1. Immunomodulatory effect of long-term oclacitinib maleate therapy in dogs with atopic dermatitis.
- Author
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De Caro Martins G, da Costa-Val AP, Coura FM, Diamantino GML, Nogueira MM, de Oliveira Melo-Junior OA, Giunchetti RC, da Silveira-Lemos D, and Melo MM
- Subjects
- Animals, Dogs, Maleates therapeutic use, Pyrimidines, Sulfonamides, Dermatitis, Atopic complications, Dermatitis, Atopic drug therapy, Dermatitis, Atopic veterinary, Dermatologic Agents therapeutic use, Dog Diseases drug therapy
- Abstract
Background: Canine atopic dermatitis (cAD) is a chronic disease characterised by hypersensitivity to environmental allergens. Oclacitinib maleate selectively inhibits pro-inflammatory mediators associated with cAD. However, the impact of chronic oclacitinib use on immunocompetence requires further investigation., Objectives: Herein, we examined the potential immunomodulatory effects of prolonged oclacitinib treatment in dogs., Animals: Thirteen privately owned dogs with cAD, treated with 0.4-0.6 mg/kg oclacitinib for 12 months., Methods and Materials: Pruritus level was evaluated using a pruritus Visual Analog Scale (pVAS) and the canine atopic dermatitis extent and severity index, 4
th iteration (CADESI IV). Peripheral blood samples were collected for routine laboratory assays and lymphocyte subtypes were analysed using flow cytometry. Antigen-specific intracellular cytokine production from CD4+ and CD8+ T lymphocytes was analysed following in vitro stimulation by Dermatophagoides farinae antigens., Results: Oclacitinib treatment significantly reduced pVAS and CADESI-04 scores, by 51% and 86.7%, respectively. Flow cytometric analysis revealed increased CD4+ and CD14+ lymphocyte populations. The cytokine profile at 360 days after treatment initiation was similar to that before treatment and was not associated with clinical relapse., Conclusion: Oclacitinib, when administered at the currently labelled dose for one year, is associated with a significant increase in circulating CD4+ T cells, but does not alter cytokine production from antigen-stimulated T cells. The results reported do not support evidence for immunosuppression mediated by the mechanisms evaluated in this study., (© 2021 ESVD and ACVD.)- Published
- 2022
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