Immunohistochemical Expression of Neurokinin-A and Interleukin-8 in the Bronchial Epithelium of Horses with Severe Equine Asthma Syndrome during Asymptomatic, Exacerbation, and Remission Phase.
Abstract: Severe equine asthma (EA) syndrome is a chronic obstructive disease characterized by exaggerated contraction, inflammation, and structural alteration of the airways in adult horses, when exposed to airborne molds and particulate material. However, little is known about the relationship between the degree and type of inflammation on one hand, and the severity of the disease and the response to treatment on the other. Furthermore, to date, very few studies evaluate the diagnostic value of histology and immunohistochemical features of endoscopic biopsies on subjects with severe equine asthma. To investigate the expression of two inflammatory markers (NKA and IL-8) before, during, and after the exacerbation of severe EA, a histological and immunohistochemical study was carried out on a series of biopsy samples collected by bronchoscopy from six EA-affected horses subjected to process exacerbation through environmental stimuli and then to pharmacological treatment. The application of a histological biopsy scoring system revealed a significant difference between control cases and the EA-affected horses in all experimental phases (asymptomatic, early exacerbation phase, late exacerbation phase, and remission phase). For immunohistochemistry (IHC), only the intensity of NKA positivity increases significantly between control horses and the EA horses at late exacerbation and remission phases. In EA-affected horses, a difference was detected by comparing histology between asymptomatic and remission phase, meanwhile, NKA and IL-8 showed no differences between the experimental phases. Based on these results we can assert that: (1) The endoscopic biopsies generate reliable and homogeneous samples in the entire bronchial tree; (2) the clinical improvement associated with treatment is characterized by a significant worsening of the histological findings; and (3) the NKA immunopositivity seems to increase significantly rather than decrease, as one would have expected, after pharmacological treatment. Further studies are necessary both to implement the number of samples and to use other markers of inflammation to characterize the potential role of cytokines in the diagnosis and therapeutic approach of severe equine asthma.
Publication Date: 2021-05-12 PubMed ID: 34066204PubMed Central: PMC8151432DOI: 10.3390/ani11051376Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research explores how two inflammation markers, Neurokinin-A (NKA) and Interleukin-8 (IL-8), behave before, during, and after the flare-up of severe Equine Asthma (EA) by using a series of bronchial biopsy samples from EA-affected horses.
Overview of the Research
- The researchers focused on severe equine asthma (EA), which is a chronic disease causing over contraction, inflammation and structural changes in the airways of adult horses when exposed to airborne molds and particulates.
- The study involved a detailed histological and immunohistochemical examination of biopsy samples taken from the bronchial tree of six EA-affected horses.
- The horses were intentionally exposed to environmental stimuli to cause disease exacerbation, followed by pharmacological treatment to induce remission.
Findings of the Study
- The application of a histological biopsy scoring system indicated a noticeable difference between control cases and EA-affected horses in all experimental stages: asymptomatic, early exacerbation phase, late exacerbation phase, and remission phase.
- Using immunohistochemistry (IHC), the researchers found that NKA positivity significantly increased between the control and EA-affected horses during the late exacerbation and remission stages.
- Conversely, in the EA-affected horses, while there was a discernible change in histology between the asymptomatic and remission stages, NKA and IL-8 markers did not show substantial variation between the phases of the experiment.
- Strikingly, the research found that NKA immunopositivity appeared to increase rather than decrease following pharmacological treatment.
Conclusions and Future Research
- The study affirmed the reliability and homogeneity of the endoscopic biopsy samples taken from the bronchial tree for studying EA in horses.
- The research also raised intriguing questions about the correlation between clinical improvement with treatment and the worsening of histological findings.
- The research opens new avenues for further studies to better understand the behaviour of other inflammation markers, and to investigate the potential role of cytokines in diagnosing and treating severe EA.
Cite This Article
APA
Morini M, Peli A, Rinnovati R, Magazzù G, Romagnoli N, Spadari A, Pietra M.
(2021).
