Pulmonary response of severely asthmatic horses after intra-articular administration of methylprednisolone.
Abstract: Intra-articular (IA) administration of corticosteroids is performed routinely in equine practice. The lung function of severe asthmatic horses has recently been shown to be improved by IA triamcinolone acetonide (TA). We therefore hypothesised that IA methylprednisolone acetate (MPA), another commonly used corticosteroids, would also decrease the airway obstruction in severe asthmatic horses. Objective: To compare the effects of intra-articular (IA) and intramuscular (IM) methylprednisolone acetate (MPA) administration on lung function and serum cortisol levels in horses with severe asthma. Methods: Randomised and controlled experiments on severe asthmatic research animals. Methods: Severe asthmatic horses in exacerbation were administered 200 mg of MPA either intramuscularly (n = 6) or via intra-articular injections in the tarsocrural joints (n = 6; 100 mg/joint). Serum cortisol concentration and pulmonary function was measured for 8 days. Results: A significant decrease in pulmonary resistance in the IA group (P = .003, mean diff 1.14) on day 1 in comparison with baseline was observed. A significant decrease from baseline was also observed on serum cortisol values in the IA group 6 hours after injection (P = .001, mean diff 44.5), and at day 1 (P = .003, mean diff 45.1). Conclusions: Joint health was not evaluated in the current study and the physiological response of the severe asthmatic horses might deviate from that of the milder forms of asthma. Conclusions: MPA IA administration improves the lung function of severe asthmatic horses. However, this effect was mild and of a short duration.
© 2020 EVJ Ltd.
Publication Date: 2020-05-19 PubMed ID: 32348605DOI: 10.1111/evj.13272Google Scholar: Lookup
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- Journal Article
Summary
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The research conducted focused on understanding the impact of methylprednisolone acetate (MPA), a corticosteroid, on the lung function and serum cortisol levels in horses with severe asthma. The findings demonstrated that intra-articular (IA) administration of MPA resulted in a brief improvement in lung function and decreased serum cortisol levels.
Objective and Hypothesis of the Research
- The primary aim of the research was to analyze the effects of IA and intramuscular (IM) administration of MPA on lung function and serum cortisol levels in horses diagnosed with severe asthma.
- This research was hinged on the hypothesis that given the previous demonstration of improved lung function in severe asthmatic horses due to the administration of another corticosteroid triamcinolone acetonide (TA), IA administration of MPA could potentially offer similar benefits.
Research Methodology
- The research was executed as a randomised and controlled experiment with severe asthmatic horses in exacerbation.
- Twelve severe asthmatic horses were randomly selected and divided into two groups: one group received MPA through intramuscular injection (n=6), and the other via intra-articular injections in the tarsocrural joints (n=6; 100 mg/joint).
- The researchers monitored and measured serum cortisol concentration and pulmonary function for eight consecutive days after the administration of MPA.
Research Findings and Conclusion
- The results showed a significant decrease in pulmonary resistance in the group that received IA administration of MPA, indicating improvement in lung function. The serum cortisol values also decreased significantly in the IA group six hours after injection.
- However, the study noted that these effects were mild and short-term.
- Furthermore, the researchers stated that the joint health of the horses was not evaluated in the current study, and hence future research might consider this aspect. This could provide insight into whether using corticosteroids for IA comes with any side effects related to joint health.
Cite This Article
APA
Millares-Ramirez EM, Picotte K, Lavoie JP.
(2020).
Pulmonary response of severely asthmatic horses after intra-articular administration of methylprednisolone.
Equine Vet J, 53(1), 78-84.
https://doi.org/10.1111/evj.13272 Publication
Researcher Affiliations
- Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Q, Canada.
- Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Q, Canada.
- Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Q, Canada.
MeSH Terms
- Animals
- Asthma / drug therapy
- Asthma / veterinary
- Horse Diseases / drug therapy
- Horses
- Injections, Intra-Articular / veterinary
- Lung
- Methylprednisolone / therapeutic use
- Methylprednisolone Acetate
- Triamcinolone Acetonide / therapeutic use
References
This article includes 38 references
- Clegg P. How to use intra-articular corticosteroids appropriately.. Proc Am Assoc Equine Practnrs 2012;58:464-6.
