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1 Department of Animal Science, University of Tennessee, Knoxville 37996-4574
2 University of Tennessee Dairy Experiment Station, Lewisburg 37091
Corresponding author: F. Neal Schrick; e-mail: fschrick{at}utk.edu.
| ABSTRACT |
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Key Words: estrus dairy cow luteinizing hormone mastitis
Abbreviation key: BUN = blood urea nitrogen, CON = unchallenged control cows, E2 = estradiol-17ß, NO-MAS = cows challenged with Strep. uberis that did not develop mastitis, P4 = progesterone, TRT = cows challenged with Strep. uberis, TRT-EST = cows that were challenged, became clinical, and displayed estrus, TRT-NOEST = cows that were challenged, became clinical, and did not display estrus.
| INTRODUCTION |
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Elevated concentrations of cortisol and 13, 14-dihydro-15-keto PGF2
as well as altered interestrous intervals have been reported in cows with clinical mastitis during the luteal phase of the estrous cycle (Moore et al., 1991; Hockett et al., 2000). Cullor (1990) suggested that endotoxin might induce luteolysis and influence conception and early embryonic survival by release of inflammatory mediators. Moore and OConnor (1993) hypothesized that gram-negative mastitis pathogens may stimulate production of PGF2
and cause luteal regression.
Barker et al. (1998) and Schrick et al. (2001) reported that gram-negative and gram-positive mastitis pathogens were associated with similar decreases in reproductive efficiency of lactating dairy cows. Furthermore, occurrence of subclinical mastitis had similar detrimental effects on reproductive performance as clinical mastitis (Schrick et al., 2001). More recently, our laboratory has determined that cows with clinical mastitis during the preovulatory period had decreased expression of estrus, periods of anestrus, and decreased pregnancy rates (Hockett et al., 2002). Feed intakes may also be decreased in animals experiencing clinical infection, thereby altering energy metabolites and allowing for interruption in reproductive function.
Mechanisms by which mastitis interferes with expression of estrus are not well understood. Identification of such mechanisms may lead to the development of treatment protocols to minimize additional costs of mastitis associated with decreased reproductive performance. Therefore, the objective of the present study was to determine if experimental induction of clinical mastitis before ovulation interrupted the hypothalamo-pituitary-ovarian axis or feed intake, thus altering endocrine function, follicular growth, and ovulation of the preovulatory follicle.
| MATERIALS AND METHODS |
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(Lutalyse, Pharmacia Animal Health, Kalamazoo, MI) administered at 14-d intervals. Before initiation of treatment, cows were trained to Calan gates and were allowed a 2-wk adjustment period. Feed intake was recorded daily for each animal to observe if major changes in intake occurred during the study period. Cows were fed a corn silage-based ration.
Bacterial Inoculum Preparation
Streptococcus uberis strain 888 was revived from storage at 80°C by thawing in a water bath at 37°C. The thawed bacterial suspension (20 µL) was streaked onto blood agar plates and incubated overnight at 37°C. After incubation, 3 colonies were selected using a sterile loop and inoculated into 20 mL of Todd-Hewitt broth and incubated for 6 h at 37 ± 1.0°C. Following incubation, broth culture was diluted in sterile PBS to provide an inoculum of 600 to 1000 cfu/mL.
Challenge Inoculum Administration
Within 0.5 h after the p.m. milking (4 d before the second injection of PGF2
; Figure 1
), 5 mL of inoculum containing 3000 to 5000 cfu of Strep. uberis in sterile PBS was infused into 2 uninfected mammary glands of each cow in the TRT group (n = 7 and 12 in replicates 1 and 2, respectively). Initiation of bacterial challenge 4 d before the second injection of PGF2
was performed with the planned result of cows displaying clinical mastitis on the day of, or day following, PGF2
administration (approximately 2 d before estrus). This time was chosen to allow cortisol to reach peak values before the preovulatory rise in estradiol (E2) and LH as well as exposing the developing oocyte to inflammatory mediators before ovulation.
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Quarter foremilk samples for microbiological evaluation were obtained aseptically, as described below, from all mammary glands of challenged cows immediately before inoculation, daily for 7 d, and at d 14 and 21. Cows in the untreated control (CON) group were sampled at the same intervals as challenged cows.
