和疼痛降低。大多数马在口服葡萄糖吸收试验中表现出部分吸收不良,严重IBD的马血清蛋白浓度较低。淋巴浆细胞性肠炎是最常见的IBD类型(78.5%),而在六匹马中,十二指肠存在嗜中性浸润。总的来说,71%的病例在六周后临床上有所改善,主要是皮质类固醇治疗。第二次活检的结果是改善的不良预测指标,6周后改善的马更有可能在一年后存活。
    Inflammatory bowel disease (IBD) is a chronic disease characterized by different cell infiltrates in the intestine. The aims of this study were to report the clinical and clinicopathological findings in horses with histological changes compatible with IBD in the duodenum. Further, the clinical progression of IBD and survival were investigated. Patient records were reviewed for horses in which histological evidence of IBD was found in duodenal biopsies collected during endoscopy. The histological changes were classified as mild, moderate or severe and the predominant infiltrating cell type was recorded. Clinical improvement was assessed by the owner via a questionnaire at 6 weeks after biopsy, along with survival after one year. In total, 149 horses were included, and the most common clinical signs were weight loss, reduced performance and pain during abdominal palpation. Most horses showed partial malabsorption during an oral glucose absorption test, and the horses with severe IBD had lower serum protein concentrations. Lymphoplasmacytic enteritis was the most common type of IBD (78.5% of cases), while in six horses neutrophilic infiltration of the duodenum was present. Overall, 71% of the cases had improved clinically after six weeks, mostly following treatment with corticosteroids. The results of a second biopsy were a poor predictor of improvement, and the horses that improved after 6 weeks were more likely to be alive after one year.
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