Theses and Dissertations

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Presale diagnostic imaging in Thoroughbred horses: the prevalence and progression of radiological and ultrasonographical findings and their associations with racing performance
(Colorado State University. Libraries, 2024) Peat, Frances J., author; Kawcak, Christopher E., advisor; McIlwraith, C. Wayne, advisor; King, Melissa R., committee member; Selberg, Kurt T., committee member; Barrett, Myra F., committee member
Background: The sale of young horses at bloodstock auctions plays an important role in the success of the Thoroughbred industry worldwide. The Keeneland September Yearling Sale in Lexington, Kentucky, is the largest sale of Thoroughbred yearlings in the world. Conducted over 12 days and presenting between 2500 and 3000 horses through the auction ring, the sale now records gross receipts exceeding 400 million United States Dollars (USD) per year. Veterinarians at the sale perform presale inspections on future racing prospects and consult with prospective purchasers regarding a horse's suitability for its intended use. Radiography and ultrasonography are used in presale examinations to identify orthopaedic issues that may affect soundness during athletic training and racing. Modern diagnostic imaging technology produces high quality images that have enabled the detection of a number of presale findings of unknown significance in young horses. Variable interpretation of these findings and conflicting assignments of potential clinical importance have become a source of contention in the Thoroughbred industry and this requires resolution. Specific imaging findings for which further scientific evidence is needed include radiological changes in the equine medial femoral condyles (MFCs) and proximal sesamoid bones (sesamoids) and ultrasonographic findings in the medial and lateral branches of the suspensory ligament (branches). Changes in the sesamoid and the insertional region of the adjacent suspensory branch are of particular importance in young Thoroughbreds, due to the potential for catastrophic injury to the suspensory apparatus in which they are an integral structure. Little is known about the prevalence of concurrent ultrasonographic branch change relative to the various grades of radiological sesamoid appearance seen in horses. Objective scientific data would enable prepurchase and training management decisions to be made that are in the best interests of the horse and its connections and the wider industry. Objectives: In the equine stifle (femorotibial joint) and fetlock (metacarpo/metatarsophalangeal joint), the objectives of this doctoral research were firstly to identify the prevalence of subchondral lucencies (SCLs) in the distal aspect of the MFC and the prevalence of various sesamoid changes on sales repository radiographs in yearling and 2-year-old Thoroughbreds, and to identify the prevalence of ultrasonographic suspensory branch changes in the same population of horses. Secondly, the studies aimed to monitor changes in MFC, sesamoid and suspensory branch grades between yearling and 2-year-old sales in horses that presented for sale at both ages. Thirdly, the research aimed to determine any associations between grade of MFC, sesamoid or suspensory branch findings and future racing performance. Lastly, the research was designed to examine the existence of concurrent radiological and ultrasonographic findings in individual sesamoid-branch units in sales horses; to determine whether there are any radiological findings that are consistently accompanied by a particular degree of insertional branch change and to provide practical recommendations as to when suspensory branch ultrasonography may be warranted in the sales environment. The overriding objective was to provide an evidence-based determination of which presale imaging findings should be regarded as an acceptable appearance at a given age in sales horses and which findings constitute a risk to future performance. Methods: The research was performed via prospective cohort studies using enrolled samples. Sales repository radiographs were obtained with consignor permission from the 2016 Keeneland September Yearling Sale and the five major North American 2-year-old sales in 2017 run by Fasig-Tipton Company and Ocala Breeders' Sales Company. Ultrasonography was performed immediately prior to the sales on the forelimb suspensory branches of horses with consignor permission. Stifle and fetlock radiographs were evaluated for MFC and sesamoid changes, respectively. MFC SCL were graded on a scale of 0-3 according to radiological size and axial MFC lucencies were recorded separately. Sesamoid findings relating to vascular channel appearance (0-3), abaxial contour changes and apical and abaxial fragments were graded according to a grading system established for the purposes of this study. Ultrasonographic findings relating to suspensory branch size, fibrillar pattern, the presence of hyperechoic foci, periligamentar tissue thickness and the adjacent proximal sesamoid bone surface were recorded during post-sale image evaluation. Racing performance was assessed for all study horses until the end of their 4-year-old racing season and performance data was obtained from Equibase Company LLC. Racing performance was measured via eight outcome variables: whether the horse started at least one race by the end of their 4-year-old year, age at first race start, total number of race starts, total prizemoney earned, earnings per start, class of career best start achieved, weighted Listed and Group race starts and Class Performance Index. Clinical follow-up was sought to ascertain why horses that did not race never started. Distributions of imaging findings were examined using descriptive statistics at the individual bone and branch level and at the horse level. Associations between imaging findings and racing performance from 2 to 4 years of age were examined using multivariate regression analyses, controlling for horse sex. Analysis was via logistic, negative binomial or linear regression as appropriate, with the threshold for significance set at a=0.05. Results: Sales radiographs from 2,508 yearlings and 436 2-year-olds were included. This sample represented 11% of the annual US Thoroughbred foal crop. It comprised 36% of all yearlings sold at auction in North America in 2016 and 20% of all 2-year-olds sold at auction in North America in 2017. Radiographs of 5,016 yearling stifles and 872 2-year-old stifles were evaluated. MFC SCLs of Grades 1-3 were observed in 242 yearlings (9.7%) and 49 2-year-olds (11.2%). Bilateral MFC SCLs of Grades 1-3 were observed in 54 yearlings (2.2%) and 12 2-year-olds (2.8%). Yearling Grade 1 MFC SCLs had either resolved (11/31), remained unchanged (14/31) or progressed to a Grade 2 (6/31) by 2-year-old sales. Yearling Grade 2 MFC SCLs had either improved to a Grade 1 (2/10), remained unchanged (6/10) or progressed to a Grade 3 (2/10) by 2-year-old sales. Yearlings with a Grade 3 MFC SCL had a 78% probability of starting a race (95% Confidence Interval (CI): 58.2-89.6%), compared to 84% for MFC Grade 0 yearlings (95% CI: 82.7-85.8%). Six of the seven yearlings with axial MFC lucencies raced. Radiographs of 20,064 yearling sesamoids and 3,488 2-year-old sesamoids were evaluated. Interobserver agreement using the new radiological grading system was substantial. Yearling findings associated with a significantly reduced probability of starting a race were: Grade 3 vascular channels in forelimb sesamoids (0.52, P<0.001, 95% CI: 0.37-0.67), abaxial new bone in forelimb sesamoids (0.62, P=0.01, 95% CI: 0.49-0.73), apical or abaxial fragments in forelimb sesamoids (0.55, P=0.005, 95% CI: 0.37-0.72). For affected horses that did race, Grade 3 vascular channels in forelimb sesamoids were associated with fewer race starts (9.9 starts, P=0.03, 95% CI: 8.0-12.2) and Grade 3 vascular channels in hindlimb sesamoids were associated with a delayed start to racing careers (54 days, P=0.01, 95% CI: 20-89). Abaxial new bone in forelimb sesamoids was associated with a 54% reduction in total earnings (P=0.003, 95% CI: 24-72) and a 46% reduction in earnings per start (P=0.002, 95% CI: 21-64). Abaxial concavity occurred predominantly in yearling medial forelimb sesamoids, had no impact on racing performance and mostly resolved by two-year-old sale. A total of 593 sales yearlings and 367 2-year-olds had ultrasonography performed on all four forelimb suspensory branches per horse. Grade ≥2 fibrillar branch change was present in 8.9% of yearlings and 14.4% of 2-year-olds. A 0.25cm increase in branch width was associated with a 49-day delayed start to racing careers (P<0.001, 95% CI: 21-77 days). The presence of Grade 2 hyperechoic foci was associated with significantly lower total earnings (P=0.01, 95% CI: $2,000-$16,022) and lower earnings per start (P=0.003, 95% CI: $349-$1,718) in USD. Grade 3 fibrillar branch change had clinically important reductions in the probability of racing, calibre of racing performance and earnings. Grade 1 fibrillar pattern was associated with significantly higher earnings per start (P=0.004, 95% CI: $2,641-$5,759). A total of 2,204 yearling forelimb sesamoid-branch units and 1,336 2-year-old forelimb sesamoid-branch units were available for evaluation of concurrent imaging findings. The proportion of yearling sesamoids with Grade ≤1 vascular channels that had adjacent Grade ≥2 fibrillar branch change was 1.2%. The same proportion for 2-year-olds was 3.8%, with medial forelimb sesamoids with Grade 1 vascular channels overrepresented in 2-year-olds. In yearlings, 31% of sesamoids with