Abstract
Development of the porcine corpus luteum (CL) requires the initial preovulatory LH surge and support of many biologically active agents including tonic secretion of LH, ovarian steroids, growth factors, and prostaglandins. A lack of embryo presence in the uterus leads to CL regression, characterized by disrupted progesterone production (functional luteolysis) and further degeneration of luteal and endothelial cells (structural luteolysis) triggered by prostaglandin F2α (PGF2α). The porcine CL expresses abundant levels of PGF2α receptors in the early and mid-luteal phase of the estrous cycle but remains insensitive to a single treatment of exogenous PGF2α until about day 12 of the estrous cycle. The nature of porcine CL resistance to PGF2α remains unknown, and the mechanism of luteolytic sensitivity acquisition involves infiltration of immune cells into the CL. Former theories of luteolysis inhibition and maternal recognition of pregnancy in the pig have proposed that possible mechanism for prevention of luteal regression is connected with a limited PGF2α supply to CL, evoked by its sequestering in the uterus. Later studies besides the increased synthesis of prostaglandin E2 (PGE2) by the conceptus and endometrium revealed simultaneously decreased expression of PGF2α synthesis enzymes. This chapter summarizes available knowledge on the porcine CL maintenance and regression and present our recent studies leading to a novel ‘two signal-switch’ hypothesis, based on the interplay of both PGF2α and PGE2 postreceptor signaling pathways. Several practical aspects of how to prolong and enhance CL function and improve pregnancy maintenance are also discussed.
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Keywords
- Corpus luteum
- Luteolytic sensitivity
- Luteolysis inhibition
- Pregnancy establishment
- Embryo signals
- Prostaglandins
- Two-switches hypothesis
- Pig
12.1 Pro-Luteal Environment in the Reproductive Tract in Advance of Maternal Recognition of Pregnancy
In sexual reproduction , specific organs have been developed to allow the introduction and passage of egg and sperm to reach each other before fertilization. These organs support the physiological demands of gametes and later developing embryo(s); however, nurturing factors may not only originate from local reserves. The maternal reproductive tract hosts a critical crosstalk with the embryo that starts at the very early stages of pregnancy. Although the response of the reproductive tract toward embryos at the very early stages of pregnancy is poorly understood, several investigators suggested the presence of early communication among gametes, embryos, and the female reproductive tract before the main maternal recognition of pregnancy signal occurs in pigs. Some early gametes or embryos and mother communication pathways can also be involved in luteal function.
Before embryo signals are systemically recognized by the mother and luteal function is maintained through pregnancy, mating or insemination affects several local processes in the porcine reproductive tract. Studies performed in many species, including pigs [1], suggests that embryo–maternal communication exists at the very early stages of pregnancy, long before the well-known embryonic signals can be detected. In pigs , as in other mammals, deposition of semen into the female reproductive tract triggers a cascade of cellular and molecular events that in many respects resembles a classic inflammatory response [2, 3]. Within hours after mating, neutrophils are recruited into the uterine lumen [4–6]. In endometrial stroma , however, an accumulation of macrophages and dendritic cells, granulocytes, and lymphocytes occurs [2, 7]. It was shown that inseminate constituents, such as seminal plasma , modulate the endometrial influx of polymorphonuclear leukocytes after insemination [8, 9]. Leukocyte recruitment is elicited after seminal factors signal uterine epithelial cells to induce expression of a number of proinflammatory factors, including granulocyte-macrophage colony-stimulating factor (GM-CSF) and IL-6 [10]. Furthermore, prostaglandin synthesis and angiogenesis pathways were also affected in a transient as well as a more prolonged manner in the porcine oviduct and endometrium [11–13]. On the other hand, the effects of intrauterine seminal fluid on the ovary were manifested as clear changes in the development and steroidogenic competence of the corpus luteum (CL) [14].
The effects of uterine exposure to seminal plasma on prostaglandins synthesis and secretion persist over the course of the prereceptive period and are of considerable interest for achievement of the pro-luteal embryotrophic milieu in the reproductive tract. Altered expression of prostaglandin endoperoxide synthase 2 (PTGS2, or cyclooxygenase-2, COX-2), and PGF2α synthase (PTGFS) in the endometrium on days 5 or 10 after seminal plasma exposure was accompanied by an increased PGE2 level on day 10, this being crucial for modulation of the PGE2:PGF2α ratio shortly before the maternal recognition of pregnancy [12]. Thus, it seems likely that seminal plasma constituents can sensitize the endometrium for forthcoming pregnancy by amplifying the uterine synthesis of crucial antiluteolytic/luteoprotective PGE2 and supporting key events occurring during early pregnancy, such as embryo development and maternal recognition of pregnancy. Whether the increased number of viable embryos and improved embryo growth observed by O’Leary and coworkers [10] 9 days after seminal plasma exposure might be linked with increased PGE2 levels and the PGE2:PGF2α ratio in the endometrium needs further investigation.