Microbiological Evaluation of Milk Samples
Samples of foremilk from quarters of cows were collected aseptically. Before sample collection, teats of cows were cleaned immersed in a premilking disinfectant, cleaned with individual disposable paper towels, and sanitized with swabs containing isopropyl alcohol. Milk samples were examined following procedures recommended by the National Mastitis Council and as described by Oliver et al. (1994). Briefly, foremilk samples (10 µL) from each quarter were plated onto one quadrant of a trypticase soy agar plate supplemented with 5% defibrinated sheep blood (Laboratory Supply, Nashville, TN). Plates were incubated at 37°C and bacterial growth was observed and recorded at 24-h intervals for 3 d. Bacteria on primary culture medium were identified tentatively according to colony morphologic features, hemolytic characteristics, and catalase test. Isolates identified presumptively as staphylococci were tested for coagulase by the tube coagulase method. Isolates identified presumptively as streptococci were evaluated initially for growth in 6.5% NaCl, hydrolysis of esculin, and CAMP-reaction. Streptococcal organisms were identified to the species level using the API 20 Strep System (bioMerieux Vitek, Inc., Hazelwood, MO) upon first and last isolation of the organism from experimentally infected mammary glands. Streptococcal organisms isolated between the first and last isolation were identified by sodium hippurate hydrolysis for Strep. uberis. All other Streptococcus and Enterococcus species were identified using the API 20 Strep System (bioMerieux Vitek, Inc.) for subsequent isolates. Gram-negative isolates were plated on MacConkeys agar (Becton Dickinson Microbiology Systems, Sparks, MD) and evaluated by the following biochemical tests: triple sugar iron, urea, oxidase, motility, indole, and ornithine decarboxylase.
Clinical Observations
Clinical assessment of animals was performed before experimental bacterial challenge and when milk samples were collected. Clinical status of mammary glands and appearance of milk were evaluated by qualified farm personnel at each milking using the following scheme: 1 = normal mammary gland and normal milk, 2 = normal mammary gland and slight alterations in milk (a few flakes), 3 = abnormal mammary gland and abnormal milk (clots, clumps, changes in milk color), and 4 = swollen mammary gland, abnormal milk, and systemic signs (hyperthermia, depression, dullness) of infection. Cows that developed clinical mastitis were monitored closely and antibiotic treatment was initiated 7 d postchallenge.
Clinical mastitis was diagnosed when Strep. uberis was isolated from challenged mammary glands at any milking postchallenge and the challenged mammary gland had a mastitis score of 2 or 3 for 2 consecutive milkings during the 7-d postchallenge period. Acute clinical mastitis was scored for experimentally challenged mammary glands when Strep. uberis was isolated from the challenged mammary gland at any milking postchallenge, milk from the challenged mammary gland had a mastitis score of 4 for 2 consecutive milkings during the 7-d postchallenge period, and the cow was hyperthermic. Rectal temperatures were obtained daily throughout the study at milking time for all cows.
Determination of Estrous Expression
All cows were evaluated 3 times daily to determine onset of estrus. Cows were monitored every 2 h during intensive blood sampling to determine estrous behavior. Cows had access to a dirt lot and bedded pack area during evaluation for estrus. Due to differences in expression of estrus, cows were further subdivided for analyses into 4 groups: control, TRT-EST (infected cows that displayed estrus; n = 4), TRT-NOEST (infected cows that did not display estrus; n = 8), and NOMAS (cows inoculated but did not develop mastitis; n = 4).
Blood Collection
Blood samples (10 mL) were collected daily via jugular venipuncture to evaluate progesterone (P4), cortisol, blood urea nitrogen (BUN), NEFA, and insulin concentrations from all experimentally infected and control cows. At time of second PGF2
injection, TRT and CON cows (across 2 replicates; Figure 1
) had jugular veins catheterized as described by Hockett et al. (2000) to allow for frequent sample collection and reduced handling stress on animals. Catheters were flushed immediately before and after each collection with heparinized saline (200 IU/mL) to maintain catheter function throughout the experimental period. Samples were collected every 15 min from 48 to 56 h following PGF2
injection (d 0) to evaluate LH pulse frequency. Following the intensive blood sample collection period, samples were collected every 2 h until ovulation to determine the LH surge and preovulatory rise in E2. Blood samples were centrifuged (2500 x g); sera were harvested and stored at 20°C until assayed.