Grade 2 vascular channels had adjacent Grade ≥2 fibrillar branch change and 59% of sesamoids with Grade 3 vascular channels had adjacent Grade ≥2 fibrillar branch change. In 2-year-olds, 47% of sesamoids with Grade 2 vascular channels had adjacent Grade ≥2 fibrillar branch change and 67% of sesamoids with Grade 3 vascular channels had the same. Only 1 yearling and 1 2-year-old sesamoid with radiological abaxial concavity had Grade 2 fibrillar branch change. Limitations: The samples used in this research are representative of the population of interest at Thoroughbred sales but may underestimate the prevalence of severe lesions in non-sale horses. The study design could not address exclusions prior to sale. The findings are applicable to horses prepared for public auction and deemed fit to be entered for sale by consignors and their veterinarians. Clinical examinations were not performed for the purposes of this research. Conclusions: Regarding stifle lucencies, Grade 1 MFC SCLs were the most common type seen in yearling and 2-year-old sales horses. The majority of yearling Grade 1 MFC SCLs resolved or remained unchanged by 2-year-old sales. It was also possible for Grade 2 and 3 MFC SCLs to improve one grade between sales. Fewer sales yearlings with a Grade 3 MFC SCL raced, but in those that did race there was no evidence of worse performance compared to unaffected peers. Axial MFC lucencies did not affect racing performance. For sesamoids, Grade 3 vascular channels, forelimb sesamoid abaxial new bone and forelimb sesamoid fragments are important findings in sales repository radiology. The new grading scale assigns a numerical grade for vascular channel appearance that matches the number of enlarged vascular channels evident in a given sesamoid. Abaxial contour changes, when present in sesamoids that are Grade 0 for vascular channels, are noted separately as either abaxial new bone or abaxial concavity. Fragments are also noted and interpreted separately. Reference values specific to young Thoroughbreds have been established for suspensory branch ultrasonography. Grade 1 fibrillar suspensory branch change should be regarded as an acceptable appearance in sales yearlings and 2-year-olds. Approximately one third of Grade 2 yearling branches progressed to a Grade 3 lesion. Evidence of enlarged branch width and Grade 2 hyperechoic foci at 2-year-old sales constitute a risk to racing performance. The existence and prevalence of concurrent radiological and ultrasonographic findings in the proximal sesamoid bones and adjacent suspensory ligament branches has been established in yearling and 2-year-old Thoroughbred sales horses. General recommendations have been made for selective branch ultrasonography on the basis of sesamoid radiological appearance. The results support a separate aetiology for radiological sesamoid abaxial concavity that does not primarily involve the suspensory branch insertion. This research provides veterinarians and the wider Thoroughbred industry with evidence-based determinations of the importance or otherwise of the various presale imaging findings seen in the MFCs, sesamoids and suspensory branches of yearlings and 2-year-olds. Many findings can be regarded as an acceptable appearance in yearlings and 2-year-olds. For those findings that are associated with reduced performance, sale and management decisions can be made based on quantitative evaluations of risk that are in the best interests of the horse.
Embargo
Investigation into the mechanisms of bone loss in a sheep model of osteoporosis
(Colorado State University. Libraries, 2024) Bisazza, Katherine T., author; Easley, Jeremiah T., advisor; Anthony, Russell V., committee member; McGilvray, Kirk, committee member; Goodrich, Laurie R., committee member; Nelson, Bradley B., committee member
Osteoporosis is the most common metabolic bone disease in humans and the leading cause of fragility fractures in the aging population. Given the invasiveness of researching bone diseases in people, appropriate animal models are essential to both build our understanding of the disease as well as examine novel therapeutics. While small animals and rodents are more commonly used as models in bone research, large animal models offer the ability to perform robust, long-term studies on bone quality with higher translational impact. Ovariectomized sheep are a well-established large animal model for osteoporosis because of the comparable bone size and microarchitecture that is shared with humans. While the ovariectomized sheep has been utilized for decades as a model for the study of bone, many gaps in the model characterization remain. Based on results from a preliminary literature search, we developed study objectives and hypotheses to expand upon current knowledge gaps in the characterization of the sheep model of osteoporosis. In order to test these aims, we performed a single 12-month in vivo study utilizing sixteen ewes. Osteoporosis was induced experimentally in ten of these ewes via ovariectomy followed by a 24-week regimen of high dose corticosteroids, while six ewes were used as healthy seasonal controls. In our first aim, we compared the bone density and microarchitectural changes in the osteoporotic animals as compared to healthy controls over the course of a year. Dual-energy x-ray absorptiometry (DXA) scans revealed significant bone density loss in the osteoporotic animals in both the lumbar spine and tibia as compared to control animals. We also noted significant microarchitectural changes in iliac crest bone biopsies of osteoporotic animals as indicated by micro-computed tomography (microCT), including decreased bone volume fraction, trabecular thickness, and trabecular number, as well as increased trabecular spacing. Additionally, we compared the use of quantitative computed tomography (QCT) and DXA to measure bone mineral density and correlated those findings with microarchitectural parameters in the osteoporotic animals. We demonstrated superior QCT sensitivity and specificity to subtle bone changes in the lumbar spine as compared to DXA, as well as demonstrated a higher correlation of QCT with iliac crest biopsy microarchitectural changes. The second aim of our study was to explore the systemic and clinical impacts of osteoporosis model development in our ten sheep compared to the healthy control animals. To test this aim, we collected blood, bone marrow, and body weights throughout the course of the year-long study. Osteoporotic animals demonstrated significant impacts to hematology and serology blood levels over the course of model development, primarily at 3 and 6-months when corticosteroids were at peak use. In particular, we note significant reductions in monocytes, lymphocytes, and eosinophils at 3-months with accompanying neutrophilia, as well as an increase in platelet count and volume. We also observed an increase in serum phosphorus and electrolytes, decrease in kidney enzymes and total protein, and an increase in select liver enzymes at 3 and 6-months in the same animals. Serum cortisol and estradiol were significantly depleted at 3 and 4-months, respectively, in the osteoporotic animals. However, estradiol levels were maintained to control levels for the remainder of the study. All these changes indicate disruptions to multiple physiologic systems over the course of osteoporosis induction in sheep which may highlight the acute effects of administering high-dose glucocorticoids. In the third and final aim of this study, we investigated the morphometrical and proteomic changes in the bone of sheep following osteoporosis induction over the course of a year. Histomorphometry of iliac crest bone biopsies revealed decreases in trabecular bone area in osteoporotic model animals compared to healthy controls, while negligible differences were observed in cortical bone morphometry. Initial global untargeted proteomic outputs identified a total of 4,765 proteins from the iliac bone biopsy samples, 909 of which were determined to be differentially expressed over the course of model development in our osteoporotic sheep. Pathway analysis of differentially expressed proteins (DEPs) revealed unique enriched pathways at all time points. Enrichment of biological processes such as monocyte differentiation, metabolic processes, regulation of chromosome condensation, and immune responses were noted throughout osteoporosis development. When comparing the 909 DEPs between time points, we identified seven downregulated proteins shared between all time points as compared to baseline in the osteoporotic animals (CTR9, INPP5D, CDK6, PPP2R5C, NUP133, ITPRIPL1, W5PH60_SHEEP). Pathway analysis of these shared proteins revealed enrichment of p53 signaling, mRNA surveillance, sphingolipid signaling, and P13K-Akt signaling pathways. This study was the first to report on the proteomic changes of bone in conjunction with morphometry assessments in a sheep model of osteoporosis. All three of our described experiments allowed us to successfully fill in some of the knowledge gaps in the characterization of a large animal model of osteoporosis by further assessing both macro and micro changes in ovariectomized and steroid-dosed sheep over the course of a year. Large animal preclinical models offer researchers the ability to compare bone changes in the same animals over time, allowing for a more comprehensive insight into the progression of postmenopausal and age-related bone loss. Understanding the mechanisms driving bone loss and systemic changes in osteoporosis disease progression could aid in future cellular therapy research and investigation of novel pathway targets for osteoporosis treatment in humans.
