Study: Botulism Can Be Used To Successfully Treat Stringhalt, Laminitis

“Botulism” is actually a catch-all phrase for nine serological types of botulinum neurotoxins. Botulinum neurotoxins are proteins synthesized and secreted by neurotoxigenic strains of Clostridial bacteria. Horses are particularly susceptible to the neurotoxins, compared to other species; they are often exposed to them through contaminated food or through infected soil that enters a wound.

The toxin can cause muscle paralysis, beginning in the horse's legs and eventually paralyzing the respiratory muscles and causing death.

Dr. Lauretta Turin, with the University of Milan, and fellow researchers have found that carefully managed botulinum neurotoxins can be used to treat several syndromes that involve the nervous and muscular systems in horses. Botulinum toxins are able to reach specific cell types while not affecting others, meaning they cause little to no side effects. 

One such condition that has been treated with botulinum neurotoxin is stringhalt, a spastic condition that involves hyperflexion of the hock. This condition can be caused by several things, one of which is linked to overactive upper motor neurons. 

The scientists injected the affected muscles with Botulinum neurotoxin type A (Botox), and the spastic movements diminished in as little as two days, with no toxicity or side effects. The research team says more studies are needed to fine-tune the neurotoxin dosage so that complete removal of the spasticity takes place. 

Botulinum neurotoxin type A was also used to treat horses with laminitis. When injected into the muscle's belly, the neurotoxin paralyzed the deep digital flexor muscle. The toxin diminished the shearing forces and improved the outcome of affected horses. Intramuscular injection of Botox also assisted horses experiencing lameness from laminitis. 

Botox also shows promise as a pain-reliever as well as a blocking agent when injected into the middle joint of the horse's knee. The injection can alleviate lameness in horses with acute synovitis. 

Botulinum neurotoxin Type B has shown potential for the alleviation of navicular bone pain, though total soundness was not achieved. The research team recommends that higher concentrations or multiple injections be investigated for the ideal painkilling effect.

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Type B has also proven helpful in pregnant mares, reducing anal sphincter tone and aiding in healing and repair of perineal lacerations during foaling by relaxing the anus after local injection. The study team notes that maximal efficacy took place in the first 15 days and was completely gone in six months. 

These positive results warrant additional research, the team said, with careful attention paid to timing, location and dosing of the toxin. 

Read more at HorseTalk

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Research In Action: Purdue Studies Convinced Trainer To Steam His Horses’ Hay

The horses in trainer Joe Davis' barn at Horseshoe Indianapolis don't just get standard hay in their nets each day. Throughout the afternoon, Davis or one of his employees opens the HayGain machine that sits at the end of his shed row and pulls out a warm, beautiful-smelling bale of freshly-steamed hay to fill their nets.

“I think it helps with bleeding,” he said. “They get so much dust with regular hay, and when it comes out of that steamer, it just smells great. And when it's fresh out of there, they really love it. It cuts down on dust and bacteria. We've had really good luck with it.”

Davis said he was inspired to change the way he fed the horses in his racing string after he assisted researchers at Purdue University on a study into equine airway issues. The study was one of two led by Dr. Laurent Couetil that was funded by the Grayson-Jockey Club Research Foundation.

At the beginning of his research into equine airway issues, Couetil was interested in learning more about what was then referred to as equine asthma, but is now more commonly understood to be inflammatory airway disease. Roughly 10 years ago, there was disagreement among veterinarians and researchers as to whether horses that frequently cough or struggle with breathing during exercise were experiencing low-grade infections or if they were reacting to dust or other irritants in the air – and where those irritants may be coming from.

Couetil studied the issue through the use of bronchoaveolar lavage, in which a scope is passed down the horse's airway into the lungs and fluid is rinsed through the lungs. The fluid is then extracted and the contents examined to measure what may be going on inside. Researchers learned that the more dust a horse encountered in its stall, the more neutrophils were found in the lavage. (Neutrophils are a type of cell associated with inflammation.) They also found that when measuring the dust particles horses encountered, it was the smallest particles that seemed to impact the most change. The most problematic particles for horses' lungs were less than four microns wide. (The average human hair is 50 to 100 microns in diameter.) So, the irritant was so small it couldn't be seen with the human eye but it could be sucked up deep into a horse's lungs.

