Molecular mechanisms and treatment modalities in equine Culicoides hypersensitivity.
Abstract: Equine Culicoides hypersensitivity (CH) is the most common allergic condition in horses affecting the skin. This review focuses on immunopathology and molecular mechanisms of equine CH. The role of eosinophils is emphasized, as well as disease severity and the influence of long-term chronic allergen exposure on T helper (Th) 2 cells. Using current knowledge from human allergic disorders, similar effects are hypothesized in equine patients. Key aspects of CH diagnosis and treatment are discussed, focusing on allergen specific immunotherapy and allergen-independent approaches, such as targeting hypereosinophilia through interleukin-5 and allergic non-histaminic pruritus though interleukin-31.
Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.
Publication Date: 2021-08-17 PubMed ID: 34416400DOI: 10.1016/j.tvjl.2021.105741Google Scholar: Lookup
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- Journal Article
- Review
Summary
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The study focuses on equine Culicoides hypersensitivity (CH), an allergic condition in horses that affects the skin, and the various treatment methods that exist.
Overview of Equine Culicoides Hypersensitivity
- Equine Culicoides Hypersensitivity (CH) is a prevalent allergic skin condition in horses. It is described in the study as the primary ailment affecting the animal’s skin.
- The main aspects of the research are to understand the molecular mechanisms and immunopathology of the condition. This includes understanding the role of specific white blood cell types, like eosinophils, in the disease progression.
- The study also emphasizes the impact of long-term exposure to allergens on the disease severity and the body’s immune responses. Particular focus is given to T helper (TH) 2 cells, white blood cells that regulate the immune response in allergies.
Understanding the Role of Eosinophils
- Eosinophils are a type of white blood cell that play a crucial role in the body’s immune system, particularly in responding to allergies and infections. They are highlighted due to their importance in the manifestation of equine CH.
- The study hypothesizes that eosinophils contribute to disease severity, especially in chronic allergen-exposed cases. This is based on current knowledge of human allergic disorders which is extrapolated upon clinical occurrences in equine patients.
Allergen Specific Immunotherapy and Other Treatment Modalities
- The study discusses different treatment modes for this horse condition. One approach is allergen specific immunotherapy, which aims to reduce the allergic response to specific triggers.
- Allergen-independent methods are also proposed, such as reducing the number of eosinophils by using interleukin-5, a hormone that controls the growth and maturation of eosinophils. Additionally, the study touches upon the treatment of allergic non-histaminic pruritus, an intense itching condition without histamine involvement, via interleukin-31.
- Overall, the study delves into a detailed understanding of equine CH and is aimed at refining treatment strategies for the condition.
Cite This Article
APA
Fettelschoss-Gabriel A, Birkmann K, Pantelyushin S, Kündig TM.
(2021).
Molecular mechanisms and treatment modalities in equine Culicoides hypersensitivity.
Vet J, 276, 105741.
https://doi.org/10.1016/j.tvjl.2021.105741 Publication
Researcher Affiliations
- University Hospital Zurich, Department of Dermatology, Wagistrasse 18, 8952 Schlieren, Switzerland; Faculty of Medicine, University of Zurich, Pestalozzistrasse 3, CH-8032 Zurich, Switzerland; Evax AG, Hörnlistrasse 3, 9542 Münchwilen, Switzerland. Electronic address: antonia.gabriel@usz.ch.
- Evax AG, Hörnlistrasse 3, 9542 Münchwilen, Switzerland.
- University Hospital Zurich, Department of Dermatology, Wagistrasse 18, 8952 Schlieren, Switzerland; Faculty of Medicine, University of Zurich, Pestalozzistrasse 3, CH-8032 Zurich, Switzerland; Evax AG, Hörnlistrasse 3, 9542 Münchwilen, Switzerland.
- Faculty of Medicine, University of Zurich, Pestalozzistrasse 3, CH-8032 Zurich, Switzerland; University Hospital Zurich, Department of Dermatology, Gloriastrasse 31, 8091 Zurich, Switzerland.
MeSH Terms
- Allergens
- Animals
- Ceratopogonidae
- Horse Diseases / therapy
- Horses
- Humans
- Hypersensitivity / therapy
- Hypersensitivity / veterinary
- Skin
Citations
This article has been cited 6 times.- Cox A, Stewart AJ. Insect Bite Hypersensitivity in Horses: Causes, Diagnosis, Scoring and New Therapies. Animals (Basel) 2023 Aug 4;13(15).
- Langreder N, Schäckermann D, Meier D, Becker M, Schubert M, Dübel S, Reinard T, Figge-Wegener S, Roßbach K, Bäumer W, Ladel S, Hust M. Development of an inhibiting antibody against equine interleukin 5 to treat insect bite hypersensitivity of horses. Sci Rep 2023 Mar 10;13(1):4029.
- Birkmann K, Waldern N, Jucker S, Balaschitsch K, Zablotski Y, Fettelschoss-Gabriel A. Validation of the Equine Urticaria Activity Score for the assessment of chronic recurrent urticaria in horses. Vet Dermatol 2025 Oct;36(5):630-637.
- Kočišová A, Schreiberová A, Kasičová Z, Janošková N. The first record of Culicoides deltus as a putative vector of Onchocerca flexuosa in Slovak red deer (Cervus elaphus). Parasitol Res 2024 Nov 5;123(11):370.
- Schwarz E, Jebbawi F, Keller G, Rhiner T, Fricker A, Waldern N, Canonica F, Schoster A, Fettelschoss-Gabriel A. Phenotypic Shift of an Inflammatory Eosinophil Subset into a Steady-State Resident Phenotype after 2 Years of Vaccination against IL-5 in Equine Insect Bite Hypersensitivity. Vet Sci 2024 Oct 5;11(10).
- Jebbawi F, Chemnitzer A, Dietrich M, Pantelyushin S, Lam J, Rhiner T, Keller G, Waldern N, Canonica F, Fettelschoss-Gabriel A. Cytokines and chemokines skin gene expression in correlation with immune cells in blood and severity in equine insect bite hypersensitivity. Front Immunol 2024;15:1414891.
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