Pferdeheilkunde15 (1999)6 (November/Dezember) 608-610 Uterineoxytocin responsivenessand maternal recognitionof pregnancyin the mare LÄ.E Stoutand W.R.Allen Universty of Cambridge,Department of ClinicalVeterinary lvledicine, Cambridge, L.J. K. Summary Establishmentof pregnancyin the mare,as wth the other largedomesticanimalspecies,dependson the conceptus orchestratedsuppression of endometrialprostaglandinFr. (PGFr")secretionduring days 11-16 atter ovulation,the period when cyclicalluteolysiswould otherw se occur. lt is frustratng that, n the mare,the conceptussignalis)responsiblefor prolongingthe I fespanof the corpus luteum(CL)has nol been identified.Nor is it understoodhow suppressiongf PGFr. re ease is ach eved. However,recent studieshave suggestedthat oxytocin plays an importantrole in drivjngthe endometrialreleasesof PGF2,that cause uteolysisin the cycling mare and, with this in mind, the current paper reviewsthe evidencein favour of the hypothesisthat uteostass during early pregnancydepends on an inhibitionof endometrial ox)4oclnresponsiveness, as t does n ruminants.In addltion,we examinethe extentto which mechanlsmsother than the hypothesisedinhibition of endometrialoxytoc n receptorsare necessaryif the conceptus ls to realiseits goal of extendingthe lifespanof the pr mary CL beyondthe time of endometrialcup formationand thus secretionof equineChoronic Gonadotrophln(eCG). Keywords: mare,pregnancy,oxytocin,uterus,prostaglandin Fr, Uterine Ansprechbarkeit auf Oxldocin und maternale Erkennungder Gravidität bei der Stute We bei den anderengroßenHaustieradenhängt die Etablierungder Trächtigkehbei der Stute ab von der durch den Konzeptusausgelösten Unterdrückungder endometrialenPcF2"-Sekretionwährend des 11.-16. Tages post ovulationem,also der Zelt, in der sonst die zyklische Luteolyseeingesetzthätte. Bedauerlicherweise st das Sgnal des Konzeptus,das für das Persisterendes Corpus luteumverantworUichist, beim Pferd nicht identifiziert. Auch ist nicht klar,wie die Suppressionder PGFr"-Freisetzung erreichtwird. Dagegenwurde in neuestenArbeiten vermutet,daß das Oxltoc n eine wichtige Ro le in der Regulationder endometrialenPGF2..Abgabe während der zyk ischen Luteolyse spielt.N4itdiesernHintergrundwird in diesemArtikelversucht,den Nachweisder Hypothesezu führen,daß die Luteostasein der Frühträch tigkeit bdm Pferd, wie be m Bind, von der Hemmungder endometrialenOxy,tocin-Ansprechbarkeit abhängt.Zusätzlichw rd untersucht, n welchem Ausmaß andere lvlechanismenals die hypothetisierteInhibitionder endometrialenOxytocinrezeptorennotwendig sind, falls der Konzeptussein Ziel erreicht,die Persistenzdes primärenCorpus luteum uber die Zeit der Formationder endometria cups und damit der Sekretionvon equinemChoriongonadotropin, eCG, zu initileren. Schlüsselwörter: Stute,Trächtigkeit,Oxytocin,Uterus,PGF"- Introduction Maternal recognition of pregnancy in ruminants Short (1969)coinedthe term ,,maternal recognitionof pregnancy" to describe the process by which the dam determines biochemically that a conceptusis presentin her uterus and makes the appropriatephysiologicalchanges to ensurethat a suitableenvironmentis establishedfor the future growth and developmentof that conceptus. In polyoestrousspecies,the term has come to referspecifically to the conceptus-initiated events which result in prolongation of the lifespanof the CL, since progesteronesecretedby this structurestimulatesmany of the changeswhich ensure nutrientsfor, and otherwiseprotect,the growingembryo.In the mare,the antiluteolytic effectof