Havemeyer Foundati<strong>on</strong> M<strong>on</strong>ograph Series No. 3ADMINISTERED OESTROGENS ARE LUTEOLYTICDURING EARLY PREGNANCY IN MAREST. A. E Stout and W. R. Allen*Department <str<strong>on</strong>g>of</str<strong>on</strong>g> Equine Sciences, Utrecht University, Secti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> Reproducti<strong>on</strong>, Yalelaan 12, 3584 CMUtrecht, The Ne<str<strong>on</strong>g>the</str<strong>on</strong>g>rlands; *Equine Fertility Unit, Mertoun Paddocks, Woodditt<strong>on</strong> Road, Newmarket,Suffolk CB8 9BH, UKINTRODUCTIONRecent surveys have reported early pregnancy loss(EPL) rates <str<strong>on</strong>g>of</str<strong>on</strong>g> between 5 and 24% in young,healthy mares and up to 70% in aged, subfertilemares (see Ball 1993 for review), <str<strong>on</strong>g>the</str<strong>on</strong>g>rebyc<strong>on</strong>firming that EPL is a significant cause <str<strong>on</strong>g>of</str<strong>on</strong>g>ec<strong>on</strong>omic loss to <str<strong>on</strong>g>the</str<strong>on</strong>g> horsebreeding industry. In <str<strong>on</strong>g>the</str<strong>on</strong>g>present m<strong>on</strong>ograph, Carnevale et al. report similarrates <str<strong>on</strong>g>of</str<strong>on</strong>g> EPL for pregnancies established byembryo transfer (12–25%) and <str<strong>on</strong>g>the</str<strong>on</strong>g>y discuss some<str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> factors that may have c<strong>on</strong>tributed to <str<strong>on</strong>g>the</str<strong>on</strong>g>selosses. In general, while it is clear that <str<strong>on</strong>g>the</str<strong>on</strong>g> majority<str<strong>on</strong>g>of</str<strong>on</strong>g> EPL occurs within <str<strong>on</strong>g>the</str<strong>on</strong>g> first 35 days <str<strong>on</strong>g>of</str<strong>on</strong>g> gestati<strong>on</strong>,when maintenance <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> primary corpus luteum isessential to c<strong>on</strong>ceptus survival, <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>diti<strong>on</strong>sunder which <str<strong>on</strong>g>the</str<strong>on</strong>g> CL might undergo luteolysis in<str<strong>on</strong>g>the</str<strong>on</strong>g> presence <str<strong>on</strong>g>of</str<strong>on</strong>g> a normal c<strong>on</strong>ceptus are not wellunderstood. On <str<strong>on</strong>g>the</str<strong>on</strong>g> o<str<strong>on</strong>g>the</str<strong>on</strong>g>r hand, it has been widelyspeculated that oestrogens secreted by <str<strong>on</strong>g>the</str<strong>on</strong>g>developing horse c<strong>on</strong>ceptus may effect maternalrecogniti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> pregnancy and luteostasis, as <str<strong>on</strong>g>the</str<strong>on</strong>g>ydo in pigs (Bazer and Thatcher 1977). However,this hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>sis has remained unproven, primarilybecause administrati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> exogenous oestrogensdoes not reliably prol<strong>on</strong>g luteal activity in cyclingmares. Indeed, G<str<strong>on</strong>g>of</str<strong>on</strong>g>f et al. (1993) reported that <str<strong>on</strong>g>the</str<strong>on</strong>g>administrati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> oestrogens to mares in latedioestrus stimulates, ra<str<strong>on</strong>g>the</str<strong>on</strong>g>r than inhibits,luteolysis, <str<strong>on</strong>g>the</str<strong>on</strong>g>reby mirroring <str<strong>on</strong>g>the</str<strong>on</strong>g> situati<strong>on</strong> in <str<strong>on</strong>g>the</str<strong>on</strong>g>domestic ruminants in which oestrogens promoteluteolysis by enhancing endometrial oxytocinreceptor development and, <str<strong>on</strong>g>the</str<strong>on</strong>g>reby, oxytocininducedPGF 2α release (McCracken et al. 1984).Moreover, in cattle, horm<strong>on</strong>al treatments given toprotect against failure <str<strong>on</strong>g>of</str<strong>on</strong>g> maternal recogniti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g>pregnancy and loss <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> primary CL, namely,exogenous progester<strong>on</strong>e or a mid-dioestrousinjecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> a GnRH analogue, have been proposedto do so by reducing circulating oestradiolc<strong>on</strong>centrati<strong>on</strong>s and <str<strong>on</strong>g>the</str<strong>on</strong>g>reby weakening <str<strong>on</strong>g>the</str<strong>on</strong>g>luteolytic drive (Mann and Lamming 1995).Similar treatments are being used increasingly inmares