Exogenous Hormone Use Flashcards

1
Q

HPO Axis General Principles

A
  1. Hypothalmaus produces GnRH
  2. GnRH acts on anterior pituitary and stimulates production of LH and FSH
  3. FSH causes maturation of follicles, acts on granulosa cells
  4. Granulosa cells convert androgens to oestradiol
  5. Inhibin is produced by granulosa inhibits secretion of FSH
  6. Follicles become dependent on LH due to inhibin production
  7. LH surge is stimulated by high levels of oestradiol when it reaches positive feedback threshold
  8. LH stimulates ovulation of dominant follicle
  9. Ovulation of dominant follicle results in corpus luteum
  10. CL produces progesterone which has -ve feedback effect on hypothalamus and suppresses GnRH
  11. CL also produces oxytocin which binds to OXTR in endometrium
  12. Endometrium secretes PGF2a which lyses CL
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2
Q

How can we use exogenous hormones to manipulate HPO axis

A

Directly control follicular and luteal function
* FSH to stimulate follicular growth
* hCG to stimulate ovulation (LH-like activity)
* PGF2a to stimulate luteolysis

Indirectly control follicular and luteal function
* GnRH - LH effect is likely to dominate

Control hypothalamus
* Suppress HPO axis with progesterone
* longer duration needed

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3
Q

What does GnRH/LH need to trigger ovulation?

A

Dominant follicle

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4
Q

What does FSH require to recruit multiple dominant follicles?

A

Growing antral follicles

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5
Q

What does PGF2a require to function?

A

An active CL

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6
Q

Classes of reproductive drugs

A
  • GnRH agonists
  • Gonadotrophins
  • Sex steroids
  • Prostaglandins
  • Prolactin inhibitors
  • Other
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7
Q

GnRH agonist Examples

A

○ Buserelin
○ Gonadorelin
○ Deslorelin
○ Peforelin

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8
Q

Short Term GnRH agonist Action

A

○ Hasten impending cyclicity/oestrus
* E.g. lactational anoestrus in cows
* Post weaning in gilts/sows
○ Hasten ovulation by inducing LH surge (and FSH)
* Normal oestrous cycle
* Part of synchronisation protocol (fixed-timed AI)
○ “Force” ovulation/luteinisation of cystic structures
○ Test hypothalamic-gonadal axis
* E.g. GnRH stimulation test and measure sex steroid response - testis

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9
Q

Long Term GnRH agonist Action

A

○ Initial stimulation and then down-regulation GnRH receptor and thus suppresses HPG axis
○ Control behaviour & fertility in male dogs (for up to 6 months)
○ Control/suppress oestrus behaviour
○ Also used in humans in IVF protocols

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10
Q

Gonadotrophin Examples

A

hCG (LH like activity)
eCG (FSH like activity)
FSH

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11
Q

Gonadotrophin Action (FSH)

A
  • Stimulates antral follicle growth
  • If we can provide support during selection process, will end up with multiple dominant follicles
  • Few FSH products available - can use eCG
    Clinical uses:
    ○ As part of oestrus / ovulation induction regimes
    ○ Ovulation of more follicle than normal
    Need to administer before dominance has occurred
    Give multiple doses
    ○ Must administer early in follicular wave for superovulation
    ○ Often, requires repeated doses
    ○ Ineffective in the mare (causes follicular growth but not superovulation)
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12
Q

Gonadotrophin Action (LH)

A
  • Stimulates final maturation of follicles, luteinisation and provides luteal support
  • No LH specific product
    ○ Use HCG: binds to LH receptor and has LH-like activity
    Clinical uses:
    ○ Induce ovulation when animals are in oestrus
    ○ Hasten ovulation in AI regimes
    ○ To force ovulation when there has been repeated failure of conception in cattle
    ○ Treatment of cystic ovaries in cows and heifers
    ○ Treatment of prolonged pro-oestrus in the bitch
    ○ Deficiency of libido in male dogs
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13
Q

