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Sánchez-Caycho K, Chávez-Quispe R, Mellisho E. Histomorphometric comparison of left and right oviduct structure from alpaca (Vicugna pacos). Anat Histol Embryol 2023; 52:673-683. [PMID: 37138523 DOI: 10.1111/ahe.12924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 03/05/2023] [Accepted: 04/04/2023] [Indexed: 05/05/2023]
Abstract
Alpacas are species of induced ovulation and with foetal development only in the left uterine horn (98%). The histoarchitecture of the oviductal regions determine a spatio-temporal interaction between the gametes/embryos and the oviduct. This study compares the morphometric changes of the left and right oviducts in alpaca during the follicular phase. Five oviducts (n = 05), from adult alpacas with dominant follicle in the right ovary were recovered, dissected, and processed by histological technique with H&E and PAS stain for measurement of morphometric parameters and cell characteristics, respectively. Also, a 3D image reconstruction was performed (by reconstruct software). Resin moulds (polyurethane PU4ii) were applied for visualization of oviductal lumen. The multivariable data of parameters were analysed with ANOVA and principal component analysis (PCA). The histomorphometric parameters of left and right oviducts did not show statistically significant differences (p ≥ 0.05), although PCA showed morphometric differences between regions of the oviduct. No differences were observed between the 3D reconstruction of the left and right oviducts, as well as in the luminal spaces examined in the resin moulds. In conclusion, the histomorphometry of the oviduct is not affected by its location on either the left or right side; therefore, it cannot explain why 98% of foetuses implant in the left uterus.
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Affiliation(s)
- Katherine Sánchez-Caycho
- Histology and Cytology Laboratory, Centro de Investigación en Tecnología de Embriones (CIETE), Universidad Nacional Agraria La Molina, Lima, Peru
| | - Renzo Chávez-Quispe
- Histology and Cytology Laboratory, Centro de Investigación en Tecnología de Embriones (CIETE), Universidad Nacional Agraria La Molina, Lima, Peru
| | - Edwin Mellisho
- Histology and Cytology Laboratory, Centro de Investigación en Tecnología de Embriones (CIETE), Universidad Nacional Agraria La Molina, Lima, Peru
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2
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Rabadia JP, Desai TR, Thite VS. Plumeria acuminata: A Systematic in vivo Evaluation for Its Anti-ovulatory and Anti-Implantation Features. CURRENT DRUG THERAPY 2022. [DOI: 10.2174/1574885517666220426101516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background:
Fertility control becomes necessary for under-developed and developing nations for the betterment of the economy, environment, and society. Plant Plumeria acuminata, “Temple tree or Frangipani”, of the Apocynaceae family has exhibited several activities similar to contraceptive medicine and is widely distributed in India.
Objective:
Present investigation aimed to study the anti-ovulatory and anti-implantation activities of ethanolic extract from P. acuminata leaves and roots in Wistar rats.
Methods:
Ethanolic extracts of P. acuminata leaves and roots were subjected to qualitative phytochemical analysis and acute toxicity test. Immature female rats were used to explore anti-ovulatory characteristics administering HCG as a standard ovulation-inducing drug. Mated females were used for exploring anti-implantation characteristics. Levonorgestrel and Ethinylestradiol were administered as standard anti-implantation drugs. Morphological, hematological, hormonal, and histological examinations were performed.
Results:
LD50 value i.e., 2000 mg/kg from acute toxicity test resulted in the selection of 100, 200, and 400 mg/kg dose values for both leaf and root extracts. Treatment with these brought ~2-54%, ~5-48%, and ~1-68% changes respectively in the hormonal, growth factors’ and cytokines’ profile. Ovarian histology revealed restricted follicle maturation and ovulation whereas uterine histology unveiled a ~5-28% decrease in the endometrium thickness making it unreceptive for implantation after treatment with PAL and PAR extracts.
Conclusion:
Anti-ovulatory and anti-implantation results obtained here can be attributed to the presence of plumericin, sterol as well as triterpene groups of phytochemicals from ethanolic extracts of leaves and roots, making them potent contestants for studies on future contraceptive medicines.