Immunohistochemical Expression of Neurokinin-A and Interleukin-8 in the Bronchial Epithelium of Horses with Severe Equine Asthma Syndrome during Asymptomatic, Exacerbation, and Remission Phase.
Animals (Basel), 11(5), 1376.
https://doi.org/10.3390/ani11051376 Publication
Researcher Affiliations
- Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.
- DVM, Vet Practitioner, 40024 Castel San Pietro Terme, 40064 Bologna, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 65 references
- Martin BB Jr, Reef VB, Parente EJ, Sage AD. Causes of poor performance of horses during training, racing, or showing: 348 cases (1992-1996).. J Am Vet Med Assoc 2000 Feb 15;216(4):554-8.
- Bullone M, Lavoie JP. Science-in-brief: Equine asthma diagnosis: Beyond bronchoalveolar lavage cytology.. Equine Vet J 2017 May;49(3):263-265.
- Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP, Martin J, Moran G, Niedźwiedź A, Pusterla N, Swiderski C. Equine Asthma: Current Understanding and Future Directions.. Front Vet Sci 2020;7:450.
- Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement.. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
- Tessier L, Côté O, Clark ME, Viel L, Diaz-Méndez A, Anders S, Bienzle D. Impaired response of the bronchial epithelium to inflammation characterizes severe equine asthma.. BMC Genomics 2017 Sep 8;18(1):708.
- Bond S, Léguillette R, Richard EA, Couetil L, Lavoie JP, Martin JG, Pirie RS. Equine asthma: Integrative biologic relevance of a recently proposed nomenclature.. J Vet Intern Med 2018 Nov;32(6):2088-2098.
- Seahorn TL, Beadle RE. Summer pasture-associated obstructive pulmonary disease in horses: 21 cases (1983-1991).. J Am Vet Med Assoc 1993 Mar 1;202(5):779-82.
- McGorum BC, Ellison J, Cullen RT. Total and respirable airborne dust endotoxin concentrations in three equine management systems.. Equine Vet J 1998 Sep;30(5):430-4.
- Vandenput S, Votion D, Duvivier DH, Van Erck E, Anciaux N, Art T, Lekeux P. Effect of a set stabled environmental control on pulmonary function and airway reactivity of COPD affected horses.. Vet J 1998 Mar;155(2):189-95.
- Tremblay GM, Ferland C, Lapointe JM, Vrins A, Lavoie JP, Cormier Y. Effect of stabling on bronchoalveolar cells obtained from normal and COPD horses.. Equine Vet J 1993 May;25(3):194-7.
- Pirie RS. Recurrent airway obstruction: a review.. Equine Vet J 2014 May;46(3):276-88.
- Fogarty U, Buckley T. Bronchoalveolar lavage findings in horses with exercise intolerance.. Equine Vet J 1991 Nov;23(6):434-7.
- Holcombe SJ, Jackson C, Gerber V, Jefcoat A, Berney C, Eberhardt S, Robinson NE. Stabling is associated with airway inflammation in young Arabian horses.. Equine Vet J 2001 May;33(3):244-9.
- Jean D, Vrins A, Beauchamp G, Lavoie JP. Evaluation of variations in bronchoalveolar lavage fluid in horses with recurrent airway obstruction.. Am J Vet Res 2011 Jun;72(6):838-42.
- Hoffman AM. Bronchoalveolar lavage: sampling technique and guidelines for cytologic preparation and interpretation.. Vet Clin North Am Equine Pract 2008 Aug;24(2):423-35, vii-viii.
- Couetil LL, Thompson CA. Airway Diagnostics: Bronchoalveolar Lavage, Tracheal Wash, and Pleural Fluid.. Vet Clin North Am Equine Pract 2020 Apr;36(1):87-103.
- Bullone M, Hélie P, Joubert P, Lavoie JP. Development of a Semiquantitative Histological Score for the Diagnosis of Heaves Using Endobronchial Biopsy Specimens in Horses.. J Vet Intern Med 2016 Sep;30(5):1739-1746.