Some lung washes also showed that horses had an increase in mast cells in their lungs (a cell typically associated with allergic reactions) when they were exposed to particles of betaglucan, which is a component of cell walls in plants and fungi. For Couetil, these two discoveries pointed to hay as a potential culprit.

Couetil and his research team created a machine that included sensors mounted around a horse's halter and pulled air into a pump attached to a surcingle around the horse's barrel. With the help of Davis, the team fixed the pump to horses six hours after their morning work and measured what types of particles came through the pump. They also did lung washes of horses and compared their findings with the horses' Equibase speed ratings in their race results during the time they were being measured.

“Unsurprisingly, the more inflammation in the lungs, the poorer their performance,” said Couetil.

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Then, Couetil wanted to know whether trainers like Davis could control how much dust a horse was exposed to in their stall. With the help of Grayson's funding, Couetil constructed a study to measure dust exposure for horses eating regular hay, steamed hay, and haylage. While not commonly used for horses in the United States, haylage is popular in Europe, where many growing environments get lots of rain, making it difficult to fully dry baled hay. Haylage is chopped and ensiled, dropping pH and allowing the product to be stable enough for bagging and long-term storage.

“Importantly, when we did the lung washes and measured the inflammatory cells, we found a drop in neutrophil percentages in horses that were on steamed hay or haylage,” said Couetil. “The effect was more pronounced with haylage, even though they decreased dust exposure about the same. With haylage, they were already lower at three weeks and they were almost at normal limits by six weeks, whereas the effect with the steamed hay kind of plateaued.

“A lot of people think that the bedding or track surface are the culprits for dust exposure, but we showed your feeding program can make a difference.”

Davis found the results so compelling that when the study was over, he asked HayGain if he could hang onto the hay steamer. Even though it requires a little extra man power to take bales in and out, he thinks it's worth it.

“We'll steam five bales a day and then set them out and feed them morning and night,” Davis said. “I've got a guy who hangs around the barn in the afternoon. It takes about an hour to steam one, so he'll put it out up and down the aisle. Then they're good for about three days.”

Davis wasn't as sold on the performance of the haylage; it was only available from one supplier in Indiana, and he said some of his horses weren't interested in eating it. Couetil knew that many horsemen prefer horses to graze from a net or slow feeder, rather than use lower-dust hay pellets or haylage. Besides encouraging steaming, he wondered what else he could suggest to horse owners to help with horses who could be sensitive to airway irritants.

Couetil considered that perhaps the haylage had been successful because it's known to be a good source for omega-3 fatty acids. This lipid is a component of all diets and is believed to have anti-inflammatory properties. Many performance horses' diets are high in omega-6 fatty acids because they consume so much grain; omega-6s are pro-inflammatory. Horses need to have some pro-inflammatory mediators in a diet to effectively mount an immune response, but omega-3s may balance out the impacts of excessive omega-6s in a horse's diet.

In 2020, Grayson funded a third project for Couetil's team, allowing them to test whether fish oil, a known source of omega-3s, could have an impact on airway inflammation for horses. The team made up unlabeled packets, some of which contained fish oil and some of which contained corn oil as a placebo, and asked trainers to add them to their racehorses' feed. This study included horses from Santa Anita, Gulfstream, Ruidoso, and Horseshoe. Again, they measured dust exposure and did lung washes.

Couetil said he's still analyzing that data because the COVID-19 pandemic slowed down collection, but so far it seems the fish oil could have proven his theory right.

“Just those packs of fish oil were enough to decrease airway inflammation in those horses,” he said. “That's very exciting to us because now you have alternatives.”

Davis was so compelled by these results that he now gives fish oil to selected horses he knows struggle more with airway inflammation during exercise or racing. It's not a cheap feed additive, but the horses seem to like it (despite the smell) and he believes it makes a positive difference.

“I had one horse we put on it and he was a bad bleeder and had breathing issues anyway,” recalled Davis. “We put him on the fish oil and he ran three super races while he was on it. I could tell a big difference in him.”

The experience of working with researchers and seeing lung wash results has Davis thinking harder about EIPH or other respiratory issues when a horse turns in a disappointing performance.

“On the lung wash they diagnosed a couple horses that had bled farther in there. That helped me a lot, giving me a heads-up on a couple of them I couldn't tell,” he said. “We do a lot more scoping when we think there may be a problem. I do more diagnostic stuff that way [than I used to].”