Embargo
Comprehensive investigation of chronic enteropathy in dogs through a prospective clinical trial, immunoassays, and RNA-sequencing
(Colorado State University. Libraries, 2024) Manchester, Alison C., author; Dow, Steven, advisor; Lappin, Michael R., advisor; Avery, Anne, committee member; Webb, Craig, committee member
Chronic enteropathy is a common condition in dogs causing recurrent or persistent gastrointestinal clinical signs. Pathogenesis is thought to involve intestinal mucosal inflammatory infiltrates, but histopathological evaluation does not predict treatment response, inform prognosis, or correlate with clinical remission. Many dogs may improve clinically with dietary intervention, but between 15 to 40% of dogs are refractory to all therapies. This negatively impacts quality of life for dogs and their families and can lead to euthanasia. Better understanding of the cellular and molecular differences between CE and health is necessary to improve outcomes for these dogs, and to enable use of the dog as a translational model for study of inflammatory intestinal conditions across species. The goal of this work was to critically evaluate the pathogenesis of CE in dogs through use of in vitro assays, a prospective clinical trial, and next-generation sequencing based approaches. Preliminary studies have highlighted an important role for intestinal bile acids in the pathogenesis of canine and human chronic enteropathies. Fecal bile acid populations differ between healthy dogs and dogs with CE. However, there has been little work to evaluate potential consequences of these metabolic shifts in dogs. We therefore investigated potential immunomodulatory roles of primary and secondary bile acids through in vitro experiments with canine macrophages. Both the primary bile acid cholic acid (CA) and the secondary bile acid lithocholic acid (LCA) influenced LPS-induced cytokine production via canine monocyte-derived macrophages similarly, with suppression of TNF-α secretion and enhancement of IL-10 secretion. Neither BA altered the expression of the BA receptor TGR5. Transcriptomic analysis revealed that CA activated inflammatory signaling pathways in macrophages involving type II interferon signaling and the aryl hydrocarbon receptor, whereas LCA activated pathways related to nitric oxide signaling and cell cycle regulation. Thus, we concluded that both primary and secondary BAs are active modulators of macrophage responses in dogs, with differential and shared effects evident with sequencing analysis. Diet is the most effective management strategy for dogs with CE, enabling two-thirds of patients to achieve clinical remission from their disease. Various dietary strategies may be beneficial. Nutritional formulae sourcing protein from amino acids have been used for the induction of remission in human Crohn's disease patients for decades. We conducted a prospective clinical trial involving exclusive feeding of the first diet sourcing protein from individual amino acids to 23 client-owned dogs with CE to determine its ability to induce clinical remission and begin to tease apart mechanisms of action. After 2 weeks of EL, 68% of dogs consuming the diet were classified as responders. At the conclusion of the 8 week feeding trial, 16/23 dogs (70%) were considered clinical responders. Feeding EL caused shifts in fecal bacterial communities, which differed between responders and non-responders, suggesting that diet's ability to modulate gut bacterial populations may predict its efficacy. Serum biomarker concentrations were unchanged throughout the study apart from serum alkaline phosphatase activity. Results of this study indicate that an amino acid based diet is another option to treat dogs with CE and implicates the intestinal microbiota in achievement of remission in these patients. Most studies comparing healthy and CE dogs completed to date have been limited in scope, evaluating individual or a small collection of biomarkers or cell types. This has hampered advancement of the understanding of CE pathogenesis in dogs. Ultimately, this results in generic treatment strategies for dogs and leaves a substantial proportion unable to achieve clinical remission from their disease. To this end, we applied next-generation transcriptomic sequencing to mRNA from duodenal biopsies from CE dogs and healthy beagle dogs. Results of this analysis highlighted important roles for epithelial cell gene signatures in differentiating CE tissues from healthy ones. Commonly implicated cytokines like TNF-α, IL-12, or IL-10 were not differentially expressed, but pathway analysis highlighted a potential role for upregulation of anti-viral pathways in CE dogs. This preliminary study underscores the power of RNA sequencing to provide a broad overview of cellular activities in tissues of interest, and question widely accepted theories regarding dysfunction present in the gut of dogs with CE. Single-cell RNA sequencing offers a high-resolution molecular technique enabling characterization of gene expression on an individual cell basis. This approach overcomes traditional barriers to disease investigation (e.g., species-specific reagents) and allows for definition of cell subtypes within heterogeneous samples. We thus employed single-cell RNA sequencing to catalog and compare the diversity of cells present in duodenal mucosal endoscopic biopsies from 3 healthy dogs and 4 dogs with CE. We identified populations of epithelial cells, T cells, myeloid cells, and plasma cells, with contributions from both the healthy and CIE samples. Neutrophils from CE samples exhibited a more inflammatory transcriptional program. T cells were broadly divided into non-resident and tissue resident subtypes, though minimal transcriptomic differences were appreciated within this class of cells. One subset of epithelial cells from CE dogs showed differential expression of a gene encoding a 2-pore potassium channel (KCNK16). Our results reveal a previously unappreciated cellular heterogeneity in canine duodenal mucosa and provides insights into molecular mechanisms underlying CE in dogs. The cell type gene signatures determined through this work will enable better understand the subtleties of canine intestinal physiology to allow more accessible interrogation of cellular activities in health and disease. The results of the studies described add further nuance and detail to understanding of the pathogenesis and management of canine CE. We have documented the power of transcriptomic analysis for differentiation of intestinal mucosal molecular programs in health and CE. Further investigation into intestinal bile acids, duodenal mucosal T cell subtypes and neutrophils, and intestinal epithelial cell activities are indicated.
