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The Veterinary clinics of North America. Equine practice2024; 40(2); 307-339; doi: 10.1016/j.cveq.2024.04.007

Pharmacologic Interventions to Immunologic and Immune-Mediated Conditions in Horses.

Abstract: Immunomodulators can stimulate, suppress, or regulate one or many aspects of the immune response. Use of a variety of immunostimulants, immunosuppressors, and anti-inflammatory drugs are described in horses, but the evidence supporting their efficacy is variable. Corticosteroids and nonsteroidal anti-inflammatory drugs are the best characterized immunomodulators in horses, but further study is needed to fully define their ideal dosing protocols and indications and to characterize the efficacy of other immunomodulators in equine medicine.
Publication Date: 2024-06-08 PubMed ID: 38852015DOI: 10.1016/j.cveq.2024.04.007Google Scholar: Lookup
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Summary

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This research article investigates how various drugs can influence the immune response in horses. Though some drugs are well-studied, others need further research to better understand their effectiveness, optimal dosing, and appropriate use cases.

Understanding Immunomodulators

  • The paper focuses on immunomodulators, which are substances that are capable of modulating or altering the immune response in an organism. They can stimulate, suppress or regulate various aspects of the immune response, and their study is essential in the field of veterinary science.
  • The use of a variety of immunomodulators is described, such as immunostimulants (which boost the immune system), immunosuppressors (which dampen the immune response), and anti-inflammatory drugs (which reduce inflammation).
  • These drugs have got a wide range of applications in horses, including for the treatment of various immune-related illnesses and conditions. However, the evidence supporting their efficacy varies significantly.

Role of Corticosteroids and Nonsteroidal Anti-Inflammatory Drugs

  • Corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) are among the best studied immunomodulators in horses. These drugs have a multifaceted effect on the immune system, and they are widely used to treat a range of conditions.
  • Corticosteroids, such as prednisolone and dexamethasone, act by suppressing inflammation and immune responses in horses, which is particularly useful in treating conditions such as allergic reactions, autoimmune diseases, and certain respiratory conditions.
  • On the other hand, NSAIDs, such as ibuprofen and aspirin, work by reducing the production of substances that cause inflammation, pain, and fever. They are often used to manage pain and inflammation in horses.

Need for Further Research

  • Although corticosteroids and NSAIDs are relatively well-studied, there is still a lack of definitive research regarding their ideal dosing protocols and indications. This points to a need for further, rigorous, scientific investigation in order to optimize their use in equine medicine.
  • Additionally, there are many other types of immunomodulators that have not been as extensively studied as corticosteroids and NSAIDs. More research is needed to fully understand their efficacy, optimal doses, and best applications in treating immune-related conditions in horses.

Cite This Article

APA
Hart KA, Kimura S. (2024). Pharmacologic Interventions to Immunologic and Immune-Mediated Conditions in Horses. Vet Clin North Am Equine Pract, 40(2), 307-339. https://doi.org/10.1016/j.cveq.2024.04.007

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 40
Issue: 2
Pages: 307-339

Researcher Affiliations

Hart, Kelsey A
  • Department of Large Animal Medicine, University of Georgia College of Veterinary Medicine, 2200 College Station Road, Athens, GA 30602, USA. Electronic address: khart4@uga.edu.
Kimura, Shune
  • Department of Large Animal Medicine, University of Georgia College of Veterinary Medicine, 2200 College Station Road, Athens, GA 30602, USA.

MeSH Terms

  • Animals
  • Horses
  • Horse Diseases / drug therapy
  • Horse Diseases / immunology
  • Immunomodulating Agents / therapeutic use
  • Immunomodulating Agents / pharmacology
  • Immunologic Factors / therapeutic use
  • Immunologic Factors / pharmacology
  • Immune System Diseases / veterinary
  • Immune System Diseases / drug therapy
  • Anti-Inflammatory Agents / therapeutic use

Conflict of Interest Statement

Disclosure The authors have nothing to disclose.