Efficacy of tamoxifen for the treatment of severe equine asthma.
Abstract: Tamoxifen, a selective estrogen receptor modulator, decreased airway neutrophilia and improved clinical signs in an experimental model of equine asthma, and induced neutrophilic apoptosis in vitro. Objective: Tamoxifen reduces airway neutrophilia and improves lung function in severe asthmatic horses. Methods: Twelve severe asthmatic horses from a research herd. Methods: Randomized controlled blinded study design. The effects of a 12-day oral treatment with tamoxifen (0.22 mg/kg, q24h) or dexamethasone (0.06 mg/kg, q24h) on lung function, endoscopic tracheal mucus score and bronchoalveolar lavage fluid cytology were compared. Results: Tamoxifen significantly improved the pulmonary resistance (R ; mean reduction of 1.15 cm H O/L/s [CI: 0.29-2.01, P = .007] on day 13), but had no effect on the other variables evaluated. Dexamethasone normalized lung function (mean reduction of R of 2.48 cm H O/L/s [CI: 1.54-3.43, P < .0001] on day 13), without affecting airway neutrophilia. Conclusions: Results of this study do not support the use of tamoxifen at the dose studied as an antineutrophilic medication in the treatment of asthmatic horses in chronic exacerbation.
© 2018 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
Publication Date: 2018-08-07 PubMed ID: 30084157PubMed Central: PMC6189378DOI: 10.1111/jvim.15289Google Scholar: Lookup
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- Clinical Trial
- Veterinary
- Journal Article
Summary
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The research paper investigates the effectiveness of a medication called tamoxifen in treating severe asthma in horses. It finds that while tamoxifen assists in reducing instances of neutrophilia- an increase in neutrophil concentration which is usually a reaction to inflammation- in the airways, it does not significantly affect other variables related to asthma.
Objective and Methodology
- The main objective of this study was to understand if tamoxifen, a selective estrogen receptor modulator, can aid in reducing airway neutrophilia, thereby improving lung function in horses with severe asthma. In simpler terms, the goal was to explore if tamoxifen could help decrease inflammation in the airways of horses and thus, improve their breathing.
- The study used 12 asthmatic horses from a research herd and employed a randomized, controlled, blinded design. This design ensures no bias or external influence would impact their research, providing for an objective and accurate assessment.
- The researchers then compared the effects of a 12-day oral treatment with tamoxifen with a similar treatment course using dexamethasone, another anti-inflammatory drug. The comparison involved assessing the lung function, endoscopic tracheal mucus score, and the changes in the cellular composition of the bronchoalveolar lavage fluid (BALF), which is a tool to visualize lung inflammation.
Results
- The administration of tamoxifen led to significant improvements in terms of pulmonary resistance. However, it didn’t impact any other variables studied.
- On the other hand, Dexamethasone managed to normalize lung function without making any considerable difference to the airway neutrophilia.
Conclusions
- The research concluded that the dose of tamoxifen studied did not have a substantial antineutrophilic effect in treating asthma in horses experiencing chronic exacerbation.
- The researchers, therefore, do not recommend the usage of tamoxifen in the given dose as a medication for treating horses with asthma.
Cite This Article
APA
Mainguy-Seers S, Picotte K, Lavoie JP.
(2018).
Efficacy of tamoxifen for the treatment of severe equine asthma.
J Vet Intern Med, 32(5), 1748-1753.
https://doi.org/10.1111/jvim.15289 Publication
Researcher Affiliations
- Faculty of Veterinary Medicine, Department of Clinical Sciences, Université de Montréal, St-Hyacinthe, QC, Canada.
- Faculty of Veterinary Medicine, Department of Clinical Sciences, Université de Montréal, St-Hyacinthe, QC, Canada.
- Faculty of Veterinary Medicine, Department of Clinical Sciences, Université de Montréal, St-Hyacinthe, QC, Canada.
MeSH Terms
- Animals
- Asthma / drug therapy
- Asthma / veterinary
- Bronchoalveolar Lavage Fluid / cytology
- Female
- Horse Diseases / drug therapy
- Horses
- Male
- Random Allocation
- Selective Estrogen Receptor Modulators / therapeutic use
- Tamoxifen / therapeutic use
Grant Funding
- Canadian Institutes of Health Research
- Equine Research Fund of the Universitu00e9 de Montru00e9al (unrestricted grant from Zoetis)
References
This article includes 37 references
- Pirie RS. Recurrent airway obstruction: a review.. Equine Vet J 2014 May;46(3):276-88.
- Ciepiela O, Ostafin M, Demkow U. Neutrophils in asthma--a review.. Respir Physiol Neurobiol 2015 Apr;209:13-6.
- Côté O, Clark ME, Viel L, Labbé G, Seah SY, Khan MA, Douda DN, Palaniyar N, Bienzle D. Secretoglobin 1A1 and 1A1A differentially regulate neutrophil reactive oxygen species production, phagocytosis and extracellular trap formation.. PLoS One 2014;9(4):e96217.