Ultrasonography of Ovarian Structures
All cows had ovaries scanned (Aloka 500 unit, 7.5-MHz linear transducer, Corometrics Medical Systems, Inc., Wallingford, CT) to ascertain development of the ovulatory follicle as follows: 1) ovaries were scanned daily beginning at intramammary inoculation to ascertain follicular and luteal characteristics (Seals et al., 1996), and 2) every 6 h beginning at visual observation of estrus until ovulation occurred (disappearance of the ovulatory follicle). Diagrams of locations and measurements of follicles
5 mm in diameter and corpora lutea were made for each ovary at the time of ultrasonography (Knopf et al., 1989).
Assays for Hormones and Metabolic Parameters
Samples were analyzed for LH by procedures described by Moura and Erickson (1997) with a sensitivity of 0.03 ng/mL, with intra- and interassay CV of 6.5 and 15%. Concentrations of E2 (Moura and Erickson, 1997) were determined on serum samples utilizing antibody for E2 supplied by Manson (Lilly Research Laboratories, Indianapolis, IN). Sensitivity of the E2 assay was 0.15 pg/mL with intra- and interassay CV of 20 and 4%, respectively. Concentrations of cortisol (Hockett et al., 2000), P4 (Seals et al., 1998), and insulin (Fazio et al., 1999) in serum were determined using solid phase radioimmunoassays (Diagnostic Products Corp., Los Angeles, CA). Sensitivity of the cortisol assay was 2 ng/mL with intra- and interassay CV of 10 and 0.2%, respectively. Sensitivity of the progesterone assay was 0.02 ng/mL with intra- and interassay CV of 8 and 4%, respectively. Concentrations of BUN and NEFA were determined in serum utilizing spectrophotometry as validated in our laboratory (Fazio et al., 1999). Blood urea nitrogen concentrations were determined utilizing a commercial kit with sensitivity of 15 mg/dL, intraassay CV of 6%, and interassay CV of 12% (Sigma Diagnostics, St. Louis, MO). Concentrations of NEFA were determined using a NEFA-C kit with a sensitivity of 0.125 mEq/L and intra- and interassay CV of 5 and 27%, respectively (Wako Pure Chemical Industries, Osaka, Japan). All assays are validated and currently used in our laboratory.
Statistical Analyses
Patterns of P4, E2, LH, BUN, NEFA, insulin, cortisol, SCC, feed intake, LH maximum, LH pulse frequency, rectal temperature, and mastitis (mammary) score were analyzed by least squares ANOVA for a randomized block with repeated measures. Times from PGF2
to estrus, PGF2
to ovulation, PGF2
to LH maximum, estrus to ovulation, and differences in size of ovulatory follicles were analyzed by least squares ANOVA for a randomized block. Size of "presumed" ovulatory follicles in cows that were challenged, became clinically infected, but did not display estrus (TRT-NOEST) was determined by calculating average time of ovulation in CON cows and using that time for selection of the largest follicle in TRT-NOEST cows. Concentrations of estradiol-17ß were normalized for cows that displayed estrus (CON and TRT-EST) for the 24 h period before maximum observed LH release. Due to absence of estrus and LH surge in TRT-NOEST, concentrations of estradiol-17ß were calculated for TRT-NOEST based upon the average time of LH maximum in CON cows (82 h following PGF2
). Pulse frequency of LH was determined as described by Schrick et al. (1990) with modifications. Briefly, mean LH concentrations were established for each 8-h period with a pulse defined as a point >0.5 standard deviations above the mean. Differences in estrous expression and ovulation rates were determined by
2 analysis. The Mixed procedure (SAS Institute, 1996) was used for all analyses.
