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Journal of veterinary internal medicine2015; 29(2); 626-635; doi: 10.1111/jvim.12558

Glucocorticoid receptor density and binding affinity in healthy horses and horses with systemic inflammatory response syndrome.

Abstract: Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis occurs in horses with systemic inflammatory response syndrome (SIRS). Peripheral resistance to glucocorticoids has not been investigated in horses. Objective: To determine if glucocorticoid receptor (GR) function in horses can be measured using flow cytometry, and to use this information to evaluate HPA axis dynamics. Methods: Eleven healthy adult horses in parts 1 and 2. Ten horses with SIRS and 10 age and sex matched controls in part 3. Methods: Flow cytometry was used to evaluate GR density and binding affinity (BA) in 3 healthy horses in part 1. In part 2, exogenous ACTH was administered to eight healthy horses. Their cortisol response and GR properties were measured. In part 3, CBC, serum biochemistry, cortisol and ACTH, and GR properties were compared between controls without SIRS (n = 10) and horses with SIRS (n = 10), and between survivors and nonsurvivors (n = 4 and n = 6 respectively). Results: Flow cytometry can be used to measure GR properties in equine PBMCs. No correlation was observed between plasma cortisol concentration and GR density or BA in healthy horses (r = -0.145, P = .428 and r = 0.046, P = .802 respectively). Nonsurvivors with SIRS had significantly decreased GR BA (P = .008). Horses with triglyceride concentration > 28.5 mg/dL had increased odds of nonsurvival (OR=117; 95% CI, 1.94-7,060). GR BA <35.79% was associated with nonsurvival (OR = 30.33; 95% CI, 0.96-960.5). Conclusions: Tissue resistance to glucocorticoids contributes to HPA axis dysfunction in adult horses with SIRS. These horses might benefit from treatment with exogenous glucocorticoids.
Publication Date: 2015-03-31 PubMed ID: 25818217PubMed Central: PMC4895485DOI: 10.1111/jvim.12558Google Scholar: Lookup
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  • Journal Article

Summary

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This research involves studying the density and binding affinity of glucocorticoid receptors in horses, focusing on healthy horses and those suffering from systemic inflammatory response syndrome (SIRS). The aim is to see whether these factors can shed light on the dynamics of the horse’s hypothalamic-pituitary-adrenal (HPA) axis and the disorder of this system in horses with SIRS.

Methodology

  • The researchers conducted the study in three parts, each involving a different set of horses and objectives.
  • In the first part, three healthy horses were subjected to flow cytometry to evaluate glucocorticoid receptor (GR) density and binding affinity.
  • The second part involved giving eight healthy horses exogenous ACTH (a hormone that stimulates the adrenal glands to release cortisol and other compounds). This was to observe the response of cortisol and GR properties in these horses.
  • In the last part, the researchers compared various parameters such as complete blood count (CBC), serum biochemistry, cortisol and ACTH levels, and GR properties between a group of horses suffering from SIRS and a control group of healthy horses.
  • The same parameters were also compared between survivors and nonsurvivors of SIRS.

Results and Interpretation

  • Flow cytometry was found to be an effective method for examining GR properties in horse immune cells (PBMCs).
  • In healthy horses, no correlation was found between plasma cortisol levels and GR density or binding affinity.
  • Horses that did not survive SIRS demonstrated a significant decrease in GR binding affinity.
  • Horses with triglyceride levels above 28.5 mg/dL had increased odds of not surviving – indicating a potential risk factor for mortality in horses suffering from SIRS.
  • Similarly, a GR binding affinity of less than 35.79% was associated with poor survival outcomes.

Conclusions

  • The study concludes that tissue resistance to glucocorticoids – steroids that reduce inflammation and regulate metabolism – can contribute to HPA axis dysfunction in adult horses with SIRS.
  • This HPA axis dysfunction may be a key factor in the severity of SIRS in horses.
  • The findings suggest that horses suffering from SIRS may benefit from treatment with exogenous glucocorticoids to potentially improve their health outcomes.