- Farah CS, Keulers LA, Hardaker KM, Peters MJ, Berend N, Postma DS, Salome CM, King GG. Association between peripheral airway function and neutrophilic inflammation in asthma.. Respirology 2015 Aug;20(6):975-81.
- Leclere M, Lavoie-Lamoureux A, Joubert P, Relave F, Setlakwe EL, Beauchamp G, Couture C, Martin JG, Lavoie JP. Corticosteroids and antigen avoidance decrease airway smooth muscle mass in an equine asthma model.. Am J Respir Cell Mol Biol 2012 Nov;47(5):589-96.
- Lavoie JP, Pasloske K, Joubert P, Cordeau ME, Mancini J, Girard Y, Friesen RW, Frenette R, Blouin M, Young RN, Hickey G. Lack of clinical efficacy of a phosphodiesterase-4 inhibitor for treatment of heaves in horses.. J Vet Intern Med 2006 Jan-Feb;20(1):175-81.
- Rush BR, Raub ES, Rhoads WS, Flaminio MJ, Matson CJ, Hakala JE, Gillespie JR. Pulmonary function in horses with recurrent airway obstruction after aerosol and parenteral administration of beclomethasone dipropionate and dexamethasone, respectively.. Am J Vet Res 1998 Aug;59(8):1039-43.
- Leclere M, Lavoie-Lamoureux A, Lavoie JP. Heaves, an asthma-like disease of horses.. Respirology 2011 Oct;16(7):1027-46.
- Traboulsi T, El Ezzy M, Gleason JL, Mader S. Antiestrogens: structure-activity relationships and use in breast cancer treatment.. J Mol Endocrinol 2017 Jan;58(1):R15-R31.
- Howell SJ, Johnston SR, Howell A. The use of selective estrogen receptor modulators and selective estrogen receptor down-regulators in breast cancer.. Best Pract Res Clin Endocrinol Metab 2004 Mar;18(1):47-66.
- Behjati S, Frank MH. The effects of tamoxifen on immunity.. Curr Med Chem 2009;16(24):3076-80.
- Colón JM, Miranda JD. Tamoxifen: an FDA approved drug with neuroprotective effects for spinal cord injury recovery.. Neural Regen Res 2016 Aug;11(8):1208-11.
- Sereda D, Werth VP. Improvement in dermatomyositis rash associated with the use of antiestrogen medication.. Arch Dermatol 2006 Jan;142(1):70-2.
- Few J, Thompson NW, Angelos P, Simeone D, Giordano T, Reeve T. Riedel's thyroiditis: treatment with tamoxifen.. Surgery 1996 Dec;120(6):993-8; discussion 998-9.
- Chandler MH, Schuldheisz S, Phillips BA, Muse KN. Premenstrual asthma: the effect of estrogen on symptoms, pulmonary function, and beta 2-receptors.. Pharmacotherapy 1997 Mar-Apr;17(2):224-34.
- Troisi RJ, Speizer FE, Willett WC, Trichopoulos D, Rosner B. Menopause, postmenopausal estrogen preparations, and the risk of adult-onset asthma. A prospective cohort study.. Am J Respir Crit Care Med 1995 Oct;152(4 Pt 1):1183-8.
- Borlone C, Morales N, Henriquez C, Folch H, Olave C, Sarmiento J, Uberti B, Moran G. In Vitro effects of tamoxifen on equine neutrophils.. Res Vet Sci 2017 Feb;110:60-64.
- Sarmiento J, Perez B, Morales N, Henriquez C, Vidal L, Folch H, Galecio JS, Morán G. Apoptotic effects of tamoxifen on leukocytes from horse peripheral blood and bronchoalveolar lavage fluid.. Vet Res Commun 2013 Dec;37(4):333-8.
- Perez B, Henriquez C, Sarmiento J, Morales N, Folch H, Galesio JS, Uberti B, Morán G. Tamoxifen as a new therapeutic tool for neutrophilic lung inflammation.. Respirology 2016 Jan;21(1):112-8.
- Gerber V, Straub R, Marti E, Hauptman J, Herholz C, King M, Imhof A, Tahon L, Robinson NE. Endoscopic scoring of mucus quantity and quality: observer and horse variance and relationship to inflammation, mucus viscoelasticity and volume.. Equine Vet J 2004 Nov;36(7):576-82.
- Robinson NE, Olszewski MA, Boehler D, Berney C, Hakala J, Matson C, Derksen FJ. Relationship between clinical signs and lung function in horses with recurrent airway obstruction (heaves) during a bronchodilator trial.. Equine Vet J 2000 Sep;32(5):393-400.
- Couroucé-Malblanc A, Fortier G, Pronost S, Siliart B, Brachet G. Comparison of prednisolone and dexamethasone effects in the presence of environmental control in heaves-affected horses.. Vet J 2008 Feb;175(2):227-33.
- Bekele RT, Venkatraman G, Liu RZ, Tang X, Mi S, Benesch MG, Mackey JR, Godbout R, Curtis JM, McMullen TP, Brindley DN. Oxidative stress contributes to the tamoxifen-induced killing of breast cancer cells: implications for tamoxifen therapy and resistance.. Sci Rep 2016 Feb 17;6:21164.