Interestingly, the effect of intrauterine seminal plasma exposure on CL development and ovarian steroidogenesis was also observed [14]. It was shown that plasma progesterone levels are higher and peaked earlier in gilts treated with seminal plasma. Concomitantly, this was associated with an increase in average weight of CL, without a concurrent increase in ovulation rate, suggesting that the number and output of steroidogenic luteal cells are greater in animals exposed to seminal components. Some authors proposed that the effect of seminal plasma presence in the uterine horns persisting over the course of early pregnancy might be partly the consequence of elevated local progesterone synthesis, which could act to differentially regulate several progesterone-responsive uterine parameters [15], including the observed altered cytokine, angiogenic factors, and prostaglandin synthesis pathway gene expression [10–13].
Moreover, significant elevation in the abundance of activated macrophages in the thecal and perifollicular stromal tissue 34 h after seminal plasma treatment suggests that these cells and their secretory products influence the architecture and functionality of the vascular stroma and theca tissues of the ovary with direct or indirect effects on granulosa cells, showing accelerated progesterone synthesis when cultured in the presence of human chorionic gonadotropin (hCG) [14]. Recently, the CL of macrophage-depleted mice have been shown to produce substantially less progesterone, have disrupted blood vasculature, and exhibit changes in the local expression of genes encoding angiogenic regulators [16]. The reduced progesterone production was fully responsible for the infertility defect in mice because pregnancy was restored and supported to term through exogenous progesterone administration. On the other hand, our findings showed clearly that seminal plasma can alter vascular endothelial growth factor A (VEGFA) ligand–receptor system expression and vascular density in the porcine endometrium and oviduct [12, 13]. These findings indicate the substantial function of semen in controlling macrophage luteal populations and its paramount function at this time to provide trophic support for formation of the vascular network pivotal to CL development, progesterone synthesis, and the establishment of viable pregnancy.
Recently, downregulation of a set of immune-related genes expressed in the presence of a 6-day-old blastocyst were observed in the porcine endometrium [1]. Additionally, changes observed in the uterine horn while the embryo was still in the oviduct imply that there is a local effect of the embryo on the oviduct that is extended to the uterine horn. These changes have been suggested to help prepare the uterus for the acceptance of the embryo, a semi-allograft in the maternal organism.
Taking into account the aforementioned facts, it seems likely that uterine response to the presence of semen and embryos could directly and indirectly influence the milieu of the reproductive tract. If we take under consideration the potential involvement of lymphatic pathways and countercurrent transfer of ‘programming information’ from uterine lymphatics into ovarian arterial blood [17], a hypothesis involving the indirect effects of semen and embryos on the female reproductive tract seems more likely to be accurate. Using this route, cytokines, PGs, and other biologically active molecules (of uterine, seminal plasma, or embryonic origin) may reach the oviduct and ovarian tissues via the arteries, having entered the utero-ovarian artery from the uterine lymphatics or veins by means of countercurrent exchange [18, 19], and in consequence affect several pathways in the female reproductive tract, including progesterone and PG synthesis, as well as angiogenesis, leading to successful pregnancy outcomes (Fig. 12.1).
12.2 Porcine CL Development, Regression, and Maintenance
12.2.1 Development
According to the old paradigm, formation of porcine CL requires only an initial surge of the preovulatory LH triggered by the pituitary, and then its further existence is independent on LH until day 12 of the estrous cycle. Such an opinion was drawn from the experiment when pigs hypophysectomized on the first day of estrus developed apparently normal CL up to day 12 of the estrous cycle, which then regressed by day 16 [21]. Conclusion on the maintenance of LH dependence of CL was justified by the fact that the majority of mature gilts and postpartum sows exhibit the maximal LH levels at the first observance of estrus [22]. The question whether the porcine CL is fully ‘autonomous,’ as was believed earlier [23], still remains open. Evidence that (1) the passive immunization of the gilt with anti-pLH serum on day 8 of the estrous cycle dramatically decreased progesterone level in the blood [24] and (2) LH in a time- and dose-dependent manner increased secretion of progesterone by cultured luteal slices collected at mid-luteal phase [25] indicates that this pituitary gonadotropin may still have an important if not decisive function in the maintenance of porcine CL function. The supportive role of many biologically active agents including ovarian steroids [26–28], growth factors (e.g., IGF-I) [29], and prostaglandins [25, 30, 31] in luteal function maintenance was also well documented.
