lecture 15: maternal recogntion of pregnancy Flashcards

1
Q

What is maternal recognition of pregnancy?

A
  • coined by RV Short in 1969
  • balance between positive luteotrophic and negative luteolytic factors (species specific)
  • timing and strength of signal key – early embryo loss
  • MRP: physiological process through which the conceptus modulates maternal function to preserve pregnancy, notably prolongation of the life span of the CL and of progesterone secretion
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2
Q

What is the zygote?

A
  • fertilised/activated ovum that is now diploid
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3
Q

What is the conceptus?

A
  • any stage of development that represents the full product of conception, i.e. the embryo/foetus and its associated extraembryonic tissues (placenta)
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4
Q

What is the embryo?

A
  • strictly, the embryo proper develops into the foetus and excludes the extraembryonic tissues. However, in common usage, embryo is often used to refer to the whole early conceptus.
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5
Q

What is the blastocyst?

A
  • stage of embryonic development at which the embryo (strictly conceptus) has formed a cavity, at which in most species has differentiated into two cell lineages: ICM → embryo proper; trophoblast → contributes to placenta
  • NB: trophectoderm = the earliest tissue of the trophoblast lineage
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6
Q

What is a foetus?

A
  • embryonic stage after the start of organ development
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7
Q

What is the time (in days) after ovulation at which various developmental and maternal events occur?

A

invasive

  • mouse
    • cleavage to four cells: 1.2 - 2
    • major burst of transcription: 2-cell
    • conceptus enters uterus: 3
    • formation of blastocyst: 3
    • time of attachment: 2.5
    • luteal regression time if mating infertile: 10-12
    • duration of pregnancy: 19-20
  • rat
    • cleavage to four cells: 2-3
    • ​major burst of transcription: 2-cell
    • conceptus enters uterus: 3
    • formation of blastocyst: 2.5
    • time of attachment: 4.5 - 5.5
    • luteal regression time if mating infertile: 10-12
    • duration of pregnancy: 21-22
  • rabbit
    • cleavage to four cells: 1-1.5
    • major burst of transcription: 8-16-cell
    • conceptus enters uterus: 3.5
    • formation of blastocyst: 3.5
    • time of attachment: 7-8
    • luteal regression time if mating infertile: 12
    • duration of pregnancy: 28-31
  • human
    • cleavage to four cells: 2
    • major burst of transcription: 4-8-cell
    • conceptus enters uterus: 3.5
    • formation of blastocyst: 4.5
    • time of attachment: 7-9
    • luteal regression time if mating infertile: 12-14
    • duration of pregnancy: 270-290

non-invasive

  • sheep
    • cleavage to four cells: 4
    • major burst of transcription: 8-16-cell
    • conceptus enters uterus: 2-3
    • formation of blastocyst: 6-7
    • time of attachment: 15-16
    • luteal regression time if mating infertile: 16-18
    • duration of pregnancy: 144-152
  • pig
    • cleavage to four cells: 1-3
    • major burst of transcription: 4-cell
    • conceptus enters uterus: 2
    • formation of blastocyst: 5-6
    • time of attachment: 18
    • luteal regression time if mating infertile: 16-18
    • duration of pregnancy:
      ​112-115
  • cow
    • cleavage to four cells: 2-3
    • major burst of transcription: 8-16-cell
    • conceptus enters uterus: 3-4
    • formation of blastocyst: 7-8
    • time of attachment: 30-45
    • luteal regression time if mating infertile: 18-20
    • duration of pregnancy:
      ​277-290
  • horse
    • cleavage to four cells: 1.5 - 2
    • major burst of transcription: ?
    • conceptus enters uterus: 5 - 6
    • formation of blastocyst: 6
    • time of attachment: 30 - 40
    • luteal regression time if mating infertile: 20-21
    • duration of pregnancy:
      ​330 - 345
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8
Q

What are different kinds of ovarian cycles?

A
  • human and other primates
  • cows, sheep
    • waves of follicular growth during luteal phase
  • mouse, rat
    • truncated luteal phase
    • pseudopregnancy
  • cat, rabbit
    • induced ovulation
    • pseudopregnancy
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9
Q

What is pseudopregnancy?