All of it was possible thanks to the support of the Grayson-Jockey Club Research Foundation, which funds research that benefits horses of all breeds. Since its foundation in 1940, the organization has given more than $40 million to underwrite more than 426 projects at 45 universities. Grayson-supported research has changed the way owners, farm managers, trainers, and riders of all disciplines manage horses in times of wellness, illness, or injury. Find out more about its current projects here.

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Retired Millionaire Cordmaker Departs From Laurel Park For New Bolton Center

Hillwood Stable's Grade 3-winning millionaire and Mid-Atlantic fan favorite Cordmaker left trainer Rodney Jenkins' Laurel Park barn for the last time Sunday, five days after the 8-year-old gelding was retired with an ankle injury.

The chestnut Curlin gelding is scheduled to have surgery Monday at the New Bolton Center in Kennett Square, Pa. for insertion of a screw to help with the healing process. He will then be turned out at David and JoAnn Hayden's Dark Hollow Farm in Upperco, Md. – where he spent his annual winter vacations – before final retirement plans are settled.

“You can't find a nicer barn around to spend some time,” Jenkins' assistant trainer, Eveline Kjelstrup said. “It will be very exciting.”

Purchased in 2016 as a yearling for $150,000 by Hillwood's Ellen Charles, Cordmaker had been with Jenkins at Laurel since March of his 2-year-old season. He was retired with 14 wins, four seconds, eight thirds and $1,004,380 in purse earnings from 39 starts, becoming a millionaire with a third-place finish in the 2022 Richard W. Small over Thanksgiving weekend at Laurel, his final start at 7.

Eleven of Cordmaker's wins came in stakes, none bigger than the 2022 General George (G3), his lone graded triumph. He also ran third in back-to-back editions of the historic Pimlico Special (G3), beaten two heads by Tenfold in 2019 and 2 ½ lengths by Harpers First Ride in 2020, when the race was delayed from mid-May to October amid the coronavirus pandemic.

“That was our last win together [and] our biggest win together,” jockey Victor Carrasco said. “We all wanted to get it done. We tried many, many times with him and we finally made it happen in a big race like that. It was very awesome, very special.”

Carrasco visited Cordmaker and fed him carrots Sunday morning before his departure. The Eclipse Award-winning apprentice of 2013, he was aboard for 26 of Cordmaker's races with 11 wins, 10 of them in stakes, including the 2018 and 2022 Jennings, 2019 and 2021 Harrison E. Johnson Memorial, 2019 Polynesian and 2021 Richard Small and Robert T. Manfuso.

“I would like to get to ride him a few more times, but things happen and I'm glad that he's going to a very, very good home, healthy.” Carrasco said. “He's not laying down and sore or anything like that. I know that he's going to be in good hands.”

The Manfuso win was particularly meaningful for the connections since Cordmaker was bred in Maryland by its namesake, who passed away in 2020, and fellow Laurel trainer Katy Voss. The victory also clinched the overall Mid-Atlantic Thoroughbred Championship (MATCH) Series title.

“He won that very impressively. He won that for fun,” Kjelstrup said. “It was a very exciting series of races that year and he showed up every race and then won the final in great style, so that was special.”

Cordmaker was injured running fourth in an open allowance July 7 at Laurel, his first start in 224 days, and was retired four days later. Cordmaker was Maryland's champion older male of 2019.

“He's been very, very good to me and very special,” Carrasco said. “I've been very blessed and very thankful for being part of this team for years, thanks to Mr. Jenkins and Mrs. Charles and everybody. I was lucky this horse likes me enough. We were lucky that we always did well. Even when we didn't win, we were always trying our best and fighting for it. It was just awesome to be always together with this guy.”

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Morris Animal Foundation Funds Seven Studies To Advance Equid Health

Morris Animal Foundation announced it is funding seven new studies focused on equid health, including pain management, vaccine development and foal sepsis.

“We are thrilled to be able to support these seven research projects, each focusing on major equid health issues,” said Dr. Kathy Tietje, Chief Program Officer at Morris Animal Foundation. “The Foundation continues to prioritize the health and welfare of horses through financial support for these innovative studies.”

The studies are slated to begin this year and will investigate a variety of equid health issues including:

 

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