12.2.2 Regression
It is believed that regression of porcine CL occurring on days 15–16 of the estrous cycle results from an increase in pulsatile endometrial secretion of PGF2α [32]. However, the highest pulses of PGF2α occur after a decline of progesterone level in the blood plasma, that is, when the functional luteolysis of CL is completed [33]. So far, oxytocin [34], TNFα [31, 35, 36], and LH [37, 38] are considered as the potential modulators of endometrial prostaglandin production. A strong relationship between oxytocin, oxytocin receptors, and PGF2α release in vitro was reported for the cultured explants of porcine endometrium collected on days 15–16 of the estrous cycle [39, 40]. However, the agreement between peaks of oxytocin and inactive metabolite of PGF2α (PGFM) peaks in the blood of gilts reached only about 30 %, whereas blocking oxytocin receptors neither prevented luteolysis nor changed the duration of the estrous cycle [41]. Furthermore, a much higher agreement was found between peaks of LH and PGFM (75.5 %); thus, the “luteolytic” role of LH can be limited only to the period of the late luteal phase of the porcine estrous cycle [33].
It is believed that in pigs, as in many species, luteolysis is triggered mainly by PGF2α. Although porcine CL express abundant levels of PGF2α receptors also in the early luteal phase [42, 43], a luteal tissue remains refractory to a single treatment with exogenous PGF2α for the first 12–13 days of the estrous cycle. Furthermore, experiments employing the in vivo microdialysis system [31] and in vitro incubation of luteal slices of porcine CL [25] indicate an increased progesterone secretion after PGF2α treatment during the mid-luteal phase of the estrous cycle, that is, before acquisition of luteolytic sensitivity (LS). An acquisition of LS to PGF2α is still not a fully determined phenomenon in pigs. Moreover, it does not depend on a number of PGF2α-binding sites in luteal cells as suggested earlier [42, 43].It is a very complex process, but it seems likely that PGF2α induces different molecular pathways in porcine CL with and without acquired LS [44–48]. For example, PGF2α affects the signaling pathway and its own synthesis [44, 49], as well as estradiol-17β [45], progesterone [46], endothelin-1 (EDN1) [50], chemokine CCL2 and its receptor (CCR2) [51] levels, but only in porcine CL being already sensitive to the luteolytic action of PGF2α.
Wuttke and colleagues [31] suggested that PGF2α-induced estradiol-17β secretion is stimulatory to progesterone production in young and middle-aged CL. The macrophage-delivered TNFα stimulates progesterone secretion in the early and middle-aged CL. Lack of estradiol-17β supply causes functional luteolysis triggered by PGF2α and TNFα [31]. It is interesting that the significant decrease of luteal progesterone content begins after day 12 of the estrous cycle contrary to the parallel day of pregnancy (Fig. 12.2). Factors inducing apoptosis (Bax and Bcl-2; TNF family) are also involved in the process of LS acquisition in pigs [48, 54].
It has become more generally accepted that elevated macrophage infiltration into porcine CL throughout the estrous cycle [55, 56], similarly to other species, coincides with the development of LS during the estrous cycle [29]. Macrophages are the major source of TNFα in the porcine corpus luteum [56]. A decreased luteal concentration of progesterone on day 14 of the estrous cycle is proceeded by an expression of TNFA and IFNG mRNA on day 12, suggesting that those cytokines are required for LS acquisition in pigs [52]. Recently, Przygrodzka and colleagues [53] identified TNFα receptor-1 signaling, apoptosis signaling, and production of nitric oxide (NO) and reactive oxygen species (ROS) among the canonical pathways activated in CL collected as early as on day 12 of the estrous cycle.
12.2.3 Maintenance
Establishment of pregnancy requires the maintenance of a functional CL beyond its normal cyclic lifespan to sustain production of progesterone. Progesterone stimulates secretory activity of the endometrium that is crucial for embryonic development and implantation. The first described embryonic signal in the pig is estrogen (mainly estradiol-17β) secreted by the conceptus on days 11 and 12 of pregnancy [57], that is, 2 days before CL begins to regress in nonpregnant gilts/sows.
The maternal recognition of pregnancy coincides with a rapid transformation of the conceptus from the spherical to tubular and then filamentous forms between days 10 and 12 after fertilization, when the first estradiol-17β peak secretion of conceptus origin is noted. The second peak of estradiol-17β secretion by conceptus appears in the maternal circulation on days 15–30 of pregnancy [28], when the lifespan of the CL is already extended. It is not clear whether the second elevation of embryo-originated estrogens in the maternal blood is related to CL maintenance during this period of pregnancy. In the pig, embryo implantation (days 14–18) and placentation take place during days 14–30 of pregnancy. It is believed that this second peak of estrogen conceptus secretion is rather needed for early embryo development. Moreover, estrogen was shown to affect the porcine CL in two ways, acting as a luteotropic or antiluteolytic agent. The luteotropic action of estradiol-17β depends on its direct action on CL by enhancing production of progesterone, as previously found in in vivo [26] and in vitro studies [25].