the conceptusappears to be manifestedas an absolutereductionin uterinePGF2" synthesisand/or releaseduringthe luteolyticperiod (Sharp et al., 19BB)and the remarkablylong period of intrauterine mobilityof the conceptusuntilaroundday 16-17 afterovulation,is essentialif the conceptusis to deliverenoughof its anti-luteolytic messageto a sufficientproportionof the total area of endometriumto inhibitPGF2*releasefrom the latter, lf the mobilityof the conceptus is restricted,luteolysis will occur and pregnancy loss will follow (McDowellet al., 1 9 8 5 ). As in the mare, luteolysisin the domestic ruminantsis effected by pulses of PGF,. released by the endometrium. However,it is now well establishedin these speciesthat oxytocin secreted by the CL plays a pivotal role in the luteolyticprocessbecauseit stimulatesthe endometriumto secrete its PGFr,.(Flintand Sheldrick, 1986). Fudhermore, the criticalstep in the initiationof this luteolyticpathwayis a dramatic upregulationof oxytocin receptors(OTRs)within the endometriumand the resultingdevelopmentof 'oxytocin sensitivity'(VVathes et al., 1996).Once this has occurred, and becausePGFro,in turn, stimulatesoxytocinsecretion, lutealoxytocinand endometrialPGF2"engage in a positive feedback loop which generatesthe large pulses of PGFr., neededto effect luteolysis(Silviaet al., 1991). The discoverythat oxytocinand its endometrialreceptorare centralto luteolysishas helpedconsiderablyto explainhow a developingruminantconceptuspreventsthe destruction of its mother'sCL. lt secretesdirectlyonto the endometrium protein,interJeron an uniqueantiluteolytic tau (lFN-r'.Bazer, 1992),which acts primarilyto preventthe cyclicalupregulation of OTRs and, in so doing, disarmsthe oxytocin-PGFr, positive feedback loop (McCrackenet al., 1984). This, in 608 Pferdeheilkunde 15 T.A.E.StoutundW.R.Allen turn, disruptsthe patternof PGF,* secretionand prevents the generationof the largepulsesof hormonerequiredto effect lutealdestruction(Payneand Lamming,7994). late that some other mechanism(s),which is probably beyond oxytocinreceptorsuppression,must completethe inhibitionof PGFr"releaseduringearlypregnancy. The role of oxytocin in cyclical luteolysis in the mare Other'control points' in equine pregnancy recognition Giventhe importanceof the dam's recognitionof her pregnancy state to embryonicsurvival,it would not be surprising if more than one pathwaywas employedto ensureCL survival.Indeed,cattle embryos appear to use more than one mechanismto inhibituterinePGF2.releaseand pregnant bovine endometriumsecretesup to 50% less PGF2" than cyclicalendometriumwhen incubatedin vitro due to the existence in the tissue of an intrinsic endometrial prostaglandinsynthesis inhibitor (EPSI',Thatcher et al, 1995),the expressionand activityof which is enhancedby the IFN-t secreted by the elongatingbovine trophoblast. However,althoughFranklrnet al. (1989)reportedsignificantly lower levelsof PGFr. secretionin vitro by endometriumrecoveredfrom pregnantmares versus cycling mares, other studieshave not supporledthis finding(Sharpet al., 19BB; Sfouf, 1998).Thus, if the antiluteolytic actionsof the equine conceptusare not sustainedconstitutivelyin endometrium removedfrom a pregnantmare, it seems most unlikelythat an equineanalogousEPSIexists.lf it does, its action must be extremelyshort-lived. Finally,while recent experimentshave demonstratedthat the uterus of the mare is a major potentialsource of oxytocin duringcyclicalluteolysis,they may have also unearthed an additionalcontributionto a reduced