Veterinary Science Collected Works - Theses

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    Biomechanical and microstructural properties of subchondral bone from three metacarpophalangeal joint sites in Thoroughbred racehorses
    Pearce, Duncan John ( 2022)
    Reasons for performing the study: Fatigue induced subchondral bone (SCB) injury is common in racehorses. Understanding how subchondral microstructure and microdamage influence mechanical properties is important for developing injury prevention strategies. Mechanical properties of the disto palmar third metacarpal condyle (MCIII) correlate poorly with microstructure, and it is unknown whether the properties of other sites within the metacarpophalangeal (fetlock) joint are similarly complex. Objectives: We aimed to investigate the mechanical and structural properties of equine SCB from three sites within the metacarpophalangeal joint: the disto-palmar MCIII, disto-dorsal MCIII and proximal sesamoid bone. Two regions of SCB within each specimen were compared, a 2 mm superficial and underlying 2 mm deep layer. Methods: Cartilage-bone specimens were analysed with micro-computed tomography to determine bone volume fraction (BVTV) and bone mineral density (BMD), then loaded in cyclic compression for 100 cycles at 2 Hz. Disto-dorsal MCIII specimens were loaded to 30 MPa (n = 10), while disto-palmar MCIII (n = 10) and proximal sesamoid (n = 10) specimens were loaded to 40 MPa. Digital image correlation was performed on the first nine cycles to determine local strains. Specimens were stained with lead-uranyl acetate for volumetric microdamage quantification. Results: The dorsal MCIII SCB had lower BVTV, BMD, and stiffness compared to the palmar MCIII and sesamoid bone (P < 0.05). Superficial SCB had higher BVTV and lower BMD than deeper SCB (P < 0.05), except at the palmar MCIII site where there was no difference in BVTV between depths (P = 0.419). At all sites the deep bone was stiffer (P < 0.001), although the superficial to deep gradient was smaller in the dorsal MCIII. Hysteresis (energy loss) was greater superficially in palmar MCIII and sesamoid (P < 0.001), but not dorsal MCIII specimens (P = 0.118). Stiffness increased with cyclic loading in total cartilage-bone specimens (P < 0.001), but not in superficial and deep layers of the bone, whereas hysteresis decreased with cycle for all sites and layers (P < 0.001). Main limitations: Small sections of bone from each site were examined. Surface staining complicated volumetric microdamage quantification. Unconfined compression and end artefacts may have contributed to initial changes in stiffness and hysteresis. Conclusions: Superficial equine SCB is uniformly less stiff than deeper bone despite non uniform differences in bone density and damage levels. The more compliant superficial layer has an important role in energy dissipation, but whether this is a specific adaptation or a result of microdamage accumulation is not clear.
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    Studies of Exercise induced pulmonary haemorrhage in Thoroughbred and Standardbred Racehorses
    Sullivan, Stacey Louise ( 2022)
    Exercise induced pulmonary haemorrhage (EIPH) or ‘bleeding’ is an important disease of exercising horses. Though it is a disease commonly identified by equine veterinary practitioners, there is a lack of information regarding the impact of an episode of EIPH to career after examination or whether occurrence of EIPH is predictive of a horse’s lifetime athletic potential. There also exists a lack of consensus as whether the commonly used treatment, frusemide (a loop diuretic) is an effective medication to reduce or prevent EIPH. This research project addresses these two questions, with the aim of producing high quality information which can be used to underpin evidence based clinical recommendations for EIPH in horses.
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    Heterogeneity of Horse Fibrinogen
    Russell, Elise Bernadette ( 2021)
    Fibrinogen has long been used diagnostically as a positive acute phase protein in horses. Fibrinogen heterogeneity has been observed in humans and can influence fibrinogen measurements when using the modified Clauss assay. To date, no studies have evaluated fibrinogen heterogeneity in other species. In this thesis we investigate the existence of fibrinogen heterogeneity in horses, and evaluate the precision of a method for fibrinogen fraction purification and relative quantification. Lastly, we evaluate the stability of fibrinogen fractions with freezing.