Cite This Article

APA
Hoffman CJ, McKenzie HC, Furr MO, Desrochers A. (2015). Glucocorticoid receptor density and binding affinity in healthy horses and horses with systemic inflammatory response syndrome. J Vet Intern Med, 29(2), 626-635. https://doi.org/10.1111/jvim.12558

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 29
Issue: 2
Pages: 626-635

Researcher Affiliations

Hoffman, C J
  • Marion duPont Scott Equine Medical Center, Virginia/Maryland Regional College of Veterinary Medicine, Leesburg, VA.
McKenzie, H C
    Furr, M O
      Desrochers, A

        MeSH Terms

        • Adrenocorticotropic Hormone / pharmacology
        • Animals
        • Critical Illness
        • Flow Cytometry
        • Horse Diseases / metabolism
        • Horses
        • Hydrocortisone / metabolism
        • Hypothalamo-Hypophyseal System / physiology
        • Leukocytes, Mononuclear / metabolism
        • Pituitary-Adrenal System / physiology
        • Protein Binding
        • Receptors, Glucocorticoid / genetics
        • Receptors, Glucocorticoid / metabolism
        • Systemic Inflammatory Response Syndrome / metabolism
        • Systemic Inflammatory Response Syndrome / veterinary

        References

        This article includes 53 references
        1. Hart KA, Slovis NM, Barton MH. Hypothalamic-pituitary-adrenal axis dysfunction in hospitalized neonatal foals.. J Vet Intern Med 2009 Jul-Aug;23(4):901-12.
        2. Hinchcliff KW, Rush BR, Farris JW. Evaluation of plasma catecholamine and serum cortisol concentrations in horses with colic.. J Am Vet Med Assoc 2005 Jul 15;227(2):276-80.
          pubmed: 16047666doi: 10.2460/javma.2005.227.276google scholar: lookup
        3. Gold JR, Divers TJ, Barton MH, Lamb SV, Place NJ, Mohammed HO, Bain FT. Plasma adrenocorticotropin, cortisol, and adrenocorticotropin/cortisol ratios in septic and normal-term foals.. J Vet Intern Med 2007 Jul-Aug;21(4):791-6.
        4. Wong DM, Vo DT, Alcott CJ, Peterson AD, Sponseller BA, Hsu WH. Baseline plasma cortisol and ACTH concentrations and response to low-dose ACTH stimulation testing in ill foals.. J Am Vet Med Assoc 2009 Jan 1;234(1):126-32.
          pubmed: 19119977doi: 10.2460/javma.234.1.126google scholar: lookup
        5. Stewart AJ, Hackett E, Towns TJ. Identification of critical illness related corticosteroid insufficiency in crticially ill horses. J Vet Intern Med 2011;25:749.
        6. Liu DH, Su YP, Zhang W, Lu SF, Ran XZ, Gao JS, Cheng TM. Changes in glucocorticoid and mineralocorticoid receptors of liver and kidney cytosols after pathologic stress and its regulation in rats.. Crit Care Med 2002 Mar;30(3):623-7.
        7. Siebig S, Meinel A, Rogler G, Klebl E, Wrede CE, Gelbmann C, Froh S, Rockmann F, Bruennler T, Schoelmerich J, Langgartner J. Decreased cytosolic glucocorticoid receptor levels in critically ill patients.. Anaesth Intensive Care 2010 Jan;38(1):133-40.
          pubmed: 20191789doi: 10.1177/0310057x1003800122google scholar: lookup
        8. Fan J, Gong XQ, Wu J, Zhang YF, Xu RB. Effect of glucocorticoid receptor (GR) blockade on endotoxemia in rats.. Circ Shock 1994 Feb;42(2):76-82.
          pubmed: 8013064