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Affiliation(s)
- Jay P Rabadia
- Department of Pharmacology, School of Pharmacy, R K University, Rajkot, Gujarat, India. 360020
- Sun Pharmaceutical Industries Limited, Vadodara, Gujarat, India. 390020
| | - Tushar R Desai
- Department of Pharmacology, School of Pharmacy, R K University, Rajkot, Gujarat, India. 360020
| | - Vihang S Thite
- Sun Pharmaceutical Industries Limited, Vadodara, Gujarat, India. 390020
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3
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Hazano K, Haneda S, Kayano M, Matsui M. Local sex steroid hormone milieu in the bovine oviduct ipsilateral and contralateral to preovulatory follicle or corpus luteum during the periovulatory phase. Domest Anim Endocrinol 2021; 74:106515. [PMID: 32711284 DOI: 10.1016/j.domaniend.2020.106515] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Revised: 05/27/2020] [Accepted: 06/21/2020] [Indexed: 11/28/2022]
Abstract
Estradiol-17β (E2) and progesterone (P4) regulate oviductal functions, providing a suitable environment for the transport and maturation of gametes, fertilization, and embryonic development. In addition to the E2 and P4 nuclear receptors, estrogen receptor (ESR) α and β, nuclear progesterone receptor (PGR), nongenomic mechanisms through G protein-coupled estrogen receptor (GPER1), and progesterone receptor membrane component (PGRMC) 1 and 2 mediate E2 and P4 actions. This study aimed to characterize the local endocrine environment of the oviduct by examining the oviductal E2 and P4 concentrations and their receptors' mRNA expression during the periovulatory phase. The bovine oviducts were collected in a slaughterhouse and the days postovulation were estimated according to state of the ovaries and the uterus. Samples of the ampulla and isthmus ipsilateral and contralateral to the preovulatory follicle or corpus luteum were collected on Days 19 to 21, Days 0 to 1, Days 2 to 4, and Days 5 to 7 of the estrous cycle. The effects of the estrous cycle phase and oviductal region (ampulla and isthmus) and side (ipsilateral and contralateral) were analyzed by 3-way ANOVA. Moreover, to clarify the regulatory mechanisms of the mRNA expression of hormone receptors, the effects of E2 and P4 on mRNA expression in the oviduct were examined by multiple linear regression. The oviductal endocrine milieu on Days 19 to 21 was characterized by an E2-dominant environment with high E2 and low P4, high ESR1 and PGR mRNA expression, and low ESR2, GPER1, and PGRMC2 mRNA expression, whereas the corresponding on Days 0 to 1 was characterized by the endocrine milieu without hormone dominance. The environment on Days 2 to 4 and Day 5 to 7 was characterized by opposite tendency of oviductal hormone concentrations and their receptors' mRNA expression to Days 19 to 21. Additionally, the ipsilateral oviduct had the more P4-dominant endocrine milieu, with lower E2 and higher P4 concentrations, and different expression of ESR1/2, GPER1, PGR, and PGRMC2 mRNA when compared with the contralateral oviduct on Days 2 to 4 and Days 5 to 7, except for PGRMC1. Although oviductal E2 and P4 influenced the mRNA expression of ESR1/2, GPER1, PGR, and PGRMC1/2, their effects were different between regions and sides. In summary, the oviductal endocrine milieu varies according to the estrous cycle phase and the oviductal region and side, which may be involved in the estrous cycle phase-specific and oviductal region-specific and side-specific functions.
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Affiliation(s)
- K Hazano
- The United Graduate School of Veterinary Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan; Department of Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, Inada-cho, Obihiro, Hokkaido 080-8555, Japan
| | - S Haneda
- Department of Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, Inada-cho, Obihiro, Hokkaido 080-8555, Japan
| | - M Kayano
- Research Center for Global Agromedicine, Obihiro University of Agriculture and Veterinary Medicine, Inada-cho, Obihiro, Hokkaido 080-8555, Japan
| | - M Matsui
- Department of Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, Inada-cho, Obihiro, Hokkaido 080-8555, Japan.
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Kölle S, Hughes B, Steele H. Early embryo-maternal communication in the oviduct: A review. Mol Reprod Dev 2020; 87:650-662. [PMID: 32506761 DOI: 10.1002/mrd.23352] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 05/05/2020] [Accepted: 05/10/2020] [Indexed: 12/11/2022]
Abstract
An intact embryo-maternal communication is critical for the establishment of a successful pregnancy. To date, a huge number of studies have been performed describing the complex process of embryo-maternal signaling within the uterus. However, recent studies indicate that the early embryo communicates with the oviductal cells shortly after fertilizationand that this is important for the successful establishment of pregnancy. Only if the early embryo is capable to signal the mother within a precise timeframe and to garner a response, will the embryo be able to survive and reach the uterus. This review will give an overview of all the experimental designs which have investigated embryo-maternal interaction in the oviduct. In addition to that, it will provide a comprehensive analysis of the findings to date elucidating the morphological and molecular changes in the oviduct which are induced by the presence of the early embryo highlighting how the tubal responses affect embryo development and survival.