oxytocin-PGFr* drive during pregnancy.Namely,Behrendtet al. (1997)noted that the expressionof mRNA for oxytocinin the endometriumof the mare is lowerduringearlypregnancythan at an equivalentstage of the oestrouscycle and Sfout (1998) Oxytocin receptors and maternal recognition of pregnancy in the mare found a similarreductionin uterinelumenaloxytocin concentrationsduring days 14-18 of gestation.On the other lf it is accepted that the developmentof uterinesensitivity hand, Watson et al. (1997) reporled an increasein the conto oxytocinis the criticalstep in the onset of luteolysisin the centrationsof oxytocinpeptidewithin endometrialepithelial non-pregnantmare, it becomeseasierto conceivehow the cells during early pregnancy,compared to late dioestrus, conceptus might act to suppress PGF2, secretionduring and thereforeit appears that both oxytocin production and the period of maternalrecognitionof pregnancy.Between releaseare reducedduring early pregnancy,thereby reducing the hormonaldriveto luteolysis. days 1 1 and '16after ovulation,pregnantmares do not develop the abilityto secrete PGF2"in responseto oxytocin challengein the way that non-pregnantmares do so dramatically(Goffet al., 1987; Starbucket al., 1998).Therefore, Uterine lumenal concentrations of PGFr" it is likely that the antiluteolyticsignal(s)secreted by the Recently,we measuredconcentrationsof PGFr. within the equineblastocystacts eitherto preventthe developmentof oxytocinsensitivityin the endometriumor it uncouplesthe uterine lumen of day 18-30 pregnant mares and found interactionbetween the oxytocin-OTRcomplex and the these to be of the same order as the levelsrecordedin the prostaglandinsynthesispathway.In this respect,OTRs are uteri of mares undergoingcyclical luteolysis(Sfouf and reduced, both in number and in their affinityfor oxytocin, Allen, 1998).This observationcomplimentedthe findingby during days 12-14 of pregnancy (Sharp et al., 1997; SfarStarbucket al. (7997)IhaI, althoughthe abilityof the uterus buck et al., 1998).However,the levelof suppressionis not to respondto oxytocinchallengeis inhibitedbetweendays as completeas that seen in ruminantsduringthe equivalent 1Oand 14 of gestation,its responsiveness beginsto recover period and it is thereforeunlikelythat inhibitionof OTR acby day 18. Takentogether,these findingsseem to suggest tivity alone accounts for the almost total suppressionof that the antiluteolytic strategyof the equineblastocystis not PGF2*releasethat occurs. Hence,it is necessaryto specuto induce a total abolitionof the luteolvticmechanismbut, Initially,it was thought that control of PGFr, releaseduring luteolysisin the mare differedfundamentallyfrom the mechanismsemployedby ruminantsand earlyauthorssuggested that oxytocin was not involved at all in the process (Neelyet al., 1979). However, Betteridgeet al. (7985) discovered that administrationof oxytocin to mares in late dioestrus provoked an immediate increase in peripheral p l a sm a c onc ent r at i o n so f 1 3 , 1 4 -d i h y d ro1 S -k e to P GF2. (PGFM),the majorcirculatingmetaboliteof PGFr., and Goff et al. (1987) went on to demonstratethat a measurable PGFr"-release responseto oxytocinchallengefirst appears on day 11 after ovulationin the cyclingmare and the response rises to peak during days 14-16, coincidentwith functionalluteolysis,More recently,Sharp et al. (1997)and Starbuck et al. (1998) have both reported that this late dioestrousincreasein endometrialoxytocinsensitivitycorrelateswith a simultaneousincreasein endometrialoxytocin