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Duong TH 3 - 58 - 11-122T
Duong TH 3 - 58 - 11-122T
Duong TH 3 - 58 - 11-122T
58, No 2, 2012
—Original Article—
Abstract. To determine whether glucocorticoids affect the function of the bovine corpus luteum (CL) during the estrous
cycle and early pregnancy, we examined the effects of exogenous cortisol or reduced endogenous cortisol on the secretion
of progesterone (P4) and on pregnancy rate. In preliminary experiments, doses of cortisol and metyrapone (an inhibitor
of cortisol synthesis) were established (n=33). Cortisol in effective doses of 10 mg blocked tumor necrosis factor-induced
prostaglandin F2α secretion as measured by its metabolite (PGFM) concentrations in the blood. Metyrapone in effective
doses of 500 mg increased the P4 concentration. Thus, both reagents were then intravaginally applied in the chosen doses
daily from Day 15 to 18 after estrus (Day 0) in noninseminated heifers (n=18) or after artificial insemination (n=36).
Pregnancy was confirmed by transrectal ultrasonography between Days 28–30 after insemination. Plasma concentrations
of P4 were lower in cortisol-treated heifers than in control heifers on Days 17 and 18 of the estrous cycle (P<0.05). However,
the interestrus intervals were not different between control and cortisol-treated animals (P>0.05). Moreover, metyrapone
increased P4 and prolonged the CL lifespan in comparison to control animals (P<0.05). Interestingly, in inseminated
heifers, cortisol increased the pregnancy rate (75%) compared with control animals (58%), whereas metyrapone reduced
the pregnancy rate to 16.7% (P<0.05). The overall results suggest that cortisol, depending on the physiological status
of heifers (pregnant vs. nonpregnant), modulates CL function by influencing P4 secretion. Cortisol may have a positive
influence on CL function during early pregnancy, leading to support of embryo implantation and resulting in higher rates
of pregnancy in heifers.
Key words: Cattle, Cortisol, Early pregnancy, Estrous cycle, Progesterone
(J. Reprod. Dev. 58: 223–230, 2012)
biosynthesis, influences peripheral GC metabolism by regulating the Determination of cortisol and metyrapone doses
reductase and dehydrogenase activity of 11β-HSD1 [20]. Previous Thirty-three heifers were used to choose the effective doses
studies have indicated that metyrapone not only blocks systemic of cortisol and metyrapone. All applications were performed in-
cortisol production, but also decreases the local interconversion of travaginally on Day 15 of the estrous cycle via a catheter placed
cortisone to cortisol by directly inhibiting 11β-HSD in adrenal cells into the vagina lumen down to the orificium uteri externum, as
and hepatocytes [21–25]. Furthermore, the bovine endometrium [8, described previously [33]. The heifers were infused with Vaseline
26] and corpus luteum [13] have the capacity to convert cortisone gel (10 ml; control group; n=6), TNFα (n=3), four different doses of
to cortisol. Thus, metyrapone may be used to reduce the local cortisol (Hydrocortisone, Sigma-Aldrich Chemie GmbH, Munich;
availability of cortisol in the lumen of the reproductive tract and Germany; No. H4001) dissolved in Vaseline gel (0.1, 0.5, 1 and 10
in the CL and to examine the effects of reduced levels of cortisol mg; cortisol group; n=12) followed by an intrauterine infusion of
on the pregnancy rate and CL function in cattle. 10 ng of TNFα (recombinant human TNFα: rhTNF HF-13; kindly
Intravaginal administration is a widespread method of drug donated by Dainippon Sumitomo Pharma, Osaka, Japan) as previ-
administration for antimicrobials, labor-inducing agents, pros- ously shown [34] or four different doses of metyrapone dissolved
taglandins and steroids [27, 28]. The vaginal mucosa has good in Vaseline gel (MetopironeTM, 11β-HSD inhibitor; 2-Methyl-1,2-