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    Development of an ‘equinised’ antibody to block the equine insulin-like growth factor-1 receptor (IGF-1R):A potential immunotherapy for endocrinopathic equine laminitis
    Vathsangam, Niveditha ( 2019)
    Laminitis is a common and debilitating disease of horses’ feet that results in lameness, and in severe cases, may require euthanasia. Insulin toxicity appears to have a key role in the pathogenesis of the disease, and research has indicated that hyperinsulinemia may cause lamellar damage through excessive stimulation of insulin-like growth factor-1 receptors (IGF-1R). Inhibition of dysfunctional receptor activation has been the target of therapeutic (anti-cancer) monoclonal antibody (mAb) treatments for humans. Although common in human medicine, only a handful of therapeutic mAbs are under development for diseases in companion animals (dogs and cats), and none are available for horses. This approach demonstrated promise as a potential treatment of endocrinopathic laminitis. Therefore, the aim of this project was to convert a clinically-tested human IGF-1R-neutralizing mAb with high-affinity for the equine IGF-1R, into a horse-specific mAb while avoiding immuno-intolerance when administered in vivo. Development of the equine antibody was challenging due to the limited availability of immunoglobulin sequences (EquCab 2.0 database), in addition to the predominance of circulating light chain isotypes (Lambda), unlike the case in humans. Based on structural isotype characteristics, high binding affinity for the IGF-1R and minimal binding to insulin receptors, the parental antibody (IMC-A12) was chosen for chimerisation studies. Chimeric versions of this antibody were generated by combining the VH (Variable Heavy) and VL (Variable Light) domains of the human antibody to equine constant Fc regions. The mAbs were further engineered to abolish effector functions (activation of complement or the immune system) while retaining receptor binding functionality. Chimeric versions of IMC-A12 expressed at similar levels to the human parental mAb and bound to the equine receptor at similar affinities to human IMC-A12. The full ‘equinisation’ of chimeric mAbs was carried out using a novel speciation process known as “PETisation” and was adopted to generate thirteen candidate equine mAbs. Amongst three of the strongest equine mAb candidates (mAb8, mAb10, and mAb11), mAb11 displayed the highest expression yield purity (98 percent) and strong binding characteristics (KD of 0.2-0.3 nM and an EC50 of 127 pM, by BIAcore and ELISA, respectively). Cell proliferation assays demonstrated that mAb11 significantly inhibited the concentration-dependent proliferative effect of insulin in cultured lamellar cells (p<0.01). Further immunoassay assessment of lamellar growth factor signalling under hyperinsulinemic conditions demonstrated a significant reduction (p less than 0.05) in the phosphorylation of Ribosomal protein s6 (RPS6), Ras/extracellular signal-regulated kinase (ERK (1/2)) and Protein kinase B (AKT) after 24 h, in the presence of mAb11. As a novel approach, mAb therapies are an emerging option in the veterinary market. As far as I am aware, the fully-equine antibody mAb11, with its high-affinity for the target receptor (IGF-1R), is the first of its kind in the world and could open avenues for research on other equine indications and treatments. While promising results have been observed in vitro, further characterisation of mAb11 is required to establish its viability as a treatment for equine laminitis. A successful immunotherapy for equine laminitis would reduce the economic and welfare costs of this destructive disease while advancing our understanding of antibody therapeutics in the horse.
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    Response of subchondral bone and articular cartilage to joint surface incongruity: an equine osteochondral defect model
    Thomas, Megan Elizabeth ( 2019)
    Many diseases and injuries of synovial joints result in a focal loss of articular surface congruity. These conditions are known to lead to degenerative changes within the affected joint and subsequent osteoarthritis (OA). Incongruity due to loss of articular cartilage is also a feature of OA itself. However there is little work specifically investigating how the tissues of a synovial joint respond to loss of congruity. The aim of this study was to observe how articular cartilage and subchondral bone (SCB) respond to a focal loss of surface congruity using an equine model. It was hypothesised that the degree of remodelling and bone volume of SCB is dependent on local loading of the overlying joint surface and that intact cartilage would respond to changes in local surface pressure in a way that attempts to restore congruity. An osteochondral defect was created in one surface of the midcarpal joint of six adult horses. Two weeks post-operatively the animals began an eight-week treadmill training program. Following this, osteochondral samples were collected from the site of the defect and immediately adjacent to it in the radial carpal bone (Cr), and from the unloaded site directly opposing the defect and a loaded site immediately adjacent to this in the third carpal bone (C3). Control samples were collected from equivalent sites in the sham-operated contralateral limb and from un-operated, untrained control animals. Undemineralised samples were imaged with microCT and backscattered scanning electron microscopy (BSEM) and stained with Masson’s Goldner trichrome to measure cartilage thickness and osteoid. Decalcified cryosections were stained for TRAP to identify osteoclasts. Cartilage was examined with routine histology and differential interference contrast microscopy. In SCB immediately below the Cr lesion in treated joints bone volume fraction (BV/TV) was 32% lower and bone formation and erosion were markedly increased, whereas in the deeper bone formation was increased, erosion activity became less prominent and BV/TV did not change. In the unloaded region of C3 opposing the defect in treated joints the hyaline cartilage (HC) was 50% thicker, while SCB displayed a mild increase in remodelling activity with a net decrease in BV/TV of 5.3%. In the loaded region adjacent to the lesion in Cr HC was 30% thinner in treated joints while there was no change in SCB parameters. At the loaded site of C3 the HC thickness was unchanged while the calcified cartilage in treated joints was 40% thicker than in controls. In the underlying SCB in treated joints there was a mild reduction in remodelling activity and unchanged BV/TV. In this equine osteochondral defect model the articular cartilage and SCB of adult synovial joints responded in a focal manner to changes in joint surface congruity. Local unloading due to a loss of surface contact resulted in thickened HC and, in the underlying SCB, increased remodelling activity and loss of bone volume. Focally increased loading resulted in thickened calcified cartilage and decreased SCB bone remodelling activity. These focal responses may play a role in normal joint homeostasis and in the pathogenesis of OA.