Effect of dexamethasone on antibody response of horses to vaccination with a combined equine influenza virus and equine herpesvirus‐1 vaccine.

Background: Dexamethasone is routinely administered to horses but its effect on the antibody response to a commercial EIV/EHV vaccine is unclear. Hypothesis: Horses receiving dexamethasone will have lower postvaccination antibody levels against EIV and EHV‐1 than vaccinated controls. Animals: Fifty‐five healthy adult research horses. Methods: Randomized cohort study. Control (no vaccine, group 1), vaccination only (EIV/EHV‐1/EHV‐4, Prestige 2, Merck Animal Health, group 2), vaccination and concurrent single intravenous dose of dexamethasone (approximately.05 mg/kg, group 3), vaccination and 3 intravenous doses of dexamethasone at 24 hours intervals (group 4). Serum SAA levels were measured on day 1 and day 3. Antibody levels against EIV (hemagglutination inhibition assay, Kentucky 2014 antigen) and EHV‐1 (multiplex ELISA targeting total IgG and IgG 4/7) were measured on day 1 and day 30. Results: Significantly increased mean antibody titers after vaccination were only noted against EIV and only after the vaccination alone (n = 14, prevaccine mean [prvm] 166.9, SD 259.6, 95% CI 16.95‐316.8; postvaccine mean [povm] 249.1, SD 257.2, 95% confidence interval [CI] 100.6‐397.6, P =.02) and the single dose dexamethasone (n = 14, prvm 93.14, SD 72.2, CI 51.45‐134.8; povm 185.1, SD 118, CI 116.7‐253.6, P =.01), but not after multiple doses of dexamethasone (n = 14, prvm 194.3, SD 258.3, CI 45.16‐343.4; povm 240.0, SD 235.7, CI 103.9‐376.1, P >.05). Conclusion: The effect of dexamethasone on the postvaccine antibody response varies depending on the dosing frequency and the antigen‐specific antibody type. [ABSTRACT FROM AUTHOR]