absorption potential, and drugs administered via the vaginal route di-3-pyridyl-1-propanone, Sigma-Aldrich Chemie GmbH, Munich,
are easily, safely and effectively absorbed and distributed throughout Germany; No. 856525; 1, 10, 100 and 500 mg; metyrapone group;
the blood vessels of reproductive organs for a long period of time n=12). The dose of TNFα and days of experiment were based on
[29]. Recently, vaginal drug delivery has gained further interest our previous data [34]. It has been previously shown in vivo that
due to investigations showing the existence of a uterine first-pass infusion of a low dose (10 ng) of TNFα into the uterus on Day 15
effect [30]. The above findings suggest that drugs administered of the estrous cycle increased luteolytic PGF2α output and induced
through the vaginal route are transported to the uterus and achieve luteolysis in cattle. Moreover, as shown by in vitro data, cortisol
higher tissue concentrations than if administered orally or via inhibited TNFα -stimulated PGF2α secretion by cultured endometrial
intramuscular injection [31]. Thus, in our experiment in heifers, cells [8]. Thus, a dose of cortisol, which could be able to inhibit
the intravaginal route was used to administer cortisol and metyra- the stimulatory effect of 10 ng of TNFα on PGF2α output in vivo,
pone (11β-HSD1 inhibitor) dissolved in Vaseline gel to study their was tested to determine the effective dose of cortisol.
biological effects in this species. A polyvinyl catheter was inserted into the jugular vein on Day
To determine whether glucocorticoids affect pregnancy rate and 14 of the estrous cycle for collection of blood samples as described
corpus luteum function, we examined the effects of intravaginal previously [35]. The time of TNFα or metyrapone infusion was
applications of exogenous cortisol or reduced endogenous cortisol defined as 0 h. Blood samples were collected at –2, –1, 0, 0.5, 1,
by intravaginal applications of 11β-HSD1 inhibitor (metyrapone) 2, 3 and 4 h and then at 2-h intervals until 12 h after infusions
on pregnancy rate and on the secretion of P4 during the estrous in the cortisol and metyrapone groups. For further examination
cycle and early stage of pregnancy in heifers. of cortisol and metyrapone action during the estrous cycle and
early pregnancy in heifers, the doses of 10 mg cortisol and 500
Materials and Methods mg metyrapone were used. Plasma concentrations of P4, cortisol
and 13,14-dihydro,15-keto-prostaglandin F2α (PGFM) in plasma
All animal procedures were approved by the Local Animal Care samples were measured.
and Use Committee in Olsztyn, Poland (Agreement No. 06/2007/N).
Effects of cortisol and metyrapone applications between Days
Animals and surgical procedures 15 and 18 of the estrous cycle
A total of 87 healthy Polish Holstein-Friesian heifers were used To demonstrate the possible influence of cortisol on the circulat-
for experiments. The animals were made available for this study by ing concentration of P4 during the late luteal phase of the cycle, the
their owners (Experimental Animal Farm of the Polish Academy of first group of heifers (n=18) were infused intravaginally once a day
Sciences in Baranowo, and a private farm in Cieszymowo, Poland). with Vaseline gel (10 ml; control group; n= 6), cortisol dissolved in
After the study was finished, the heifers were returned to the owners Vaseline gel (10 mg; n= 6) or metyrapone dissolved in Vaseline gel
as fully productive animals. Estrus in the heifers was synchronized (500 mg; n= 6) from Day 15 to 18 of the estrous cycle, as described
using two injections of an analogue of PGF2α (dinoprost, 5 mg, for the preliminary experiment. Blood samples were collected from
Dinolytic; Upjohn - Pharmacia N.V.S.A., Belgium) with an 11-day the jugular vein on Days 0, 6, 12, 15, 16, 17, 18, 19 and 21. Plasma
interval, as described and recommended in our previous study concentrations of P4 in blood samples were measured.