The indirect effects of estradiol-17β on porcine CL function range from an increase of luteal LH receptor concentration [58], and a decrease in PGF2α release from the uterus into the peripheral circulation [59], to the control of prostaglandin synthesis in the endometrium [60] and conceptus [61]. The period of estrogen secretion is also correlated with an increase of estrogen receptor expression in the luminal and glandular epithelium of the endometrium [62] and the conceptus itself [63].
12.2.4 Theories of Maternal Recognition of Pregnancy
The demonstration of aromatase activity in the preimplantation pig blastocyst [57] was confirmed and extended later by others [42], leading to the nomination of estradiol-17β as the embryonic signal necessary for the maternal recognition of pregnancy in the pig [64]. Observation of higher PGF2α concentrations in the utero-ovarian vein between days 12 and 18 of the estrous cycle than in pregnant animals suggested that PGF2α is directed primary toward the uterine vessel drainage (endocrine direction) and to CL in nonpregnant animals [65]. After reaching the CL, PGF2α initiates a cascade of events leading to luteolysis. A low PGF2α accumulation in the uterine lumen (exocrine direction) during the estrous cycle [23] seemed to confirm the foregoing supposition.
According to the original Bazer and Thatcher [59] concept of maternal recognition of pregnancy, estrogens produced by the pig blastocyst as early as on day 11 (tubular and filamentous blastocysts) of pregnancy alter the direction of PGF2α secretion in pregnant pigs toward the uterine lumen, preventing PGF2α entrance to the uterine venous drainage and weakening its luteolytic effect on the CL. The authors suggested that the luteostatic effect of estrogens originating from the blastocyst (or exogenous estrogen) is mediated on the uterine endometrium level.
Another explanation for the abundance of PGF2α in the uterus is its retrograde transfer from the venous blood and uterine lymph into the uterine lumen, as well as accumulation of PGF2α by the uterine veins and arterial walls [18, 66]. The high PGF2α level found in the uterine lumen during early pregnancy would be a consequence of PGF2α uptake from the arterial blood, supporting the uterus, and its removal into the uterine lumen. Similarly, as suggested by Bazer and Thatcher [59], transfer of PGF2α to the uterine lumen may strongly reduce the peak of its concentration in the peripheral blood during pulsatile release of PGF2α from the uterus. Nevertheless, Hunter and Poyser [15] suggested that the exocrine redirection of the uterine PGF2α secretion may not provide a full explanation for maintenance of the CL in pregnant pigs and pointed out that this route of delivery for the luteolytic agent may not always be effective.
The aforementioned theories of maternal recognition of pregnancy of both ‘endocrine versus exocrine’ and ‘retrograde’ transfer of PGF2α in the porcine reproductive tract were proposed in the last decades of the twentieth century, before the “omics era” had dawned, and were focused on the sequestering of PGF2α in the uterus (early pregnancy) or its redirection toward the ovary (late luteal phase of the estrous cycle) . Nevertheless, many researchers were encouraged to undertake new studies in the next decades using state-of-the-art methods.
12.3 The Roles of PGF2α and PGE2 and Their Receptors in Porcine CL Function
A part of the potential mechanism by which the conceptus prevents luteolysis is changing prostaglandin synthesis in favor of the luteo-protective PGE2. The porcine conceptus and endometrium synthesize large amounts of PGE2 before implantation [61, 67]. Additionally, the porcine myometrium secretes more PGE2 than PGF2α during early pregnancy [68]. The PGE2:PGF2α ratio is increased in the uterine lumen and vein [30, 69] as well as in the trophoblastic tissue on days 10–13 of gestation [61].
Evidence for a luteotropic/antiluteolytic effect of PGE2 in the pig was demonstrated by Akinlosotu and coworkers [70]. Moreover, a direct effect of exogenous PGE2 delivered in implants to luteal tissue in protecting porcine CL from the luteolytic dose of PGF2α was shown by Ford and Christenson [27]. However, the direct intrauterine application of PGE2 was incapable of extending luteal function in nonpregnant gilts [71] and simultaneously caused an elevation of PGF2α concentration in the utero-ovarian venous blood [72], probably overcoming the luteotropic effect of PGE2. On the other hand, an infusion of PGE2 into the ovarian artery elevated the concentration of progesterone in the ovarian venous blood on days 13 and 14 of pregnancy [73]. During early pregnancy, the expression of microsomal PGE2 synthase (mPGES1) is intermediate in the porcine endometrium on days 10–11, low on days 14–17, and increases after day 22 [67]. Its mRNA and protein levels were significantly elevated (28 fold versus days 14–15) on days 10–13 in spherical/tubular and filamentous conceptuses [61]. mPGES1 leads to the higher PGE2:PGF2α ratio in spherical/tubular day 10–13 conceptuses at the time of maternal recognition of pregnancy. Also, the PGFM:PGF2α ratio, which is an index of 15-hydroxyprostaglandin dehydrogenase activity, was very low in spherical/tubular and filamentous conceptuses and markedly enhanced after day 14 of pregnancy [74]. These results suggest an increased metabolism of PGF2α during implantation to prevent the luteolytic effect of native PGF2α. The pattern of mPGES1 expression in conceptuses maximizes, in such a way, the biological effect of luteotropic PGE2 and overlaps with the occurrence of the biphasic profile of estrogen synthesis and secretion by blastocysts [75].
