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Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Arterial calcification in race horses
L G Arroyo1, M A Hayes, J Delay
1Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, N1G 2W1 (Canada). larroyo@uoguelph.ca
Insights
Vascular calcification, a hardening of artery walls, is common in young racehorses, affecting 82% of those studied. This finding highlights the need to understand the causes and effects of this condition in equine health.
Area of Science:
- Veterinary Pathology
- Cardiovascular Research
- Equine Medicine
Background:
- Vascular calcification in horses is infrequently documented.
- Human studies suggest vascular calcification is a regulated biomineralization process.
- The pathogenesis of equine vascular calcification remains unclear.
Purpose of the Study:
- To determine the prevalence, distribution, and severity of vascular calcification in Thoroughbred and Standardbred racehorses.
- To characterize the histopathologic and ultrastructural features of equine vascular calcification.
- To identify the mineral composition of vascular calcification in horses.
Main Methods:
- Histopathologic examination of arterial tissues.
- Ultrastructural imaging (electron microscopy).
- Energy dispersive X-ray elemental analysis for mineral composition.
Main Results:
- Vascular calcification was found in 82% of the 101 horses examined.
- The tunica media, particularly of the pulmonary artery, was predominantly affected.
- Lesions consisted of calcified, fragmented elastic fibers within a dense collagen matrix, identified as hydroxyapatite.
Conclusions:
- Vascular calcification is highly prevalent in the tunica media of large pulmonary arteries in young racing horses.
- The study identified hydroxyapatite as the mineral component.
- Further research into the pathogenesis and clinical significance of equine vascular calcification is warranted.
Abstract:
Calcification of large arteries has been sporadically reported in horses. The pathogenesis is still unknown, but recent studies in humans suggest that this is a regulated biomineralizing process. This study surveyed the prevalence, distribution, and severity of vascular calcification in Thoroughbred and Standardbred racehorses. Histopathologic, ultrastructural imaging, and energy dispersive X-ray elemental analyses were used to examine the lesions. Calcification of the tunica media, predominantly the pulmonary artery, was found in 82% of horses (83/101). Young adult horses (mean [SD] age in years, 4.44 +/- 2.17) of both breeds and sexes were similarly affected. Lesions appeared as white-to-yellowish, hard, and gritty plaques of variable size. On microscopic examination, elastic fibers within the tunica media were thinned, fragmented, and calcified, and surrounded by dense collagen matrix. Elemental analysis showed distinct peaks for calcium and phosphorus, consistent with hydroxyapatite mineral. The frequent occurrence of calcification in the tunica media of large pulmonary arteries of young racing horses indicates the need to investigate its pathogenesis and potential clinical implications.
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