[32]. The development of ovarian follicles, changes in the size of
the CL and uterine structure during the estrous cycle and early Effects of cortisol and metyrapone applications between Days
pregnancy were monitored daily by a veterinarian via per rectum 15 and 18 after artificial insemination
ultrasonography examination (USG) and confirmed by observing To demonstrate the possible influence of cortisol on P4 secretion
the signs of estrus (i.e., vaginal mucus, standing behavior). The during early pregnancy and on pregnancy rate, the second group
onset of estrus was taken as Day 0 of the estrous cycle. Only heif- of heifers (n=36) were inseminated with semen from the same bull
ers with signs of estrus were chosen for the studies. 60 and 72 h after the second PGF2α injection. From Day 15 to 18
after insemination, heifers were infused intravaginally once a day
EFECTS OF CORTISOL ON LUTEAL FUNCTION 225
with Vaseline gel (10 ml; control group; n=12), cortisol dissolved analyzed using Chi-square (P<0.05).
in Vaseline gel (10 mg; n=12) or metyrapone dissolved in Vaseline
gel (MetopironeTM, 500 mg; n=12), as described for the prelimi- Results
nary experiment. Blood samples were collected on the following
days after insemination: Days 0, 6, 12, 15, 16, 17, 18, 19 and 21. Determination of cortisol and metyrapone doses
Pregnancy was confirmed by USG between Days 28–30. Plasma Intravaginal application of cortisol on Day 15 of the estrous cycle
concentrations of P4 in blood samples were measured. did not significantly affect P4 levels as indicated by the analysis of
For P4 and PGFM determination, blood samples were collected area under the curve between 0 and 12 h post treatment (Table 1,
into sterile 10-ml tubes containing 200 μl of stabilizer solution Fig. 1a). However, cortisol at a dose of 10 mg blocked the increase
(0.3 M EDTA, 1% acid acetyl salicylic, pH 7.4). All tubes were in PGFM induced by intrauterine infusion of TNFα (10 ng/animal;
immediately chilled on ice for 10 min and centrifuged at 2000 × Table 1, Fig. 1b).
g for 10 min at 4 C, and the obtained plasma was stored at –30 C Intravaginal application of 500 mg of metyrapone on Day 15
until further analysis. of the estrous cycle induced an acute increase in circulating P4
levels starting 3 h after application (Table 2, Fig. 2a). The levels
Progesterone determination of PGFM did not change significantly during the period of 12 h
The concentrations of P4 in plasma samples were assayed us- after metyrapone treatment (Table 2, Fig. 2b).
ing a direct enzyme immunoassay (EIA) according to the method There was no significant effect of intravaginal application of
described previously [36]. The P4 standard curve ranged from 0.39 cortisol or metyrapone at any doses on the cortisol level in pe-
to 25 ng/ml, and the effective dose for 50% inhibition (ED50) of ripheral blood compared with that found in the control animals
the assay was 2.85 ng/ml. The intra- and interassay coefficients (data not shown).
of variation averaged 6.6 and 8.4%, respectively. Based on these results, the most effective doses of cortisol (10
mg) and metyrapone (500 mg) were chosen for the further studies
13,14-dihydro,15-keto-prostaglandin F2α (PGFM) to investigate the local effect of cortisol on the luteal function in
determination the estrous cycle and early pregnancy.
The concentrations of PGFM in the plasma samples were de-
termined with a direct EIA according to the method described Effects of cortisol and metyrapone applications between Days
previously [36]. The PGFM standard curve ranged from 32.5 pg/ 15 and 18 of the estrous cycle on progesterone concentrations
ml to 8000 pg/ml, and the ED50 of the assay was 315 pg/ml. The Plasma concentrations of P4 were lower in cortisol-treated heifers
intra- and interassay coefficients of variation were on average 7.6 than in the control heifers (only gel application) on Days 17 and 18
and 10.4%, respectively. of the estrous cycle. However, the levels of circulating P4 did not
decrease to less than 2 ng/ml until Day 19 (Fig. 3). The interestrus
Cortisol determination intervals were not different between the control and cortisol treated
The concentrations of cortisol in the plasma were determined groups (P<0.05). Moreover, metyrapone prolonged the functional
in duplicate after diethyl ether extraction by second antibody EIA life span of the CL as indicated by significantly greater levels of
using horseradish peroxidase enzyme-labelled cortisol as a tracer P4 compared with those in the control animals on Days 19 and
(1:80,000 final dilutions) and cortisol antibody (raised in a rabbit 21 (P<0.05). In the heifers infused with 500 mg of metyrapone,
against cortisol-3-CMO; Cosmo Bio, Tokyo, Japan; 1:400,000 spontaneous luteolysis was prevented, and the length of the estrous
final dilutions), as described and characterized recently [34]. The cycle was prolonged compared with that in the control group (over
standard curve ranged from 0.4 to 400 ng/ml, and the ED50 of 30 days vs. 21.8 ± 0.77 days; P<0.05).
