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Topic:Progesterone

Progesterone is a steroid hormone produced primarily by the ovaries in mares and plays a significant role in the reproductive system of horses. It is involved in the regulation of the estrous cycle and the maintenance of pregnancy. Progesterone levels fluctuate throughout the reproductive cycle, influencing reproductive behavior and physiology. In veterinary medicine, measuring progesterone levels can aid in diagnosing reproductive conditions and managing breeding programs. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and clinical applications of progesterone in equine reproductive health.
Progestagen profiles during the last trimester of gestation in Thoroughbred mares with normal or compromised pregnancies.
Theriogenology    November 13, 2004   Volume 63, Issue 7 1844-1856 doi: 10.1016/j.theriogenology.2004.08.010
Ousey JC, Houghton E, Grainger L, Rossdale PD, Fowden AL.Progesterone (P4), pregnenolone (P5) and their metabolites are present in maternal plasma in pregnant mares. It is believed that one of these progestagens may maintain myometrial quiescence. The aims of this study were to identify specific progestagens in pregnant mares' plasma and determine whether these differed between mares with healthy or compromised pregnancies. Jugular blood samples were collected between 243 and 351 days gestation from 19 healthy Thoroughbred mares and 14 mares with placental pathology, including placentitis, and other clinical problems (uterine torsion/rupture, colic,...
Effects of short-term early gestational exposure to endophyte-infected tall fescue diets on plasma 3,4-dihydroxyphenyl acetic acid and fetal development in mares.
Journal of animal science    October 16, 2004   Volume 82, Issue 10 2919-2929 doi: 10.2527/2004.82102919x
Youngblood RC, Filipov NM, Rude BJ, Christiansen DL, Hopper RM, Gerard PD, Hill NS, Fitzgerald BP, Ryan PL.Consumption of wild-type (toxic) endophyte-infected tall fescue (E+) by horses during late gestation is known to adversely affect pregnancy outcome; however, little is known of the potential disruptive consequences of E+ consumption by mares during the critical phases of placentation and fetal development in early pregnancy. The objective of this study was to evaluate the detrimental effects of feeding E+ to mares during early gestation. Mares (n = 12) paired by stage of gestation (d 65 to 100) were assigned to diets (six per diet) consisting of endophyte-free (E-) or E+ tall fescue seed (50% ...
Onset of puberty in pasture-raised Thoroughbreds born in southern hemisphere spring and autumn.
Equine veterinary journal    October 6, 2004   Volume 36, Issue 6 499-504 doi: 10.2746/0425164044877422
Brown-Douglas CG, Firth EC, Parkinson TJ, Fennessy PF.There is little information on age, weight and time of year of puberty in Thoroughbred horses, and the interpretation of such data is difficult due to the wide variety of descriptions of the onset of puberty. Objective: To examine the age, bodyweight and date of onset of puberty in Thoroughbreds born in spring and autumn. Methods: Bodyweight data and blood samples were collected in 59 pasture-raised Thoroughbred horses. Five autumn-born and 18 spring-born colts and 3 autumn-born and 33 spring-born fillies were examined from birth to age 13 and 17 months. A testosterone concentration >2 s.d. ab...
Development of a model for inducing transient insulin resistance in the mare: preliminary implications regarding the estrous cycle.
Journal of animal science    August 21, 2004   Volume 82, Issue 8 2321-2328 doi: 10.2527/2004.8282321x
Sessions DR, Reedy SE, Vick MM, Murphy BA, Fitzgerald BP.Peripheral insulin resistance is the failure of proper cellular glucose uptake in response to insulin. Insulin resistance and hyperinsulinemia are associated with several disease states in the horse and reproductive function disturbances in humans, including polycystic ovarian syndrome. To test the hypothesis that insulin resistance (IR) and hyperinsulinemia disrupt the estrous cycle in mares, two experiments were conducted to first develop a model to induce IR and to then examine the effect of this model on the duration of the estrous cycle. In Exp. 1, a hyperinsulinemic-euglycemic clamp (HEC...
Peripartal endocrinology in the mare and foetus.
