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Journal of equine veterinary science2025; 151; 105628; doi: 10.1016/j.jevs.2025.105628

Overnight dexamethasone suppression and cortisol index tests in clinically healthy horses and with crib-biting.

Abstract: The dexamethasone suppression test (DST) has been used in humans for the diagnosis of psychiatric problems such as depression, anxiety and Cushing's syndrome, and in horses for the ante mortem diagnosis of dysfunction of the intermediate part of the pituitary. Objective: This study aimed to examine the functionality of the hypothalamic-pituitary-adrenal axis through the DST and the cortisol index (CI), to evaluate the rhythmicity of the circadian cycle of cortisol in healthy horses with crib-biting or windsucking. Methods: A total of 20 Colombian Creole horses of both sexes, under similar management conditions and a complete stabling system, formed two study groups: crib-biting horses (G1) (n = 10) and non-crib-biting horses (G2) (n = 10). Blood samples were taken in the morning and afternoon to determine the CI, and immediately after collection in the afternoon, the DST protocol was established. The serum cortisol concentration was determined through sandwich ELISA at all established times and after dexamethasone treatment for each group. Results: Serum cortisol concentrations were equal in both groups (G1: 9.52 ± 7.01 µg/dl; G2: 8.4 ± 5.30 µg/dl), with no difference in CI, and DST was positive in all animals regardless of their clinical condition. Conclusions: The DST and the CI did not distinguish horses with and without crib-biting. It is necessary to implement techniques with greater precision in longitudinal studies and establish specific reference values and cutoff points for the interpretation of cortisol suppression for cases of crib-biting, accompanied by other hormones such as adrenocorticotropic hormone and corticotropin-releasing hormone, owing to their multifactorial nature and high cortisol variability.
Publication Date: 2025-06-10 PubMed ID: 40505786DOI: 10.1016/j.jevs.2025.105628Google Scholar: Lookup
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  • Journal Article

Summary

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The research paper investigates whether crib-biting behavior in horses impacts their hypothalamic-pituitary-adrenal axis functionality, as gauged by dexamethasone suppression and cortisol index tests. However, the results revealed these tests alone couldn’t differentiate between crib-biting and non-crib-biting horses, signaling a need for more precise techniques.

Research Objective

  • The main objective of the research was to investigate the functionality of the hypothalamic-pituitary-adrenal axis in healthy horses exhibiting crib-biting behavior.
  • The researchers sought to achieve this by using the dexamethasone suppression test (DST) and the cortisol index (CI) and evaluating the rhythmicity of the circadian cycle of cortisol in these horses.

Methods

  • The study involved 20 Colombian Creole horses divided into two groups: crib-biting horses (10) and non-crib-biting horses (10). The horses lived under similar management conditions.
  • Blood samples were taken twice a day (morning and afternoon) from each horse to determine the cortisol index (CI). The DST protocol was initiated after the afternoon collection.
  • The serum cortisol concentration was determined by sandwich ELISA (enzyme-linked immunosorbent assay) at every stipulated time and post-treatment with dexamethasone for both groups.

Results

  • Results showed that serum cortisol concentrations were equal in both groups. There was also no significant difference in the cortisol index (CI) between the two groups.
  • DST showed positive results in all horses, irrespective of their crib-biting or non-crib-biting status.

Conclusions

  • The study concluded that both the DST and CI tests could not differentiate between crib-biting and non-crib-biting horses.
  • The researchers recommended implementing more precise techniques in future studies to better differentiate between the two conditions.
  • They also suggested that longitudinal studies should be carried out to establish specific reference values and cutoff points for interpreting cortisol suppression in crib-biting cases.
  • To gain more comprehensive insights, they proposed including other hormones such as adrenocorticotropic hormone and corticotropin-releasing hormone in the studies due to their multifactorial nature and high variability in cortisol values.

Cite This Article

APA
Osorio-Cardona JJ, Usuga-Moreno VM, Martínez-Aranzales JR. (2025). Overnight dexamethasone suppression and cortisol index tests in clinically healthy horses and with crib-biting. J Equine Vet Sci, 151, 105628. https://doi.org/10.1016/j.jevs.2025.105628

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 151
Pages: 105628
PII: S0737-0806(25)00286-2

Researcher Affiliations

Osorio-Cardona, J J
  • Equine Medicine and Surgery Research Line (LIMCE), Centauro Research Group, School of Veterinary Medicine, Faculty of Agricultural Sciences, University of Antioquia, Medellin 050010 Colombia.
Usuga-Moreno, V M
  • Equine Medicine and Surgery Research Line (LIMCE), Centauro Research Group, School of Veterinary Medicine, Faculty of Agricultural Sciences, University of Antioquia, Medellin 050010 Colombia.
Martínez-Aranzales, J R
  • Equine Medicine and Surgery Research Line (LIMCE), Centauro Research Group, School of Veterinary Medicine, Faculty of Agricultural Sciences, University of Antioquia, Medellin 050010 Colombia. Electronic address: jose.martinez@udea.edu.co.

Conflict of Interest Statement

Declaration of competing interest None of the authors has any financial or personal relationships that could inappropriately influence or bias the content of the paper.

Citations

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