Source: TEXAS A&M UNIVERSITY submitted to
JOINT HEALTH IN HORSES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1021029
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
Sep 20, 2019
Project End Date
Aug 29, 2024
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
TEXAS A&M UNIVERSITY
750 AGRONOMY RD STE 2701
COLLEGE STATION,TX 77843-0001
Performing Department
Animal Science
Non Technical Summary
Joint disease is the one of the most prevalent musculoskeletal disorders in the horse (Caron, 2011). Young horses in training, regardless of athletic discipline, are subjected to large mechanical forces resulting in micro-damage that may lead to catastrophic injury during competition or joint degeneration later in life. It is during this early training and development that the collagen matrix develops the characteristics needed to perform as an adult (Brama et al., 2010). Joint injury and/or degradation of cartilage induce inflammatory responses involving release of leukocytes and monocytes, resulting in release of inflammatory cytokines and eicosanoids from cells. In the initial stages of injury, this process is designed to promote healing, but chronic exposure can promote degradation of cartilage (Palmer and Bertone, 1994).Osteoarthritis (OA) is a group of diseases that manifest as a loss of extracellular matrix (both collagen and proteoglycan) in articular cartilage fibrillation, wear lines and erosions to full thickness defects or lesions of the cartilage, and changes in chondrocyte cell conformation, orientation, number and synthetic properties (McIlwraith and A. Vachon, 2010). In advanced stages of OA, radiological changes are evident such as joint space narrowing, subchondral bone changes and osteophyte development; however, these changes are poorly correlated to clinical signs (McIlwraith and Trotter, 1996). Therefore, direct biomarkers of anabolic processes have been used to measure the synthesis of collagen and bone in the horse. Biomarkers in serum and synovial fluid have the potential to detect subtle or early damage to tissues before clinical signs are evident.Biomarkers relative to bone and cartilage turnover may provide valuable insight to the effect of exercise in the juvenile horse. Frisbie et al. (2008) determined the serum and synovial fluid concentrations of direct biomarkers in young exercising horses with and without induced OA. The following biomarkers measured in serum and synovial fluid increased in exercising horses, and were further elevated in exercising horses with OA: CPII (measure of type II collagen synthesis), C2C (a measure of type II degradation), GAG (marker of cartilage matrix degradation), C1,2 (a measure of type I and type II collagen degradation fragments), and serum osteocalcin (marker of bone mineralization/formation). These authors concluded that these biomarkers may be useful in differentiating the effects of OA from those seen with exercise alone.The incidence of OA anecdotally appears to be increasing and is a major contributor to reduced performance, loss of use, and economic losses in the horse industry. Earlier detection of OA would be useful in order to attenuate its complications by changing or suspending exercise programs in horses exhibiting signs of early joint damage. In addition, understanding the training techniques that may contribute to the development of OA and manipulating these training practices to lessen their role in disease progression would be very useful. There is much anecdotal belief that certain training techniques used on performance horses are "hard" on joints; however, very little data exists to support these beliefs.Still today, no treatment has been identified to delay, prevent, slow, or reverse the disease. Conservative treatment of OA involves both pharmacological and non-pharmacological options. Pharmacological interventions are associated with the mitigation of pain, while non-pharmacological treatment may include alterations in both diet and exercise. More modern biomarkers include the use of global metabolic profiling, called metabolomics. This technology has the potential to identify novel biomarkers that could help elucidate OA diagnosis and could function as targets for the development of new pharmaceutical therapies aimed in the treatment of OA.Metabolomics involves the study of metabolites present in a biological system, allowing analysis of the organism response to certain environmental stimuli (Smolinska et al., 2012). It represents an emerging field and has the potential of detecting 40 to 150 metabolites in a single spectrum by nuclear magnetic resonance (NMR) or mass spectroscopy (MS) techniques. Because of the complexity of living systems and the multiple pathway participation possibilities of a given metabolite, the basis for metabolomics is that a pathological state may alter the concentrations of a specific set of metabolites, and can then be targeted as a biomarker of disease progression (Priori et al., 2012).Lameness due to joint disease is common and costly, regardless of athletic discipline. The incidence of OA is higher in older performance horses, but damage to the joint begins in early training, often resulting in osteoarthritis as an adult. Prevention strategies for OA in adult horses likely include the establishment of dietary recommendations and identification of conditioning practices in young horses that lessen joint damage. Utilization of biomarkers indicative of joint damage that can be easily measured in blood or synovial fluid could lead to early diagnosis of joint damage in young horses before catastrophic injury occurs.
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
3053810102030%
3053810101060%
3053810105010%
Goals / Objectives
The long-term goal of this work is to determine means to improve the performance longevity of young horses by evaluating the influence of differing dietary interventions and conditioning methods on joint health.Specific, short-term objectives include:Evaluate alterations in dietary components and their effects on joint inflammation and cartilage metabolism in response to an intra-articular lipopolysaccharide challenge.Determine the influence of early forced exercise and type of exercise on serum and synovial fluid biomarkers of young horses. These samples will provide insights as to the effects of conditioning on joint inflammation and cartilage/bone turnover.Compare relative time course and concentrations of biomarkers in young horses to identify a range in age in which a modification in exercise protocol may make the greatest impact to reduce the potential for musculoskeletal injuries.Evaluate the utility of metabolomic analysis as a tool for biomarker discovery in serum and synovial fluid for early OA diagnosis.
Project Methods
Approach 1: Intra-articular Lipopolysaccharide Utilizing an intra-articular LPS challenge provides an immediate inflammatory response in a young model. Previous studies have utilized either the induction of an osteochondral flap which results in permanent damage to the joint, or terminal studies have been conducted in order to examine cartilage wear lines in response to growth and mechanical loading in mature horses (Bolt et al., 2008; Brama et al., 2010). Therefore, as an alternative to the previous literature, is the use of LPS in ng quantities to provide a severe but transient localized inflammatory status that can be utilized to evaluate effectiveness of differing dietary components of nutraceuticals in young growing horses.Approach 2: Early Forced Exercise Young horses will be placed in differing conditioning programs that may include circular, linear, land-based (dry treadmill), and aquatic conditioning programs. Biochemical changes in serum and synovial fluid will be compared to non-exercised horses. Data from this research may be used to describe age related responses to the type, intensity, and duration of exercise on intra-articular inflammation, as well as, bone and cartilage turnover.Approach 3: Biomarker Discovery Horses of various ages and at multiple stages of OA progression will be used for identification and enumeration of the synovial and serum metabolome. Techniques such as global metabolomic profiling will be used to identify age related changes as well as metabolic perturbations that may occur throughout disease progression.

