Fetal morphological features and abnormalities associated with equine early pregnancy loss.
Abstract: Early pregnancy loss (EPL) occurs in approximately 8% of equine pregnancies, although the aetiology is mostly unknown and embryonic/fetal morphological abnormalities associated with EPL are not defined. Objective: To compare the morphology of EPL to clinically normal embryos/fetuses and previously described embryonic/fetal developmental milestones. To identify morphological abnormalities associated with equine EPL. Methods: Observational case-control study. Methods: Embryos/fetuses were obtained from clinically normal Thoroughbred and pony pregnancies (n = 11) and following EPL from Thoroughbred mares (n = 27). The crown-rump length (CRL) of embryos/fetuses was measured and macroscopic morphology and developmental age were determined independently by three blinded examiners. Sagittal sections of EPL (n = 13) and control (n = 6) embryos/fetuses were assessed microscopically. Fisher's exact test was used to determine significance (P < .05) and correlations were expressed by Pearson coefficient. Results: Age and CRL were strongly positively correlated in clinically normal Thoroughbred and reference (n = 15, R = .9 (95% CI: 0.8-1.0), R = .9, P < .0001) but not EPL embryos/fetuses (n = 19, R = .1 (95% CI: -0.4 to 0.5), R = .01, P = .75). Relative to controls, the CRL of EPL embryos/fetuses was smaller, with evidence of intrauterine growth retardation (IUGR) in 3/8 fetuses assessed. In 9/13 EPL embryos/fetuses, nonspecific neural tissue alterations were identified including disruption of developing pros-, mes- and rhombencephalon and the presence of haemosiderin, indicating premortem haemorrhage. Failed neural tube closure was identified in 1/13 EPL embryos/fetuses. Subcutaneous haemorrhage was present in 14/27 EPL embryos/fetuses. Conclusions: Autolysis significantly affected 15/27 EPL embryos/fetuses, excluding them from complete assessment. The IUGR reference cut-off values were based on a small number of controls. Conclusions: Morphological features associated with equine EPL were a mismatch between embryonic/fetal size and age, and alterations of the developing neural tissue and localised subcutaneous haemorrhage. Failed neural tube closure was confirmed as a rare specific abnormality.
© 2020 The Authors. Equine Veterinary Journal published by John Wiley & Sons Ltd on behalf of EVJ Ltd.
Publication Date: 2020-09-19 PubMed ID: 32869365DOI: 10.1111/evj.13340Google Scholar: Lookup
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Summary
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This research investigates the morphological features and abnormalities linked to early pregnancy loss (EPL) in horses. It sets out to compare the anatomy of normal embryos and those affected by EPL while also identifying any irregularities connected to EPL.
Research Methodology
- The study conducted an observational case-control study to compare equine embryos from clinically normal pregnancies with those from pregnancies which ended in early pregnancy loss (EPL).
- Embryos were collected from both Thoroughbred and pony breeds, with 11 representing normal pregnancies and 27 from EPL pregnancies.
- The size of the embryos was determined using a measure referred to as crown-rump length (CRL), and macroscopic morphology and developmental age were evaluated by three separate examiners who were not informed of the origins of the specimens.
- The researchers also conducted microscopic assessments on sagittal sections of 13 EPL and 6 control embryos/fetuses.
- The results were analyzed using Fisher’s exact test and any correlations expressed by the Pearson coefficient.
Research Findings
- The study found a strong correlation in the developmental age and the crown-rump length (CRL) of normal embryos compared to the reference, but this correlation did not exist for EPL embryos.
- In the EPL group, it was noted that their CRL measurements were smaller and showed signs of intrauterine growth retardation (IUGR) in approximately 3 of the 8 fetuses that were assessed.
- The researchers also identified nonspecific alterations in the neural tissue, disruption in different sections of the developing brain (pros-, mes-, and rhombencephalon) and the presence of haemosiderin, implying pre-mortem hemorrhage, in about 9 of the 13 EPL embryos.
- Failure in neural tube closure was identified in only one out of the 13 EPL embryos, whereas subcutaneous hemorrhage was observed in 14 out of 27 EPL embryos.
Research Conclusions
- The study made several important observations linking early pregnancy loss in horses with mismatches in embryonic/fetal size and age, neural tissue development disruptions, and localized subcutaneous hemorrhage.
- A challenge faced during the research was that significant autolysis affected 15 of the 27 EPL embryos, preventing their complete assessment.
- Also, the intrauterine growth retardation (IUGR) reference values were based on a small number of controls, which might limit the conclusiveness of these findings.
Cite This Article
APA
Kahler A, McGonnell IM, Smart H, Kowalski AA, Smith KC, Wathes DC, de Mestre AM.
(2020).
Fetal morphological features and abnormalities associated with equine early pregnancy loss.
Equine Vet J, 53(3), 530-541.
https://doi.org/10.1111/evj.13340 Publication
Researcher Affiliations
- Department of Comparative Biomedical Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Department of Comparative Biomedical Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Department of Comparative Biomedical Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Department of Comparative Biomedical Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Veterinary Care, University of Wisconsin, Madison, USA.
- Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Department of Comparative Biomedical Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
MeSH Terms
- Abortion, Veterinary
- Animals
- Case-Control Studies
- Crown-Rump Length
- Female
- Fetal Growth Retardation / veterinary
- Fetus
- Gestational Age
- Horse Diseases / etiology
- Horses
- Pregnancy
Grant Funding
- VET/RS/250 / Thoroughbred Breeders Association
- TBA/EPL/2018 / Thoroughbred Breeders Association
- Horserace Betting Levy Board
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Citations
This article has been cited 4 times.- Okada CTC, Kaps M, Perez Quesada J, Gautier C, Aurich J, Aurich C. Diestrous Ovulations in Pregnant Mares as a Response to Low Early Postovulatory Progestogen Concentration. Animals (Basel) 2020 Nov 30;10(12).
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