{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:23:49Z","timestamp":1792787029013,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,8,14]],"date-time":"2015-08-14T00:00:00Z","timestamp":1439510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Equine Guelph, Ontario, Canada"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Reasons for performing study<\/jats:title>\n                    <jats:p>\n                      Improvement has been reported following intra\u2010articular (i.a.) injection of mesenchymal stromal cells (\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s) in several species. These observations have led to the use of i.a.\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s in equine practice with little understanding of the mechanisms by which perceived improvement occurs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To evaluate the effect of i.a. allogeneic umbilical cord blood (\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010) derived\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s using a lipopolysaccharide (\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      ) induced synovitis model. We hypothesised that i.a.\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s would reduce the inflammatory response associated with\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      injection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Randomised, blinded experimental study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Feasibility studies evaluated i.a.\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      or\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s alone into the tarsocrural joint. In the principal study, middle carpal joint synovitis was induced bilaterally with LPS and then\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s were injected into one middle carpal joint. Lameness, routine synovial fluid analysis, and synovial fluid biomarkers were evaluated at 0, 8, 24, 48 and 72\u00a0h.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      injection alone resulted in transient lameness and signs of inflammation. In joints untreated with\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      , injection of 30 million\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s resulted in mild synovitis that resolved without treatment. Mild (\n                      <jats:italic>grade 1\u20132<\/jats:italic>\n                      ) lameness in the\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      \u2010treated limb was observed in 2 horses and severe lameness (\n                      <jats:italic>grade 4<\/jats:italic>\n                      ) in the 3rd, 24\u00a0h post injection. Lameness did not correlate with synovitis induced by\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      injection. Simultaneous injection of\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s resulted in significant reduction in synovial fluid total nucleated, neutrophil and mononuclear cell numbers compared with contralateral\n                      <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content>\n                      \u2010only joints. No difference was detected in other parameters associated with synovial fluid analysis or in synovial fluid biomarkers. The incidence of lameness was only different from baseline at 8\u00a0h, where horses were lame in\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      limbs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Allogeneic\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s reduced synovial fluid cell populations and stimulated mild self\u2010limiting inflammation in the synovitis model. Continued evaluation of the effects of i.a.\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      therapy on synovitis in horses is needed to evaluate anti\u2010 and proinflammatory properties of\n                      <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>\n                      s. Immediate interests are dose, timing of treatment, and treatment frequency.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12477","type":"journal-article","created":{"date-parts":[[2015,6,26]],"date-time":"2015-06-26T11:18:55Z","timestamp":1435317535000},"page":"619-625","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Equine allogeneic umbilical cord blood derived mesenchymal stromal cells reduce synovial fluid nucleated cell count and induce mild self\u2010limiting inflammation when evaluated in an lipopolysaccharide induced synovitis model"],"prefix":"10.1111","volume":"48","author":[{"given":"L. B.","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Clinical Studies University of Guelph Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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