- Bessonnat A, Picotte K, Lavoie JP. Intra-articular triamcinolone acetonide improves lung function in horses with severe asthma.. Equine Vet J 2019;52:131-5.
- Soma LR, Uboh CE, Luo Y, Guan F, Moate PJ, Boston RC. Pharmacokinetics of methylprednisolone acetate after intra-articular administration and its effect on endogenous hydrocortisone and cortisone secretion in horses.. Am J Vet Res 2006;67:654-62.
- Chen CL, Sailor JA, Collier J, Wiegand J. Synovial and serum levels of triamcinolone following intra-articular administration of triamcinolone acetonide in the horse*.. J Vet Pharmacol Ther 1992;15:240-6.
- Menendez MI, Phelps MA, Bertone AL. Pharmacokinetics of intra-articular betamethasone sodium phosphate and betamethasone acetate and endogenous hydrocortisone suppression in exercising horses.. J Vet Pharmacol Ther 2016;39:22-6.
- Robinson NE, Olszewski MA, Boehler D, Berney C, Hakala J, Matson C. Relationship between clinical signs and lung function in horses with recurrent airway obstruction (heaves) during a bronchodilator trial.. Equine Vet J 2000;32:393-400.
- Hoffman AM. Clinical application of pulmonary function testing in horses.. Equine respiratory diseases 2002; [www.ivis.org] B0304.0802.
- 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;216:554-8.
- Morris EA, Seeherman HJ. Clinical evaluation of poor performance in the racehorse: the results of 275 evaluations.. Equine Vet J 1991;23:169-74.
- Couetil LL, Hoffman AM, Hodgson J, Buechner-Maxwell V, Viel L, Wood JL. Inflammatory airway disease of horses.. J Vet Intern Med 2007;21:356-61.
- Ivester KM, Couetil LL, Moore GE. An observational study of environmental exposures, airway cytology, and performance in racing thoroughbreds.. J Vet Intern Med 2018;32:1754-62.
- Couteil LL, Denicola DB. Blood gas, plasma lactate and bronchoalveolar lavage cytology analyses in racehorses with respiratory disease.. Equine Vet J 1999;31:77-82.
- 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;79:342-7.
- Allen KJ, Tremaine WH, Franklin SH. Prevalence of inflammatory airway disease in National Hunt horses referred for investigation of poor athletic performance.. Equine Vet J 2006;38:529-34.
- Doucet MY, Viel L. Clinical, radiographic, endoscopic, bronchoalveolar lavage and lung biopsy findings in horses with exercise-induced pulmonary hemorrhage.. Can Vet J 2002;43:195-202.
- Hinchcliff KW, Couetil LL, Knight PK, Morley PS, Robinson NE, Sweeney CR. Exercise induced pulmonary hemorrhage in horses: American College of Veterinary Internal Medicine Consensus statement.. J Vet Intern Med 2015;29:743-58.
- McIlwraith CW. The use of intra-articular corticosteroids in the horse: what is known on a scientific basis?. Equine Vet J 2010;42:563-71.
- McIlwraith CW. Chapter 84 - principles and practices of joint disease treatment.. Diagnosis and management of lameness in the horse 2011; p. 840-52.
- McIlwraith CW. Management of joint disease in the sport horse.. Proceedings of the 2010 Kentucky Equine Research Nutrition Conference: Feeding and Veterinary Management of the Sports Horse p. 61-81.
- Goodrich LR, Nixon AJ. Medical treatment of osteoarthritis in the horse - a review.. Vet J 2006;171:51-69.
- Calzetta L, Rogliani P, Page C, Roncada P, Pistocchini E, Soggiu A. Clinical effect of corticosteroids in asthma-affected horses: a quantitative synthesis.. Equine Vet J 2018;50:594-601.
- Lavoie JP, Bullone M, Rodrigues N, Germim P, Albrecht B, von Salis-Soglio M. Effect of different doses of inhaled ciclesonide on lung function, clinical signs related to airflow limitation and serum cortisol levels in horses with experimentally induced mild to severe airway obstruction.. Equine Vet J 2019;51:779-86.
