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  Discussion on Research Summary: Early Treatment Important to Reduce Effects of Founder
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DrO

Posted on Thursday, Oct 4, 2007 - 6:57 am:

It seems logical that pain from founder is accompanied by lesions on the microscopic level and here they document such changes. I do disagree with their implied conclusion that treatment after pain begins is not efficacious particularly when the insult to the laminae is ongoing.
DrO

Equine Vet J. 2007 Jul;39(4):360-4.
Equine laminitis: ultrastructural lesions detected 24-30 hours after induction with oligofructose.

Nourian AR, Baldwin GI, van Eps AW, Pollitt CC.

Australian Equine Laminitis Research Unit, School of Veterinary Science, The University of Queensland, Brisbane, 4072 Queensland, Australia.

REASONS FOR PERFORMING STUDY: The pathology of equine laminitis has been well-documented 48 h after dosing with oligofructose when clinical lameness and lamellar disintegration is well advanced. Further analysis of the earliest lesions, by collecting lamellar samples at the first sign of foot lameness after oligofructose dosing is required in order to increase understanding of the disease. OBJECTIVES: To investigate lamellar epidermal hemidesmosome damage and basement membrane dysadhesion by transmission electron microscopy (TEM). METHODS: Eight clinically normal, mature Standardbred horses were divided randomly into 2 groups of 4. The treatment group were dosed with oligofructose (10 g/kg bwt) and subjected to euthanasia when shifting weight from one foot to other commenced and at the first sign of lameness during walking and turning. This occurred at 24 h in 3 horses and 30 h in one. The sham treatment control group were dosed with water and subjected to euthanasia after 48 h. Lamellar tissues of the front feet were harvested and processed for ultrastructural study using TEM. RESULTS: Examination by TEM showed excessive waviness of the basement membrane zone and pointed tips of some secondary epidermal lamellae, an ultrastructural lesion typical of laminitis. The average number of hemidesmosomes/microm of basement membrane was decreased and their distance from the centre of the lamina densa of the basement membrane was increased. CONCLUSIONS: Laminitis lesions are detectable 24 h after oligofructose administration. POTENTIAL RELEVANCE: Hindgut events occurring in the first 24 h after dosing have begun the destruction of the hoof lamellar interface. Prevention and treatment strategies should precede lameness if they are to be efficacious.
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