Progress 10/01/19 to 09/30/20

Outputs
Target Audience:The target audience includes scientists, veterinarians, industry professionals, horse trainers, and owners. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Efforts includs experiential learning opportunities for undergraduate students that work on the animal and lab work phases of the research projects.For example, undergraduate students have the ability to gain knowledge of equine research techniques, and students gain hands-on experience with horse handling, sample collection, and laboratory analyses. Graduate students involved in the studies are also obtaining specific laboratory skills relating to ELISAs in order to quantify markers of collagen synthesis, degradation, and other factors including inflammatory prostaglandins that may influence the homeostatic balance of cartilage metabolism in young horses. How have the results been disseminated to communities of interest?Publication and presentation of findings through both scientific journals and professionalmeetings, as well as extension programs to extend knowledge to industry professionals. What do you plan to do during the next reporting period to accomplish the goals?Continue to investigate differing training protocols and dietary strategiesto optimize skeletal health and longevity of young horses. Prepare manuscripts for publication. Gather synovial fluid from arthritic and age-matched controls and begin cartilage marker analyses.

Impacts
What was accomplished under these goals? Osteoarthritis (OA) is one of the most common conditions affecting performance and pleasure horses. Surveys estimate that up to 60% of lameness is related to OA, a progressive and permanent deterioration of articular cartilage, with effects ranging from stiffness and discomfort to pain and lameness in the horse. Horse owners list lameness as their most important health concern and it represents a major economic source of loss to the equine industry. Pharmaceutical treatments for OA are directed toward controlling the pain and inflammation associated with OA; however, long-term use of these products often have undesirable side-effects such as gastric ulceration and renal toxicity. Therefore, novel diagnostic and therapeutic approaches that enable early detection and potential intervention to prevent or slow the progression of the disease are a priority. Objectives: Evaluate alterations in dietary components and their effects on joint inflammation and cartilage metabolism in response to an intra-articular lipopolysaccharide (LPS) challenge. Major activities completed include the investigation of dietary mineral source (organic vs. inorganic) on bone and cartilage metabolism in weanling horses challenged with an intra-articular lipopolysaccharide. Data collection included growth parameters (body weight, hip height, and wither height), blood and synovial trace mineral concentrations, as well as, synovial fluid to measure markers of inflammation and cartilage metabolism in young horses undergoing an acute, transient intra-aricular LPS challenge. Results from this study indicate the intra-articular LPS challenge was sufficient in inducing inflammation, cartilage turnover in the young horse, thus allowing for the determination of dietary impact on these synovial fluid biomarkers. Compared to inorganic mineral sources, these data suggest that supplemental intake of an organic source may support turnover of cartilage in response to an LPS challenge as evidenced by an increase in type II collagen degradation. Additional research is needed to fully understand the impact of trace minerals and their physiological role within the joint and the ability of trace mineral supplementation to delay the onset of joint disease in young horses. These data have created a change in knowledge and indicate that acute joint inflammation altered synovial fluid concentrations of trace minerals and that dietary source impacted the resulting degree of response. Thus, data reported here are a preliminary exploration and do not fully explain the potential role of complex changes of trace minerals in joint inflammation. These data ultimately provide a foundation for the development of further in-depth studies evaluating specific mechanisms regarding interaction networks of trace minerals under inflammatory conditions within the joint of the young growing horse. Determine the influence of early forced exercise and type of exercise on serum and synovial fluid