In contrast, the low expression of carbonyl reductase , PG 9-ketoreductase (CBR1), an important enzyme catalyzing nicotinamide adenine dinucleotide phosphate (NADPH)-dependent reversible conversion of PGE2 into PGF2α in conceptus on days 10–13 of pregnancy, also indicates a significant contribution of the preimplantation conceptus to the synthesis of PGE2 during the maternal recognition of pregnancy in the pig [61]. Simultaneously, moderate changes in levels of PGF2α and PGE2 synthases occur in the porcine CL [76] and endometrium [67]. In addition to the possible endocrine role of conceptus-delivered PGs in porcine CL function, it can be important in altering gene expression in the endometrium before pregnancy recognition [77].
Another explanation for a mechanism preventing luteolysis can be distribution of PGF2α and PGE2 transporters , that is, ABCC4 (ATP-binding cassette subfamily C member 4 out of the cell, at the cell surface) and SLCO2A1 (solute carrier organic anion transporter family member 2A1, into the cell), respectively, which were abundant in the porcine endometrium on day 12 of pregnancy when conceptuses elongate and initiate implantation in pigs [78]. However, estradiol-17β did not increase ABCC4 and SLCO2A1 mRNA levels in cultured explants of porcine endometrium [78]. On the other hand, a high content of both PGs transporters is in agreement with the elevated concentrations of PGF2α and PGE2 in the uterus of pregnant gilts [79].
Earlier pioneering studies by Gadsby and coworkers [42, 43] could suggest that the level of PGF2α receptors (PTGFR) is fundamental in sensitizing the porcine CL to the luteolytic action of PGF2α, because a decreased expression of this receptor was found in luteal cells of pregnant and pseudo-pregnant pigs . In contrast, Przygrodzka and coworkers [53] did not observe a significant decrease of PTGFR at either mRNA or protein levels (Fig. 12.3) in the CL of early pregnant gilts in comparison to CL of cyclic gilts. The present results support a similar distribution of PTGFR mRNA in cyclic and early pregnant sheep [80]. It is worth noting that Gadbsy and colleagues [42, 43] used a different technique, investigating the capacity of [3H]PGF2α-binding sites in isolated porcine luteal cells. It is unclear whether a high number of binding sites reflects their ability to activate postreceptor signaling mechanisms because recent studies suggested new, alternatively spliced PTGFR, leading to stimulation or inhibition of CL function [81].
On the other hand, expression of PTGS2 mRNA and protein [53], as well as the content of PGF2α, was elevated in the porcine CL at the time of luteolysis (Fig. 12.3). It brings evidence that confirms the concept of possible increase of PGF2α synthesis in CL with acquired LS [44].
Surprisingly, PTGFR mRNA [53] and protein levels (Fig. 12.3) were more abundant in the CL of pregnant gilts than the cyclic counterparts. Because the expression of PTGFR is prominent in endothelial cells of porcine CL [82], PGF2α may be involved also in luteal function maintenance after overcoming luteolysis during early pregnancy through its participation in angiogenesis [83, 84]. Interestingly, treatment with PGF2α elevated the synthesis of progesterone and content of cAMP-response element-binding protein (CREB) in cultured luteal slices from pregnant pigs [53].
Simultaneously, a decreased level of PTGFR (Fig. 12.3) in CL collected on day 14 of the estrous cycle could be an effect of negative feedback between increasing concentrations of intraluteal PGF2α and PTGFR expression, as previously described in porcine luteal tissue [44]. The earlier report of Zorilla and coworkers [49] suggested that activation of different post-PTGFR signaling pathways , for example, an increase of the specific protein kinase C (PKC) ε expression, is more important for acquisition of luteolytic sensitivity in porcine CL than just a precise level of PTGFR.