in an attempt to minimise early pregnancyloss, despite a lack <str<strong>on</strong>g>of</str<strong>on</strong>g> evidence to support <str<strong>on</strong>g>the</str<strong>on</strong>g>irefficacy. Fur<str<strong>on</strong>g>the</str<strong>on</strong>g>rmore, <str<strong>on</strong>g>the</str<strong>on</strong>g>re is no rati<strong>on</strong>ale forsuch treatments unless it can be established thatoestrogens are pro-luteolytic during earlypregnancy in equids; such an effect is bothunproven and c<strong>on</strong>trary to <str<strong>on</strong>g>the</str<strong>on</strong>g> existing dogma. Theaim <str<strong>on</strong>g>of</str<strong>on</strong>g> this study was to determine if administeredoestrogens might be luteolytic during earlypregnancy in <str<strong>on</strong>g>the</str<strong>on</strong>g> mare and, if so, whe<str<strong>on</strong>g>the</str<strong>on</strong>g>r <str<strong>on</strong>g>the</str<strong>on</strong>g>y actby stimulating PGF 2α release directly or byenhancing endometrial oxytocin-sensitivity.MATERIALS AND METHODSOn Days 14 and 22 <str<strong>on</strong>g>of</str<strong>on</strong>g> pregnancy and Day 14 <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>oestrous cycle, Welsh p<strong>on</strong>y mares (n = 3 in each <str<strong>on</strong>g>of</str<strong>on</strong>g>6 groups) were given ei<str<strong>on</strong>g>the</str<strong>on</strong>g>r an iv injecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> 0.01mg/kg oestradiol-ß al<strong>on</strong>e, or an im injecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g>0.03 mg/kg oestradiol-ß followed 6 h later by an ivinjecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> 20 iu/500 kg oxytocin. Jugular veinplasma samples were collected at 10 min intervalsfrom 1 h before to 1 h after oestradiol-ß oroxytocin injecti<strong>on</strong> and assayed for <str<strong>on</strong>g>the</str<strong>on</strong>g>irc<strong>on</strong>centrati<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> 13,14-dihydro,15-keto PGF 2α(PGFM). Additi<strong>on</strong>al blood samples were collectedtwice daily to m<strong>on</strong>itor post treatment peripheralprogester<strong>on</strong>e c<strong>on</strong>centrati<strong>on</strong>s and pregnancy wasm<strong>on</strong>itored by palpati<strong>on</strong> and ultrasound scanning <str<strong>on</strong>g>of</str<strong>on</strong>g><str<strong>on</strong>g>the</str<strong>on</strong>g> reproductive tract <strong>on</strong> alternate days.RESULTSOestradiol benzoate followed by oxytocin, but notoestradiol-ß al<strong>on</strong>e, caused a rapid decline in93
Equine Embryo Transferperipheral serum progester<strong>on</strong>e c<strong>on</strong>centrati<strong>on</strong>s. In<str<strong>on</strong>g>the</str<strong>on</strong>g> pregnant mares, however, progester<strong>on</strong>ec<strong>on</strong>centrati<strong>on</strong>s plateaued and stabilised at around2–3 ng/ml so that <str<strong>on</strong>g>the</str<strong>on</strong>g> pregnancies weremaintained. Circulating PGFM c<strong>on</strong>centrati<strong>on</strong>s didnot rise within <str<strong>on</strong>g>the</str<strong>on</strong>g> first h after oestradiol-ßinjecti<strong>on</strong> in any <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> animals whereas oxytocinchallenge 6h after oestradiol-benzoate resulted in asignificant rise in plasma PGFM c<strong>on</strong>centrati<strong>on</strong>s in<strong>on</strong>e Day 14 dioestrous mare (<str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>on</strong>e analysed thusfar) and two <str<strong>on</strong>g>of</str<strong>on</strong>g> three Day 22 pregnant mares, butnot in ei<str<strong>on</strong>g>the</str<strong>on</strong>g>r <str<strong>on</strong>g>of</str<strong>on</strong>g> 2 Day 14 pregnant mares.CONCLUSIONSThese results indicate that a single oestrogenchallenge, given as an iv injecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> oestradiol-ß,does not stimulate uterine PGF 2α release or reduceluteal activity in <str<strong>on</strong>g>the</str<strong>on</strong>g> mare when administeredei<str<strong>on</strong>g>the</str<strong>on</strong>g>r late in dioestrus or early in pregnancy. On<str<strong>on</strong>g>the</str<strong>on</strong>g> o<str<strong>on</strong>g>the</str<strong>on</strong>g>r hand, more prol<strong>on</strong>ged oestrogen <str<strong>on</strong>g>the</str<strong>on</strong>g>rapy(im oestradiol benzoate) followed by oxytocinchallenge caused partial luteolysis in all pregnantmares treated <strong>on</strong> Day 14 or 22 after ovulati<strong>on</strong>;although <str<strong>on</strong>g>the</str<strong>on</strong>g>re was no discernable