the assay was 1.68 ng/ml. The intra- and interassay CVs were on
average 5.5 and 6.3%, respectively. Effects of cortisol and metyrapone applications between Days
15 and 18 post-artificial insemination on pregnancy rate
Statistical analysis The effects of cortisol and metyrapone on P4 secretion in pregnant
The analyses of P4, cortisol and PGFM in plasma samples col- and nonpregnant heifers is shown in Fig. 4. Intravaginal application
lected from the jugular vein during all experiments were performed of metyrapone (500 mg, Fig. 4c) prolonged the functional life span
using a repeated measures design approach with treatments and of the CL in nonpregnant heifers as indicated by the levels of P4
time of sample collection (hours or days) being fixed effects with higher than 3 ng/ml until Day 21. However, in control (Fig. 4a)
all interactions included (two-way ANOVA tests followed by the and cortisol (Fig. 4b) heifers, the levels of P4 were less 1 ng/ml on
Bonferroni Multiple Comparison Test; GraphPad Prism Version Day 21. The pregnancy rate of cortisol-treated heifers was higher
5.00, GraphPad Software, San Diego, CA, USA). P<0.05 was than that of control heifers (75 vs. 58%), whereas the pregnancy
considered significant. Least adjusted means and standard errors rate of metyrapone-treated heifers was lower (P<0.05) than that
were determined. The total amounts of P4 and PGFM released of the control group (16.7% vs. 58%; Table 3).
are shown by the area under the curve (relative units; Tables 1
and 2; means ± SEM) and were analyzed using one-way ANOVA Discussion
followed by the Bonferroni Multiple Comparison Test (GraphPad
Prism) as described previously [33]. The rate of pregnancy was The results of the present study demonstrated that intravaginal
226 DUONG et al.
application of exogenous cortisol from Day 15 to 18 post insemi- decreased the pregnancy rate in heifers. The same treatment with
nation increased the pregnancy rate, whereas inhibition of local cortisol during the estrous cycle (in noninseminated heifers) de-
cortisol biosynthesis by intravaginal application of metyrapone creased P4 between Days 17 and 18, but did not affect the time of
complete luteolysis. On the other hand, treatment with metyrapone
Table 1. Effects of intravaginal infusion with Vaseline gel (control, n=3), prolonged the life span of the CL, and luteolysis did not occur until
a luteolytic dose of TNFα (10 ng/heifer; n=3) or different doses Day 30 post ovulation. The above findings suggest that cortisol
of cortisol (0.1, 0.5, 1 and 10 mg, each dose n=3) followed by differently modulates the life span of the CL depending on physi-
intrauterine infusion with TNFα 2 h later on the total amounts ological status of heifers (pregnant vs. nonpregnant).
