3. placental function and endocrinology of pregnancy Flashcards

1
Q

match the placentas to the species and name the placenta type

A

left to right
- pig/horse: epitheliochorion, diffuse
- rodent/rabbit/primate: hemochorion, discoid
- dog/cat: endotheliochorion, zonary
- cow/sheep: synepitheliochorion, cotyledory

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2
Q

what is the function of the placenta

A

replaces the function of the adult:
- lungs (delivery of gasses)
- gut (delivery of nutrients)
- kidney (excretion of waste products)
- liver (storage/reservoir of energy)
- endocrine (placental derived hormones)
- protective (toxic substances)

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3
Q

when does the majority of placental growth occur

A

first half of pregnancy

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4
Q

most of the fetal growth occurs in the last trimester. what must the placenta therefore do

A

increase efficiency with gestation to support fetal growth
- partly mediated by increased uterine and umbilical blood flow

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5
Q

what factors influence the process of passive diffusion across the placenta

A
  • blood flow (volume and nature)
  • structure (area for exchange)
  • morphology (tissue barriers against exchange)
  • electrical gradient (slight -ve charge encourages =ve charged ions
  • concentration gradient for exchange (maternal to fetal blood)
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6
Q

describe which type of placenta has the greatest efficiency

A
  • the more layers there are to go through, the less efficient
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7
Q

explain active transfer across the placenta

A

some nutrients cannot get through the placenta by passive transport and need to use active transport ( amino acids and glucose)
- determined by passive mechanism plus
- activity specific carrier molecules for amino acids and glucose
- net transfer is maternal to fetal direction (works against conentration gradient, hence energy required)

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8
Q

why are hormones essential for the placenta

A
  • stimulate ovarian/uterine function
  • maintain pregnancy
  • modulate fetal growth
  • assist in partuition
  • stimulate mammary function (timing)
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9
Q

explain progestogens in pregnancy

A
  • produced by CL and in some species placenta
  • stimulated by LH, prolactin and oestrogens
  • luteal production inhibited by pgf2a
  • stimulate production of histotroph, uterine milk proteins
  • suppress myometrial contractility
  • stimulate mammary gland development
  • progesterone principal hormone (but are others)
  • progesterone antagonists will indice abortion
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10
Q

outline where prgesterone comes from during the duration of pregnancy

A
  • corpus luteum is the source of progesterone for the first part of pregnancy
  • in some species the placenta will produce/take over progesterone
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11
Q

in which species will the placenta take over for progesterone production in pregnancy

A
  • mare
  • ewe
  • cow
  • primate
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12
Q

discuss the importance of oestrogens in pregnancy

A
  • distinct oestrogens produced by placenta (oestrone in ruminants, equine specific oestrogens)
  • produced by fetal cotyledons (trophoblast cells)

function: growth promoters
- stimulate placental growth
- increase uterine blood flow
- stimulate myometrial growth
- preparation for parturition
- stimulate mammary development

horse churning out TONS of oestrogens mid pregnancy (no oestradiol)

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13
Q

discuss the importance of prolactin in pregnancy

A

produced by the lactotrophs in the anterior pit gland and placenta
- inhibited by dopamine
- stimulated by oestradiol

function:
- on the CL in rodents and dogs, it stimulates progesterone
- on the mammary glands: induces lobuloalveolar growth (secrete milk) and lactogenesis
- stimulates maternal behavriour

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14
Q

outline the importance of relaxin during pregnancy

A
  • produced by the CL in some species and the placenta only (dog, cat, rabbit, mare)
  • an equivalent hormone produced in cattle (relaxin like factor)

function:
- softening of tissue enabling growth of fetus
- relaxation of pelvic ligaments
- partuirition (stimulated by pgf)
- used to diagnose pregnancy in dogs and cats

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15
Q

why do mares struggle to carry twins full term

A

relies on diffuse nutrient transfer and aurface area of the placentas - not enough room for 2

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16
Q

what is placental lactogen, where is it produced and what is its function in pregnancy

A
  • similar to prolactin (will bind to prolactin receptors)
  • produced by binucleate cells and released into maternal and fetal circulation
  • modulates fetal metabolism
  • stimulates mammary gland development
17
Q

list some specific pregnancy hormones in ruminants and where are they produced/what can they be used for

A
  • pregnancy specific protein B
  • pregnancy associated glycoprotein
  • produced by binucleate cels only
  • only present in the pregnant animal
  • can be used for pregnancy diagnosis in cattle
  • only present from day 35
18
Q

which pregnancy hormones are specific to the mare and why are the relevent

A
  • eCG always secreted in the first part of pregnancy
19
Q

why is progesterone low around day 200

A

produced by placenta
- different progesterones produced and they do not leave the placenta into circulation
- therefore no detection of progesterone in plasma so not shown on graph

20
Q

what are endometrial cups

A

specific to mare
- placental discrete outgrowths
- formed from invasion of fetal trophoblast cells
- appear around 40 days
- produce eCG –> fundamental in pregnancy. sole function is to produce eCG

21
Q

how does eCG increase progesterone activity in pregnancy

A
  • eCG has FSH and LH like activity
  • FSH stimulates follicles, LH initially increase progesterone from primary CL
  • ovulate secondary/accessory CLs, egg not important but new CLs will produce progesterone then placenta produces local progesterones –> (ovulates and is pregnant then still allows more follicles to grow to turn them into more CLs to make more progesterone)
  • eCg increases progesterone from primary CL for limited time
  • then eCG will indice formation of accessory CL2
  • but eventuallt these lose activity and plasma progesterone declines
  • placental progesterones support remainder of pregnancy
  • unique progestogens that act locally
22
Q

list unique progestogens and oestrogens in the mare

A
  • main progestogen is 5-alpha-pregnane

oestrogens:
- fetus produces androgens (DHA)
- converted by placenta to oestrogens

23
Q

outline pregnancy endocrinology in the bitch

A
  • prlonged luteal phase whether pregnant or not
  • placenta produces low amounts of steroids
  • luteal progesterone dependent on LH and prolactin
  • CL source of progesterone throughout in bitch
  • remains longer in non-pregnant animal than in pregnant
24
Q

discuss endocrinology of the pregnant queen

A
  • rapid rise in progesterone and divergent from non-pregnant at 21 days
  • placenta capable of producing some progesterone but
  • insufficient to maintain pregnancy
  • rapid fall prior to parturition
  • relaxin and prolactin also produces
  • rapid rise in progesterone if not pregnant after ovulation. first 20/21 days have similar profiles to pregnant/non pregnant
  • progesterone decline triggers prolactin to sustain some progesterone development
  • luteal phase 45 days in non-preg
25
Q

when is pgf2a definitely effective at termination of pregnancy across the species

A