Our lab at the Gluck Equine Research Center is working to solve equine protozoal myeloencephalitis (EPM), one of the most commonly diagnosed neurologic diseases in horses in North and South America. Annual direct costs associated with the diagnosis and treatment of EPM represents a large economic burden to the equine industry and is estimated to be between $55.4 million and $110.8 million in the United States alone. This does not account for the additional economic impact due to lost production, decreased performance and the cost of care during recovery. Even after successful veterinary intervention, full recovery from the disease can be difficult due to lasting damage to tissues of the central nervous system.

EPM is caused primarily by Sarcocystis neurona, a single-celled parasite. Normally, Sarcocystis has a two-host lifecycle where it spends most of its time in small mammals such as skunks, raccoons and nine-banded armadillos. After asexual replication, parasites will form dormant cysts (sarcocysts) in the muscle tissue of this animal, which are later ingested through scavenging by the opossum definitive host. In the opossum, the parasites excyst (emerge from a cyst) in the intestines, where they sexually replicate to produce environmentally-stable infective sporocysts that are passed along with feces into the environment.

Genome illustration.Interestingly, the natural lifecycle of S. neurona does not include the horse. Horses become accidental hosts when they ingest feed or water contaminated with opossum feces containing these sporocysts. In the horse, the parasites excyst in the gut and migrate to the brain and/or spinal cord where they cause local inflammation and tissue damage. Depending on the location of this inflammation, clinical signs can vary to include slight incoordination, asymmetric muscle atrophy, partial facial paralysis, difficulty swallowing, ataxia, recumbence, seizures and/or death.

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