26.12.2014 Views

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

IV. <strong>Clinical</strong> Aspects <strong>of</strong> Reproductive Endocrinology<br />

647<br />

( Linzell and Heap, 1968 ). After this time period, the fetoplacental<br />

unit secretes significant amounts <strong>of</strong> progesterone.<br />

The dog requires the presence <strong>of</strong> CL for all <strong>of</strong> gestation.<br />

Sokolowski (1971) found that ovariectomy even as late as<br />

day 56 postbreeding resulted in premature delivery.<br />

The necessity <strong>of</strong> secondary CL, which are formed in the<br />

mare between days 40 and 60 <strong>of</strong> gestation, has been discussed<br />

over the years. The secondary CL are the result <strong>of</strong><br />

eCG secretion by the endometrial cups, which are formed<br />

from a circular band <strong>of</strong> cells <strong>of</strong> placental origin (chorionic<br />

girdle cells) that invade the endometrium and form isolated<br />

endocrine organs <strong>of</strong> temporary function ( Allen, 1969 ).<br />

Although secondary CL are not essential for the maintenance<br />

<strong>of</strong> pregnancy in the mare in that the primary CL<br />

continues to function for up to 150 days, they do add extra<br />

progestational support for the pregnancy during the time<br />

placental production <strong>of</strong> progesterone is being established.<br />

Progesterone support <strong>of</strong> pregnancy in the mare begins to be<br />

taken over by the placenta as early as day 50 <strong>of</strong> gestation but<br />

is not complete for all mares until approximately 100 days<br />

or later, a time that coincides with the beginning demise <strong>of</strong><br />

both primary and secondary CL ( Holtan et al. , 1979 ).<br />

It has been demonstrated that eCG has a close immunological<br />

relationship with equine LH ( Farmer and Papk<strong>of</strong>f,<br />

1979 ); further, incubation studies <strong>of</strong> CL have shown a<br />

luteotropic effect <strong>of</strong> eCG ( Squires et al. , 1979 ). If fetal loss<br />

occurs after the formation <strong>of</strong> endometrial cups, continuing<br />

eCG production supports luteal activity, even to the point<br />

<strong>of</strong> making lysis <strong>of</strong> these CL difficult in conjunction with<br />

the pharmacological administration <strong>of</strong> prostaglandin F 2 α .<br />

The endocrine activity <strong>of</strong> the fetoplacental unit can<br />

be monitored through the measurement <strong>of</strong> conjugated<br />

estrogens, especially estrone sulfate in peripheral blood<br />

plasma or urine ( Fig. 21-6 ). In the pregnant sow, concentrations<br />

<strong>of</strong> estrone sulfate become detectable at day 17 <strong>of</strong><br />

pregnancy, increase until about day 28, then decline to<br />

low or undetectable values and then increase again beginning<br />

around day 75 to 80 <strong>of</strong> pregnancy and remain high<br />

until parturition ( Robertson and King, 1974 ). In the mare,<br />

estrone sulfate values begin to increase around day 35 to<br />

40 <strong>of</strong> pregnancy with accentuated production at 80 to 90<br />

days and with highest values obtained from day 150 to parturition<br />

( Kindahl et al. , 1982 ; Terqui and Palmer, 1979 ).<br />

In the ewe ( Tsang, 1978 ), estrone sulfate levels can be<br />

detected from around day 70 to 80 after conception and<br />

in the goat concentrations start to increase around day<br />

50 <strong>of</strong> pregnancy ( Chaplin and Holdsworth, 1982 ). In the<br />

pregnant cow, estrone sulfate concentrations in milk start<br />

to increase between days 100 to 120 ( Hatzidakis et al. ,<br />

1993 ; Henderson et al. , 1994 ). In all species, high values<br />

<strong>of</strong> estrone sulfate in the peripheral blood, milk, or urine are<br />

strong evidence for the presence <strong>of</strong> a viable fetus.<br />

The mare produces two estrogens during pregnancy<br />

that are unique to equids, equilin, and equilenin, both <strong>of</strong><br />

which have unsaturated B rings. Pashen and Allen (1979)<br />

have shown through fetal gonadectomy in the horse the<br />

importance <strong>of</strong> fetal gonads in the production <strong>of</strong> estrogen in<br />

cooperation with the placenta. Little evidence <strong>of</strong> estrogen<br />

production during pregnancy has been reported for the dog<br />

( Hadley, 1975 ). Estrogen production by the fetoplacental<br />

unit in the cat also appears to be minimal during gestation<br />

( Verhage et al. , 1976 ).<br />

An important endocrine change, which occurs before<br />

parturition in the cow, ewe, and sow, involves an increase<br />

in the synthesis and release <strong>of</strong> unconjugated estrogens by<br />

the fetoplacental unit. This increased estrogen synthesis is<br />

reflected in elevated plasma estrone concentrations in the<br />

pregnant cow beginning between 30 and 20 days prepartum<br />

( Edqvist et al. , 1973 ), in the ewe about 2 days before<br />

parturition ( Challis et al. , 1971 ), and in the pig about<br />

1 week before delivery ( Robertson and King, 1974 ). In the<br />

cow ( Edqvist et al. , 1973 ; Stabenfeldt et al. , 1970 ) and<br />

bitch ( Smith and McDonald, 1974 ), parturition is preceded<br />

by an abrupt fall in progesterone concentrations between<br />

48 and 24 h before delivery. In the ewe ( Stabenfeldt et al. ,<br />

1972 ), mare ( Noden et al. , 1978 ), and sow (Baldwin and<br />

Stabenfeldt, 1975 ), partial withdrawal <strong>of</strong> progesterone<br />

occurs before delivery. In the cow ( Edqvist et al. , 1978 ;<br />

Fairclough et al. , 1975 ), ewe ( Liggins et al. , 1972 ), and<br />

bitch ( Concannon et al. , 1988 ), it has been demonstrated<br />

that prostaglandin release initiates regression <strong>of</strong> the CL and<br />

thus is responsible for the withdrawal <strong>of</strong> progesterone.<br />

High estrogen and prostaglandin concentrations combined<br />

with low progesterone concentrations increase the<br />

contractile state <strong>of</strong> the uterus. Prostaglandins may also initiate<br />

cellular changes within the cervix, in addition to the<br />

effect <strong>of</strong> relaxin, which result in cervical s<strong>of</strong>tening and<br />

dilation. Cervical stimulation, the result <strong>of</strong> the initial entry<br />

<strong>of</strong> the fetus into the pelvic canal, causes the reflex release<br />

<strong>of</strong> oxytocin from the posterior pituitary. This increases<br />

the intensity <strong>of</strong> uterine contractions and thus aids the final<br />

delivery process.<br />

IV . CLINICAL ASPECTS OF REPRODUCTIVE<br />

ENDOCRINOLOGY<br />

Important differences exist between humans and animals<br />

as concerns endocrine analysis. For example, steroid hormone<br />

concentrations are much lower (10-fold less as concerns<br />

estrogens) in animals, which produces a requirement<br />

for more rigorous assay systems for animals. In animals,<br />

the most useful information comes from assessing gonadal<br />

or fetoplacental activity (versus pituitary activity) and<br />

thus emphasizes the determination <strong>of</strong> steroid hormones.<br />

Besides the fact that gonadotropin values are less useful<br />

for the assessment <strong>of</strong> clinical situations, variations in<br />

amino acid composition among species as concern specific<br />

hormones mean that multiple systems have to be developed<br />

to determine the content <strong>of</strong> one protein hormone

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!