Open Access
Epidemiology and veterinary public policy
(Colorado State University. Libraries, 2008) Zepeda Sein, Cristóbal Andrés, author; Salman, Mo, advisor
Official Veterinary Services are increasingly required to base veterinary public policy decisions on scientific grounds, epidemiology and risk analysis play an important role in shaping these decisions. A formal, in-depth analysis of the multiple interactions between epidemiology, risk analysis and veterinary public policy was conducted to enable decision-makers to direct resources more efficiently and facilitate compliance with international agreements, in particular the Agreement on the Application of Sanitary and Phytosanitary Measures (SPS) of the World Trade Organization. The SPS Agreement recognizes the World Organization for Animal Health (OIE) as the international organization responsible for developing animal health standards. The OIE's Terrestrial Animal Health Code contains scientifically based recommendations for international trade in animals and animal products. However, to date, these recommendations have not been assessed from a risk-based perspective. The study is divided in two major sections: (1) the role of epidemiology in veterinary public policy and (2) the application of risk-based approaches to the assessment of international animal health standards. The first section addresses the international framework, risk analysis and its use worldwide, and the development of international standards. The second section focuses on quantitative risk assessment approaches for the international movement of animals and products, as well as the application of compartmentalization to aquaculture production systems emphasizing the use of a HACCP approach to biosecurity.
Open Access
A holistic approach to veterinary public health in animal shelters and other sites
(Colorado State University. Libraries, 2009) Steneroden, Kay K., author; Salman, M. D., advisor; Hill, Ashley E., advisor
Animal health and human health are intimately linked. Directly, through contact with or exposure to animals and their environments, and indirectly by way of food production, food safety and antimicrobial drug residues, humans are dependent upon and vulnerable to the health of animals. Veterinary public health is concerned with the interface of human and animal health and addressing problems at that interface. The potential impact of such exploration is greater human and animal health. Epidemiological needs assessment, problem investigation and subsequent outreach programs are essential tools of veterinary public health practice. These tools are used to explore infection control, infectious and zoonotic disease awareness, environmental contamination with infectious/zoonotic agents and monitoring the consequences of treatment of infectious and zoonotic diseases with antimicrobial drugs (i.e. antimicrobial drug resistance). The specific venues for these explorations for this dissertation include animal shelters, a veterinary teaching hospital, a former Soviet country and a United States governmental program. A holistic approach is used with animal shelters to assess infection control and zoonotic disease awareness needs, investigate environmental contamination with a zoonotic disease, develop training tools and train animal shelter workers and volunteers. The needs assessment provided valuable information on characteristics of animal shelters, provided impetus for the problem investigation and the basis for outreach training. The problem investigation tool provided the first available information on the prevalence and extent of salmonella contamination in Colorado animal shelters. The outreach components provided a tool and reference for training; the training itself indicated gaps in knowledge in various aspects of infection control and zoonotic disease awareness that could be addressed with training. Further, problem investigation is explored through the success of active surveillance in discovery and control of a zoonotic disease outbreak in a veterinary teaching hospital. Results of a needs assessment survey in the Republic of Armenia provide the basis for development of outreach materials for veterinarians, farmers and school-age children on their national animal health program. And a system of antimicrobial drug resistance monitoring is examined and challenged for completeness. Taken together, these studies further the examination of veterinary public health issues and highlight a holistic approach to their exploration.
Open Access
Immunoproteomic identification of bovine pericardium xenoantigens
(Colorado State University. Libraries, 2008) Griffiths, Leigh G., author; Orton, E. Christopher, advisor; Reardon, Kenneth F., advisor
Bovine pericardium (BP) is an important biomaterial used in the production of gluteraldehyde-fixed heart valves and tissue engineering applications. The ability to perform proteomic analysis on BP is potentially useful for several reasons including investigation of immune rejection after implantation. The importance of humoral and cell mediated rejection responses towards such xenogeneic tissues are becoming increasingly apparent. I have applied a novel immunoproteomic approach to survey the antigenic determinants of BP. Proteomic analysis of fibrous tissues like BP is challenging due to their relative low cellularity and abundance of extracellular matrix. A variety of methods for tissue homogenization, protein extraction, and fractionation were investigated with the aim of producing high quality 2-DE gels for both water- and lipid-soluble BP proteins. MALDI-TOF/TOF MS protein identifications were performed to confirm bovine origin and appropriate subcellular fractionation of resolved proteins. Sixteen unique predominantly cytoplasmic bovine proteins were identified from the water-soluble gels. Twenty-two unique predominantly membrane bovine proteins were identified from the lipid-soluble gels. These results demonstrate that the final 2-DE protocol produced high quality proteomic data from BP for both cytoplasmic and membrane proteins. Duplicate 2-DE gels were used to generate western blots from both water- and lipid-soluble gels. Western blots were probed with pre- and post-exposure anti-BP rabbit serum, with detection of immune complexes limited to the IgG subtype. Western blots were compared to duplicate 2-DE gels and spots matched using Delta 2D image analysis software. Protein identifications of matched spots were performed using either MALDI-TOF/TOF MS or ESI MS/MS. This approach identified 31 putative antigens, capable of stimulating an IgG humoral rejection response. To the best of my knowledge, this study was the first to apply an immunoproteomic approach for identification of antigenic targets in xenotransplanted tissues. The results provide important information for understanding and possibly mitigating the immune response to fixed and unfixed BP xenografts.
Open Access
Investigation into disease events at the wildlife/livestock interface: lessons learned from bovine viral diarrhea virus in Colorado cervids
(Colorado State University. Libraries, 2009) Duncan, Colleen, author; Salman, Mo, advisor; VanCampen, Hana, advisor
Infectious agents may be transmitted between wild and domestic animals; these so called 'interface diseases' can have significant economic consequences. As such, effective tools and techniques with which to study disease in free ranging, wild animals is essential. Principles of wildlife disease surveillance were reviewed and it was concluded that while wildlife disease research may require unique logistical adaptations; basic principles of surveillance remain the same. A review of wildlife data sources utilized for surveillance suggests that information collected, and shared, is dependent on the group involved and that there are opportunities to improve the type and quality of material available. Bovine viral diarrhea virus (BVDV) is an important virus of domestic cattle that has recently been identified in wild ruminants worldwide. To investigate the presence, prevalence, distribution and significance of BVDV in wild cervids of Colorado a series of projects were conducted. Persistently infected (PI) deer were studied post mortem; immunohistochemical and molecular techniques used to look for viral antigen in deer tissue were found to be effective supporting the use of these tests in further studies. The prevalence and distribution of PI cervids in the state was evaluated using an opportunistic sampling technique; the prevalence is extremely low, but naturally occurring infection is present within Colorado. The cost associated with testing animals for an uncommon disease may be very high; techniques like pooling samples can help to keep costs down during such investigations. The sensitivity and specificity of RT-PCR on pooled samples was investigated in an experimental study and revealed that supernatant from a single positive deer skin sample may be diluted up to 10,000 times and still be detected. Another technique to focus research efforts on high risk areas is the use of simulation modeling. A stochastic risk assessment model was developed to identify regions in Colorado where PI cattle were likely to be born following exposure to a PI deer. Results of the model were consistent with both the cross-sectional survey for PI cervids and other reports on BVDV in wildlife of Colorado.