rise in PGFMc<strong>on</strong>centrati<strong>on</strong>s in those treated <strong>on</strong> Day 14. Thisargues against <str<strong>on</strong>g>the</str<strong>on</strong>g> effect <str<strong>on</strong>g>of</str<strong>on</strong>g> oestradiol benzoatebeing mediated primarily by enhancement <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>oxytocin-PGF 2α pathway and, since oxytocininjecti<strong>on</strong> al<strong>on</strong>e does not influence peripheralserum progester<strong>on</strong>e c<strong>on</strong>centrati<strong>on</strong>s in Day 22pregnant mares (authors, unpublishedobservati<strong>on</strong>s), <str<strong>on</strong>g>the</str<strong>on</strong>g> luteolysis seen in <str<strong>on</strong>g>the</str<strong>on</strong>g> presentstudy was unlikely to have been caused by <str<strong>on</strong>g>the</str<strong>on</strong>g>administered oxytocin per se. On <str<strong>on</strong>g>the</str<strong>on</strong>g> o<str<strong>on</strong>g>the</str<strong>on</strong>g>r hand,an earlier experiment recorded a similar fall incirculating progester<strong>on</strong>e c<strong>on</strong>centrati<strong>on</strong>s in Day 23pregnant mares to which oestradiol benzoate wasadministered <strong>on</strong>ce daily for 10 days (Gerstenberg1998), which also supports <str<strong>on</strong>g>the</str<strong>on</strong>g> proposal thatoestradiol benzoate has a luteolytic acti<strong>on</strong> which isindependent <str<strong>on</strong>g>of</str<strong>on</strong>g> exogenous oxytocin and whichrarely results in complete CL lysis.In summary, we present preliminary evidencethat <str<strong>on</strong>g>the</str<strong>on</strong>g> administrati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> l<strong>on</strong>ger-acting oestrogensto mares during early pregnancy may compromiseluteal survival. Although <str<strong>on</strong>g>the</str<strong>on</strong>g>se findings need to bec<strong>on</strong>firmed and extended, <str<strong>on</strong>g>the</str<strong>on</strong>g>y n<strong>on</strong>e<str<strong>on</strong>g>the</str<strong>on</strong>g>less lendsupport to <str<strong>on</strong>g>the</str<strong>on</strong>g> hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>sis that high systemicoestrogen c<strong>on</strong>centrati<strong>on</strong>s may be detrimental topregnancy in <str<strong>on</strong>g>the</str<strong>on</strong>g> mare.REFERENCESBall, B.A. (1993) Embry<strong>on</strong>ic death in mares. In: EquineReproducti<strong>on</strong> Eds. A.O. McKinn<strong>on</strong> and J.L. Voss,Lea and Febiger, Pennsylvania, USA. pp 517-531.Bazer, F.W. and Thatcher, W.W. (1977) Theory <str<strong>on</strong>g>of</str<strong>on</strong>g>maternal recogniti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> pregnancy in swine based <strong>on</strong>oestrogen c<strong>on</strong>trolled endocrine versus exocrinesecreti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> prostaglandin F 2α by <str<strong>on</strong>g>the</str<strong>on</strong>g> uterineendometrium. Prostagla. 14, 397-401.Carnevale, E.M., Ramirez, R.J., Squires, E.L.,Alvarenga, M.A. and McCue, P.M. (2000) Factorsaffecting pregnancy rates and early embry<strong>on</strong>ic deathafter embryo transfer. Proc. <str<strong>on</strong>g>5th</str<strong>on</strong>g> Int. Symp. <strong>on</strong> EquineEmbryo Transfer.G<str<strong>on</strong>g>of</str<strong>on</strong>g>f, A.K., Sirois, J. and P<strong>on</strong>tbriand, D. (1993) Effect <str<strong>on</strong>g>of</str<strong>on</strong>g>oestradiol <strong>on</strong> oxytocin-stimulated prostaglandin F 2αrelease in mares. J. reprod. Fert. 98, 107-112.Gerstenberg, C. (1999) Factors c<strong>on</strong>trolling epi<str<strong>on</strong>g>the</str<strong>on</strong>g>liochorialplacentati<strong>on</strong> in <str<strong>on</strong>g>the</str<strong>on</strong>g> mare. University <str<strong>on</strong>g>of</str<strong>on</strong>g> CambridgePhD Thesis.McCracken, J.A., Schramm, W. and Okulicz, W.C.(1984) Horm<strong>on</strong>e receptor c<strong>on</strong>trol <str<strong>on</strong>g>of</str<strong>on</strong>g> pulsatilesecreti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> PGF 2α from <str<strong>on</strong>g>the</str<strong>on</strong>g> ovine uterus d.uringluteolysis and its abrogati<strong>on</strong> in early pregnancyAnim. reprod. Sci. 7, 31-55Mann, G.E. and Lamming, G.E. (1995) Effect <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>level <str<strong>on</strong>g>of</str<strong>on</strong>g> oestradiol <strong>on</strong> oxytocin-inducedprostaglandin F 2α release in <str<strong>on</strong>g>the</str<strong>on</strong>g> cow. J. Endocrinol.145, 175-180.94