Reproduction in domestic animals = Zuchthygiene    July 1, 2004   Volume 39, Issue 4 222-231 doi: 10.1111/j.1439-0531.2004.00507.x
Ousey JC.The endocrine profiles in the periparturient mares are dominated by increasing concentrations of progestagens and decreasing oestrogens. These hormones are produced by precursors from the foetus, metabolized by the placenta and act primarily on the maternal uterus. The circulating concentrations of hormones in maternal plasma, generally, represent a small proportion of those metabolized by the foetus and utero-placental tissues. There is clear evidence that the foetal hypothalamo-pituitary-adrenal (HPA) axis initiates the process of foetal maturation and the hormonal cascade which culminates i...
Attempt to control the day of ovulation in cycling pony mares by associating a GnRH antagonist with hCG.
Domestic animal endocrinology    June 29, 2004   Volume 27, Issue 2 165-178 doi: 10.1016/j.domaniend.2004.03.004
Briant C, Ottogalli M, Guillaume D.With the objective of controlling the day of ovulation, 40 mares were assigned to a control or three treated groups: A3d, A4d, and A5d. The treated groups received antarelix (Teverelix 0.01 mg/kg, i.v., twice a day) for 3, 4, or 5 days from the day the dominant follicle (F1) reached 28 mm (=D0), and one injection of hCG (1600 IU, i.v.) on D1, D2, or D3, respectively. Control mares received one injection of hCG when F1 reached 35 mm. Plasma LH, FSH, progesterone, and total estrogens were assayed. In the A3d, A4d, and A5d groups, 9 (90%), 6 (60%), and 5 (50%) out of 10 mares, respectively, ovula...
Deslorelin on Day 8 or 12 postovulation does not luteinize follicles during an artificially maintained diestrous phase in the mare.
Theriogenology    May 26, 2004   Volume 62, Issue 1-2 57-64 doi: 10.1016/j.theriogenology.2003.07.024
Glazar BS, McCue PM, Bruemmer JE, Squires EL.Practical estrus synchronization schemes are needed for mares. The Ovsynch synchronization protocol for cattle involves the administration of gonadotropin-releasing hormone (GnRH) to induce ovulation or luteinization of dominant follicles during the luteal phase and prostaglandin 7 days later to cause regression of any luteal tissue and development of a preovulatory follicle. An Ovsynch-type synchronization program potentially could be developed for horses if luteinization or ovulation of diestrous follicles occurred in response to GnRH treatment. The objective of this study was to determine i...
Estrous cycle characteristics, luteal function, secretion of oxytocin (OT) and plasma concentrations of 15-keto-13,14-dihydro-PGF2alpha (PGF2alpha-metabolite) after administration of low doses of prostaglandin F2alpha (PGF2alpha) in pony mares.
Theriogenology    March 24, 2004   Volume 61, Issue 7-8 1573-1582 doi: 10.1016/j.theriogenology.2003.09.005
Handler J, Wüstenhagen A, Schams D, Kindahl H, Aurich C.In the present study, the kinetics of the prostaglandin F2alpha (PGF2alpha)-metabolite 15-keto-13,14-dihydro-PGF2alpha after a single intramuscular application of various doses of the natural PGF2alpha dinoprost at Day 7 of the cycle in the mare were investigated. Effects of low doses on estrous cycle length and life span of corpus luteum were examined, because release of PGF2alpha is still under discussion to have detrimental influence on success rates of transcervical transfer of equine embryos. Eight Shetland pony mares were each randomly assigned to each of four treatments: (a) 0.8 mg/100 ...
Treatment of suckling beef cattle with a progestagen sponge and oestradiol benzoate or equine chorionic gonadotrophin.
The Veterinary record    February 10, 2004   Volume 154, Issue 4 106-109 doi: 10.1136/vr.154.4.106
Viñoles C, Quintans G, Paiva N, Cavestany D.The ovarian responses of anoestrus beef cows to a combined treatment with medroxy-progesterone acetate (MAP) sponges and oestradiol benzoate or equine chorionic gonadotrophin (eCG) were evaluated. Forty-five suckling Hereford cows were allocated to three equal groups. Group 1 received a MAP sponge for seven days plus an injection of 2 mg oestradiol benzoate when the sponge was inserted (day 0) and 1 mg when the sponge was withdrawn; group 2 received identical treatment until day 7, when a dose of 400 iu of eCG was administered, and group 3 were left untreated as control animals. From day 0 to ...
The effect of acetylsalicylic acid and captopril on uterine and ovarian blood flow during the estrous cycle in mares.
