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This research article focused on investigating the occurrence of insect bite hypersensitivity (IBH), a skin inflammation caused by Culicoides spp. bites, in horses exported from Iceland to Switzerland. The study concluded that horses in Iceland had not been sensitized to common insects in the region and their susceptibility to IBH when relocated could not be predicted using existing tests.
In this study, the authors sought to understand the incidence and mechanism of Insect Bite Hypersensitivity (IBH) in horses that are moved from Iceland to Switzerland. The Culicoides spp., which are present in Europe but not in Iceland, are the main cause of IBH. Another insect, Simulium vittatum (S. vittatum), is found in Iceland and researchers used its presence to carry out what is known as an sLT release assay on horses living in Iceland. The main objectives were:
A total of 145 horses were included in this longitudinal study. The researchers found that horses living in Iceland, even in high S. vittatum areas, tended not to be sensitized to S. vittatum or C. nubeculosus. Over the course of the study, it was found that the incidence of IBH was 51%. The research showed that it took about 2.5 years on average for the horses to develop IBH after moving to Switzerland. Importantly, the sLT levels did not differ significantly between the healthy and IBH groups after the first summer in Switzerland, but they did rise significantly in the IBH group after the second summer.
The major finding of this study is that horses in Iceland are not initially sensitized to S. vittatum and that they develop sensitivity to this insect only after developing IBH, possibly as a result of immunological cross-reactivity. Interestingly, a few of the horses that remained healthy also showed a transient positive in the sLT release assay, which suggests the presence of some regulatory immune response. This has significant implications on the management and control of IBH in imported horses. Despite these observations, the authors concluded that the sLT release assay is not reliable for predicting which horses would develop IBH after moving from Iceland to Switzerland.
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