In Vitro Characterization of equicenta® CTM | Equine Performance Labs
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Published In Vitro Study · Leise et al., Veterinary Medicine: Research and Reports, October 2026

How equicenta® CTM Is Built, and How It Breaks Down.

A peer-reviewed laboratory study from the LSU School of Veterinary Medicine characterized the structure, gradual breakdown, protein release and extracellular vesicle content of equicenta® CTM samples from multiple donors.

Evidence at a glance

In Vitro Characterization

Leise BS, Catunda APN, Bertone AL. Veterinary Medicine: Research and Reports 2026;17:633966.

2 wkMatrix structure retained in a tissue-supportive environment at body temperature
24 hContinuous release of collagen type I under collagenase
11Donors analyzed for extracellular vesicles
~928 billionExtracellular vesicles per mL, on average

Study design

Laboratory Methods, Multiple Donors

The researchers studied equicenta® CTM samples from multiple donors in the laboratory.

Microscopy

Examined the structure of the matrix and how long it held that structure at body temperature.

Enzyme digestion and protein assays

Exposed the matrix to collagenase, an enzyme found in injured tissue, and measured selected proteins and cytokines.

Nanoparticle analysis

Counted and sized extracellular vesicles in samples from 11 donors and tested for exosome-associated markers.

Led by Britta S. Leise, DVM, PhD, DACVS-LA, of the Equine Health and Sports Performance Program at the LSU School of Veterinary Medicine, with Antonio P. N. Catunda, DVM, PhD, and Alicia L. Bertone, DVM, PhD, DACVS, DACVSMR.

What the researchers observed

A Natural Scaffold, Gradually Broken Down

A fibrillar, net-like matrix

Microscopy revealed a fibrillar, net-like extracellular matrix that kept its structure for two weeks in a tissue-supportive environment at body temperature.

Gradual breakdown under collagenase

When exposed to collagenase, the type of enzyme found in injured tissue, the matrix broke down gradually, releasing collagen type I continuously over 24 hours.

Selected proteins measured

Protein Levels After Matrix Breakdown

When the matrix was broken down, levels of these proteins increased, consistent with these factors being associated with the scaffold.

Fold increase after matrix breakdown

As reported in the study.

A2MTIMP-2IGF-1

Bars drawn to scale. A2M: alpha-2 macroglobulin. TIMP-2: tissue inhibitor of metalloproteinase 2. IGF-1: insulin-like growth factor 1.

Cytokines, under the study conditions

Pro-inflammatory cytokines were low and decreased further after matrix extraction.

IL-1 receptor antagonist (IL-1Ra) was the most abundant anti-inflammatory cytokine measured.

Characterization

Extracellular Vesicles

~928 billionEVs per mL, average across 11 donors
~134 nmAverage particle size
11Donors analyzed
4Exosome-associated markers detected

CD9, CD63 and CD81

Surface markers associated with exosomes, detected on the vesicles.

ALIX

A cargo marker associated with exosomes, also detected.

Where this fits

Three Peer-Reviewed Publications

BMC Medicine, 2025

Protein content of equicenta® CTM and a 42-day biocompatibility study in 8 clinically normal horses. See the BMC study

Frontiers in Veterinary Science, 2026

A multicenter controlled clinical trial in 138 horses with 195 conditions across 8 U.S. equine practices. See the clinical study

Veterinary Medicine: Research and Reports, 2026

This study: in vitro characterization of structure, breakdown, proteins and extracellular vesicles. Read the paper

References

  1. Leise BS, Catunda APN, Bertone AL. Microscopic and biological characterization of cryopreserved equine umbilical tissue allograft. Vet Med (Auckl) 2026;17:633966. Full text · https://doi.org/10.2147/VMRR.S633966
  2. Bertone AL, et al. Front. Vet. Sci. 13:1833933 (2026). doi: 10.3389/fvets.2026.1833933. https://doi.org/10.3389/fvets.2026.1833933
  3. Bertone AL, Reinemeyer C, Tsaprailis G, Ragland D, Leise B. Cryopreserved equine umbilical cord tissue allograft characterization and biocompatibility in vivo in musculoskeletal tissues: a controlled study. BMC Medicine 2025;23:439. https://doi.org/10.1186/s12916-025-04231-7

Next

Explore the Rest of the Data

Two earlier peer-reviewed studies describe the protein content and in vivo biocompatibility of equicenta® CTM, and a multicenter controlled clinical trial.

Read the Paper See the Clinical Study