Theriogenology    December 10, 2003   Volume 61, Issue 2-3 301-309 doi: 10.1016/s0093-691x(03)00214-0
Bollwein H, Weber F, Steffen S, Stolla R.In previous studies, transrectal color Doppler sonography was used to demonstrate an increase in genital blood flow resistance in subfertile mares. The objectives of the present study were to determine the effects of an anticoagulant (acetylsalicylic acid) and a vasodilator (captopril) on uterine and ovarian perfusion and plasma progesterone concentrations in cycling mares. From Day 1 to 11 of an estrous cycle (Day 0=day of ovulation following prostaglandin-induced luteolysis), five Trotter mares were given 2500 mg lactose, 2500 mg ASA, or 50 mg captopril twice daily in their feed (one compoun...
Factors affecting plasma progesterone concentration and the retrospective determination of time of ovulation in cyclic mares.
Theriogenology    December 10, 2003   Volume 61, Issue 2-3 203-214 doi: 10.1016/s0093-691x(03)00211-5
Nagy P, Huszenicza G, Reiczigel J, Juhász J, Kulcsár M, Abaváry K, Guillaume D.Factors influencing plasma progesterone concentration were investigated in seven mares. Two-phase logistic curves were fitted (r=0.98) to plasma progesterone concentrations of blood samples collected once daily. In addition to the effect of time (P<0.001), there were differences (P<0.01) among mares in the peak height of the progesterone plateau and in the (area under the curve) AUC. Plasma progesterone concentrations were higher (P<0.001) after a multiple versus single ovulation. There was an effect of season (P<0.001), but no significant effect of luteal morphology. The retrospec...
By the way, doctor. Most of your hormone articles are about Premarin, made from the urine of pregnant horses, combined with Provera, an artificial progesterone. My pharmacist compounds a natural cream for me, using hormones identical to mine, and I swear by it. What’s your opinion?
Harvard women's health watch    October 25, 2003   Volume 11, Issue 2 8 
Robb-Nicholson C.No abstract available
Successful non-surgical transfer of horse embryos to mule recipients.
Reproduction in domestic animals = Zuchthygiene    September 3, 2003   Volume 38, Issue 5 380-385 doi: 10.1046/j.1439-0531.2003.00444.x
Camillo F, Vannozzi I, Rota A, Di Luzio B, Romagnoli S, Aria G, Allen WR.Mules, hybrids resulting from the mating of a horse mare (Equus caballus, 2n = 64) to a Jack donkey (E. asinus, 2n = 62), are generally infertile. Five horse embryos were transferred non-surgically to two cyclic and one acyclic recipient mules. In the mares and cycling mules, oestrus and ovulation were induced with, respectively, d-cloprostenol and human chorionic gonadotrophin (hCG). The acyclic mule, on the other hand, received oestradiol benzoate when the embryo donor was showing oestrus and progesterone after the donor had ovulated and until pregnancy diagnosis. Non-surgical embryo collect...
Induced lactation with a dopamine antagonist in mares: different responses between ovariectomized and intact mares.
Reproduction in domestic animals = Zuchthygiene    September 3, 2003   Volume 38, Issue 5 394-400 doi: 10.1046/j.1439-0531.2003.00454.x
Guillaume D, Chavatte-Palmer P, Combarnous Y, Duchamp G, Martinat N, Nagy P, Daels PF.The aim of this study was to compare the effects of treatment with repeated injections of sulpiride (a dopamine D2 antagonist) on prolactin secretion and induced lactation in ovariectomized and intact adult mares and to verify if this induction was possible at the beginning and at the end of the birth season. Two experiments were carried out in September [experiment (expt) 1], and in March (expt 2), in France (48 degrees N). In expt 1, three groups of five mares were tested: intact-control, intact-treated and ovariectomized-treated mares. In expt 2, mares previously subjected to artificial pho...
Luteal function in mares following administration of oxytocin, cloprostenol or saline on day 0, 1 or 2 post-ovulation.
