Towards an improved pain assessment in castrated horses using facial expressions (HGS) and circulating miRNAs

Vet Rec. 2021 May;188(9):e82. doi: 10.1002/vetr.82. Epub 2021 Feb 2.

Abstract

Background: Pain in horses is an emergent welfare concern, and its assessment represents a challenge for equine clinicians. This study aimed at improving pain assessment in horses through a convergent validation of existing tools: we investigated whether an effective analgesic treatment influences the horse grimace scale (HGS) and the concentration of specific circulating microRNAs (miRNAs).

Methods: Eleven stallions underwent routine surgical castration under general anaesthesia. They were divided into two analgesic treatment groups: castration with the administration of preoperative flunixin and castration with preoperative flunixin plus a local injection of mepivacaine into the spermatic cords. HGS and levels of seven circulating miRNAs were evaluated pre-, 8 and 20 hours post-procedure.

Results: Compared to pre-castration, HGS, miR-126-5p, miR-145 and miR-let7e increased significantly in horses receiving flunixin at 8 hours post-castration (Friedman test, p < 0.05). Both behavioural and molecular changes occurred in horses receiving flunixin only, confirming that the addition of local mepivacaine is an effective analgesic treatment.

Conclusions: Combining the use of HGS and circulating miRNAs, particularly miR-145, could be meaningful to monitor acute pain conditions in horses. Our results further validate the HGS as a method to assess acute pain in horses and point out miR-145 as a promising biomarker to identify pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Pain / diagnosis
  • Acute Pain / etiology
  • Acute Pain / veterinary*
  • Analgesics / therapeutic use
  • Animals
  • Circulating MicroRNA / blood*
  • Facial Expression*
  • Horses
  • Male
  • Orchiectomy / adverse effects
  • Orchiectomy / veterinary*
  • Pain Measurement / methods
  • Pain Measurement / veterinary*
  • Reproducibility of Results

Substances

  • Analgesics
  • Circulating MicroRNA