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Affiliation(s)
- Sabine Kölle
- Health Sciences Centre, School of Medicine, University College Dublin, Dublin, Ireland
| | - Barbara Hughes
- Health Sciences Centre, School of Medicine, University College Dublin, Dublin, Ireland
| | - Heather Steele
- Health Sciences Centre, School of Medicine, University College Dublin, Dublin, Ireland
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Owhor LE, Reese S, Kölle S. Salpingitis Impairs Bovine Tubal Function and Sperm-Oviduct Interaction. Sci Rep 2019; 9:10893. [PMID: 31350463 PMCID: PMC6659645 DOI: 10.1038/s41598-019-47431-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 07/17/2019] [Indexed: 01/11/2023] Open
Abstract
Salpingitis is a common cause for subfertility and infertility both in humans and animals. However, the effects of salpingitis on tubal function and reproductive success are largely unknown. Therefore we set out to investigate the effects of inflammation on sperm and oocyte transport and gameto-maternal interaction in the oviduct using the bovine as a model. For this purpose, oviducts revealing mild (n = 45), moderate (n = 55) and severe (n = 45) inflammation were obtained from cows immediately after slaughter and investigated by live cell imaging, histochemistry and scanning electron microscopy. Our studies showed that endometritis was always correlated with salpingitis. Moderate and severe inflammation caused a significant increase in the thickness of tubal folds (p < 0.05). Severe inflammation was characterized by luminal accumulations of mucus and glycoproteins, increased apoptosis, loss of tight junctions and shedding of tubal epithelial cells. The mean ciliary beat frequency (CBF) in the ampulla was significantly reduced as compared to the controls (p < 0.05). The higher the grade of inflammation, the lower was the CBF (p < 0.001). In severe inflammation, spermatozoa were stuck in mucus resulting in decreased sperm motility. Our results imply that tubal inflammation impairs proper tubal function and leads to reduced sperm fertilizing capacity.
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Affiliation(s)
- Loveth E Owhor
- School of Medicine, Health Sciences Centre, University College Dublin (UCD), Dublin, Ireland
| | - Sven Reese
- School of Veterinary Medicine, Institute of Veterinary Anatomy, Histology and Embryology, LMU, Munich, Germany
| | - Sabine Kölle
- School of Medicine, Health Sciences Centre, University College Dublin (UCD), Dublin, Ireland.
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Drews B, Milojevic V, Giller K, Ulbrich S. Fatty acid profile of blood plasma and oviduct and uterine fluid during early and late luteal phase in the horse. Theriogenology 2018; 114:258-265. [DOI: 10.1016/j.theriogenology.2018.04.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 03/28/2018] [Accepted: 04/04/2018] [Indexed: 12/21/2022]
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Wang S, Syed R, Grishina OA, Larina IV. Prolonged in vivo functional assessment of the mouse oviduct using optical coherence tomography through a dorsal imaging window. JOURNAL OF BIOPHOTONICS 2018; 11:e201700316. [PMID: 29359853 PMCID: PMC5945336 DOI: 10.1002/jbio.201700316] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Accepted: 01/18/2018] [Indexed: 05/20/2023]
Abstract
The oviduct (or fallopian tube) serves as an environment for gamete transport, fertilization and preimplantation embryo development in mammals. Although there has been increasing evidence linking infertility with disrupted oviduct function, the specific roles that the oviduct plays in both normal and impaired reproductive processes remain unclear. The mouse is an important mammalian model to study human reproduction. However, most of the current analyses of the mouse oviduct rely on static histology or 2D visualization, and are unable to provide dynamic and volumetric characterization of this organ. The lack of imaging access prevents longitudinal live analysis of the oviduct and its associated reproductive events, limiting the understanding of mechanistic aspects of fertilization and preimplantation pregnancy. To address this limitation, we report a 3D imaging approach that enables prolonged functional assessment of the mouse oviduct in vivo. By combining optical coherence tomography with a dorsal imaging window, this method allows for extended volumetric visualization of the oviduct dynamics, which was previously not achievable. The approach is used for quantitative analysis of oviduct contraction, spatiotemporal characterization of cilia beat frequency and longitudinal imaging. This new approach is a useful in vivo imaging platform for a variety of live studies in mammalian reproduction.
