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Equine veterinary journal2024; doi: 10.1111/evj.14079

Using mycobacterium cell wall fraction to decrease equine chorionic gonadotropin after abortion.

Abstract: Equine embryonic loss following the development of endometrial cups delays return to cyclicity due to the production of equine chorionic gonadotropin (eCG). Natural degradation of endometrial cups coincides with an influx of immune cells at 100-120 days of gestation, but therapeutic stimulation of reduced eCG production has been relatively unsuccessful. Recently, we observed an increase in pro-inflammatory cytokine production following the use of the immunostimulant mycobacterium cell wall fraction (MCWF). Objective: To evaluate the efficacy of hysteroscopic-guided injection of MCWF on the accelerated decline of eCG secretion. Methods: In vivo experiment. Methods: Mares were pharmacologically aborted at 40-45 days of gestation, and then divided into groups: MCWF-treated (6 mg MCWF suspended in 20 mL LRS; n = 10) and Control (20 mL LRS; n = 6). Five days after abortion, hysteroscopic-guided injection of endometrial cups was performed, with 1 mL of volume placed into each visible endometrial cup. This was repeated 7 days later. Trans-rectal ultrasonography was performed to monitor ovarian activity, and serum was obtained to assess eCG and cytokine concentrations. Results: Concentrations of eCG decreased in the MCWF-treated group (p < 0.01) with a significant suppression noted as early as 14 days after onset of treatment and remained suppressed for the duration of the study. This coincided with an increase in peripheral IFN-γ (p < 0.01) and IL-1β (p < 0.01) concentrations. Eight out of ten MCWF-treated mares (80%) developed pre-ovulatory follicles, in comparison to 2/6 controls (33%). A pre-ovulatory follicle was noted 23 ± 4 days after onset of treatment. Conclusions: No pregnancy data was obtained following treatment. Conclusions: This is the first report of a treatment for the accelerated reduction of eCG following abortion. Stimulation of this process allowed mares to develop a pre-ovulatory follicle within a month of MCWF treatment onset, granting repeat attempts at breeding within the confines of a single breeding season.
Publication Date: 2024-03-12 PubMed ID: 38472105DOI: 10.1111/evj.14079Google Scholar: Lookup
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Summary

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This article presents the results of a study on using mycobacterium cell wall fraction (MCWF) to speed up the decline of equine chorionic gonadotropin (eCG) following abortion in mares. It was found that MCWF treatment led to a significant decrease in eCG and the development of pre-ovulatory follicles within a month of beginning treatment.

Objective and Methodology

  • The main aim of this research was to assess the impact of MCWF in expediting the decrease of eCG secretion in mares who had undergone an abortion.
  • To conduct this experiment, mares who were aborted pharmacologically between 40-45 days of gestation were divided into two groups: one that was treated with MCWF and a control group.
  • A hysteroscopic-guided injection was performed on the endometrial cups of these mares, five days after the abortion and repeated seven days later.
  • A 1 ml volume was placed into each visible endometrial cup. This was the methodology used for the main experiment.

Monitoring and Assessment

  • Trans-rectal ultrasonography was used to keep track of ovarian activity and serum assessment was done to check eCG and cytokine concentrations.
  • The researchers then analyzed the difference in eCG concentrations between the MCWF treated group versus the control group.

Results

  • Results showed that eCG levels significantly decreased in the MCWF-treated group.
  • This decline was noticed as early as 14 days after the onset of the treatment and remained throughout the entire study period.
  • Importantly, there was an increase in peripheral IFN-γ and IL-1β concentrations.
  • In the MCWF treated group, 80% of the mares developed pre-ovulatory follicles compared to 33% in the control group.
  • Development of a pre-ovulatory follicle was observed 23 ± 4 days after starting the treatment.

Conclusions

  • Though the study did not yield any pregnancy data post-treatment, it successfully reported for the first time a treatment to expedite the decline of eCG following an abortion in mares.
  • Notably, the MCWF treatment aided the mares in developing a pre-ovulatory follicle within a month of starting the treatment. This suggests the potential for repeat breeding attempts within a single breeding season.

