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Exertional myopathies in horses

Muscle problems in horses don't always have just one cause.

PSSM1, PSSM2, MIM and RER describe different relationships. Modern genetic diagnostics help to make an important part of a horse's individual biological predispositions visible.

Exertional myopathy: a symptom complex with different causes

Muscle stiffness, pain, reluctance to move, drops in performance, difficulty building muscle or recurring episodes of “tying-up” can be signs of an exertional myopathy. However, the term does not describe a single disease, but a spectrum of different disorders of the musculature.

Genetics

Individual predisposition

Genetic variants can influence the structural and functional prerequisites of the musculature. Individual factors may act strongly, others only in combination.

Environment

Training, feeding, stress

Exercise, recovery, energy and protein supply and further environmental factors also help decide whether a genetic predisposition becomes clinically apparent.

Clinic

Similar symptoms, different causes

The fact that two horses show similar muscle problems does not necessarily mean that the same biological cause underlies them.

PSSM1, PSSM2, MIM and RER: not the same thing

PSSM1

A genetically defined polysaccharide storage myopathy. A variant in the GYS1 gene alters glycogen metabolism. Here there is a clear molecular link.

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PSSM2

A histopathologically described polysaccharide storage disorder in horses without the GYS1 variant responsible for PSSM1. The genetic causes are so far not clearly established.

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MIM

A concept of genetically co-influenced disorders or reduced resilience of the structure and function of the muscle cell. MIM is not to be equated with PSSM2.

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RER

Recurrent Exertional Rhabdomyolysis describes recurring exercise-related episodes of muscle breakdown. Here, too, genetic and non-genetic factors can interact.

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MIM – Muscle Integrity Myopathy

The variants previously offered under the name “PSSM2 test” are today grouped at Generatio under MIM. The reason: they do not detect a polysaccharide storage disorder, but lie in genes whose products are involved in different structural or functional processes of the muscle cell.

P2 · MYOT

Myotilin; a component of the Z-disc and involved in organising the muscle fibre structure.

P3 · FLNC

Filamin C; an important structural protein of striated muscle.

P4 · MYOZ3

Myozenin 3; a Z-disc protein with structural and regulatory functions.

Px · CACNA2D3

A subunit of voltage-dependent calcium channels; relevant to cellular signalling processes.

P8 · PYROXD1

A protein of importance for cellular redox processes and muscle function.

K1 · COL6A3

A component of collagen VI and thus of the extracellular matrix of the musculature.

What does the MIM 6-variant test tell you?

The test does not answer the question “Is my horse sick?”. It answers the question: Which of the examined genetic variants does my horse carry?

The test shows

Genetic information

Whether P2, P3, P4, P8, Px or K1 are present and whether the respective variant is detected as heterozygous or homozygous.

The test does not show

No stand-alone diagnosis

A positive result does not automatically mean that a horse is or will become ill. A negative result does not rule out other genetic or non-genetic causes of muscle problems.

Why genetic factors matter in complex diseases

Complex does not mean insignificant. Even if a single genetic factor does not cause a disease on its own, knowing the genetic starting point can help to better assess an individual horse's situation.

Genetics
Training
Feeding
Recovery & environment
Individual phenotype

What do the studies show – and what do they not show?

In widely cited investigations by Valberg and colleagues, it was examined whether P2, P3 and P4 in particular match, or can predict, the histopathological diagnoses of PSSM2 or MFM used at the time. Such a diagnostic association could not be shown in the populations studied.

For multifactorial diseases, different requirements therefore apply than for a highly penetrant monogenic defect. Relevant factors include effect size, penetrance, interactions with other genes and environmental factors, as well as the link to clearly defined functional or clinical endpoints.

Note: This page deliberately distinguishes between confirmed variant detection, biological plausibility, functional evidence and clinical interpretation. Statements about individual variants should be updated regularly as the body of studies progresses.

Learn more about your horse's genetic baseline

If a horse shows recurring muscle problems or marked exercise intolerance, or if you would like to know more about your horse's genetic make-up, the MIM 6-variant test can provide an additional piece of information.

You receive clear genetic information on six defined variants. This can help you interpret observations on the horse more precisely, sharpen the questions for further veterinary investigation and make management decisions more deliberately.

The test does not replace a veterinary examination or a clinical diagnosis. Breeding, purchase or treatment decisions should not be based on a MIM result alone.

Who might find the test particularly useful?

Horses with muscle problems

As additional genetic information in cases of recurring stiffness, exercise intolerance, declining performance or other muscle-related abnormalities.

Owners who want to look more closely

Anyone who wants to tailor training, feeding and recovery to the individual horse can use genetic information as a further part of the overall picture.

Breeders

Genetic information can help plan matings on an informed, long-term basis – without equating individual risk variants with certain disease.