        9. Cho YJ, Lee KE. Decreased glucocorticoid binding affinity to glucocorticoid receptor is important in the poor response to steroid therapy of older-aged patients with severe bronchial asthma.. Allergy Asthma Proc 2003 Sep-Oct;24(5):353-8.
          pubmed: 14619336
        10. Ysrraelit MC, Gaitán MI, Lopez AS, Correale J. Impaired hypothalamic-pituitary-adrenal axis activity in patients with multiple sclerosis.. Neurology 2008 Dec 9;71(24):1948-54.
        11. Du J, Li M, Zhang D, Zhu X, Zhang W, Gu W, Feng Y, Zhai X, Ling C. Flow cytometry analysis of glucocorticoid receptor expression and binding in steroid-sensitive and steroid-resistant patients with systemic lupus erythematosus.. Arthritis Res Ther 2009;11(4):R108.
          pmc: PMC2745790pubmed: 19594946doi: 10.1186/ar2763google scholar: lookup
        12. Annane D, Bellissant E, Bollaert PE, Briegel J, Confalonieri M, De Gaudio R, Keh D, Kupfer Y, Oppert M, Meduri GU. Corticosteroids in the treatment of severe sepsis and septic shock in adults: a systematic review.. JAMA 2009 Jun 10;301(22):2362-75.
          pubmed: 19509383doi: 10.1001/jama.2009.815google scholar: lookup
        13. Marik PE, Pastores SM, Annane D, Meduri GU, Sprung CL, Arlt W, Keh D, Briegel J, Beishuizen A, Dimopoulou I, Tsagarakis S, Singer M, Chrousos GP, Zaloga G, Bokhari F, Vogeser M. Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care Medicine.. Crit Care Med 2008 Jun;36(6):1937-49.
          pubmed: 18496365doi: 10.1097/ccm.0b013e31817603bagoogle scholar: lookup
        14. Marik PE. Critical illness-related corticosteroid insufficiency.. Chest 2009 Jan;135(1):181-193.
          pubmed: 19136406doi: 10.1378/chest.08-1149google scholar: lookup
        15. Keh D, Boehnke T, Weber-Cartens S, Schulz C, Ahlers O, Bercker S, Volk HD, Doecke WD, Falke KJ, Gerlach H. Immunologic and hemodynamic effects of "low-dose" hydrocortisone in septic shock: a double-blind, randomized, placebo-controlled, crossover study.. Am J Respir Crit Care Med 2003 Feb 15;167(4):512-20.
          pubmed: 12426230doi: 10.1164/rccm.200205-446ocgoogle scholar: lookup
        16. Minneci PC, Deans KJ, Eichacker PQ, Natanson C. The effects of steroids during sepsis depend on dose and severity of illness: an updated meta-analysis.. Clin Microbiol Infect 2009 Apr;15(4):308-18.
        17. Watterberg KL, Gerdes JS, Cole CH, Aucott SW, Thilo EH, Mammel MC, Couser RJ, Garland JS, Rozycki HJ, Leach CL, Backstrom C, Shaffer ML. Prophylaxis of early adrenal insufficiency to prevent bronchopulmonary dysplasia: a multicenter trial.. Pediatrics 2004 Dec;114(6):1649-57.
          pubmed: 15574629doi: 10.1542/peds.2004-1159google scholar: lookup
        18. Lamberts SW, Bruining HA, de Jong FH. Corticosteroid therapy in severe illness.. N Engl J Med 1997 Oct 30;337(18):1285-92.
          pubmed: 9345079doi: 10.1056/nejm199710303371807google scholar: lookup
        19. Briegel J, Kellermann W, Forst H, Haller M, Bittl M, Hoffmann GE, Büchler M, Uhl W, Peter K. Low-dose hydrocortisone infusion attenuates the systemic inflammatory response syndrome. The Phospholipase A2 Study Group.. Clin Investig 1994 Oct;72(10):782-7.
          pubmed: 7865982doi: 10.1007/bf00180547google scholar: lookup
