Summary
Reasons for performing study: In vitro, glucocorticoids potentiate vasoconstriction of equine digital vessels to catecholamines and this has been implicated as a mechanism of glucocorticoid‐induced laminitis. This observation has never been confirmed in vivo.
Objectives: To study the effects of glucocorticoid therapy on vasoconstrictor responsiveness in the horse in vivo.
Methods: In a blinded, randomised cross‐over experiment, 9 horses were treated with either dexamethasone (0.1 mg/kg bwt i.v. q. 24 h) or saline i.v. for 6 days. The changes in local average skin temperature before (baseline) and after intradermal injections of the α1‐adrenoceptor agonist phenylephrine (PHE; 10−4, 10−5, 10−6, 10−7 and 10−8 mol/l), endothelin‐1 (ET‐1; 10−5, 10−6, 10−7, 10−8 and 10−9 mol/l) or ET‐1 plus a blocker (BQ‐123 10−6 mol/l; RES‐701 10−6 mol/l; and L‐NAME 10−4 mol/l) were investigated with a thermograph.
Results: Dexamethasone (DEX) decreased baseline skin temperatures, suggesting reduced blood flow as a consequence of an increase in vasomotor tone. This was accompanied by potentiation of the response to PHE as demonstrated by a left shift in the dose‐response curve and a decrease in the EC50. Dexamethasone did not potentiate ET‐1, but the interplay with the lower baseline temperature resulted in a significantly lower skin temperature for this vasoconstrictor after DEX. The different ET‐1 blockers had no effect on ET‐1 modulated skin temperatures.
Conclusions: Dexamethasone decreases skin perfusion. This is accompanied by a potentiated α1‐adrenoceptor agonist response and a greater response to ET‐1.
Potential relevance: Glucocorticoid therapy probably decreases perfusion of the equine hoof. During disease states that already are characterised by hypoperfusion and/or increased levels of circulating catecholamines, glucocorticoid therapy could, according to the vascular model of laminitis, tilt the balance in favour of laminitis.