- Niedzwiedz A, Mordak R, Jaworski Z, Nicponc J. Utility of the Histological Examination of the Bronchial Mucosa in the Diagnosis of Severe Equine Asthma Syndrome in Horses. J. Equine Vet. Sci. 2018;67:44–49.
- Ainsworth DM, Grünig G, Matychak MB, Young J, Wagner B, Erb HN, Antczak DF. Recurrent airway obstruction (RAO) in horses is characterized by IFN-gamma and IL-8 production in bronchoalveolar lavage cells.. Vet Immunol Immunopathol 2003 Nov 15;96(1-2):83-91.
- Venugopal CS, Holmes EP, Polikepahad S, Laborde S, Kearney M, Moore RM. Neurokinin receptors in recurrent airway obstruction: a comparative study of affected and unaffected horses.. Can J Vet Res 2009 Jan;73(1):25-33.
- Buechner-Maxwell V. Airway hyperresponsiveness. Compend. Contin. Educ. Pract. Vet. 1993;15:1379–1389.
- Brazil TJ, McGorum BC. Molecules and mediators of inflammation in equine heaves: mechanisms and markers of disease.. Equine Vet J 2001 Mar;33(2):113-5.
- Calzetta L, Rogliani P, Pistocchini E, Mattei M, Cito G, Alfonsi P, Page C, Matera MG. Effect of lipopolysaccharide on the responsiveness of equine bronchial tissue.. Pulm Pharmacol Ther 2018 Apr;49:88-94.
- Wada R, Aida H, Kaneko M, Oikawa M, Yoshihara T, Tomioka Y, Nitta M. Identification of the bronchi for bronchoscopy in the horse and segmentation of the horse lung. Jpn. J. Equine Sci. 1992;3:37–43.
- 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.
- Ferrari CR, Cooley J, Mujahid N, Costa LR, Wills RW, Johnson ME, Swiderski CE. Horses With Pasture Asthma Have Airway Remodeling That Is Characteristic of Human Asthma.. Vet Pathol 2018 Jan;55(1):144-158.
- Bullone M, Lavoie JP. Asthma "of horses and men"--how can equine heaves help us better understand human asthma immunopathology and its functional consequences?. Mol Immunol 2015 Jul;66(1):97-105.
- Ter Woort F, Caswell JL, Arroyo LG, Viel L. Histologic investigation of airway inflammation in postmortem lung samples from racehorses.. Am J Vet Res 2018 Mar;79(3):342-347.
- Giguère S, Prescott JF. Quantitation of equine cytokine mRNA expression by reverse transcription-competitive polymerase chain reaction.. Vet Immunol Immunopathol 1999 Jan 4;67(1):1-15.
- Swiderski CE, Klei TR, Horohov DW. Quantitative measurement of equine cytokine mRNA expression by polymerase chain reaction using target-specific standard curves.. J Immunol Methods 1999 Jan 1;222(1-2):155-69.
- Joubert P, Silversides DW, Lavoie JP. Equine neutrophils express mRNA for tumour necrosis factor-alpha, interleukin (IL)-1beta, IL-6, IL-8, macrophage-inflammatory-protein-2 but not for IL-4, IL-5 and interferon-gamma.. Equine Vet J 2001 Nov;33(7):730-3.
- Beadle RE, Horohov DW, Gaunt SD. Interleukin-4 and interferon-gamma gene expression in summer pasture-associated obstructive pulmonary disease affected horses.. Equine Vet J 2002 Jul;34(4):389-94.
- Joubert P, Cordeau M.E., Boyer A, Silversides D.W., Lavoie J.P.. Quantification of mRNA expression by peripheral neutrophils in an animal model of asthma. Am. J. Respir. Crit. Care Med. 2002;165:A317.
- Horohov DW, Beadle RE, Mouch S, Pourciau SS. Temporal regulation of cytokine mRNA expression in equine recurrent airway obstruction.. Vet Immunol Immunopathol 2005 Oct 18;108(1-2):237-45.