Przygrodzka and coworkers [53] showed a fourfold higher concentration of PGE2 in the porcine CL on day 14 of pregnancy than on the parallel day of the estrous cycle (Fig. 12.3). Similarly, PGE2 content was higher only in CL ipsilateral to the gravid horn of unilateral pregnant gilts [85]. Because PGE2 content did not correspond to the mPGES1 expression in the luteal tissue, analogical as in ovine CL [86], the synthesis of PGE2 in the conceptus and endometrium, rather than in CL, seems to contribute to the process of luteal function rescue during the maternal recognition of pregnancy in the pig. A local transfer of PGE2 from the uterus to the ovary [73] may be involved in this mechanism. Moreover, a significantly increased content of one isoform of PGE2 receptors (PTGER4) was found in porcine CL collected on days 12 and 14 of pregnancy (Fig. 12.3). The presence of a second isoform of PGE2 receptor (PTGER2) was also documented earlier [36], and both receptors were shown to participate in cAMP production in cultured luteal slices [53]. It is worth emphasizing that secretion of luteal progesterone is stimulated by PGE2 through a cAMP-mediated pathway in many species [85]. As PGF2α increased the content of cAMP response element-binding protein (CREB) in CL of early pregnant pigs [53], it is possible that ‘luteolytic’ PGF2α can enhance accumulation of cAMP, already stimulated by PGE2, via both Ca2+ and PKC activation [87] as well as increase availability of CREB for its further activation by luteotropic hormones. Our recent in vitro studies [25] showed that PGF2α enhanced progesterone secretion by precision-cut luteal slices obtained from the mid-luteal phase CL, but diminished progesterone secretion by luteal slices obtained at the late luteal phase. The observed effects were consistent with results of in vivo experiments employing the microdialysis system in pigs [31].
The aforementioned studies clearly indicate a stronger role of conceptus- and uterus-delivered PGE2 in the rescue of porcine CL. Figure 12.4 presents the ‘two signal-switch’ hypothesis on the role of post PGF2α and PGE2 signaling pathways in CL regression and its overcoming during maternal recognition of pregnancy in the pig. It seems likely that the PTGFR level is less responsible for events leading to regression of CL than a sudden shift in the post-PTGFR signaling pathways occurring in CL after acquisition of luteolytic sensitivity, most probably under the influence of cytokines and endothelin-1. At the time when cells within the CL are ‘sensitive’ to PGF2α (“the LS switch”), its postreceptor signaling pathway leads to activation of the PKC pathway via diacyloglicerol (DAG) and inositol (1,4,5)-triphosphate (IP3) formation as well as elevated concentration of Ca2+-activating protein-serine threonine kinase (RAF1) and initiating signaling cascades RAF1/MAPK1/ERK1/2 . Activated proteins ERK1/2 can be translocated to the nucleus, where they phosphorylate transcription factors such as ETS domain-containing protein (ELK-1) and affect transcription of early response genes, that is, cellular oncogene FOS and JUN. In contrast, the aforementioned post-PTGFR pathway, leading finally to functional and structural destruction of CL, is blocked during the period of pregnancy establishment or CL rescue. By means of an embryonic signal (“the RESCUE switch ”), PGE2 through PTGER2 and PTGER4 may activate protein kinase A, leading to inhibition of main downstream elements of the post-MAPK signaling pathway, most likely via direct blockage of MAPK activator–RAF [88, 89] and turning of “the LS switch.” In consequence. instead of apoptotic genes induction, the expression of CREB is enhanced to support steroidogenesis, angiogenesis, and cell survival.
Additionally, our previous studies suggest that the luteoprotective action of PGE2 may involve a stimulation of VEGF expression in luteal cells on day 10–12 of pregnancy [90]. Interestingly, downregulation of a strong endogenous antagonist of VEGF soluble receptor (sFLT1) in the CL on day 12 of pregnancy may increase the amount of bioavailable VEGF in the porcine CL [91]. As a result, prolonged progesterone production is enhanced by increasing luteal capillary permeability and delivery of cholesterol to the luteal cells as well as facilitated PG transport from the circulation.
12.4 Genes Involved in Rescue of Corpus Luteum
Beside modulation of post-PGF2α and -PGE2 receptor signaling pathways, as well as an increase of intraluteal concentration of progesterone, the presence of live embryos in the uterus can enhance the expression of crucial genes involved in steroidogenesis [i.e., scavenger receptor class B, member 1 (SCARB1), steroidogenic acute regulatory protein (STAR), hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 1 (HSD3B1), and luteinizing hormone/choriogonadotropin receptor (LHCGR)] in porcine CL collected on day 14 of pregnancy [53]. Found in the same study, the elevated levels of nuclear receptor subfamily 5, group A, member 1 (NR5A1 = SF-1), an activator of steroidogenic genes transcription, suggest that its presence can be important to sustain progesterone production as suggested for bovine CL [92]. Similarly, the high abundance of progesterone receptor membrane component 1 (PGRMC1) in porcine CL collected on day 14 of pregnancy [53] could be essential to enhance steroidogenesis [93] and can be the gateway of antiapoptotic action mediated by progesterone in luteal cells [74].