Open Access
Gene expression in phenotypically homogeneous chondrocytes from different articular cartilage layers of equine osteoarthritic and control joints: method validation and gene array analysis
(Colorado State University. Libraries, 2007) Düsterdieck, Katja Friederike, author; Frisbie, David D., advisor
Osteoarthritis remains a common and debilitating disease in horses, despite advances in diagnosis and treatment. Cartilage is commonly considered to play a central role in the pathophysiology of osteoarthritis. The investigation of differences in gene expression in cells from osteoarthritic and control cartilage is expected to yield genes possibly playing a role in the pathophysiology of osteoarthritis, representing new targets for treatment of the disease. The goals of this investigation were to develop a methodology to isolate RNA from phenotypically homogeneous cells of various cartilage layers for gene array analysis and to determine differentially expressed genes in these cells in osteoarthritic and control cartilage. A methodology to isolate phenotypically homogeneous chondrocytes from frozen sections of adult equine articular cartilage was developed using laser capture microdissection, RNA isolation, amplification and qrt-PCR. Expression levels of candidate genes were compared to those in conventionally isolated RNA from paired cartilage samples. The methodology was adequate to produce sufficient amounts of RNA for gene array analysis. Gene expression was found to be altered, but in a consistent fashion. The validated methodology, followed by gene array analysis was utilized to compare expression patterns in chondrocytes from tangential and radial layers of experimentally induced osteoarthritic and control cartilage. 154 genes were differentially expressed between tangential and radial cartilage layers and 17 genes were differentially expressed between osteoarthritic and control cartilage. The gene expression pattern of the tangential layer reflected support of cell proliferation, suppression of apoptosis and several genes involved in cell-matrix interactions or inflammatory processes. In contrast, the gene expression pattern of the radial layer was dominated by genes supporting the synthesis of proteins and proteoglycans. The gene expression pattern from osteoarthritic cartilage suggested an active response to oxidative stress, activation of the NF-κB pathway, decreased anti-apoptotic ability and downregulation of proteoglycan synthesis and glycolysis. This study was the first to determine gene expression patterns between two different layers of articular cartilage, improving our understanding of cartilage homeostasis in health and disease.
Open Access
Peri-slaughter ecology of Escherichia coli O157 and Salmonella enterica in feedlot beef cattle
(Colorado State University. Libraries, 2008) Dewell, Grant Alan, author; Salman, Mo, advisor
Risk factors for prevalence of E. coli O157 prior to slaughter and the genotypic relationship between feedlot and slaughter isolates were investigated. The odds of E. coli O157 positive fecal samples from cattle fed brewers grains were 6 times that for cattle not fed brewers grains. The odds of E. coli O157 positive fecal samples from cattle from Central Nebraska was 9 times that for cattle from Eastern Colorado. Within the sampled pens, 64% of the hide samples at the abattoir corresponded to a feedlot isolate. For carcass samples, 59% of isolates had a corresponding feedlot isolate. Transportation of cattle from the feedlot to the slaughter plant could influence hide contamination of Escherichia coli O157 or Salmonella enterica. Cattle held in E. coli O157 positive lairage pens had eight times greater relative risk of having E. coli O157 positive hide samples compared to cattle held in culture-negative pens. Cattle that were held in lairage pens contaminated with feces had three times greater relative risk for E. coli O157 positive hide samples and twice the relative risk for S. enterica positive hide samples compared to cattle held in clean pens. Cattle that were transported for long distances (> 160.9 km) had twice the relative risk of having E. coli O157 positive hide samples and twice the relative risk of having S. enterica positive hide samples compared to cattle transported shorter distances. Cattle with positive Salmonella enterica hide samples at the feedlot had almost twice the relative risk of having S. enterica positive hide samples compared to cattle without S. enterica positive feedlot hide samples. Cattle transported in trailers with positive S. enterica samples had over twice the relative risk of having S. enterica positive hide samples compared to cattle transported in culture negative trailers. Cattle held off feed longer than 18 hours before loading had a greater relative risk of having S. enterica positive hide samples compared to cattle held off feed for shorter times. Cattle that were agitated during loading had twice the relative risk of having S. enterica positive hide samples compared to cattle that were calm.
Open Access
Valve interstitial cell phenotypes and signaling pathways involved with canine myxomatous degenerative mitral valve disease
(Colorado State University. Libraries, 2008) Disatian, Sirilak, author; Orton, E. Christopher, advisor
Myxomatous mitral valve disease is a common heart disease of dogs that is similar to myxomatous mitral valve disease in humans. The first hypothesis of this dissertation is that interstitial cell phenotype transformation described in human myxomatous valves also occurs in dogs with myxomatous mitral valves and correlates with disease severity. Normal and early-, intermediate-, and late-stage myxomatous canine mitral valves were examined by immunohistochemistry for cytoskeletal (vimentin, desmin, smooth muscle α-actin, smooth muscle myosin, and non-muscle myosin), collagenolytic (MMP-1, MMP-13), cell surface (CD-31, CD-45, CD-68) and proliferation (Ki-67) proteins. Normal canine mitral valve interstitial cells were positive for vimentin, but negative for α-actin, desmin, and non-muscle myosin (i.e. fibroblast phenotype). Interstitial cells from myxomatous valves showed increased positive staining for α-actin and desmin, but were negative for smooth muscle myosin (i.e. myofibroblast phenotype). Positive cells first appeared as clusters in the subendocardial region of the lamina atrialis and extended into deeper layers with increasing severity. Interstitial cells from myxomatous valves showed positive staining for non-muscle myosin (i.e. activated mesenchymal cell phenotype). Positive staining cells increased with disease severity and were dispersed throughout the valve layers. Expression of MMP-1 and MMP-13 correlated with disease severity. Interstitial cellularity increased in degenerative valves however Ki-67 staining was mildly increased. In conclusion, two patterns of interstitial cell phenotype transformation were identified in dogs with myxomatous mitral valve disease and both correlated with disease severity.