of progesterone (P4) and prostaglandin F2α metabolite (PGFM)
We have previously shown that cortisol inhibits basal PGF2α
released during the experiment, as measured by hormones
concentrations in jugular venous blood of heifers on Day 15 of production in nonpregnant bovine endometrial stromal cells,
the estrous cycle (Fig. 1) whereas it does not affect PGF2α production in epithelial cells in
vitro [8]. This in vitro study suggests that cortisol could mainly
Prostaglandin F2α
Treatment Progesterone act as an antiluteolytic factor suppressing PGF2α production in the
metabolite
bovine endometrium. To examine whether cortisol modulates CL
Vaseline/Saline (control) 81.7 ± 4.7 a 952 ± 51.8 a function in vivo, heifers were treated with cortisol around the time
TNFα 67.9 ± 16.5 a 2510 ± 248.2 b of the cycle when luteolysis normally begins (Days 15–18 of the
Cortisol 0.1 mg + TNFα 76.5 ± 3.2 a 2299 ± 292.0 b estrous cycle). In the present study, the fact that cortisol did not
Cortisol 0.5 mg + TNFα 91.1 ± 17.8 a 2433 ± 533.7 b affect the interestrus interval in cycling heifers but significantly
Cortisol 1 mg + TNFα 100.1 ± 10.0 a 1554 ± 194.3 a increased the pregnancy rate in inseminated heifers suggests that
Cortisol 10 mg + TNFα 104.8 ± 13.0 a 1121 ± 68.5 a depending on the type of endometrial cells (stromal and epithelial)
Values indicate the area under the curve (relative units, means ± SEM). and physiological status (pregnant versus nonpregnant), cortisol
The area under the curve was analyzed using P4 and PGFM data between has different roles in regulating CL function. Our previous in vitro
0 and 12 h after intrauterine infusion with a luteolytic dose of TNFα (0 studies demonstrated that cortisol suppresses PGF2α production in
h). a–b Different superscript letters within a column indicate significant
differences (P<0.05) among treated groups. the endometrium [8] and suppresses apoptosis of luteal cells act-
ing as a survival factor for bovine luteal cells [13] in cattle. Thus, In ruminants, inhibition of the luteolytic mechanism to maintain
cortisol may act to prevent luteolysis by decreasing luteolytic PGF2α the secretion of P4 is essential for the establishment of pregnancy.
production and decreasing luteal cell death in cattle. Interferon-tau (IFNT) has been identified as an embryonic signal
responsible for the maternal recognition of pregnancy in ruminants
[37]. During maternal recognition of pregnancy, the conceptus
Table 2. Effects of intravaginal infusion with Vaseline gel (control,
synthesizes and secretes IFNT with maximal production on Days
n=3) or different doses of metyrapone (1, 10, 100 and 500 mg,
each dose n=3) on the total amounts of progesterone (P4) and 14–16 [38, 39]. It has been shown that the level of cortisol is locally
prostaglandin F2α metabolite (PGFM) released during the regulated by IFNT in the ovine [40] and bovine [41] endometrium
experiment, as measured by hormones concentrations in jugular during pregnancy. Therefore, the different effects of exogenous
venous blood of heifers on Day 15 of the estrous cycle (Fig 2) cortisol or the inhibitor of cortisol biosynthesis in pregnant versus
Prostaglandin F2α nonpregnant heifers observed in the present study may be due to
Treatment Progesterone the action of IFNT that is locally present at high concentrations
metabolite
Vaseline (control) 61.8 ± 9.7 a 1051 ± 162.0 a in the uterine lumen of pregnant heifers but not in nonpregnant
Metyrapone 1 mg 86.3 ± 11.2 ab 672 ± 47.6 a heifers. IFNT acts locally within the uterus to inhibit PGF2α secre-
Metyrapone 10 mg 72.1 ± 19.4 ab 743 ± 59.4 a tion [42], and IFNT inhibits PGF2α production but stimulates PGE2
Metyrapone 100 mg 90.8 ± 16.4 b 775 ± 60.6 a production by the uterus during early pregnancy [43, 44]. PGF2α
Metyrapone 500 mg 112.9 ± 10.8 c 722 ± 24.2 a is a luteolytic factor [45], whereas PGE2 acts as a luteotrophic
factor by stimulating P4 production [46–48]. In addition, poor
Values indicate the area under the curve (relative units, means ± SEM).
