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

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654<br />

Chapter | 21 <strong>Clinical</strong> Reproductive Endocrinology<br />

Progesterone (nmol/L)<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

Estradiol Progesterone LH<br />

Proestrus<br />

3–21 days<br />

Recommended time<br />

for insemination<br />

Ovulation<br />

Estrus<br />

3–21 days<br />

Metestrus<br />

FIGURE 21-9 Schematic representation <strong>of</strong> the temporal relationship<br />

among estradiol, progesterone, peak <strong>of</strong> luteinizing hormone (LH), and<br />

ovulation in the bitch. The recommended time <strong>of</strong> mating or artificial<br />

insemination is based on the progesterone concentration.<br />

progesterone in daily samples <strong>of</strong> blood obtained during the<br />

periovulatory period gives a more precise timing <strong>of</strong> ovulation<br />

than can be obtained by vaginal cytology.<br />

In situations wherein a particular pairing <strong>of</strong> animals<br />

does not result in a mutual sexual attraction and where artificial<br />

insemination must be used, progesterone analysis is a<br />

useful tool to verify ovulation. Artificial insemination with<br />

frozen-thawed semen usually results in lower pregnancy<br />

rates than artificial inseminations using fresh semen. Using<br />

progesterone determinations to pinpoint ovulation it was<br />

found that the pregnancy rate following insemination with<br />

frozen-thawed semen could be improved when the insemination<br />

was performed at progesterone concentrations<br />

30 nmol/liter ( Fig. 21-9 ) ( Linde-Forsberg and Forsberg,<br />

1989, 1993 ).<br />

Progesterone analysis can also be useful in cases <strong>of</strong><br />

short estrus cycle intervals to determine if ovulatory failure<br />

has occurred, a situation in which progesterone concentrations<br />

are low following the termination <strong>of</strong> estrus.<br />

Analysis <strong>of</strong> progesterone (alone or in combination with<br />

estrogen) is also useful in cases when there is some question<br />

as to the completeness <strong>of</strong> removal <strong>of</strong> ovarian tissue<br />

during an ovariohysterectomy (ovarian remnant syndrome).<br />

Stimulation by hCG/eCG or GnRH can improve the possibility<br />

<strong>of</strong> finding any remnant ovarian tissue. An important<br />

distinction as concerns the dog is that, unlike other domestic<br />

species, the bitch is keyed into sexual receptivity at<br />

the end <strong>of</strong> the follicular phase by progesterone. Dogs may<br />

be sexually attractive because <strong>of</strong> odors arising from the<br />

vagina because <strong>of</strong> factors such as infection, but bitches<br />

will only accept males in the presence <strong>of</strong> increased progesterone<br />

concentrations, a situation that is almost always<br />

associated with luteal tissue as part <strong>of</strong> a remaining ovarian<br />

remnant.<br />

2 . Testosterone<br />

The most common endocrine test in male dogs is testosterone<br />

for the purpose <strong>of</strong> checking the secretory status<br />

<strong>of</strong> the Leydig cells. Testosterone values in normal dogs<br />

range from about 1 ng/ml (3.5 nmol/liter) to about 10 ng/ml<br />

(35 nmol/liter) because <strong>of</strong> the pulsatile release pattern <strong>of</strong><br />

testosterone. Testosterone concentrations in castrated dogs<br />

are less than 0.5 nmol/liter.<br />

Assays <strong>of</strong> basal testosterone concentration may allow the<br />

diagnosis <strong>of</strong> the absence <strong>of</strong> testicular tissue in the same manner<br />

as described previously for the male horse. Sometimes<br />

the positive confirmation <strong>of</strong> presence <strong>of</strong> testicular tissue<br />

may require the use <strong>of</strong> hCG or GnRH to stimulate testosterone<br />

production. In this situation, a resting blood plasma<br />

sample is collected immediately before the administration<br />

<strong>of</strong> the stimulating hormone, and a second blood sample is<br />

collected an hour later. A significant increase in plasma testosterone<br />

concentration is diagnostic <strong>of</strong> testicular tissue.<br />

Testosterone analysis is done in conjunction with fertility<br />

examinations, <strong>of</strong>ten in stud animals that are presented<br />

as infertility cases following a prolonged show tour. Most<br />

<strong>of</strong> these animals have testosterone concentrations that are<br />

compatible with normal spermatogenesis, although sperm<br />

counts are <strong>of</strong>ten very low. The management <strong>of</strong> this syndrome<br />

is still uncertain.<br />

Feminizing syndromes in intact male dogs have been<br />

observed, in which concentrations <strong>of</strong> testosterone are greatly<br />

decreased below normal (to 100 pg/ml or less; 350 pmol/<br />

liter) and estradiol values are two to three times normal (30<br />

to 45 pg/ml versus the normal 15 pg/ml; 110 to 165 pmol/liter<br />

and 55 pmol/liter). It is thought that a majority <strong>of</strong> these cases<br />

involve Sertoli cell tumors. Dogs with confirmed Sertoli cell<br />

tumors have high peripheral blood plasma levels <strong>of</strong> inhibin<br />

and suppressed levels <strong>of</strong> LH and testosterone ( Grootenhuis<br />

et al. , 1990 ). These authors were, however, unable to detect<br />

differences in blood concentrations <strong>of</strong> estradiol between<br />

dogs with Sertoli cell tumors and control dogs.<br />

3 . Relaxin<br />

Relaxin is in the pregnant dog is first detected at day 18 to 25<br />

<strong>of</strong> gestation but is undetectable during anestrus, throughout<br />

nonpregnant ovarian cycles, and in male dogs ( Steinetz et al. ,<br />

1987, 1996 ). Maximal concentrations are attained by days<br />

40 to 50 <strong>of</strong> pregnancy and are followed by slight declines<br />

before parturition. Relaxin is produced predominantly<br />

by syncytiotrophoblasts in the placenta ( Klonisch et al. ,<br />

1999 ) but also by the ovary, and it is the closest thing to a<br />

pregnancy-specific canine hormone ( Tsutsui and Stewart,<br />

1991 ). Commercial available assays for canine relaxin can<br />

be used to diagnose pregnancy as early as 21 days after<br />

breeding, although negative results should be rechecked<br />

after a week. However, relaxin cannot be used to estimate<br />

litter size and remains elevated after pregnancy loss.

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