        20. Sprung CL, Annane D, Keh D, Moreno R, Singer M, Freivogel K, Weiss YG, Benbenishty J, Kalenka A, Forst H, Laterre PF, Reinhart K, Cuthbertson BH, Payen D, Briegel J. Hydrocortisone therapy for patients with septic shock.. N Engl J Med 2008 Jan 10;358(2):111-24.
          pubmed: 18184957doi: 10.1056/nejmoa071366google scholar: lookup
        21. Schwarz BC, van den Hoven R, Schwendenwein I. Diagnostic value of the neutrophil myeloperoxidase index in horses with systemic inflammation.. Vet J 2012 Jan;191(1):72-8.
          pubmed: 21262582doi: 10.1016/j.tvjl.2010.12.010google scholar: lookup
        22. Corley KT, McKenzie HC, Amoroso LM. Initial experience with norepinephrine infusion in hypotensive criticall ill foals. J Vet Emerg Crit Care 2000;10:267–276.
        23. Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal SM, Vincent JL, Ramsay G. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference.. Crit Care Med 2003 Apr;31(4):1250-6.
        24. Singh AK, Jiang Y, White T, Spassova D. Validation of nonradioactive chemiluminescent immunoassay methods for the analysis of thyroxine and cortisol in blood samples obtained from dogs, cats, and horses.. J Vet Diagn Invest 1997 Jul;9(3):261-8.
          pubmed: 9249165doi: 10.1177/104063879700900307google scholar: lookup
        25. Perkins GA, Lamb S, Erb HN, Schanbacher B, Nydam DV, Divers TJ. Plasma adrenocorticotropin (ACTH) concentrations and clinical response in horses treated for equine Cushing's disease with cyproheptadine or pergolide.. Equine Vet J 2002 Nov;34(7):679-85.
          pubmed: 12455838doi: 10.2746/042516402776250333google scholar: lookup
        26. Jones KH, Senft JA. An improved method to determine cell viability by simultaneous staining with fluorescein diacetate-propidium iodide.. J Histochem Cytochem 1985 Jan;33(1):77-9.
          pubmed: 2578146doi: 10.1177/33.1.2578146google scholar: lookup
        27. Nguyen D, Diamond LW, Braylan RC. FCM immunophenotyping and DNA analysis: Practical aspects that can affect data analysis and interpretation. In: Nguyen D, Diamond LW, Braylan RC, ed. Flow Cytometry in Hematopathology: A Visual Approach to Data Analysis and Interpretation, 2nd ed Totowa, NJ: Humana Press; 2007:13–48.
        28. Butts CL, Jones YL, Lim JK, Salter CE, Belyavskaya E, Sternberg EM. Tissue expression of steroid hormone receptors is associated with differential immune responsiveness.. Brain Behav Immun 2011 Jul;25(5):1000-7.
          pmc: PMC3073144pubmed: 21074604doi: 10.1016/j.bbi.2010.11.003google scholar: lookup
        29. Voutsas IF, Gritzapis AD, Alexis MN, Katsanou ES, Perez S, Baxevanis CN, Papamichail M. A novel quantitative flow cytometric method for measuring glucocorticoid receptor (GR) in cell lines: correlation with the biochemical determination of GR.. J Immunol Methods 2007 Jul 31;324(1-2):110-9.
          pubmed: 17582432doi: 10.1016/j.jim.2007.05.007google scholar: lookup
        30. Gotovac K, Sabioncello A, Rabatic S, Berki T, Dekaris D. Flow cytometric determination of glucocorticoid receptor (GCR) expression in lymphocyte subpopulations: lower quantity of GCR in patients with post-traumatic stress disorder (PTSD).. Clin Exp Immunol 2003 Feb;131(2):335-9.
        31. Marchetti D, Van NT, Gametchu B, Thompson EB, Kobayashi Y, Watanabe F, Barlogie B. Flow cytometric analysis of glucocorticoid receptor using monoclonal antibody and fluoresceinated ligand probes.. Cancer Res 1989 Feb 15;49(4):863-9.