Open Access
Surveillance and diagnosis of transmissible spongiform encephalopathies in the United States
(Colorado State University. Libraries, 2007) Dennis, Michelle Marie, author; Salman, Mo, advisor
Since limited knowledge of transmissible spongiform encephalopathies (TSEs) restricts treatment and successful control interventions, and since some may cause fatal food-borne disease in humans, the United States (U.S.) has established TSE surveillance programs to support control efforts and to protect agriculture-based economy. The enhanced BSE surveillance system was conducted to characterize the extent of the presence of BSE in the U.S. cattle population in order to reassure consumers and trading partners of the U.S. BSE status. Given the level of importance and the cost of the enhanced BSE surveillance program, surveillance system evaluation was conducted to provide feedback for improving future surveillance and to determine the extent to which the system had met its objectives. Recommendations were made to improve efficiency and quality of future BSE surveillance systems. The enhanced BSE surveillance certainly met its stated objectives. Surveillance interests in the U.S. were subsequently re-directed towards efficiently assuring that BSE control measures remain effective, and to maintain assurance of trading partners of the U.S. BSE status. A plan for ongoing BSE surveillance was constructed using the standards and guidelines for animal health surveillance established by the National Surveillance Unit (NSU). Results derived from the enhanced BSE surveillance system and its evaluation prompted appriopriate adaptations for maintenance surveillance methods. Conditions which naturally degrade prions need to be elucidated to facilitate disposal of prion-contaminated biowastes. In order to determine whether long-term heating could destroy prions, the immunodetection of protease-resistant, disease-associated prion protein (PrPres) was evaluated in brain from chronic wasting disease (CWD)-affected elk. Using 3 diagnostic assays for CWD, progressive loss of PrPres immunodetectability, which increased with incubation temperature, was demonstrated when brain homogenates were incubated at 37, 55, and 80° C over a period of 200 days. Disposal systems which use heat over time may effectively degrade prions. Furthermore, the validity of test results derived from tissues which have been exposed to such conditions is questionable. In the U.S., scrapie surveillance uses PrPres immunohistochemistry (IHC) applied to tissues collected postmortem. The only live animal test available, PrPres IHC applied to third eyelid biopsy, is limited by comparatively lower sensitivity, high frequency of inconclusive test results, and the limited amount of tissue available for repeat testing. A study evaluated PrP res IHC applied to recto-anal mucosa associated lymphoid tissue (RAMALT) biopsy for scrapie diagnosis in live sheep. Biopsy-related complications were rare. The sensitivity of RAMALT biopsy PrPres IHC ranged from 87.5-89.3%, and approximated or exceeding that applied to third eyelid biopsy. The use of PrPres IHC applied to RAMALT biopsies for scrapie diagnosis in live high-risk sheep is expected to improve the surveillance activities that support the success of the U.S. National Scrapie Eradication Program.
Open Access
Tissue engineering of heart valves: antigen removal from xenogeneic tissue scaffolds
(Colorado State University. Libraries, 2009) Arai, Shiori, author; Orton, E. Christopher, advisor
Tissue-engineered heart valves hold the promise of an ideal heart valve substitute by using appropriate and functional cells and scaffolds. An ideal heart valve should be durable, non-immunogenic, non-thrombogenic, resistant to infection and capable of regeneration and growth. Xenogeneic tissues are potential candidates for scaffolding of tissue-engineered heart valves. Anionic detergent-based decellularization has been employed to eliminate xenogeneic tissue immunogenicity. The present studies were performed to develop a technique to detect antigenic proteins in xenogeneic tissue scaffolds, to evaluate the efficacy of antigen removal of current detergent-based decellularization of xenogeneic tissues, to develop novel techniques to enhance antigen removal, and to address issues related to the cytotoxic effects of sodium dodecyl sulfate (SDS).
Open Access
Epidemiology of reported scrapie in the United States: 1947-1991
(Colorado State University. Libraries, 1993) Wineland, Nora E., author; Salman, M., advisor; Kimberling, Cleon V., committee member; Gould, Daniel H., committee member; Weber, Stephen, committee member
Data collected in support of the United States Department of Agriculture (USDA) scrapie eradication program between 1947 and September 30, 1991 were evaluated to determine the presence of trends or patterns which might help further the understanding of natural sheep scrapie. The USDA records from 957 confirmed positive cases of natural scrapie in 581 flocks from 39 states were reviewed and compiled into a database. Possible host and management risk factors for scrapie such as age at death, within-flock mortality, breed, sex, sire and dam disease status, flock size, and location were examined. There were several significant findings from the study. The proportion of reported positive flocks in those states reporting positive cases showed a steady increase between 1965 and 1991. In addition, the average flock mortality showed a slight increase between 1947 and 1991. These increases did not seem to be directly related to any changes in the USDA eradication program. The average age at death for confirmed cases was 43.6 months. Rams died of scrapie an average of five months younger than did the ewes. This difference was statistically significant, but likely due to the small numbers of rams included in the study. There were insufficient numbers of twins (26 pairs) to allow any significant conclusions to be drawn. There were no statistically significant differences between age at death for the eight geographical regions or the various sheep breeds affected. The Suffolk breed comprised 88% of the reported cases, and Hampshire sheep accounted for 6% of the cases. Attempts were made to further define the role of vertical transmission in natural scrapie. The scrapie disease status of the sire had no appreciable effect on the age of death of positive offspring. The scrapie disease status of the dam had a detectable effect with positive offspring from positive dams diagnosed at a significantly younger age than positive offspring from other dams. Unfortunately it was not possible to determine when a positive dam might begin shedding the scrapie agent and consequently present a threat to her offspring. All of the positive dams in the study gave birth to their positive offspring in flocks where there were other active cases of scrapie which might have been the source of infection for the offspring. The source of infection could not be determined for over half of the reported cases. Several possible explanations for this situation were presented. Failure to detect the sources of infection may in part be responsible for the apparent increase in the magnitude of the scrapie problem in the United States. Data quality and consistency was a major issue for this study. The records available from the technical program staff of USDA contained varying amounts of information about each of the positive animals and flocks. In addition to variation in the records, the eradication program itself went through several phases during the study period. These different phases may have had multiple effects on the levels of disease reported to USDA. Unfortunately these effects could not be measured or corrected for in the analysis.
Open Access
Developing an integrated livestock-human infectious disease management framework for the dairy farm environment
(Colorado State University. Libraries, 2023) Fathke, Robert, author; Rao, Sangeeta, advisor; Pinedo, Pablo, committee member; Reynolds, Stephen, committee member; Duncan, Colleen, committee member
This research aimed to develop a framework integrating cattle and human infectious disease prevention in the dairy farm environment. Infectious disease dynamics on dairy farms can be complex, with various factors impacting cattle and human health. The advent of the COVID-19 pandemic reminded the world of the complexities of disease dynamics and prevention. Biosecurity is key to infectious disease prevention on dairy farm settings, but preventive efforts might not focus on both cattle and human health. Those trained in veterinary medicine may be especially suited to help bridge this animal-human gap on dairy farms, as these professionals understand disease dynamics and may be trusted to serve in this capacity. Infectious disease risk assessment tools for dairy farms might not fully integrate human health. Developing more integrated risk assessment tools first requires a greater understanding of existing tools and dairy farmer knowledge, attitudes, and practices regarding cattle and human infectious disease prevention. The research described biosecurity, biosafety, and identified potential areas of overlap to create a foundational integrated animal-human infectious disease prevention model. A systematic literature review was conducted on animal producer knowledge, attitudes, and practices regarding personal protective equipment for zoonotic disease prevention. Current biosecurity and biosafety assessment surveys and tools applicable to dairy farm environment were also assessed for structure, content, and degree of human health integration. Assessment of the survey questions and score report from one of these tools included obtaining feedback from a small sample of Front Range Colorado dairy producers. A knowledge, attitudes, and practices questionnaire including elements of cattle and human infectious disease prevention was developed, and data was collected from 50 personnel, including workers and supervisors, across six Front Range Colorado dairy farms. This work found that the word "biosecurity" has many definitions that can vary by profession setting. Many elements of efforts aimed at preventing animal diseases can also be effective in preventing human diseases. Personal protective equipment is an example of such an element. Systematically reviewing literature on personal protective equipment knowledge, attitudes, and practices revealed that animal producers often fail to use preventive measures and may not always perceive zoonoses as a threat. Assessment of existing infectious disease risk assessment tools revealed that none fully and directly integrated human infectious disease prevention. Producer feedback on one tool focusing on cattle health provided valuable feedback on tool design and helped shape recommendations for developing integrated tools. Construction of the integrated knowledge, attitudes, and practices questionnaire was a novel approach to creating a research tool that integrates animal and human infectious disease prevention. Results revealed strengths and weaknesses in knowledge, attitudes, and practices regarding zoonotic disease prevention and helped identify elements that can be addressed to develop a shared understanding between dairy farm supervisors and workers.