A
  • seen in many species
  • rat and mice
    • in normal oestrous cycle is relatively short (~4 days)
    • cervical stimulation at mating causes reflex release of prolactin
    • prolactin is luteotrophic so CL develops and secretes progesterone for 11-14 days (vs pregnancy 21-22 days)
  • cats
    • induced ovulators
    • mating → reflex LH surge and ovulation
    • if not pregnant, CL starts to decline after about 21 days (vs gestation 65 days)
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10
Q

Is progesterone essential to maintain pregnancy?

A
  • yes
  • generally
  • not all species are the same
  • sheep
    • hypophysectomy terminates pregnancy up until day 50
      • waiting until after this has no effect on the pregnancy
    • ovariectomy terminates pregnancy up until day 55
    • after this time the placenta has taken over and is capable of producing the right hormones etc to support the pregnancy independently
    • pregnancy usually ~ 150 days
  • ​goat
    • also pregnancy ~ 150 days
    • hypohysectomy and ovariectomy terminate pregnancy all the way up to term
    • placenta unable to take on characteristics well enough to support the pregnancy without those other organs
  • species differ in how they may utilise maternal and/or foetal/placental progesteron production
  • LH support from pituitary
  • supports corpa lutea and production of progesterone acting on the uterus itself
  • after the early stages of pregnancy the placenta then takes on a role and itself is releasing gonadotrophins
  • these are able to maintain the corpus luteum
  • in some species we don’t actually need LH from pituitary
  • placental progesterone is also there to help in terms of the production and maintenance of the pregnancy itself, not just CL, functions both within the uterus and the ovary
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11
Q

What is luteal rescue in primates?

A
  • passive luteolysis
    • due to failure of embryonic signal
    • endogenous factors in CL (PG and oxytocin)
  • fertile coitus → embryo releases CG which rescues the corpus luteum → keeps producing progesterone → pregnancy maintained
  • chorionic gonadotrophin
    • glycoprotein related to LH and FSH
    • mostly LH like activity
    • produced by placental tissues – syncytiotrophoblast
    • production from about 6-7 days after fertilisation
    • prevents CL regression
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12
Q

What are some of the hormones in human pregnancy?

A
  • placental production of:
    • progesterone (absolute requirement) - CL/Placenta
    • Oestrogens
      • foetus, role of foetal adrenal/liver
      • change in type of oestrogen, species
      • oestriol >> oestrone > oestradiol (importance, in general)
      • importance for receptivity, fluid balance etc
      • required but not absolute requirement
      • placenta doesn’t have all of the enzymes/substrates to produce all of the oestrogens
      • produced by foetus → bound to sulphates to prevent exposure (important for male foetus)
    • hCG (urinary excretion → home pregnancy test)
      • produced around blastocyst stage
      • massive surge
      • drops to just above basal
      • only required in the inital phases up to about day 100, where the placenta is able to take over
    • placental lactogen (hPL)
      • produced around the same time as the placenta formation and slowly increases
      • nutrient partitioning to the foetus
      • particular w/ IGFs and how they mediate that in the foetus
    • prolactin
      • in the placenta it’s all about solutes, electrolytes and water balance
  • used as endocrine markers of foetal and placental health
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13
Q

What is the role of CG?

A
  • maintains the CL
  • injection of CG extends luteal function in non-pregnant females
  • blocking CG action in early pregnancy prevents luteal rescue, and pregnancy fails
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14
Q

What is MRP in other species?

A
  • active luteolysis
    • action of luteolytic agent (PGF)
    • overcomes the anti-luteolytic benefits of LH
    • most mammals – cow/sheep etc
  • signals in other species
    • ruminants = IFN-τ
    • pigs = oestrogen
    • other species = ?oestrogen/PG
  • different species have evolved to use different tools
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15
Q

What is seen in the ewe and the cow for MRP?

A
  • non-pregnant
    • oestrus - LH surge
    • prostaglandin pulsatility occurs → luteolysis → cycle occurs again
  • pregnant
    • prostaglandin F2 alpha is suppressed
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16
Q

What is early embryo development in cows?