Theriogenology    August 26, 2003   Volume 60, Issue 6 1119-1125 doi: 10.1016/s0093-691x(03)00112-2
Nie GJ, Johnson KE, Wenzel JG, Braden TD.Mares (n = 30) were treated in the post-ovulatory period with saline, oxytocin, or cloprostenol (Clo). Dose, administration frequency and treatment day (Day 0, 1 or 2 post-ovulation) were evaluated. Interovulatory interval of control cycles was 22.7 (+/-0.36) days with a range of 20.6 (+/-1.44) to 23.8 (+/-1.39) days among all treatment groups. Mares treated with two micro-doses of cloprostenol on Day 2 post-ovulation had the shortest interovulatory interval. This group also had the lowest mean circulating progesterone concentrations on Days 3-7 and 13, and was the slowest group to reach conce...
Effect of administering oxytocin or cloprostenol in the periovulatory period on pregnancy outcome and luteal function in mares.
Theriogenology    August 26, 2003   Volume 60, Issue 6 1111-1118 doi: 10.1016/s0093-691x(03)00111-0
Nie GJ, Johnson KE, Wenzel JG, Braden TD.Mares (n = 37) were treated from 4h after breeding through 2 days post-ovulation with oxytocin or cloprostenol. Oxytocin (20 units i.m.) was administered every 6 h and cloprostenol (250 mcg i.m.) daily. Luteal function was impaired for several days following treatment, however, lower progesterone levels among cloprostenol treated mares in this study did not result in decreased pregnancies. Pregnancy outcome at 15 days post-ovulation was not different between the oxytocin (13/18) and cloprostenol (13/19) treatment groups, respectively (P = 0.80). The results of this study indicate cloprostenol ...
Concentrations of nitric oxide in equine preovulatory follicles before and after administration of human chorionic gonadotropin.
Theriogenology    August 26, 2003   Volume 60, Issue 5 819-827 doi: 10.1016/s0093-691x(03)00096-7
Pinto CR, Paccamonti DL, Eilts BE, Venugopal CS, Short CR, Gentry LR, Thompson DL, Godke RA.In the present study, follicular fluids of estrous mares treated with saline solution (Control) or nitric oxide synthase (NOS) inhibitors were analyzed for nitric oxide (NO), estradiol-17beta (E2) and progesterone (P4) concentrations before and 36h after administration of human chorionic gonadotropin (hCG). Follicular fluids obtained before (0h) hCG administration from control mares had lower concentrations of NO than those obtained 36h after administration of hCG (58.3+/-17.8 micromol versus 340.4+/-57.7 micromol; P<0.05). A similar pattern was also noted for intrafollicular P4 in control ...
Day of cycle affects changes in equine intrauterine pressure in response to teasing.
Theriogenology    July 2, 2003   Volume 60, Issue 4 727-733 doi: 10.1016/s0093-691x(03)00076-1
Stecco R, Paccamonti D, Gutjahr S, Pinto CR, Eilts B.Oxytocin is released in response to teasing during both estrus and diestrus in mares, and at least during estrus, teasing results in an increase in electromyographic activity in the uterus. Exogenous oxytocin causes an increase in intrauterine pressure and prior studies have shown that this response is correlated to the day of the estrous cycle. To determine if teasing causes an increase in intrauterine pressure and if this response varies by day of the cycle, intrauterine pressure was measured while mares were teased with a stallion 2 days before ovulation, on the day ovulation was detected a...
Use of a GnRH antagonist, antarelix, associated or not with hCG, to control ovulation in cyclic pony mares.
Domestic animal endocrinology    May 14, 2003   Volume 24, Issue 4 305-322 doi: 10.1016/s0739-7240(03)00012-2
Briant C, Ottogalli M, Morel M, Guillaume D.The GnRH antagonist antarelix (Teverelix) was administered to mares (0.01 mg/kg, i.v., twice a day) during the periovulatory period. In Experiment 1, 20 mares were divided into a treated (A3d-) and a control (Control-) group. A3d- mares received antarelix for 3 days from the day when the dominant follicle (F1) reached 32 mm (D0). In Experiment 2, 10 mares were divided into a treated (A6d+) and a control (Control+) group. A6d+ mares received antarelix for 6 days from D0 and hCG was injected in all animals (1600 IU, i.v.) on D1. Pregnancies were determined 13 days after ovulation. In both experi...
Ontogeny of uteroplacental progestagen production in pregnant mares during the second half of gestation.