          pubmed: 2492208
        32. Berki T, Tavakoli A, Nagy KK, Nagy G, Németh P. Alterations of glucocorticoid receptor expression during glucocorticoid hormone therapy in renal transplant patients.. Transpl Int 2002 Mar;15(2-3):132-8.
          pubmed: 11935170doi: 10.1007/s00147-002-0397-xgoogle scholar: lookup
        33. Butts CL, Sternberg EM. Flow cytometry as a tool for measurement of steroid hormone receptor protein expression in leukocytes.. Methods Mol Biol 2009;505:35-50.
          pmc: PMC2860280pubmed: 19117138doi: 10.1007/978-1-60327-575-0_3google scholar: lookup
        34. Preisler MT, Weber PS, Tempelman RJ, Erskine RJ, Hunt H, Burton JL. Glucocorticoid receptor expression profiles in mononuclear leukocytes of periparturient Holstein cows.. J Dairy Sci 2000 Jan;83(1):38-47.
        35. Molijn GJ, Spek JJ, van Uffelen JC, de Jong FH, Brinkmann AO, Bruining HA, Lamberts SW, Koper JW. Differential adaptation of glucocorticoid sensitivity of peripheral blood mononuclear leukocytes in patients with sepsis or septic shock.. J Clin Endocrinol Metab 1995 Jun;80(6):1799-803.
          pubmed: 7775626doi: 10.1210/jcem.80.6.7775626google scholar: lookup
        36. Kam JC, Szefler SJ, Surs W, Sher ER, Leung DY. Combination IL-2 and IL-4 reduces glucocorticoid receptor-binding affinity and T cell response to glucocorticoids.. J Immunol 1993 Oct 1;151(7):3460-6.
          pubmed: 8376786
        37. Kino T, Su YA, Chrousos GP. Human glucocorticoid receptor isoform beta: recent understanding of its potential implications in physiology and pathophysiology.. Cell Mol Life Sci 2009 Nov;66(21):3435-48.
          pmc: PMC2796272pubmed: 19633971doi: 10.1007/s00018-009-0098-zgoogle scholar: lookup
        38. Longui CA, Vottero A, Adamson PC, Cole DE, Kino T, Monte O, Chrousos GP. Low glucocorticoid receptor alpha/beta ratio in T-cell lymphoblastic leukemia.. Horm Metab Res 2000 Oct;32(10):401-6.
          pubmed: 11069204doi: 10.1055/s-2007-978661google scholar: lookup
        39. Piotrowski P, Burzynski M, Lianeri M, Mostowska M, Wudarski M, Chwalinska-Sadowska H, Jagodzinski PP. Glucocorticoid receptor beta splice variant expression in patients with high and low activity of systemic lupus erythematosus.. Folia Histochem Cytobiol 2007;45(4):339-42.
          pubmed: 18165172
        40. Webster JC, Oakley RH, Jewell CM, Cidlowski JA. Proinflammatory cytokines regulate human glucocorticoid receptor gene expression and lead to the accumulation of the dominant negative beta isoform: a mechanism for the generation of glucocorticoid resistance.. Proc Natl Acad Sci U S A 2001 Jun 5;98(12):6865-70.
          pmc: PMC34444pubmed: 11381138doi: 10.1073/pnas.121455098google scholar: lookup
        41. Hart KA, Barton MH. Adrenocortical insufficiency in horses and foals.. Vet Clin North Am Equine Pract 2011 Apr;27(1):19-34.
          pmc: PMC3073730pubmed: 21392651doi: 10.1016/j.cveq.2010.12.005google scholar: lookup
        42. LEVIN J, CLUFF LE. ENDOTOXEMIA AND ADRENAL HEMORRHAGE. A MECHANISM FOR THE WATERHOUSE-FRIDERICHSEN SYNDROME.. J Exp Med 1965 Feb 1;121(2):247-60.
          pmc: PMC2137979pubmed: 14264270doi: 10.1084/jem.121.2.247google scholar: lookup