A
  • fertilisation occurs in the oviduct
  • day 4-5 enters uterus
  • blastocyst
  • day 9 - blastocyst gets rid of its zona pellucida
  • the outer cells start rapidly expanding - a couple of mm a day
  • turn into what looks like a very large tape worm
  • embryo proper/ICM does not grow at this point
17
Q

What is luteolysis in the cow?

A
  • ovarian artery coils around uterine veins
  • around day 11-16 PGF2alpha synthesis in uterus transported by veins
  • stimulated by oxytocin receptors
  • PGF in uterine drainage
  • counter current system → transfer from vein to artery
  • PG carried to ovary
  • allows it to have direct action on the ovary instead of being circulated around the body
  • PGF induces OT release from large luteal cells and luteolysis
  • OT from CL stimulates PGF 2a synthesis in uterus
  • positive reinforcement
18
Q

How is luteolysis blocked in the cow?

A
  • interferon-tau from the blastocyst suppresses OTR increase and thus PG synthesis
  • stops PGF synthesis and release → skews production towards PGE which is beneficial in maintaining the CL
19
Q

What is MRP in ruminants?

A
  • luteolysis in cyclic cows/sheep via pituitary and CL oxytocin and uterine PGF2alpha
  • production of IFN-tau from mononuclear trophoblast cells of conceptus from blastocyst stage
  • blocks uterine oestrogen and oxytocin receptors upregulation. Promotes PGE2 production
  • Acts via IFNAR1 and 2 via multiple secondary messenger pathways (JAK-STAT)
  • IFN-tau also stimulates endometrial gene expression to prepare for pregnancy
20
Q

What is MRP in pigs?

A
  • luteolysis in cyclic pigs via oxytocin and increased uterine PGF2alpha
  • requires at least one embryo in each uterine horn
  • rescue at day 11-13 coincident with blastocyst expansion
    • not as large as in cow or sheep
  • expanding blastocyst makes oestrogens
  • treatment of non-pregnant sows with oestrogen, either systemically or intra-uterine, at this time extends luteal function
  • oestrogen from the conceptus has BOTH
    • anti-luteolytic actions
      • diverts PGF2a to exocrine secretion (in lumen), aided by prolactin
    • luteotrophic actions
      • produces PGE2, → LHR
  • conceptus also produces IFN-gamma and delta
    • don’t know what they do
    • not necessarily essential
  • cyclic
    • endocrine
    • PGF2a secreted from uterus into uterine vein at day 11-16
    • PGF2a induces luteolysis
  • pregnancy
    • exocrine
    • PGF2a secreted from uterus into uterine lumen at day 11-16
    • blastocyst oestrogens redirect direction of PGF2a secretion
    • also increase PGE2 secretion (PGE2 luteotrophic)
    • blastocyst also makes a nocel interferons - angiogenic/immune effects?
21
Q

What is MRP in horses?

A
  • really don’t know much about horses
  • luteolysis in cyclic mares via uterine PGF2a BUT
  • conceptus produces PGF2a, migrates 12-14 times a day along uterine horns - has to go up and down etc etc, needs to be very active, trying to stop that will induce luteolysis
  • antiluteolytic/luteolytic signal unknown
  • expanding blastocyst makes oestrogens, principally oestrone (also horse specific equilin and equilenin). Also IFN-delta
  • PMSG/eCG made from d40 → secondary CL until d140
  • stimulates the ovary to go through folliculogenesis → ovulates
  • progesterone is not the principle prostagen in horses
  • now discovered that the placenta makes progesterone but it is very quickly converted by 5alpha-reductase to dihyrdoprogesterone - DHP keeps pregnancy going
  • march this year
  • foetal androgens (DHA sulfate) used by placenta come from foetal gonads not adrenal

side note

  • camelids (llamas etc)
    • involves increased PGF2a but anti-luteolytic signal unknown
    • left horn implantation
    • oestrus
      • female camel will just sit down
22
Q

summary: MRP

A
  • multiple physiological changes in mother due to pregnancy
  • maintenance of progesterone secretion by CL
  • luteotrophic support (primate - CG production)
  • anti-luteolytic effects
    • prevents PG synthesis
    • redirect PG away from ovary
  • multiple mechanisms may operate simultaneously
  • initiate signal before others take over
  • timing is everything