Biology of reproduction    April 16, 2003   Volume 69, Issue 2 540-548 doi: 10.1095/biolreprod.102.013292
Ousey JC, Forhead AJ, Rossdale PD, Grainger L, Houghton E, Fowden AL.In pregnant mares during late gestation, little, if any, progesterone (P4) is found in the maternal circulation. Hence, quiescence of the equine uterus is believed to be maintained by metabolites of pregnenolone and P4 known as progestagens, which are produced by the uteroplacental tissues. However, little is known about the ontogeny, distribution, or actual rates of uteroplacental progestagen production in pregnant mares and their fetuses during the second half of pregnancy. Therefore, the present study measured the rates of uteroplacental uptake and output of eight specific progestagens in c...
Secretion patterns of oxytocin and PGF2alpha-metabolite in response to cervical dilatation in cyclic mares.
Theriogenology    January 16, 2003   Volume 59, Issue 5-6 1381-1391 doi: 10.1016/s0093-691x(02)01189-5
Handler J, Königshofer M, Kindahl H, Schams D, Aurich C.We conducted the present study to establish a standardized method for cervical stimulation without affecting the endometrium, and to investigate the effect on estrous cycle pattern and concentrations of progesterone, oxytocin and PGF2alpha-metabolite of cervical dilatation in the mare. Six healthy Haflinger mares underwent three different treatments (control, insertion, dilatation) on Days 5 and 7 of the cycles in different orders according to a Latin square design. During dilatation, the balloon of the catheter was inflated stepwise every 30s with warm physiological saline to a maximum of 50 ...
Progesterone induces acrosome reaction in stallion spermatozoa via a protein tyrosine kinase dependent pathway.
Molecular reproduction and development    November 7, 2002   Volume 64, Issue 1 120-128 doi: 10.1002/mrd.10216
Rathi R, Colenbrander B, Stout TA, Bevers MM, Gadella BM.Progesterone (P(4)) is a physiological inducer of the acrosome reaction (AR) in stallion spermatozoa. However, the capacitation-dependent changes that enable progesterone binding, and the nature of the signaling cascade that is triggered by progesterone and results in induction of the AR, are poorly understood. The aim of the current study was, therefore, to investigate the protein kinase dependent signaling cascades involved in progesterone-mediated induction of the AR in stallion spermatozoa. In addition, we aimed to determine whether bicarbonate, an inducer of sperm capacitation, acted via ...
Concentrations of inhibin, progesterone and oestradiol in fluid from dominant and subordinate follicles from mares during spring transition and the breeding season.
Animal reproduction science    October 16, 2002   Volume 74, Issue 1-2 55-67 doi: 10.1016/s0378-4320(02)00170-7
Watson ED, Thomassen R, Steele M, Heald M, Leask R, Groome NP, Riley SC.Dominant and subordinate follicles were collected from mares on the day after the dominant follicle reached 30 mm in diameter, to investigate regulation of folliculogenesis during spring transition and the breeding season. Concentrations of oestradiol-17beta, progesterone and inhibin A, but not inhibin isoforms with pro- and alpha C-immunoreactivity, were significantly higher in preovulatory follicles than in dominant anovulatory transitional follicles. Steroidogenic activity was regained gradually in the dominant follicles of successive anovulatory waves through spring transition. The dominan...
Proteins and enzymes in uterine lavage fluid of postpartum and nonparturient mares.
Reproduction in domestic animals = Zuchthygiene    October 2, 2002   Volume 37, Issue 5 261-268 doi: 10.1046/j.1439-0531.2002.00315.x
Reilas T, Katila T.Uterine lavage fluids from postpartum and nonparturient mares were compared to determine when the normal secretory capacity of the postpartum uterus is restored. Lavage fluids were obtained from cyclic nonparturient mares on the second, fourth or fifth day of oestrus, and 3, 8, or 14 days after ovulation (seven mares/sampling day). Twelve intact postpartum mares were sampled 1 to 28 days postpartum (group A: 1, 6, 12 and 20; group B: 2, 8, 14 and 24; group C: 4, 10, 16 and 28 days postpartum; four mares/group). Three ovariectomized (OVX) postpartum mares were sampled as mares in group C. Sampl...
Effectiveness of an antagonist to gonadotrophin releasing hormone on the FSH and LH response to GnRH in perifused equine pituitary cells, and in seasonally acyclic mares.