        43. Rooney JR, Bryans JT, Prickett ME, Zent WW. Exhaustion shock in the horse.. Cornell Vet 1966 Apr;56(2):220-35.
          pubmed: 6006347
        44. Kaufmann RL, Matson CF, Rowberg AH, Beisel WR. Defective lipid disposal mechanisms during bacterial infection in rhesus monkeys.. Metabolism 1976 Jun;25(6):615-24.
          pubmed: 5648doi: 10.1016/0026-0495(76)90058-5google scholar: lookup
        45. Lanza-Jacoby S, Lansey SC, Cleary MP, Rosato FE. Alterations in lipogenic enzymes and lipoprotein lipase activity during gram-negative sepsis in the rat.. Arch Surg 1982 Feb;117(2):144-7.
        46. Lanza-Jacoby S, Tabares A. Triglyceride kinetics, tissue lipoprotein lipase, and liver lipogenesis in septic rats.. Am J Physiol 1990 Apr;258(4 Pt 1):E678-85.
        47. Scholl RA, Lang CH, Bagby GJ. Hypertriglyceridemia and its relation to tissue lipoprotein lipase activity in endotoxemic, Escherichia coli bacteremic, and polymicrobial septic rats.. J Surg Res 1984 Nov;37(5):394-401.
          pubmed: 6387277doi: 10.1016/0022-4804(84)90205-1google scholar: lookup
        48. Dunkel B, McKenzie HC 3rd. Severe hypertriglyceridaemia in clinically ill horses: diagnosis, treatment and outcome.. Equine Vet J 2003 Sep;35(6):590-5.
          pubmed: 14515960doi: 10.2746/042516403775467270google scholar: lookup
        49. Armengou L, Jose-Cunilleras E, Ríos J, Cesarini C, Viu J, Monreal L. Metabolic and endocrine profiles in sick neonatal foals are related to survival.. J Vet Intern Med 2013 May-Jun;27(3):567-75.
          pubmed: 23527872doi: 10.1111/jvim.12064google scholar: lookup
        50. ten Boekel E, Vroonhof K, Huisman A, van Kampen C, de Kieviet W. Clinical laboratory findings associated with in-hospital mortality.. Clin Chim Acta 2006 Oct;372(1-2):1-13.
          pubmed: 16697361doi: 10.1016/j.cca.2006.03.024google scholar: lookup
        51. Schmielau J, Finn OJ. Activated granulocytes and granulocyte-derived hydrogen peroxide are the underlying mechanism of suppression of t-cell function in advanced cancer patients.. Cancer Res 2001 Jun 15;61(12):4756-60.
          pubmed: 11406548
        52. McKenna KC, Beatty KM, Vicetti Miguel R. Activated granulocytes and granulocyte‐derived hydrogen peroxide are the underlying mechanism of suppression of t‐cell function in advanced cancer patients. J Immunol Meth 2009;341:68–75.
        53. Fazio E, Medica P, Aronica V, Grasso L, Ferlazzo A. Circulating beta-endorphin, adrenocorticotrophic hormone and cortisol levels of stallions before and after short road transport: stress effect of different distances.. Acta Vet Scand 2008 Mar 3;50(1):6.
          pmc: PMC2268694pubmed: 18315878doi: 10.1186/1751-0147-50-6google scholar: lookup

        Citations

        This article has been cited 2 times.
        1. Stewart AJ, Hackett E, Bertin FR, Towns TJ. Cortisol and adrenocorticotropic hormone concentrations in horses with systemic inflammatory response syndrome.. J Vet Intern Med 2019 Sep;33(5):2257-2266.
          doi: 10.1111/jvim.15620pubmed: 31512777google scholar: lookup
        2. Sheats MK. A Comparative Review of Equine SIRS, Sepsis, and Neutrophils.. Front Vet Sci 2019;6:69.
          doi: 10.3389/fvets.2019.00069pubmed: 30931316google scholar: lookup