Open Access
Development of an ovine cardiac model for the modified Blalock-Thomas-Taussig shunt
(Colorado State University. Libraries, 2023) Chu, Margaret Lucinda, author; Monnet, Eric, advisor; Marvel, Sarah, committee member; Randall, Elissa, committee member
This pilot study aimed to better describe the ovine thoracic vascular anatomy, to develop a model for placement of a modified Blalock-Thomas-Taussig (BT) shunt in sheep, and to evaluate whether hyaluronan-treated grafts would have decreased thrombosis and adherence compared to traditional polytetrafluoroethylene (PTFE) grafts. Ovine thoracic vasculature follows the pattern of a bovine aortic arch and branching of arterial vascular does not occur until the thoracic inlet. A prominent left azygos vein and ligamentum arteriosum are also present. Placement of a modified BT-shunt was possible in sheep and did appear to lead to some long-term changes in cardiac values. Hyaluronan-treated shunts were subjectively less adherent with incomplete thrombosis occurring in the subjects. Further research is needed to better evaluate the latter two aims of this project.
Open Access
Extracellular vesicles from the equine uterus: uptake by stallion spermatozoa and effect on capacitation parameters
(Colorado State University. Libraries, 2023) Granier, Shelby K., author; McCue, Patrick, advisor; Graham, James K., advisor; Hatzel, Jennifer, committee member; Tesfaye, Dawit, committee member
Fertilization in mammalian species relies on the activation of spermatozoa in the female reproductive tract by a consecutive series of events termed 'capacitation'. In vivo, ejaculated equine spermatozoa are deposited directly into the uterus and eventually arrive in the ampulla of the oviduct, which is the site of fertilization. However, the roles of the uterus, oviduct, and their secretions have on equine sperm capacitation is largely unknown. Extracellular Vesicles (EVs), including microvesicles and exosomes, are membrane enclosed nanoparticles released from most cell types that carry cargos of biologically active molecules that can affect nearby or distant recipient cells. EVs have recently been identified as playing a role in reproductive functions including sperm capacitation. The aims of the present study were: first characterize EVs collected from the uterine lumen of mares in both the estrus and diestrus phases of their reproductive cycles; and second investigate the effect these uterine EVs have on stallion sperm function. Uterine fluid from 6 mares was collected during both estrus and diestrus using a low volume uterine lavage then EVs were isolated from the fluid by ultracentrifugation, and EV concentration determined by nano-tracker analysis. The concentration of EVs obtained from estrus fluids (EEV) was 235 ± 164.029 billion EVs/mL and tended to be higher (p=0.07) than those obtained in diestrus fluids (DEV) (83.67 ± 89.328 billion EVs/mL). The average size of EVs were similar (p > 0.05) with values of 148.633 ± 11.35 nm for EEV and 146.183 ± 11.89 nm for DEV. Transmission electron microscopy delivered images of vesicles with characteristic cup-shape morphology and size consistent with NTA results. Immunoblotting confirmed the particles contained exosome markers TSG-101 and CD-63, and were negative for cytochrome C, a mitochondrial organelle marker, indicating these vesicles were indeed EVs. To determine the effect EVs have on sperm, semen from 3 Quarter Horse stallions were cryopreserved, and EVs added to samples after thawing. In the first experiment, EVs or PBS void of EVs were fluorescently labeled and incubated with frozen-thawed stallion spermatozoa for one hour and uptake was evaluated by fluorescent microscopy. Fluorescence was observed only in sperm incubated with EVs, and a greater fluorescent intensity detected in EEV treated sperm. In a second experiment, spermatozoa from each stallion were co-cultured with EEV, DEV, and PBS void of EVs (control) for 90 minutes and sperm functions associated with capacitation, including hyperactivated motility, and acrosome reactions, were evaluated using a computer assisted semen analysis unit (CASA) and flow cytometry. The percentages of hyperactively motile sperm were higher (p < 0.05) for EEV treated sperm compared to control and DEV. In addition, the percentage of acrosome reacted sperm was higher (p < 0.05) for sperm treated with EEV and DEV when compared to control. In summary, these results confirm that: 1) EVs can be isolated from uterine fluid of mares, 2) uterine derived EVs can be taken up by stallion spermatozoa, and 3) uterine derived EVs have a biological effect on stallion spermatozoa function in vitro. Consequently, it is hypothesized that EVs from the mare reproductive tract will have similar biological effects on stallion sperm function in vivo.
Open Access
The animal health components of a biosurveillance system
(Colorado State University. Libraries, 2023) Tan, Alwyn, author; Salman, Mo, advisor; McCluskey, Brian, committee member; VandeWoude, Susan, committee member
Biosurveillance defines a One Health approach of gathering, integrating, interpreting, and communicating information related to health hazards or diseases affecting human, animal, or plant health and their environment to achieve early detection and warning, situational awareness, and better decision making. Animal health surveillance is an important component within biosurveillance systems comprising a continuum of activities from detecting biological threats, to analyzing relevant data, to managing identified threats, and embracing a One Health concept. Despite ongoing health surveillance activities conducted by various stakeholders in different One Health sectors, numerous health crises continue to occur, affecting the health of humans and animals, the livelihoods of people, the economy, their environment, and social harmony. Zoonotic agents caused a large proportion of these health crises, and nations spent large amounts of resources on disease detection and control measures to safeguard the health of their citizens against these agents. This thesis will explore how the animal health community can strengthen biosurveillance in the following sections: 1) the components of a biosurveillance system from an animal health perspective and opportunities for the animal health surveillance community to enhance biosurveillance; 2) a pilot study on the use of air-sampling as a novel method for animal health surveillance; 3) a scoping review on behavioral barriers, enablers, and interventions for animal owners and producers reporting animal diseases to veterinary authorities; and 4) theoretical demonstration of a biosurveillance system.
Open Access
Multi-modal investigation of tendon healing: tendinopathic injury models to novel rehabilitative strategies
(Colorado State University. Libraries, 2022) Johnson, Sherry, author; Frisbie, David, advisor; King, Melissa, advisor; Selberg, Kurt, committee member; Chicco, Adam, committee member
To view the abstract, please see the full text of the document.