- Laan TT, Bull S, Pirie RS, Fink-Gremmels J. Evaluation of cytokine production by equine alveolar macrophages exposed to lipopolysaccharide, Aspergillus fumigatus, and a suspension of hay dust.. Am J Vet Res 2005 Sep;66(9):1584-9.
- Ainsworth DM, Wagner B, Franchini M, Grünig G, Erb HN, Tan JY. Time-dependent alterations in gene expression of interleukin-8 in the bronchial epithelium of horses with recurrent airway obstruction.. Am J Vet Res 2006 Apr;67(4):669-77.
- Riihimäki M, Raine A, Art T, Lekeux P, Couëtil L, Pringle J. Partial divergence of cytokine mRNA expression in bronchial tissues compared to bronchoalveolar lavage cells in horses with recurrent airway obstruction.. Vet Immunol Immunopathol 2008 Apr 15;122(3-4):256-64.
- Klukowska-Rötzler J, Swinburne JE, Drögemüller C, Dolf G, Janda J, Leeb T, Gerber V. The interleukin 4 receptor gene and its role in recurrent airway obstruction in Swiss Warmblood horses.. Anim Genet 2012 Aug;43(4):450-3.
- Padoan E, Ferraresso S, Pegolo S, Castagnaro M, Barnini C, Bargelloni L. Real time RT-PCR analysis of inflammatory mediator expression in recurrent airway obstruction-affected horses.. Vet Immunol Immunopathol 2013 Dec 15;156(3-4):190-9.
- Barton AK, Gehlen H. Pulmonary Remodeling in Equine Asthma: What Do We Know about Mediators of Inflammation in the Horse?. Mediators Inflamm 2016;2016:5693205.
- Kraneveld AD, Nijkamp FP, Van Oosterhout AJ. Role for neurokinin-2 receptor in interleukin-5-induced airway hyperresponsiveness but not eosinophilia in guinea pigs.. Am J Respir Crit Care Med 1997 Aug;156(2 Pt 1):367-74.
- Fattori D, Altamura M, Maggi CA. Small molecule antagonists of the tachykinin NK 2 receptor.. Mini Rev Med Chem 2004 Mar;4(3):331-40.
- Pennefather JN, Lecci A, Candenas ML, Patak E, Pinto FM, Maggi CA. Tachykinins and tachykinin receptors: a growing family.. Life Sci 2004 Feb 6;74(12):1445-63.
- Maggi CA, Patacchini R, Santicioli P, Giuliani S. Tachykinin antagonists and capsaicin-induced contraction of the rat isolated urinary bladder: evidence for tachykinin-mediated cotransmission.. Br J Pharmacol 1991 Jun;103(2):1535-41.
- Krishnakumar S, Holmes EP, Moore RM, Kappel L, Venugopal CS. Non-adrenergic non-cholinergic excitatory innervation in the airways: role of neurokinin-2 receptors.. Auton Autacoid Pharmacol 2002 Aug;22(4):215-24.
- Schelfhout V, Van De Velde V, Maggi C, Pauwels R, Joos G. The effect of the tachykinin NK(2) receptor antagonist MEN11420 (nepadutant) on neurokinin A-induced bronchoconstriction in asthmatics.. Ther Adv Respir Dis 2009 Oct;3(5):219-26.
- Calzetta L, Luongo L, Cazzola M, Page C, Rogliani P, Facciolo F, Maione S, Capuano A, Rinaldi B, Matera MG. Contribution of sensory nerves to LPS-induced hyperresponsiveness of human isolated bronchi.. Life Sci 2015 Jun 15;131:44-50.
- Advenier C, Lagente V, Boichot E. The role of tachykinin receptor antagonists in the prevention of bronchial hyperresponsiveness, airway inflammation and cough.. Eur Respir J 1997 Aug;10(8):1892-906.
- Solinger N, Sonea IM. Distribution of the neurokinin-1 receptor in equine intestinal smooth muscle.. Equine Vet J 2008 Jun;40(4):321-5.
- 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.