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Affiliation(s)
- Shang Wang
- Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, Texas 77030, U.S.A
| | - Riana Syed
- Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, Texas 77030, U.S.A
- Department of Bioengineering, Rice University, Houston, Texas 77005, U.S.A
| | - Olga A. Grishina
- Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, Texas 77030, U.S.A
| | - Irina V. Larina
- Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, Texas 77030, U.S.A
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Binelli M, Gonella-Diaza AM, Mesquita FS, Membrive CMB. Sex Steroid-Mediated Control of Oviductal Function in Cattle. BIOLOGY 2018; 7:E15. [PMID: 29393864 PMCID: PMC5872041 DOI: 10.3390/biology7010015] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 01/10/2018] [Accepted: 01/29/2018] [Indexed: 12/21/2022]
Abstract
In cattle, the oviduct is a tubular organ that connects the ovary and the uterus. The oviduct lumen stages a dynamic set of cellular and molecular interactions to fulfill the noble role of generating a new individual. Specific anatomical niches along the oviduct lumen provide the appropriate microenvironment for final sperm capacitation, oocyte capture and fertilization, and early embryo development and transport. To accomplish such complex tasks, the oviduct undergoes spatially and temporally-regulated morphological, biochemical, and physiological changes that are associated with endocrine events of the estrous cycle. Specifically, elevated periovulatory concentrations of estradiol (E2) and progesterone (P4) influence gene expression and morphological changes that have been associated positively to fertility in beef cattle. In this review, we explore how E2 and P4 influence oviductal function in the beginning of the estrous cycle, and prepare the oviductal lumen for interactions with gametes and embryos.
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Affiliation(s)
- Mario Binelli
- Department of Animal Sciences, University of Florida, PO Box 110910, Gainesville, FL 32611, USA.
| | - Angela Maria Gonella-Diaza
- Departamento de Reprodução Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Rua Duque de Caxias Norte, 255, Bairro: Jardim Elite, Pirassununga 13635-900, SP, Brazil.
| | - Fernando Silveira Mesquita
- Curso de Medicina Veterinária, Universidade Federal do Pampa, UNIPAMPA, BR 472-Km 592, Uruguaiana 97508-000, RS, Brazil.
| | - Claudia Maria Bertan Membrive
- Faculdade de Ciências Agrárias Tecnológicas-FCAT, Universidade Estadual Paulista "Júlio de Mesquita", Rodovia Comandante João Ribeiro de Barros (SP 294), Km 651, Dracena 17900-000, SP, Brazil.
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9
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Dadarwal D, Palmer C, Griebel P. Mucosal immunity of the postpartum bovine genital tract. Theriogenology 2017; 104:62-71. [DOI: 10.1016/j.theriogenology.2017.08.010] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Revised: 08/05/2017] [Accepted: 08/09/2017] [Indexed: 12/19/2022]
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10
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Gonella-Diaza AM, Mesquita FS, da Silva KR, de Carvalho Balieiro JC, Dos Santos NP, Pugliesi G, de Francisco Strefezzi R, Binelli M. Sex steroids modulate morphological and functional features of the bovine oviduct. Cell Tissue Res 2017; 370:319-333. [PMID: 28770380 DOI: 10.1007/s00441-017-2666-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Accepted: 07/04/2017] [Indexed: 11/26/2022]
Abstract
In cattle, the oviduct plays a major role in the reproductive process; however, molecular control of oviduct receptivity to the embryo is poorly understood. A model for receptivity based on size of the pre-ovulatory follicle (POF) was used to compare oviductal morphology, cellular proliferation, and candidate transcript abundance. Growth of the POF of Nelore (Bos indicus) cows was manipulated to produce two groups: a large POF-large corpus luteum (CL) group (LF-LCL; greater receptivity) and a small POF-small CL group (SF-SCL). Samples of the ampulla and isthmus ipsilateral and contralateral to CL were collected 4 days after GnRH-induced ovulation. Tissues were either embedded in paraffin for Harris-Hematoxylin and Eosin and periodic acid-Schiff staining and KI67 immunostaining, followed by morphological analyses, or stored at -80 °C for RNA extraction, cDNA synthesis, and qPCR analyses. The effects of group (LF-LCL and SF-SCL), region (ampulla and isthmus), and side (ipsilateral and contralateral) were analyzed using three-way nested ANOVA. The ipsilateral ampulla of the LF-LCL group presented more primary mucosal folds, a greater mucosal-folding grade and luminal perimeter, and more secretory cells and proliferating cells when compared with the ampulla of the SF-SCL group and with the contralateral ampulla of both groups. There were no morphological differences in the isthmus between groups and sides. Changes in transcript abundance are suggestive of LF-LCL-stimulated secretory activity. In summary, ovulation of a larger POF generates a periovulatory endocrine milieu that modulates morphological and functional features of the bovine oviduct which may support embryo survival and development.