The area under the curve was analyzed using P4 and PGFM data between embryo development is associated with low IFNT production, failed
0 and 12 h after intravaginal infusion with metyrapone (0 h). a-b-c Differ- inhibition of luteolysis and embryo loss [49, 50]. These findings
ent superscript letters within a column indicate significant differences suggest that embryonic loss may occur because the embryos are
(P<0.05) among treated groups. unable to inhibit endometrial PGF2α secretion. In the present study,
intravaginal application of exogenous cortisol from Days 15 to 18 of the most important components of the intrauterine regulatory
post insemination increased the pregnancy rate and reduced TNFα- system responsible for the autonomous, episodic PGF2α output
stimulated PGFM levels, whereas the inhibition of local cortisol during luteolysis in cattle. Blockade of the endogenous cortisol
biosynthesis by intravaginal application of metyrapone decreased production by metyrapone application may disturb the pulsatile
the pregnancy rate in heifers. These results agree with those of PGF2α output from the bovine uterus, consequently inhibiting
Boomsma et al. (2007), who reported an increase in pregnancy rate luteolysis and prolonging the life span of the bovine CL. However,
as a result of GC administration [51]. The above results suggest the effects and mechanisms of cortisol action on the autonomous,
that cortisol plays an important role in maintaining CL function episodic PGF2α output and/or on the frequency of PGF2α pulses
by directly inhibiting uterine PGF2α secretion to support embryo need to be determined in the future.
implantation and early embryonic development. In conclusion, cortisol, depending on the physiological status of
In the present study, intravaginal applications of cortisol reduced the heifers (pregnant vs. nonpregnant), modulates CL function by
P4 production compared with those of control heifers between influencing P4 secretion. Cortisol may have a positive influence
Days 17 and 18 of the estrous cycle; however, the length of the on CL function during early pregnancy, leading to support embryo
cycle did not change compared with the control group. In contrast, implantation and resulting in higher rates of pregnancy in heifers.
reduced endogenous cortisol production by metyrapone application
extended the length of the estrous cycle and increased P4 produc- Acknowledgments
tion. Glucocorticoids decreased the plasma P4 concentration in
cattle [18, 52, 53]. Cortisol has the capacity to suppress luteal P4 The authors wish to thank Mr H Jablonski from the Experimen-
secretion indirectly by inhibiting basal and luteinizing hormone- tal Animal Farm of the Polish Academy of Sciences in Baranowo
releasing hormone-induced release of luteinizing hormone from and Mr M Baurycza from the animal farm in Cieszymowo for
bovine pituitary cells [54]. At the end of the estrous cycle, cortisol their excellent cooperation and permission to use the animals for
can be involved in the luteolytic cascade by modulating uterine the experiments. The authors are grateful to Dr P Warmowski, Dr
PGF2α secretion and its action on the CL. PGF2α released from the M Bednarski and I Kowalczyk-Zieba for technical assistance dur-
endometrium, especially the intercaruncular region of the surface ing in vivo experiments.
epithelium of the uterus [55], in a pulsatile manner causes regres- This work was supported by a Research Grant of the Polish Min-
sion of the bovine CL [56, 57]. Thus, for the initiation of bovine istry of Sciences and Higher Education (Grant No. 308327933) and
luteal regression, the pulsatile character of PGF2α is much more partially by a Grant-in-Aid for Scientific Research (No. 22580318)
important and plays a mandatory role rather than its absolute of the Japan Society for the Promotion of Science (JSPS). HT Du-
levels [56, 57]. Furthermore, cortisol has been suggested to act in ong was supported by a scholarship from the Ministry of Edu-
reducing the high levels of uterine PGF and to be one of the fac- cation, Culture, Sports, Science and Technology, Japan. KK Pi-
tors responsible for the generation of PGF2α pulses in vivo in cattle otrowska-Tomala was supported by the European Union within
[58]. Cortisol is well-known as a local regulator/modulator of PG the European Social Fund (Dr.INNO).
secretion [8]. Therefore, it can be suggested that cortisol is one
EFECTS OF CORTISOL ON LUTEAL FUNCTION 229
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