bindingcapacity,therebysupportingthe contentionthat the developmentand functionof oxytocinreceptorsin the endometriumof the mare change in a manner consistent with oxytocinhavingan importantrole in luteolysis. Additionally,a number of recentstudieshave indicatedthat, in the mare, the endometriumitself is the primarysource of the oxytocin involved in cyclical luteolysis (Behrendt et al., 1997: Watsonet al., 1997: Sfouf et al., 1999). Pferdeheilkunde 15 609 Uterineoxytocinresponsiveness and maternalrecognitionof pregnancyin the mare rather,a delay in the developmentof oxytocinsensitivity so as to protectthe CL untila stageof pregnancywhen a significant oxytocinchallengeis unlikelyto occur. From a practicalstandpoint,this leavesthe day 1B-30 conceptusin a remarkablyprecariouspositionbecause,at leastin theory,luteolysiscould be initiatedby any stimulusthat causedoxytocin release,includingmanipulation of the uterus(Sharpet al., 1997),such as mightoccur duringmanualpalpationper rectum to diagnosepregnancyor vigorousreductionof twinsto a singletonpregnancy.This potentialfor a re-establishment of the luteolyticmechanismafter day '18 to endangerthe survivalof the pregnancywas demonstratedunintentionally by Allen (1975) when he discoveredthat 3 injectionsof a (hCG)given normaldose of humanChorionicGonadotrophin to mareson alternatedays between 1B and 33 days of gestationresultedin pregnancyfailureand a returnto oestrus. Subsequenlly,Unuin (1985)demonstratedthat this resulted from PGFr"-inducedluteolysiswhile Daelsand colleagues (pers,comm.)have suggestedthat smallquantitiesof endotoxinsco-purifiedwith hCG in the extractionprocessare the most likelycauseof the untowardPGF2*release. C o n cl us ions The conceptus factor(s)that inhibitendometrialreleaseof PGF2, during early pregnancy in the mare continues to elude identificaion.There remains considerablemerit in determiningthe natureof this signal,and its mechanismof action,since such informationmight well enablethe developmentof methodsto predictand/or limitearlypregnancy losses.Establishing a definiterolefor oxytocinin the control of cyclical luteolysisin the mare has helped to identifya number of potential,,control-points" at which the conceptus might exert its luteostaticaction, In addition,it is anticipated that furtherinvestigations into the expressionand regulationof the endometrialreceptorfor oxytocin may advance considerablyour understandingof how equineluteolysisis controlled,how the spherical,unattachedconceptus interfereswith this processand what happenswhen one or other of the mechanismsfails. The likelihoodthat the luteolyticpathwayis re-activatedbetween days 1B-30 after ovulationis of both scientificinterest and considerablepracticalimportanceas to how best to managepregnantmaresto minimisethe potentialfor untoward diagnosticor therapeuticmanipulations disturbingthe statusquo duringthe ,,riskperiod"of equinepregnancy. FlintAPF and SheldrickEL (1980):Ovarianoxytocrnand the maternal recognition of pregnancy. J. Reprod.Fert.76, 831-839. FranklinKJ, Gross TS, DuboisDH and Sharp DC (1989):In vitro prostaglandinsecretionfrom lumenaland myometrialsidesof endometriumfrom cyclicand pregnantmaresat day 14 post partum.Biol. Reprod.49, Suppl.1, Abstract199. Goff AK, PontbriandD and Srror,s J (1987):Oxytocinstimulationof plasma1S-keto-13,14-dihydro prostaglandin Fr" duringthe oestrouscycleand earlypregnancyin the mare.J. Reprod.Fert.Suppl. 