Sex steroid examples

A

○ Androgens (e.g.nandrolone)
○ Progestogens (e.g. progesterone, proligesterone)
○ Oestrogens
○ Progesterone antagonists (e.g. aglespristone)

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14
Q

Progesterone Action

A

Negative feedback on HPO axis - reduces GnRH production
Effects on target tissues:
○ Mammary enlargement
○ Endometrial proliferation/histotroph production
○ Sedative-like effects on behaviour
Clinical use of progestogens:
Prevent oestrus in dogs, mares
Treat and prevent of pseudopregnancy in dogs
Treat some male conditions like unwanted behaviour / prostatic disease
Inducing/synchronising oestrus by administration and withdrawal (PRIDs)

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15
Q

Exogenous progestogen methods

A
  • Vaginal
    ○ Vaginal sponges (Ewes)
    Oestrus induction / synchronisation upon withdrawal (often in combination with eCG)
    ○ Vaginal devices (PRID/CIDR in mares, cows)
    Oestrus induction / synchronisation (in combination with GnRH/PGF2A)
  • Depot
    ○ Depot progestogen injections
    Prevention oestrus in bitches
  • Oral
    ○ Oral progestogen tablets
    Prevention of oestrus in dogs / suppression of oestrus
    ○ Oral liquids
    Oestrus suppression / induction / synchronisation in mares/sows
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16
Q

Progesterone Receptor Antagonist Action

A

Displaces progesterone from receptor but produces no signal
* Makes progesterone ineffective although plasma concentrations are normal
* Aglespristone (Alizin)
○ Licensed for terminated pregnancy in the dog
○ Will terminate pregnancy in other species
○ Can be used to induce parturition
○ Can be used to ‘treat’ conditions stimulated by progesterone
E.g. pyometra
E.g. mammary hyperplasia

17
Q

Oestrogens Action

A

Used for effect on target tissues (not feedback look effects)
○ Tissue development in the vagina, urethra and mammary gland
○ Growth and function of the uterine tube and uterus
NOT clinically used for ‘reproductive’ considerations
* Used for urinary incontinence in bitches

18
Q

Prostaglandins Examples

A

○ Dinoprost (synthetic natural)
○ Cloprostenol
○ Luprostiol

19
Q

Prostaglandin Action

A
  • When endogenous:
    ○ Causes lysis of mature CL causing progesterone to decline
    ○ Causes smooth muscle contraction
  • When exogenous:
    ○ Causes lysis of CL
    Early CLs usually not responsive
    ○ Termination of luteal phase to synchronise oestrus
    ○ Induction of abortion
    ○ Induction of parturition
    ○ Ecbolic effect
    Treatment of chronic metritis
    Treatment of pyometra (if CL is present)
20
Q

Ecbolic Effect

A

Contractions of uterus leading to expulsion of fetus/foetal membranes

21
Q

Prolactin Inhibitor examples

A

Cabergoline

22
Q

Prolactin Inhibitor Action

A
  • In bitches and pregnant queens, endogenous prolactin supports CL function - Luteotropic
  • Prolactin inhibitors removes support for CLs causing luteolysis
    * Termination of luteal phase and progesterone declines
    * Similar effect to PGF2a but fewer adverse effects
    * No ecbolic effect
    Clinical Uses:
    ○ To end the luteal phase, to terminate pregnancy and treat pyometra
    ○ To reduce milk production and behaviour of pseudopregnancy
    ○ To reduce milk after weaning
    ○ To induce oestrus
23
Q

Melatonin Action

A

Endogenous production is in response to decreasing daylight length
○ Up-regulates HPO axis in short-day breeders (winter)
○ Down-regulates HPO axis in long-day breeders
Potential Uses:
○ Ewe = brings on cyclicity / oestrus
○ Mare / cat / ferret = suppresses cyclicity / oestrus
○ Give light to a mare / cat / ferret = brings on oestrus
* No melatonin antagonists are available