| RESULTS |
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Clinical Assessment of Mastitis
Mammary scores, an indicator of severity or absence of mastitis, were elevated in TRT-EST and TRT-NOEST compared with control and NOMAS animals (Table 1
; P < 0.0001). Following bacterial inoculation, mean SCC were higher in TRT-NOEST and TRT-EST than CON and NOMAS (Table 1
; P = 0.0009). Severity scores of 4 within TRT-EST and TRT-NOEST resulted in higher SCC over the experimental period (P < 0.0001). Somatic cell counts differed (increased) for treatment over days of the experiment (Table 1
; P < 0.0001). Rectal temperatures were increased in TRT-NOEST and TRT-EST on multiple days of the experiment compared with CON and NOMAS cows (Table 1
; P = 0.04). Mean rectal temperatures were higher for TRT-EST cows (38.9 ± 0.2°C) and TRT-NOEST cows (38.6 ± 0.2°C) with a mastitis score of 4 than for those with a score of 2 (38.4 ± 0.2 and 38.4 ± 0.2, respectively; P = 0.04).
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administration to estrus, estrus to ovulation, PGF2
to ovulation, and PGF2
to LH surge were similar for CON, NOMAS, and TRT-EST (Table 2
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administration (P < 0.0001; data not shown). Concentrations of cortisol did not differ (P = 0.37; data not shown) for any treatment group across days of the experiment. Mean concentrations of estradiol-17ß during the 24 h period before LH maximum were significantly increased toward ovulation for CON, NOMAS, and TRT-EST, whereas concentrations remained lower for TRT-NOEST (Figure 2
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Metabolic Parameters
Serum NEFA, BUN, and insulin concentrations were similar (P = 0.11, P = 0.85, P = 0.14, respectively; data not shown) for all treatments throughout the experimental period.
| DISCUSSION |
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Estrus was observed to occur in all control cows and in 5/12 challenged cows that developed clinical mastitis. This rate is consistent with earlier studies that indicated that clinical mastitis resulted in decreased estrous expression within 8 d following PGF2
administration (Hockett et al., 2002). Subdividing challenged cows with clinical mastitis into those that did and did not show estrus and challenged cows that did not exhibit signs of clinical mastitis resulted in 4 treatment groups for analyses of hormone data and parameters associated with estrus. These groups were subdivided to account for differences that may occur within different physiological states resulting in altered ability to display estrus or alterations that may occur following challenge in cows that did not develop clinical mastitis.
Time from PGF2
to estrus, estrus to ovulation, and PGF2
to ovulation were similar between CON, NO-MAS, and TRT-EST. These data are not surprising as Hockett et al. (2002) reported that pregnancy occurred in mastitic cows that displayed estrus and were artificially inseminated. Cows with mastitis not displaying estrus following luteal regression would result in increased number of days to first service. This may explain similar associations between clinical mastitis, elevated days to first service, and increased days open reported previously (Barker et al., 1998; Schrick et al., 2001).
Decreased concentrations of estrogen observed in the current experiment are helpful to delineate the mechanism of decreased estrous expression observed by Hockett et al. (2002) in cows with clinical mastitis. Additionally, decreased expression of estrus and failed ovulation further explain increased days to first service associated with cows with clinical mastitis before first service (Barker et al., 1998; Schrick et al., 2001). Interestingly, follicle development was not different between the 4 groups of animals. However, LH pulse frequency was decreased in TRT-NOEST compared with CON cows, which had LH pulsatility similar to that reported by Rahe et al. (1980). Therefore, clinical mastitis immediately before ovulation has a negative impact on normal endocrine and follicular function.
Inflammatory or infectious diseases often result in stimulation of an immune response that interferes with LH function by releasing cytokines such as tumor necrosis factor-
or interleukins. Darbon et al. (1989) reported that tumor necrosis factor-
inhibited the stimulating action of FSH on LH receptor formation in cultured rat granulosa cells and had an inhibitory effect on FSH-induced cAMP production. Darbon et al. (1989) hypothesized that tumor necrosis factor-
released during infections might reduce ability of granulosa cells to differentiate upon FSH stimulation and to respond to LH because of alterations in LH receptors during follicle growth and maturation. Granulosa cells are important for production of estrogens that subsequently influence LH production.