35, 253-260. McCrackenJA, Schramm W and OkuliczWC (1984):Hormonereceptor controlof pulsatilesecretionof PGFr. from the ovineuterusduring luteolysisand its abrogationin early pregnancy.An. Reprod. S c i .7 , 3 1 - 5 5 . McDowell KJ, Sharp DC, Peck LS, and ChevesLL (1985):Effect of restrictedconceptusmobilityon maternalrecognitionof pregnancy in maresE . q u i n ev e t .J . S u p p l .3 , 2 3 - 2 4 . NeelyDP, StabenfeldtGH and SauterCL (1979):The effect of exogenous oxytocinon lutealfunctionin mares.J. Reprod.Fert. 55, 303-308. PayneJH and LammingGE (1994):The directinfluenceof the embryo on uterinePGF2,and PGE, productionin sheep.J. Reprod.Fert. 1 0 1, 7 3 7 - 7 4 1. Sharp DC, McDowellKJ and WeithenauerJ (1988):Establishmentof pregnancyand embryo loss in the mare. Proc. 11th Int. Cong. Anim.Reprod.and Al. pp 347-353. Sharp DC, ThatcherM-J, SaluteME and Fuchs AR (1997):Relationship betweenendometrialoxytocinreceptorsand oxytocininduced prostaglandin Fr" releaseduringthe oestrouscycleand earlypregnancyin ponymares.J. Reprod.Fert.109, 137-144. Short RV (1969):lmplantationand the maternalrecognitionof pregnancy.In: Ciba Foundation Symposiumon FoetalAutonomy.Eds. GEW Wolstenholme and MaeveO'Connor.J and A ChurchillLtd., London,UK. pp 2-26. Silvia WJ, Lewts GS, McCracken JA, Thatcher WW and Wilson L (1991):Hormonalregulation of uterinesecretionof PGFr,duringluteolysisin ruminants. Biol.Reprod.45, 655-663. Starbuck GF, Sfout TAE, Lamming GE, Allen WR and Flint APF (1998):Endometrialoxytocin receptor and uterine prostaglandin secretionin maresduringthe oestrouscycle and earlypregnancy. . e r t .1 1 3 , 1 7 3 - 1 7 9 . J . R e p r o dF Stout TAE(1998):Maternalrecognitionof pregnancyin the mare.PhD thesis,University of Cambridge. Stout TAEand Allen WR (1998):Uterinelumenalprostaglandinconcentrationsduring late dioestrusand early pregancyin the mare. J. Reprod.Fert.Abstractseries22,45. Stout TAE,LammingGE and Allen WR (1999):The uterusas a source of oxytocinin the cyclingmare.J. Reprod.Fert.Suppl.(ln press). ThatcherWW, Meyer MD and Danet-DesnoyersG (1995): Maternal recognition of pregnancy. J. Reprod.Feft.Suppl.49, 15-28. Uruln Valerie(1985):Gonadotrophiccontrol of ovarianfunction in pregnantequids.PhDThesis,University of Cambridge. Wathes DC, Mann GE, Payne JH, Riley PR, Steyenson KR and Lamming GE (1996): Regulation of oxytocin, oestradiol and progesterone receptorconcentrations in differentuterineregionsby oestradiol,progesteroneand oxytocin in ovariectomisedewes. J . E n d o c r i n1. 5 1 ,3 7 5 - 3 9 3 . Watson ED, Bjorksten IS, Buckingham J and Nikolakopoulos E (1997):lmmunolocalisation of oxytocinin the uterusof the mare. J. Reprod.Fert.AbstractSeries20,31. Literature AllenWE(1975): Pregnancy failure induced by humanChorionic Gonadotrophin in ponymares. Vet.Rec.96,BB-90. BazerFW (1992):Mediators of maternal recognition in of pregnancy mammals. Proc.Soc.exp.Biol.Med.199,373-384. Behrendt CY,AdamsMH,DanielKSandMcDowell KJ (1997): Oxytocin e xp res s ion byequine en d o me tri uBimo.lR . e p ro 5 d6 . S u p p1 l ., 134. Betteridge KJ, RenardA and GoffAK (1985):Uterineprostaglandin procedures release relative to embryocollection, transfer andmaintenance of thecorpusluteum. Equine vet.J. Suppl.3, 25-33. 610 Dr. T.A.E.Sfouf, (from 1.7.99) ProfessorW.R.Allen Departmentof EquineStudies Facultyof VetennaryMedicine Utrecht University Utrecht T.B.A. EqurneFertiiltyUnit Mertoun Paddocks Woodditton Road Newmarket Suffolk CBB gBH, U.K. The Netherlands Tel : ++31-30-2 531 057 Tel:++44-1638-662491 Fax:++44-1638-667 207 Pferdeheilkunde 15
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