- Giguère S, Viel L, Lee E, MacKay RJ, Hernandez J, Franchini M. Cytokine induction in pulmonary airways of horses with heaves and effect of therapy with inhaled fluticasone propionate.. Vet Immunol Immunopathol 2002 Mar;85(3-4):147-58.
- 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.
- Hansen S, Otten ND, Birch K, Skovgaard K, Hopster-Iversen C, Fjeldborg J. Bronchoalveolar lavage fluid cytokine, cytology and IgE allergen in horses with equine asthma.. Vet Immunol Immunopathol 2020 Feb;220:109976.
- Moran G, Folch H. Recurrent airway obstruction in horses—An allergic inflammation: A review. Vet. Med. 2011;56:1–13.
- Léguillette R. Recurrent airway obstruction--heaves.. Vet Clin North Am Equine Pract 2003 Apr;19(1):63-86, vi.
- Laan TT, Bull S, Pirie R, Fink-Gremmels J. The role of alveolar macrophages in the pathogenesis of recurrent airway obstruction in horses.. J Vet Intern Med 2006 Jan-Feb;20(1):167-74.
- Franchini M, Gill U, von Fellenberg R, Bracher VD. Interleukin-8 concentration and neutrophil chemotactic activity in bronchoalveolar lavage fluid of horses with chronic obstructive pulmonary disease following exposure to hay.. Am J Vet Res 2000 Nov;61(11):1369-74.
- Ainsworth DM, Matychak M, Reyner CL, Erb HN, Young JC. Effects of in vitro exposure to hay dust on the gene expression of chemokines and cell-surface receptors in primary bronchial epithelial cell cultures established from horses with chronic recurrent airway obstruction.. Am J Vet Res 2009 Mar;70(3):365-72.
- Ainsworth DM, Wagner B, Erb HN, Young JC, Retallick DE. Effects of in vitro exposure to hay dust on expression of interleukin-17, -23, -8, and -1beta and chemokine (C-X-C motif) ligand 2 by pulmonary mononuclear cells isolated from horses chronically affected with recurrent airway disease.. Am J Vet Res 2007 Dec;68(12):1361-9.
- Berndt A, Derksen FJ, Venta PJ, Ewart S, Yuzbasiyan-Gurkan V, Robinson NE. Elevated amount of Toll-like receptor 4 mRNA in bronchial epithelial cells is associated with airway inflammation in horses with recurrent airway obstruction.. Am J Physiol Lung Cell Mol Physiol 2007 Apr;292(4):L936-43.
- Reyner CL, Wagner B, Young JC, Ainsworth DM. Effects of in vitro exposure to hay dust on expression of interleukin-23, -17, -8, and -1beta and chemokine (C-X-C motif) ligand 2 by pulmonary mononuclear cells from horses susceptible to recurrent airway obstruction.. Am J Vet Res 2009 Oct;70(10):1277-83.
- Pietra M, Peli A, Bonato A, Ducci A, Cinotti S. Equine bronchoalveolar lavage cytokines in the development of recurrent airway obstruction.. Vet Res Commun 2007 Aug;31 Suppl 1:313-6.
- Pietra M, Cinotti S, Ducci A, Giunti M, Peli A. Time-dependent changes of cytokines mRNA in bronchoalveolar lavage fluid from symptomatic recurrent airway obstruction-affected horses.. Pol J Vet Sci 2011;14(3):343-51.
- Hansen S, Baptiste KE, Fjeldborg J, Betancourt A, Horohov DW. A comparison of pro-inflammatory cytokine mRNA expression in equine bronchoalveolar lavage (BAL) and peripheral blood.. Vet Immunol Immunopathol 2014 Apr 15;158(3-4):238-43.
Citations
This article has been cited 1 times.- Morini M, Gobbo F, Rinnovati R, Romagnoli N, Peli A, Massarenti C, Spadari A, Pietra M. Bronchoalveolar Lavage Cytology in Severe Equine Asthma: Cytocentrifugated versus Sediment Smear Preparations. Vet Sci 2023 Aug 16;10(8).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists