Axnér E, Ström Holst B
Division of Reproduction, Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Health, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Division of Diagnostics and Large Animals, Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Health, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Theriogenology. 2015 Mar 15;83(5):817-21. doi: 10.1016/j.theriogenology.2014.11.016. Epub 2014 Nov 20.
Female cats with unknown history can be diagnosed as spayed or intact with a GnRH-stimulation test or an LH test independent of the stage in the estrous cycle. However, although most females are correctly diagnosed with the LH test, the sensitivity and specificity are not 100%. The GnRH-stimulation test, although reliable, requires an injection of buserelin 2 hours before the blood sample is collected. Granulosa cells are the only cell type that produces anti-Müllerian hormone (AMH) in females, whereas Sertoli cells produce AMH in males. Anti-Müllerian hormone has been linked to spay status in dogs and cats and to ovarian and testicular pathology and fertility in different species. Our aim was to evaluate serum AMH concentrations in spayed female cats and in intact female cats of known age and reproductive stage (inactive ovaries or luteal phase). In addition, our aim was to compare serum AMH concentrations in intact and neutered male cats. We analyzed serum AMH concentrations in 15 spayed and 16 intact females and in 15 intact and 12 neutered male cats. Serum AMH was below the lowest standard point (<0.14 ng/mL) in all spayed females and neutered males, ranged between 1.3 and 19.0 ng/mL in the intact females and between 4.8 and 81.3 ng/mL in intact males. Thus, the AMH test had 100% sensitivity and specificity to diagnose the presence or absence of ovaries and testes in this study. In addition, in contrast to serum estradiol, serum AMH was not affected by buserelin stimulation (P = 0.459). Serum AMH was not correlated with serum estradiol before (rs = -0.188, P = 0.519) or after (rs = 0.335, P = 0.242) buserelin stimulation in the intact females. Four 6-month-old intact cats (two females and two males) had the highest AMH concentrations which in the females might represent a prepubertal peak previously described in other species and in males is likely due to high concentrations before puberty. In conclusion, we found that the AMH Gen II ELISA is reliable for diagnosing spay and neuter status of cats and that the domestic cat might be an interesting model for studies on AMH dynamics.
对于病史不明的雌性猫,可以通过促性腺激素释放激素(GnRH)刺激试验或促黄体生成素(LH)试验来诊断其是否已绝育或生殖器官完好,且该诊断与发情周期阶段无关。然而,尽管大多数雌性猫通过LH试验能得到正确诊断,但其敏感性和特异性并非100%。GnRH刺激试验虽然可靠,但在采集血样前2小时需要注射布舍瑞林。颗粒细胞是雌性动物中唯一产生抗苗勒管激素(AMH)的细胞类型,而支持细胞在雄性动物中产生AMH。抗苗勒管激素与犬猫的绝育状态以及不同物种的卵巢和睾丸病理及生育能力有关。我们的目的是评估已绝育雌性猫以及已知年龄和生殖阶段(卵巢静止或黄体期)的未绝育雌性猫的血清AMH浓度。此外,我们还旨在比较未绝育和已绝育雄性猫的血清AMH浓度。我们分析了15只已绝育雌性猫、16只未绝育雌性猫、15只未绝育雄性猫和12只已绝育雄性猫的血清AMH浓度。所有已绝育雌性猫和已绝育雄性猫的血清AMH均低于最低标准点(<0.14 ng/mL),未绝育雌性猫的血清AMH浓度在1.3至19.0 ng/mL之间,未绝育雄性猫的血清AMH浓度在4.8至81.3 ng/mL之间。因此,在本研究中,AMH检测对诊断猫是否存在卵巢和睾丸具有100%的敏感性和特异性。此外,与血清雌二醇不同,血清AMH不受布舍瑞林刺激的影响(P = 0.459)。在未绝育雌性猫中,布舍瑞林刺激前(rs = -0.188,P = 0.519)或刺激后(rs = 0.335,P = 0.242)血清AMH与血清雌二醇均无相关性。四只6月龄未绝育猫(两只雌性和两只雄性)的AMH浓度最高,雌性猫中的这种情况可能代表其他物种中先前描述的青春期前峰值,而雄性猫中出现这种情况可能是由于青春期前浓度较高。总之,我们发现AMH Gen II ELISA对于诊断猫的绝育和去势状态是可靠的,并且家猫可能是研究AMH动态的一个有趣模型。