Cite This Article

APA
Fedorka CE, Schnobrich MR, Muderspach ND, Scoggin KE, Dedman MT, Weigle KE, May MG, Twist H, Linse CR, Douglas RH, Troedsson MHT. (2024). Using mycobacterium cell wall fraction to decrease equine chorionic gonadotropin after abortion. Equine Vet J. https://doi.org/10.1111/evj.14079

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English

Researcher Affiliations

Fedorka, Carleigh E
  • Department of Veterinary Sciences, University of Kentucky, Lexington, Kentucky, USA.
  • Department of Animal Sciences, Colorado State University, Fort Collins, Colorado, USA.
Schnobrich, Maria R
  • Rood & Riddle Equine Hospital, Lexington, Kentucky, USA.
Muderspach, Natacha D
  • Department of Veterinary Clinical Sciences, University of Copenhagen, Copenhagen, Denmark.
Scoggin, Kirsten E
  • Department of Veterinary Sciences, University of Kentucky, Lexington, Kentucky, USA.
Dedman, Madison T
  • Lincoln Memorial College of Veterinary Medicine, Harrogate, Tennessee, USA.
Weigle, Kelly E
  • Lincoln Memorial College of Veterinary Medicine, Harrogate, Tennessee, USA.
May, Mary G
  • Lincoln Memorial College of Veterinary Medicine, Harrogate, Tennessee, USA.
Twist, Heidi
  • Rood & Riddle Equine Hospital, Lexington, Kentucky, USA.
Linse, Cara R
  • Rood & Riddle Equine Hospital, Lexington, Kentucky, USA.
Douglas, Robert H
  • BET Laboratories, Lexington, Kentucky, USA.
Troedsson, Mats H T
  • Department of Veterinary Sciences, University of Kentucky, Lexington, Kentucky, USA.