Recently, Przygrodzka and coworkers [52, 53] examined the expression of 50 genes associated with synthesis and action of steroids, PGs, angiogenesis, and apoptosis in the porcine CL collected at the mid- and late luteal phases of the estrous cycle and parallel days of early pregnancy. Venn diagrams revealed that EDN1, cytochrome P450 19A1 (CYP19A1), estrogen receptor 2 (ESR2), PTGS2, JUN, and FOS were downregulated on day 14 of pregnancy, whereas among upregulated genes kinase insert domain receptor (KDR), angiopoietin 2 (ANGPT2), pentraxin 3 (PTX3), HSD3B1, low density lipoprotein receptor (LDLR), STAR, estrogen receptor 1 (ESR1), LHCGR, progesterone receptor (PGR), PGRMC1, progesterone receptor membrane component 2 (PGRMC2), NR5A1, nuclear factor of kappa light polypeptide gene enhancer in B cells 1 (NFKB1), prostaglandin F synthase (PTGFS), and hydroxyprostaglandin dehydrogenase 15-(NAD) (HPGD) were identified. For example, Fig. 12.5 presents the relatively constant expression of 13 genes connected to steroidogenesis, angiogenesis, and PG metabolism on day 12 of pregnancy and the estrous cycle but their up- or downregulation 2 days later.
Moreover, in silico analysis revealed that T-cell migration , activation of leukocytes, and infiltration of lymphocytes were already inhibited in CL obtained on day 12 of pregnancy. Also, the production of NO and ROS in macrophages was among decreased ingenuity pathways analysis of biological functions and pathways in CL collected on days 12 and 14 of pregnancy.
Although the involvement of immune cells in the regulation of regression and rescue of porcine CL remains practically unknown [55], the data presented here suggest the potential role of immune system cells in the control of luteal lifespan in the pig. It seems likely that crosstalk between immune cells products, that is, cytokines and factors involved in post-PG receptor-signaling pathways are crucial for CL lifespan during the estrous cycle and pregnancy in pigs and other mammals.
12.5 The Effect of hCG Administration on Luteal Function Maintenance During the Estrous Cycle and Pregnancy
Because the majority of embryonic losses (20–30 %) in pigs occurs between days 12 and 30 of gestation [94] and the level of progesterone is positively correlated with embryonic survival during the first week of pregnancy [95], many attempts with progesterone supplementation were performed to support pregnancy. Intriguingly, some studies showed improved embryonic rates [95], whereas others indicated its negative influence on fertilization [96] and embryo survival rates [97]. A single injection of hCG on day 12 of the estrous cycle prolonged the lifespan of CL; consequently, extended progesterone production and delayed luteolysis in the pig were observed [98, 99]. Except increased progesterone concentration on days 15–17 of the estrous cycle, elevated amounts of estradiol-17β in the blood plasma were indicated on days 14 and 15 of the estrous cycle. Because estradiol-17β downregulates endometrial PTGFS and CBR1 protein concentration [76], both estradiol-17β alone and the increased ratio of PGE2:PGFM could be responsible for prolonged luteal function in hCG-treated cyclic gilts.
A sufficient supply of progesterone and continuous maintenance of CL are necessary for the establishment of pregnancy in the pig [20]. A minimum of 4 ng/ml progesterone in the blood plasma has been found to be crucial to maintain pregnancy in pigs [100]. Moreover, the concentration of progesterone is positively correlated with embryonic survival during the first month of gestation [95]. However, a single administration of hCG did not affect progesterone content in the systemic circulation of pregnant gilts [98, 101]. Similarly, injection of hCG during the first 8 days of pregnancy has not affected the concentration of progesterone in the blood plasma [102]; this may be caused by an increased metabolism of progesterone and its active transport into the uterus. In contrast, administration of hCG on day 12 of pregnancy led to elevated amounts of progesterone caused by an increased number of additional CL in ruminants [103, 104]. In pregnant gilts, injections of 500 or 1000 IU hCG did not affect the number of CL [101], but elevated amounts of estradiol-17β on days 14 and 15 of pregnancy were observed [98, 101]. A similar effect was revealed in pregnant sheep [103].
On the other hand, a single intramuscular injection of 750 IU hCG increased embryonic viability on day 30 of pregnancy in the pig [98, 101]. Moreover, in the luteal tissue of pregnant gilts given 750 IU hCG, augmented expression of STAR and LH/hCG receptors was found, with simultaneously increased angiogenesis, a reduced percentage of CL cells in the stage of early and late apoptosis, and elevated percentage of viable cells [98].