biomarkers of young horses. These samples will provide insights as to the effects of conditioning on joint inflammation and cartilage/bone turnover. Major activities include the completion of a study were to determine the influence of early forced exercise and type of exercise on serum and synovial fluid biomarkers of young horses, and to provide insight into the effects of conditioning on joint inflammation and cartilage/bone turnover. Furthermore, to investigate the effects of differing conditioning programs on joint inflammation, cartilage metabolism, and bone mineralization when transitioned from a moderate to an advanced workload on a dry surface. Data collected included growth parameters (body weight, hip height, and wither height) and blood and synovial fluid. These biological samples were utilized to measure proteins indicative of joint inflammation, cartilage metabolism, and bone synthesis and breakdown. The results indicate that walking, whether in a dry or aquatic environment, is likely insufficient force to alter molecular regulation of joint metabolism. Early forced exercise, whether in a dry or aquatic environment, was beneficial in producing consistent bone metabolism, while non-exercised horses exhibited incongruent bone turnover in order to maintain a similar bone mineral density. However, there were no negative effects of buoyancy on joint development in yearling horses transitioned to an advanced workload, when water was set at 60% of wither height. The impact of this research creates a change in knowledge and a change in action surrounding the appropriate preparation of young horses for sales and competitive events. Lameness due to joint disease is both common and costly, regardless of athletic discipline. The incidence of osteoarthritis is higher in older performance horses, but damage to the joint begins in early training, often resulting in osteoarthritis as an adult. Identifying conditioning practices in young horses that lessen joint damage may help prevent osteoarthritis in the adult. Furthermore, utilizing biomarkers indicative of joint damage that can be easily measured in blood or synovial fluid could lead to early diagnosis of joint damage in young horses before catastrophic injury occurs. Compare relative time course and concentrations of biomarkers in young horses to identify a range in age in which a modification in exercise protocol may make the greatest impact to reduce the potential for musculoskeletal injuries. Major activities of this objective have centered on study design and implementation to best describe potential modifications to existing exercise protocols. While previous research has examined the use of biomarkers in serum and synovial fluid, there has not been research investigating the use of circular exercise in young horses. Data collection is scheduled for 2021. Data to be collected include blood and synovial fluid. This proposed project is innovative in its approach to examine both biochemical and physical parameters of joint damage relative to type of exercise performed. While previous research has examined the use of biomarkers in serum and synovial fluid, there has not been research investigating the use of circular exercise in young horses. The ultimate goal of this research will be to assist in preparing the equine athlete to perform to their full potential in competitive events. Evaluate the utility of metabolomic analysis as a tool for biomarker discovery in serum and synovial fluid for early OA diagnosis. Major activities of this objective have been the collection of synovial fluid from healthy and horses that have been previously diagnosed with osteoarthritis. A repository of samples are currently being generated before further statistical analysis may be completed. Furthermore, a study is being designed to test the hypothesis that osteoarthritic and healthy control horses differ with regard to serum and synovial metabolites, inflammatory lipids, and markers of cartilage metabolism. Current data collected have included radiographs, blood, and synovial fluid from mature horses with osteoarthritis as well as from age matched controls. Summary statistics are yet to be determined due to small, yet increasing sample number. Key outcomes of this research is to identify a distinct metabolomic profile of equine serum and synovial fluid that would represent a reliable and clinically-significant means to monitor the development and progression of equine osteoarthritis.