References

This article includes 33 references
  1. Stewart F, Allen WR, Moor RM. Pregnant mare serum gonadotrophin: ratio of follicle-stimulating hormone and luteinizing hormone activities measured by radioreceptor assay.. J Endocrinol 1976;71(3):471-482.
  2. Allen WR. Maternal recognition of pregnancy and immunological implications of trophoblast-endometrium interactions in equids.. Ciba Found Symp 1978;64:323-352.
  3. Ball BA. Embryonic loss in mares. Incidence, possible causes, and diagnostic considerations.. Vet Clin North Am Equine Pract 1988;4(2):263-290.
  4. Wilsher S, Allen WR. Factors influencing equine chorionic gonadotrophin production in the mare.. Equine Vet J 2011;43(4):430-438.
  5. Crabtree JR, Chang Y, de Mestre A. Clinical presentation, treatment, and possible causes of persistent endometrial cups illustrated in two cases.. Equine Vet Educ 2011;24(5):251-259.
  6. Podico G, Canisso IF, Roady PJ, Austin SM, Carossino M, Balasuriya U. Uterine responses and equine chorionic gonadotropin concentrations after two intrauterine infusions with kerosene post early fetal loss in mares.. Theriogenology 2020;147:202-210.
  7. Steiner J, Antczak D, Wolfsdorf K, Saville K. Persistent endometrial cups.. Anim Reprod Sci 2006;94:274-275.
  8. Kutzler M, Hüber M, Brubaker J, Roser J. Laser fulgruation of endometrial cups to restore estrous cyclicity.. Procs 10th Int Con WEVA 2008.
  9. Filion MC, Phillips NC. Therapeutic potential of mycobacterial cell wall-DNA complexes.. Expert Opin Investig Drugs 2001;10(12):2157-2165.
  10. Fedorka CE, Murase H, Loux SC, Loynachan AT, Walker OF, Squires EL. The effect of mycobacterium cell wall fraction on histologic, immunologic, and clinical parameters of postpartum involution in the mare.. J Equine Vet 2020;90:103013.
  11. Wagner B, Freer H. Development of a bead-based multiplex assay for simultaneous quantification of cytokines in horses.. Vet Immunol Immunopathol 2009;127(3-4):242-248.
  12. Squires EL, Ginther OJ. Follicular and luteal development in pregnant mares.. J Reprod Fertil Suppl 1975;23:429-433.
  13. Allen WR, Stewart F. Equine placentation.. Reprod Fertil Dev 2001;13(7-8):623-634.
  14. Wooding FB, Morgan G, Fowden AL, Allen WR. A structural and immunological study of chorionic gonadotrophin production by equine trophoblast girdle and cup cells.. Placenta 2001;22(8-9):749-767.
  15. Allen WR, Hamilton DW, Moor RM. The origin of equine endometrial cups. II. Invasion of the endometrium by trophoblast.. Anat Rec 1973;177(4):485-501.
  16. Allen WR. Immunological aspects of the equine endometrial cup reaction.. 1975.
  17. Huber MJ, Roser JF, Riebold TW, Schmotzer WB, Grubb TL, Crisman RO. Effect of surgical removal of endometrial cups on concentrations of chorionic gonadotrophin and subsequent fertility in the mare.. Equine Vet J 1993;25(2):110-114.
  18. Cuervo-Arango J, Aguilar JJ, Vettorazzi ML, Martinez-Bovi R. eCG concentrations, luteal structures, return to cyclicity, and postabortion fertility in embryo transfer recipient mares.. Theriogenology 2015;84(6):1003-1013.
  19. Grunig G, Triplett L, Canady LK, Allen WR, Antczak DF. The maternal leucocyte response to the endometrial cups in horses is correlated with the developmental stages of the invasive trophoblast cells.. Placenta 1995;16(6):539-559.
  20. Luckheeram RV, Zhou R, Verma AD, Xia B. CD4(+)T cells: differentiation and functions.. Clin Dev Immunol 2012;2012:925135.
  21. Chaouat G, Zourbas S, Ostojic S, Lappree-Delage G, Dubanchet S, Ledee N. A brief review of recent data on some cytokine expressions at the materno-foetal interface which might challenge the classical Th1/Th2 dichotomy.. J Reprod Immunol 2002;53(1-2):241-256.
  22. Fedorka CE, Loux SL, Scoggin KE, Adams AA, Troedsson MHT, Ball BA. Alterations in T cell-related transcripts at the feto-maternal interface throughout equine gestation.. Placenta 2019;89:78-87.
  23. Raghupathy R. Th1-type immunity is incompatible with successful pregnancy.. Immunol Today 1997;18(10):478-482.
  24. Reinhard G, Noll A, Schlebusch H, Mallmann P, Ruecker AV. Shifts in the TH1/TH2 balance during human pregnancy correlate with apoptotic changes.. Biochem Biophys Res Commun 1998;245(3):933-938.
  25. Makhseed M, Raghupathy R, Azizieh F, Omu A, Al-Shamali E, Ashkanani L. Th1 and Th2 cytokine profiles in recurrent aborters with successful pregnancy and with subsequent abortions.. Hum Reprod 2001;16(10):2219-2226.
  26. Chaouat G, Ledée-Bataille N, Dubanchet S, Zourbas S, Sandra O, Martal J. TH1/TH2 paradigm in pregnancy: paradigm lost? Cytokines in pregnancy/early abortion: reexamining the TH1/TH2 paradigm.. Int Arch Allergy Immunol 2004;134(2):93-119.
  27. Piccinni MP. T cells in normal pregnancy and recurrent pregnancy loss.. Reprod Biomed Online 2006;13(6):840-844.
  28. Szabo SJ, Sullivan BM, Peng SL, Glimcher LH. Molecular mechanisms regulating Th1 immune responses.. Annu Rev Immunol 2003;21:713-758.
  29. Herrera MF, Otermin M, Mauel Herrera J, Simoy MV, Bianchi CP, Aguilar JJ. Effect of mycobacterium cell wall fraction on endometrial histomorphometry of mares resistant and susceptible to persistent breeding-induced endometritis.. Theriogenology 2020;156:2-10.
  30. Fumuso E, Giguère S, Wade J, Rogan D, Videla-Dorna I, Bowden RA. Endometrial IL-1beta, IL-6 and TNF-alpha, mRNA expression in mares resistant or susceptible to post-breeding endometritis. Effects of estrous cycle, artificial insemination and immunomodulation.. Vet Immunol Immunopathol 2003;96(1-2):31-41.
  31. Fumuso EA, Aguilar J, Giguère S, Rivulgo M, Wade J, Rogan D. Immune parameters in mares resistant and susceptible to persistent post-breeding endometritis: effects of immunomodulation.. Vet Immunol Immunopathol 2007;118(1-2):30-39.
  32. Rogan D, Fumuso E, Rodríguez E, Wade J, Sánchez Bruni SF. Use of a mycobacterial cell wall extract (MCWE) in susceptible mares to clear experimentally induced endometritis with Streptococcus zooepidemicus.. J Equine Vet Sci 2007;27(3):112-117.
  33. Christoffersen M, Woodward EM, Bojesen AM, Petersen MR, Squires EL, Lehn-Jensen H. Effect of immunomodulatory therapy on the endometrial inflammatory response to induced infectious endometritis in susceptible mares.. Theriogenology 2012;78(5):991-1004.

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