Cytokines such as interleukins are key mediators associated with effects of gram-negative and gram-positive bacteria (Nathan, 1987; Zerbe et al., 2001). Zerbe et al. (2001) reported that gram-positive and gram-negative bacteria have similar effects on polymorphonuclear granulocyte function in vitro. McCann et al. (1997) reported that IL-1, normally released during infection, blocks the pulsatile secretion of LH, but not FSH, through alterations in nitric oxide production to inhibit GnRH. Furthermore, IL-1 disrupts normal estrous cyclicity, GnRH gene expression, and LH and FSH secretion (Rivest et al., 1993). Interleukin-6 is a cytokine produced by macrophages during immune response and is a potent inhibitor of proliferation and FSH-induced E2 production from small and large follicles in vitro (Alpizar and Spicer, 1994). Cows in the current experiment that did not display estrus had decreased concentrations of estradiol-17ß following luteal regression; however, follicular size was similar in all groups. Release of inflammatory mediators and cytokines during the immune response may alter the ability of GnRH to signal gonadotropin release and subsequently for gonadotropins that are released to transduce signals required for normal production of estrogens. Pulsatility of LH may be decreased as a secondary response of decreased estrogen production.
Intravenous endotoxin infusion interrupted the pre-ovulatory rise of estradiol and delayed or completely blocked the preovulatory LH surge, decreased LH pulsatility, and suppressed expression of estrus in ewes (Battaglia et al., 1999). A subsequent study (Battaglia et al., 2000) reported that low doses of endotoxin were sufficient to slightly decrease GnRH release, yet LH pulses were completely inhibited in some animals. Therefore, activation of the immune system may alter GnRH release from the hypothalamus and hinder the ability of the pituitary to respond to GnRH signals. In fact, administering exogenous GnRH while blocking endogenous GnRH during endotoxin infusion in sheep resulted in decreased amplitude of LH pulses. Endo-toxin and clinical mastitis caused by Strep. uberis may have similar modes of action through release of cytokines and less of a direct action upon the endocrine system themselves.
Data support cortisol as having the major negative impact on normal follicular growth and endocrine function. However, cortisol concentrations did not appear to be elevated in the current study. More frequent sampling of cortisol and sampling over time may be necessary to properly determine alterations which occur in free cortisol. Stressful conditions associated with mastitis and activation of the immune response have resulted in increased concentrations of cortisol. For example, ewes treated with endotoxin had significantly lower GnRH pulse amplitude, lower concentrations of GnRH and LH, elevated concentrations of cortisol and progesterone, and elevated body temperature (Battaglia et al., 1997). Peter et al. (1989) reported that cycling heifers that received intrauterine infusion of endotoxin had elevated cortisol concentrations and smaller follicles on d 12 of the estrous cycle. Peter et al. (1989) also observed that follicles that failed to ovulate from PGF2
-induced luteal regression resulted in cysts, which persisted for 7 to 21 d. Formation of follicular cysts on ovaries could result from cortisol suppression of the LH surge (Lopez-Diaz and Bosu, 1992). In a previous study, cortisol was increased and expression of estrus was delayed up to 21 d in cows with experimentally induced clinical mastitis before estrus (Hockett et al., 2002). More directly, infusion of cortisol in ewes decreased follicular development and the ovulatory surge of LH was absent (Macfarlane et al., 2000). When cortisol infusion ceased, follicular development returned to normal, and LH surge occurred. Daley et al. (1999) reported that infusion of cortisol in sheep blocked the LH surge in 54% of sheep and estrus either did not occur or was delayed. A similar percentage of cows with clinical mastitis displayed estrus in the current study. Animals that did not display estrus had no apparent LH surge during the intensive sampling period and LH pulsatility decreased to one-half that of control cows.
There were no observed alterations in metabolic parameters in the current study for any group of cows. These data suggest that previous finding of changes in metabolic parameters might be due to longer periods of evaluation following onset of clinical mastitis. In the present study, cows were monitored and samples were collected for approximately 10 d following challenge. Decreased feed intake of animals during clinical mastitis may lead to negative energy balance and subsequent decreased reproductive performance through changes in uterine environment and PGF2
release. Feed intake was monitored in the current study with large daily variations occurring within and between cows. Conclusions about feed intake would require more animals than available in this trial and conclusions cannot be made concerning energy balance of mastitic cows.
| CONCLUSIONS |
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| ACKNOWLEDGEMENTS |
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Received for publication October 29, 2004. Accepted for publication March 7, 2005.
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on early embryonic survival in progestogen supplemented cattle. Prostaglandins 56:377389.
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