The majority of studies performed so far on the effect of various hormones on embryo survival in pigs were concentrated exclusively on the period up to day 30 of pregnancy [98, 101, 105–107]; thus, it was still not clear whether this effect can be maintained until the end of pregnancy. Recently, studies have clearly showed that hCG does not have a negative effect on the pregnancy rate, but administration of hCG on day 12 or 20 of pregnancy results in an elevated litter size and significant increase in the number of total piglets born, respectively [108]. Additionally, the number of piglets weaned tended to be increased in sows treated with hCG on day 20 of pregnancy. This study revealed that hCG administration during early pregnancy does not have a negative effect on pregnancy performance in gilts and sows and can be even beneficial for pregnancy outcome.
12.6 Other Attempts to Prolong CL Function in Pigs
Early studies showed that the luteal function in pigs is continued until day 60 of pregnancy after removal of all fetuses on day 30 of gestation [107], which may indicate that intrauterine stimulus is not needed to maintain the porcine CL between days 30 and 60 of gestation. Similar observations were made in pigs during pseudo-pregnancy caused by injections of pharmacological doses of estrogens between days 11 and 15 of the estrous cycle [109, 110]. Estrogen treatment on days 12–15 of the estrous cycle sufficiently suppresses the luteolytic effects of the uterus and allows continuation of the luteal function for a period similar to that observed after hysterectomy [111]. However, we have to bear in mind that estrogen-induced pseudo-pregnancy does not fully mimic the endocrine events associated with early pregnancy [112].
The possibility of using a vaginal route delivery of biologically active factors applying low doses of PGE2 and estradiol-17β to affect luteal function in cyclic gilts was also studied. Prolonged luteal function and extended synthesis of progesterone were observed in two of five gilts simultaneously receiving PGE2 and estradiol-17β on days 11–16 of the estrous cycle [113]. Intravaginal application of PGE2 and 17β-estradiol in pregnant primiparous sows revealed their possible supporting effects on luteal function when administered in the second crucial period adjusted to a natural increase of embryonic estrogens in the blood, that is, on days 16–25 of gestation [28], the time when the establishment of pregnancy occurred and embryo implantation ends in pigs. Although there were no significant differences in the number of total piglets born, a clear tendency to increased numbers of live-born and weaned piglets was noticed [108]. Summarizing, the intravaginal application of estradiol-17β and PGE2 on days 17–23 of pregnancy seems to be a promising approach to improve embryo survival, but a practical treatment protocol should be elaborated in the future.
12.7 Concluding Remarks
The pro-luteal environment in the reproductive tract in advance of maternal recognition of pregnancy caused by gametes, embryos, and seminal plasma is beneficial but not sufficient for prolonged CL lifespan. In pigs, pregnancy recognition is the result of conceptus secretion of estrogens on day 11 and 12, which affects PG synthesis and transport in favor of luteoprotective PGE2.
The development of advanced ‘omics’ tools in the past 25 years has revolutionized research methods also in the reproductive biology of pigs. The former basic theories of the maternal recognition of pregnancy in pigs are valuable but seem to be insufficient to fully understand the process of CL rescue, dependent on cooperation of many pleiotropic factors at systemic, local, and intracellular molecular levels.
Further studies are needed to explain how conceptuses and endometrial factors regulate differential PGs synthesis, the way of their release on days 11–14 of estrous cycle and pregnancy, or differential response of CL to PGF2α and PGE2 in those periods. Perhaps the first time presentation of the ‘two signal-switch’ hypothesis of PGs involvement in CL rescue will be a small contribution to understanding the complexity of CL control and function and give impetus to further large-scale investigation. One of the most important challenges in understanding the mechanism of CL function in the pig and other species is to establish a hierarchy and timing of molecular relationships between numerous mediators of luteal regression (cytokines, chemokines, endothelin-1) and rescue (embryo signals, angiogenic factors, gonadotropins), as well as post-PG receptor intracellular pathway elements.
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The recent authors’ studies (2014–2015) described in this chapter were supported by the State Committee for Scientific Research (grant no. 2011/01/B/NZ4/04970) and the National Centre for Research and Development (NR 12-0039-10) in Poland. We thank J. Murawska-Kempa for her cheerful assistance in typing the manuscript.
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Ziecik, A.J., Przygrodzka, E., Kaczmarek, M.M. (2017). Corpus Luteum Regression and Early Pregnancy Maintenance in Pigs. In: Meidan, R. (eds) The Life Cycle of the Corpus Luteum. Springer, Cham. https://doi.org/10.1007/978-3-319-43238-0_12
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