- Corriden R, Hollands A, Olson J, Derieux J, Lopez J, Chang JT, Gonzalez DJ, Nizet V. Tamoxifen augments the innate immune function of neutrophils through modulation of intracellular ceramide.. Nat Commun 2015 Oct 13;6:8369.
- Leclere M, Lavoie-Lamoureux A, Gélinas-Lymburner E, David F, Martin JG, Lavoie JP. Effect of antigenic exposure on airway smooth muscle remodeling in an equine model of chronic asthma.. Am J Respir Cell Mol Biol 2011 Jul;45(1):181-7.
- Tavares IA, Stamford IF, Bennett A. Tamoxifen inhibits 5-lipoxygenase in human polymorphonuclear leucocytes.. J Pharm Pharmacol 1987 Apr;39(4):323-4.
- Wei HY, Ma X. Tamoxifen reduces infiltration of inflammatory cells, apoptosis and inhibits IKK/NF-kB pathway after spinal cord injury in rats.. Neurol Sci 2014 Nov;35(11):1763-8.
- Dworski R, Simon HU, Hoskins A, Yousefi S. Eosinophil and neutrophil extracellular DNA traps in human allergic asthmatic airways.. J Allergy Clin Immunol 2011 May;127(5):1260-6.
- Komi J, Lassila O. Nonsteroidal anti-estrogens inhibit the functional differentiation of human monocyte-derived dendritic cells.. Blood 2000 May 1;95(9):2875-82.
- Lavoie JP, Maghni K, Desnoyers M, Taha R, Martin JG, Hamid QA. Neutrophilic airway inflammation in horses with heaves is characterized by a Th2-type cytokine profile.. Am J Respir Crit Care Med 2001 Oct 15;164(8 Pt 1):1410-3.
- Cordeau ME, Joubert P, Dewachi O, Hamid Q, Lavoie JP. IL-4, IL-5 and IFN-gamma mRNA expression in pulmonary lymphocytes in equine heaves.. Vet Immunol Immunopathol 2004 Jan;97(1-2):87-96.
- Smith RP, Dewar JA, Winter JH. Tamoxifen-induced asthma.. Lancet 1993 Mar 20;341(8847):772.
- Fairbairn SM, Page CP, Lees P, Cunningham FM. Early neutrophil but not eosinophil or platelet recruitment to the lungs of allergic horses following antigen exposure.. Clin Exp Allergy 1993 Oct;23(10):821-8.
- Townsend EA, Sathish V, Thompson MA, Pabelick CM, Prakash YS. Estrogen effects on human airway smooth muscle involve cAMP and protein kinase A.. Am J Physiol Lung Cell Mol Physiol 2012 Nov 15;303(10):L923-8.
- Song J, Standley PR, Zhang F, Joshi D, Gappy S, Sowers JR, Ram JL. Tamoxifen (estrogen antagonist) inhibits voltage-gated calcium current and contractility in vascular smooth muscle from rats.. J Pharmacol Exp Ther 1996 Jun;277(3):1444-53.
- Glade MJ, Krook L, Schryver HF, Hintz HF. Calcium metabolism in glucocorticoid-treated pony foals.. J Nutr 1982 Jan;112(1):77-86.
- Liamis G, Milionis HJ, Elisaf M. A review of drug-induced hypocalcemia.. J Bone Miner Metab 2009;27(6):635-42.
Citations
This article has been cited 6 times.- Salinas C, Barriga K, Albornoz A, Alarcon P, Quiroga J, Uberti B, Sarmiento J, Henriquez C, Ehrenfeld P, Burgos RA, Moran G. Tamoxifen triggers the in vitro release of neutrophil extracellular traps in healthy horses.. Front Vet Sci 2022;9:1025249.
- Mainguy-Seers S, Diaw M, Lavoie JP. Lung Function Variation during the Estrus Cycle of Mares Affected by Severe Asthma.. Animals (Basel) 2022 Feb 17;12(4).
- Luo SD, Chiu TJ, Chen WC, Wang CS. Sex Differences in Otolaryngology: Focus on the Emerging Role of Estrogens in Inflammatory and Pro-Resolving Responses.. Int J Mol Sci 2021 Aug 16;22(16).
- Mainguy-Seers S, Lavoie JP. Glucocorticoid treatment in horses with asthma: A narrative review.. J Vet Intern Med 2021 Jul;35(4):2045-2057.
- Albornoz A, Morales N, Uberti B, Henriquez C, Burgos RA, Alarcon P, Moran G. Tamoxifen and its metabolites induce mitochondrial membrane depolarization and caspase-3 activation in equine neutrophils.. Vet Med Sci 2020 Nov;6(4):673-678.
- Gajardo G, López-Muñoz R, Plaza A, Uberti B, Sarmiento J, Morán G, Henríquez C. Tamoxifen in horses: pharmacokinetics and safety study.. Ir Vet J 2019;72:5.
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