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Affiliation(s)
- Angela Maria Gonella-Diaza
- Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Pirassununga, São Paulo, Brazil
| | | | - Kauê Ribeiro da Silva
- Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Pirassununga, São Paulo, Brazil
| | | | - Nilton Pedro Dos Santos
- Faculdade de Zootecnia e Engenharia de Alimentos, Universidade de São Paulo, Pirassununga, São Paulo, Brazil
| | - Guilherme Pugliesi
- Faculdade de Zootecnia e Engenharia de Alimentos, Universidade de São Paulo, Pirassununga, São Paulo, Brazil
| | | | - Mario Binelli
- Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Pirassununga, São Paulo, Brazil.
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Arrighi S, Bosi G, Frattini S, Coizet B, Groppetti D, Pecile A. Morphology and Aquaporin Immunohistochemistry of the Uterine Tube of Saanen Goats (Capra hircus): Comparison Throughout the Reproductive Cycle. Reprod Domest Anim 2016; 51:360-9. [PMID: 27020623 DOI: 10.1111/rda.12687] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Accepted: 03/02/2016] [Indexed: 11/28/2022]
Abstract
The expression of six different aquaporins (AQP1, 2, 3, 4, 5 and 9), integral membrane water channels that facilitate bi-directional passive movement of water, was investigated by immunohistochemistry in the uterine tube of pre-pubertal and adult Saanen goats (Capra hircus), comparing the different phases of the oestrous cycle. Regional morphology and secretory processes were markedly different during the goat oestrous cycle. The tested AQP molecules showed different expression patterns in comparison with already studied species. AQP1-immunoreactivity was evidenced at the endothelium of blood vessels and in nerve fibres, regardless of the tubal tract and cycle period. AQP4-immunoreactivity was shown on the lateral plasmalemma in the basal third of the epithelial cells at infundibulum and ampulla level in the cycling goats, more evidently during follicular than during luteal phase. No AQP4-immunoreactivity was noticed at the level of the isthmus region, regardless of the cycle phase. AQP5-immunoreactivity, localized at the apical surface of epithelial cells, increased from pre-puberty to adulthood. Thereafter, AQP5-immunoreactivity was prominent during the follicular phase, when it strongly decorated the apical plasmalemma of all epithelial cells at ampullary level. During luteal phase, immunoreactivity was discontinuous, being weak to strong at the apex of the secretory cells protruding into the lumen. In the isthmus region, the strongest AQP5-immunoreactivity was seen during follicular phase, with a clear localization in the apical plasmalemma of all the epithelial cells and also on the lateral plasmalemma. AQP2, 3 and 9 were undetectable all along the goat uterine tube. Likely, a collaboration of different AQP molecules sustains the fluid production in the goat uterine tube. AQP1-mediated transudation from the blood capillaries, together with permeation of the epithelium by AQP4 in the basal rim of the epithelial cells and final intervening of apical AQP5, could be involved in fluid production as well as in secretory processes.
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Affiliation(s)
- S Arrighi
- Department of Health, Animal Science and Food Safety, Laboratory of Anatomy, Università degli Studi di Milano, Milan, Italy
| | - G Bosi
- Department of Health, Animal Science and Food Safety, Laboratory of Anatomy, Università degli Studi di Milano, Milan, Italy
| | - S Frattini
- Department of Veterinary Science and Public Health, Università degli Studi di Milano, Milan, Italy
| | - B Coizet
- Department of Veterinary Science and Public Health, Università degli Studi di Milano, Milan, Italy
| | - D Groppetti
- Department of Veterinary Science and Public Health, Università degli Studi di Milano, Milan, Italy
| | - A Pecile
- Department of Veterinary Science and Public Health, Università degli Studi di Milano, Milan, Italy
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