Animal reproduction science    September 11, 2002   Volume 73, Issue 1-2 37-51 doi: 10.1016/s0378-4320(02)00130-6
Evans MJ, Kitson NE, Alexander SL, Irvine CH, Turner JE, Perkins NR, Livesey JH.We wish to use a gonadotrophin-releasing hormone (GnRH) antagonist in the mare as a tool for investigating the control of the oestrous cycle. The aim of this study was to test the effectiveness of the antagonist cetrorelix by testing both in vitro, using perifused equine anterior pituitary cells, and in vivo in seasonally acyclic mares. Pituitary cells were prepared and after 3-4 days incubation, loaded onto columns and given four pulses of GnRH (at 0, 30, 60 and 90 min; dose-response study). After the second GnRH pulse, infusion of cetrorelix began (0, 100, 1000 and 2000 pmol/l) and continued...
Induction of maternal behavior in non-parturient adoptive mares.
Physiology & behavior    September 6, 2002   Volume 77, Issue 1 151-154 doi: 10.1016/s0031-9384(02)00819-3
Porter RH, Duchamp G, Nowak R, Daels PF.An attempt was made to elicit maternal behavior in non-parturient Welsh pony mares through a combination of hormonal treatment and vaginal-cervical stimulation (VCS). Lactation was induced in 16 nonpregnant, non-parturient mares via a combination of estradiol, progesterone and a dopamine antagonist (sulpiride). During the adoption trials, each lactating mare was confined behind a padded bar and a newborn foal was held near her head. Eight of the mares received two 3-min periods of VCS when the foster foal was introduced. Following VCS, the foal was released and its interactions with the adopti...
Unusual ovarian activity in a mare preceding the development of an ovarian granulosa cell tumour.
Australian veterinary journal    August 16, 2002   Volume 80, Issue 1-2 32-36 
Chopin JB, Chopin LK, Knott LM, de Kretser DM, Dowsett KF.An 8-year-old mare, with a foal at foot, was inseminated on foal heat with frozen semen, with the resultant pregnancy lost between days 34 and 41. The right ovary developed a large anovulatory follicle that was non-responsive to multiple doses of ovulating agents. The follicle eventually appeared to luteinise, although plasma progesterone concentrations did not reflect this. Another follicle developed, responded to GnRH and resulted in a pregnancy from frozen semen that went to term with a healthy foal. When the mare was examined after foaling, the structure on the right ovary appeared to be a...
Analysis of the variations of follicular fluid composition during follicular growth and maturation in the mare using proton nuclear magnetic resonance (1H NMR).
Reproduction (Cambridge, England)    July 27, 2002   Volume 124, Issue 2 241-248 doi: 10.1530/rep.0.1240241
Gérard N, Loiseau S, Duchamp G, Seguin F.Follicular development and ovulatory processes in mammals involve local biochemical changes as a result of substantial modifications in cellular metabolism, the most well known of which is steroid variation. In the present study, the intrafollicular variation of several other components was studied using proton nuclear magnetic resonance ((1)H NMR). This approach made it possible to demonstrate that the intrafollicular biochemical content changes during follicular growth and maturation. Follicular fluid was aspirated by ovarian puncture of the dominant follicle at various physiological stages ...
Case report on abnormal progesterone pattern in a mare showing oestrus during the breeding season.
Acta veterinaria Scandinavica    June 20, 2002   Volume 43, Issue 1 57-61 
Dalin AM, Andresen Ø, Malmgren L.No abstract available
Immunohistochemical characterization of estrogen and progesterone receptors in lymphoma of horses.
Veterinary clinical pathology    June 19, 2002   Volume 29, Issue 2 40-46 doi: 10.1111/j.1939-165x.2000.tb00396.x
Henson KL, Alleman AR, Kelley LC, Mahaffey EA.Immunohistochemical techniques were used to examine 29 cases of equine lymphoma for estrogen receptor (ER) and progesterone receptor (PR) expression. The lymphomas examined included T-cell-rich large B-cell lymphomas, B-cell neoplasms, and T-cell lymphomas. The individual cases were also classified according to the anatomic location of the tumors. One normal equine lymph node was also examined for ER and PR expression. All of the cases of equine lymphoma and the normal lymph node were negative for Er. A total of 16/29 (55%) PR-positive lymphomas were identified. Seven of the 12 (58%) T-cell-ri...
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