Publications

  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Millican, A.A., J.L. Leatherwood, J.A. Coverdale, C.E. Arnold, A.N. Bradbery, C.K. Larson, E.D. Lamprecht, S.H. White, C.B. Paulk, T.H. Welsh, Jr., and T.A. Wickersham. 2020. Evaluation of a dietary trace mineral source supplementation in young horses challenged with intra-articular lipopolysaccharide. Trans. Anim. Sci. 4(2):1-16.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Silvers, B.L., J.L. Leatherwood, C.E. Arnold, B.D. Nielsen, C.J. Huseman, B.J. Dominguez, K.G. Glass, R.E. Martinez, M.L. Much, A.N. Bradbery. 2020. Effects of aquatic conditioning on bone and cartilage metabolism in young horses. J. Anim. Sci. 98(8):1-10.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2020 Citation: Silvers, B.L., J.L. Leatherwood, B.D. Nielsen, C.E. Arnold, B.J. Dominguez, K.G. Glass, C.J. Huseman, M.L. Much, R.M. Martinez, and A.N. Bradbery. 2020. Effects of aquatic conditioning on cartilage and bone metabolism in young horses. Proc. Am. Assoc. Equine Pract. 66(332-333).


Progress 09/20/19 to 09/30/19

Outputs
Target Audience: Nothing Reported Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Undergradaute students have the ability to gain knowledge of equine research techniques, and students gain hands-on experience with horse handling, sample collection, and laboratroy analyses. Graduate students involved in the studies are also obtaining specific laboratory skills relating to ELISAs in order to quantify markers of collagen synthesis, degradation, and other factors including inflammatory prostaglandins that may influence the homeostatic balance of cartilage metabolism in young horses. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?Complete laboratory analysis for horses undergoing aquatic exercise to potentially alter water height for future studies, as well as, prepare manuscript for publication. Continue to gather synovial fluid from arthritic and age-matched controls and begin cartilage marker analyses.

Impacts
What was accomplished under these goals? Animal work is completed related to comparing the effects of differing conditioning programs (aquatic vs. non-aquatic) on joint inflammation, cartilage metabolism, and bone mineralization when transitioned from a moderate to an advanced workload on a dry surface. Completing laboratory analysis in supplementing mature riding horses with glucosamine and chondroitin-sulfate based supplement to improve gait characteristics through the mitigation of inflammation and cartilage degradation. On-going data collection to test the hypothesis that osteoarthritic and healthy control horses differ with regard to serum and synovial metabolites and markers of cartilage metabolism.

Publications