- Contino EK. Management and rehabilitation of joint disease in sport horses.. Vet Clin North Am Equine Pract 2018;34:345-58.
- Ferris DJ, Frisbie DD, McIlwraith CW, Kawcak CE. Current joint therapy usage in equine practice: a survey of veterinarians 2009.. Equine Vet J 2011;43:530-5.
- Autefage A, Alvinerie M, Toutain PL. Synovial fluid and plasma kinetics of methylprednisolone and methylprednisolone acetate in horses following intra-articular administration of methylprednisolone acetate.. Equine Vet J 1986;18:193-8.
- Knych HK, Harrison LM, Casbeer HC, McKemie DS. Disposition of methylprednisolone acetate in plasma, urine, and synovial fluid following intra-articular administration to exercised thoroughbred horses.. J Vet Pharmacol Ther 2014;37:125-32.
- Lillich JD, Bertone AL, Schmall LM, Ruggles AJ, Sams RA. Plasma, urine, and synovial fluid disposition of methylprednisolone acetate and isoflupredone acetate after intra-articular administration in horses.. Am J Vet Res 1996;57:187-92.
- Menendez MI, Phelps MA, Hothem EA, Bertone AL. Pharmacokinetics of methylprednisolone acetate after intra-articular administration and subsequent suppression of endogenous hydrocortisone secretion in exercising horses.. Am J Vet Res 2012;73:1453-61.
- Murray RC, DeBowes RM, Gaughan EM, Zhu CF, Athanasiou KA. The effects of intra-articular methylprednisolone and exercise on the mechanical properties of articular cartilage in the horse.. Osteoarthritis Cartilage 1998;6:106-14.
- Cook NJ. Review: minimally invasive sampling media and the measurement of corticosteroids as biomarkers of stress in animals.. Can J Anim Sci 2012;92:227-59.
- Soma LR, Uboh CE, You Y, Guan F, Boston RC. Pharmacokinetics of intra-articular, intravenous, and intramuscular administration of triamcinolone acetonide and its effect on endogenous plasma hydrocortisone and cortisone concentrations in horses.. Am J Vet Res 2011;72:1234-42.
- Skedros JG, Hunt KJ, Pitts TC. Variations in corticosteroid/anesthetic injections for painful shoulder conditions: comparisons among orthopaedic surgeons, rheumatologists, and physical medicine and primary-care physicians.. BMC Musculoskelet Disord 2007;8:63-63.
- Baxter GM. Intra-Articular Corticosteroids 2002 SAVMA Symposium.. .
- Caron JP. Intra-articular injections for joint disease in horses.. Vet Clin North Am Equine Pract 2005;21:559-73.
- Sillence M, Noble G, Schneiders F, Bryden W, Cawdell-Smith J, de Laat M. The Pharmacokinetics of Equine Medications, RIRDC Project No. PRJ 000255 edn., RIRDC.. .
- Cuff TL, Williams RJ, Deaton CM, Smith NC, Davies BD, Davies-Morel MCG. Changes in plasma cortisol and ascorbic acid in horses with and without recurrent airway obstruction upon exercise and ascorbic acid supplementation.. Equine Comp Exerc Physiol 2005;2:105-12.
- Picandet V, Leguillette R, Lavoie JP. Comparison of efficacy and tolerability of isoflupredone and dexamethasone in the treatment of horses affected with recurrent airway obstruction ('heaves').. Equine Vet J 2003;35:419-24.
- Rush BR, Trevino IC, Matson CJ, Hakala JE. Serum cortisol concentrations in response to incremental doses of inhaled beclomethasone dipropionate.. Equine Vet J 1999;31:258-61.
Citations
This article has been cited 2 times.- Mainguy-Seers S, Lavoie JP. Glucocorticoid treatment in horses with asthma: A narrative review.. J Vet Intern Med 2021 Jul;35(4):2045-2057.
- Gao YY, Tian W, Zhang HN, Sun Y, Meng JR, Cao W, Li XQ. Canonical transient receptor potential channels and their modulators: biology, pharmacology and therapeutic potentials.. Arch Pharm Res 2021 Apr;44(4):354-377.
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