Open Access
Perianesthesia analgesia, recovery efficacy, and financial impact of ultrasound-guided lumbar plexus and sciatic nerve analgesia in dogs undergoing tibial plateau leveling osteotomy
(Colorado State University. Libraries, 2022) Warrit, Kanawee, author; Boscan, Pedro, advisor; Monnet, Eric, advisor; Steffey, Eugene, committee member; Twedt, David, committee member; Rao, Sangeeta, committee member; Fails, Anna Dee, committee member
Perioperative analgesia is critical for patients undergoing surgery because uncontrolled pain can result in deleterious consequences and predispose chronic pain. Therefore, developing an appropriate analgesia technique is crucial, and in this study, an analgesia protocol was investigated in dogs undergoing tibial plateau leveling osteotomy (TPLO). The TPLO is a surgical technique used to stabilize the stifle joint for treating cranial cruciate ligament disease. This surgical procedure is invasive and painful. Therefore, multimodal analgesia is often required for controlling pain associated with TPLO surgery. This study used ultrasound-guided regional anesthesia of the lumbar plexus and sciatic nerve as a component of multimodal analgesia to control perioperative pain compared to patients only receiving a standard systemic analgesia. The study was designed to evaluate the efficacy of regional anesthesia and to determine the financial impact of this additional multimodal procedure. We hypothesized that ultrasound-guided lumbar plexus and sciatic nerve blocks would provide a better analgesic effect intraoperative and postoperatively. The second part of the study we hypothesized that ultrasound-guided lumbar plexus and sciatic nerve blocks would increase the anesthesia cost. It would then be possible to determine a cost – benefit of the procedure. The study was designed as a prospective, randomized, blinded clinical trial. Twenty dogs underwent TPLO surgery were enrolled in the study and randomly assigned to regional analgesia (RA) or control (CON) group. Dogs in the RA group received 0.5% ropivacaine for ultrasound-guided lumbar plexus and sciatic nerve blocks. The total dose of ropivacaine for both blocks was 0.15 mg/kg. Dogs in the CON group received sterile 0.9% saline for the blocks. All dogs received 0.2 mg/kg of hydromorphone and 0.02 mg/kg of atropine for anesthesia premedication. Propofol was administered for anesthesia induction to perform endotracheal tube intubation. Isoflurane in oxygen was delivered using a circle rebreathing system to maintain anesthesia. The ultrasound-guided lumbar plexus and sciatic nerve blocks were performed prior to TPLO surgery. Fentanyl was used for intraoperative as rescue analgesia to reduce the response from surgical stimulation or with an increase in heart rate, respiratory rate, or mean arterial blood pressure. Isoflurane was adjusted to maintain the appropriate anesthesia plane. Hypotension was treated following a stepwise protocol, in a sequencing fashion. The treatment protocol was added until the complications was resolved. The treatment protocol started from decreased isoflurane vaporizer setting, lactate Ringer's solution bolus, hetastarch bolus, and dopamine administration. At extubation, the recovery quality and pain were evaluated. Dexmedetomidine was used to treat poor recovery quality and pain. During the postoperative 12 hours period, pain and recovery quality were assessed by Colorado State University acute pain scale, visual analog pain scale, and modified University of Melbourne pain scale. Fentanyl or methadone was used for postoperative rescue analgesia. Dexmedetomidine or acepromazine was administered to calm the patient. The amount of every drug used, complications management, and extra nursing care were recorded to evaluate the blocks' efficacy. The micro-costing technique was used to collect the financial data and was analyzed to determine the financial impact. In the clinical study, there was a statistically significant difference in the amount of intraoperative fentanyl administered for rescue analgesia between the groups (p = 0.02), with lesser doses given to the RA group. Hypotension was found in 40% of dogs in the RA group and 80% of the dogs in the CON group (p = 0.16). Dogs in the RA group required less intensive treatment than in the CON group. There was a statistically significant difference in the recovery scores between the groups, with those in the RA group having lower recovery scores (p = 0.04). In the postoperative period, the time to receive the first dose of rescue analgesia for dogs in the RA group was longer than dogs in the CON group (p=0.04). Micro-costing method was used for collecting the monetary information. The cost analysis was performed for evaluating the costs of dogs that received ultrasound-guided regional anesthesia with 0.5% ropivacaine and 0.5% sterile saline. The anesthesia fixed cost for the surgery was US$354. There was a statistically significant difference between the variable costs, with the RA group (US$82.65 (69.15-94.56); median (min-max)) having less anesthesia variable costs than dogs in the CON group (US$125.8 (55.23 to 156.35); p = 0.02). The additional cost for a charge per service of the use of ultrasound and electro-nerve stimulator machines (US$26.62) affects the total anesthesia cost for the RA group into both direction, it can enhance and save the total anesthesia cost. It can increases the total anesthesia cost by $US40.54 per dog and it can save the total anesthesia cost by $US35.17 per dog. From the clinical perspective, the number of dogs receiving TPLO surgery at the study hospital is approximately 160 cases per year. This number was used for estimating cost benefit per year performing nerve blocks for TPLO surgery and found that the nerve blocks would potentially increase the total cost for 160 dogs to US$6,486.40 per year but would decrease the total anesthesia cost by US$5,627.20 per year. Ultrasound-guided lumbar plexus and sciatic nerve regional analgesia was found to be an effective multimodal analgesia for TPLO surgery. The technique provided effective intraoperative analgesia that decreased rescue analgesia during surgery and led to better recovery from anesthesia for the dogs in this study. The ultrasound-guided analgesia technique would increase anesthesia costs but better analgesia, anesthesia, and decreased complications provided significant cost-saving benefits when performing regional analgesia for TPLO surgery.
Embargo
Culture-expanded articular chondrocytes: a potential cellular therapeutic for osteoarthritis with MSC-like properties
(Colorado State University. Libraries, 2022) Liebig, Bethany Ellen, author; Goodrich, Laurie, advisor; Kisiday, John, advisor; Regan, Daniel, committee member; Santangelo, Kelly, committee member; McGilvray, Kirk, committee member; Bahney, Chelsea, committee member
Osteoarthritis (OA) is a highly prevalent and debilitating joint disease in horses, dogs, and humans. OA affects more than 303 million people globally with an annual economic loss to Americans approaching $200 billion. It has a considerable impact on the patient, resulting in pain and disability and more than 1 million people undergo knee arthroscopy or joint replacement surgery each year due to end-stage OA in the United States. Therefore, OA therapies that produce lasting symptom- and disease-modifying effects are a medical priority. Mesenchymal stromal cells (MSCs) are considered 'medicinal signaling cells' that have been postulated to treat OA by reducing inflammation and restoring joint function. However, IA injection of MSCs into diseased human or companion animal joints has demonstrated only a modest benefit to date, as symptom-modifying effects are often temporary, and evidence of disease-modification has been minimal. It has been reported that culture-expanded chondrocytes (CECs) can assume many of the hallmark properties of MSCs, such as immunomodulation and immunophenotype. However, unlike MSCs, chondrocytes are known to thrive in suspension, which is important as IA injections release cells into synovial fluid. The goal of this research aims to characterize the growth, immunomodulatory properties, and gene expression of equine CECs as a function of expansion in vitro as well as CEC persistence in the joint after intra-articular injection using a validated model of OA in rats. Additional goals of this research are to 1) determine how CECs may (persistence) or may not (immunomodulation and molecular fingerprint) differ from bone marrow derived MSCs, and 2) compare cellular properties of CECs across age to determine an ideal donor for generating allogeneic therapies. The results shown in chapters 2 and 3 indicate that chondrocytes retain a strong propensity for immunomodulation, that increases with expansion and dedifferentiation does not coincide with other temporal changes in gene expression. Further, these data do not indicate a benefit of neonatal donors. Future in vitro studies should further characterize the immunomodulatory, redifferentiation (chondrogenic) and angiogenic potential of CECs. The preliminary results described in chapter 4 indicate that CECs may have greater persistence than MSCs in the first 3 days post IA injection. Future in vivo studies should focus on determining the symptom- and disease-modifying effects following IA injection of CECs in relevant preclinical models, such as the rodent, horse, and dog.