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固定时间人工授精程序中排卵及妊娠风险的生理预测指标

Physiological predictors of ovulation and pregnancy risk in a fixed-time artificial insemination program.

作者信息

Stevenson J S

机构信息

Department of Animal Sciences and Industry, Kansas State University, Manhattan 66506-0201.

出版信息

J Dairy Sci. 2016 Dec;99(12):10077-10092. doi: 10.3168/jds.2016-11247. Epub 2016 Oct 5.

Abstract

The objective of this study was to determine the relative importance and contribution of several physiological factors as predictors of pregnancy risk in an Ovsynch (GnRH-1 - 7d - PGF - 56h - GnRH-2 - 16h - artificial insemination) timed artificial insemination program: (1) age of the corpus luteum (CL; original CL, new CL, or both in response to GnRH-1) and resulting progesterone concentrations as they affected luteolysis, ovulation after GnRH-2, and pregnancy risk; (2) progesterone concentration before GnRH-1 and GnRH-2 on subsequent ovulatory response to GnRH-1 and GnRH-2 as well as pregnancy risk; and (3) a combination of these factors in a multivariable logistic regression model to predict pregnancy risk. Original data from 7 published studies were combined including ovulatory responses to both GnRH injections, blood progesterone concentrations before GnRH-1, before PGF, and at 48h after PGF, pregnancy per artificial insemination at d 32 and 60 after artificial insemination, and intervening pregnancy loss. Ovulation outcomes were greater at lesser progesterone concentrations after both GnRH injections despite the fact that pregnancy outcomes were greatest when progesterone exceeded 3ng/mL before GnRH-1 and PGF, suggesting that greater progesterone concentration before GnRH-1 and incidence of ovulation act via different mechanisms to improve subsequent fertility. Ovulation after GnRH-2 and subsequent pregnancy outcome were positively related to lesser concentrations of progesterone at 48h after PGF; however, for maximal pregnancy outcome, progesterone should be <0.5ng/mL. Cows with a CL that also formed a new CL after GnRH-1 had the greatest pregnancy outcome, whereas cows with only a new CL (i.e., anovulatory cows and those at or near estrus without a CL at GnRH-1) had the poorest pregnancy outcome. Pregnancy loss was not affected by CL status during the timed artificial insemination program. Receiver operator curves produced cut points of progesterone concentration that predicted ovulation and pregnancy risk. Selected cut points of progesterone concentration 48h after PGF produced true positive risks greater than 90% and false positive risks less than 25%, thus demonstrating the high predictability of ovulation after GnRH-2 and subsequent pregnancy outcome based on progesterone concentration. We conclude that progesterone concentration is highly predictive of ovulation and pregnancy risk in addition to body condition, size of ovulatory follicle, and parity.

摘要

本研究的目的是确定在Ovsynch(促性腺激素释放激素-1 - 7天 - 前列腺素F2α - 56小时 - 促性腺激素释放激素-2 - 16小时 - 人工授精)定时人工授精程序中,几种生理因素作为妊娠风险预测指标的相对重要性和贡献:(1)黄体(CL;原始CL、新CL或对促性腺激素释放激素-1反应形成的两者)的年龄以及由此产生的孕酮浓度,因为它们影响黄体溶解、促性腺激素释放激素-2后的排卵以及妊娠风险;(2)促性腺激素释放激素-1和促性腺激素释放激素-2之前的孕酮浓度对随后对促性腺激素释放激素-1和促性腺激素释放激素-2的排卵反应以及妊娠风险的影响;(3)在多变量逻辑回归模型中综合这些因素以预测妊娠风险。合并了7项已发表研究的原始数据,包括对两次促性腺激素释放激素注射的排卵反应、促性腺激素释放激素-1之前、前列腺素F2α之前以及前列腺素F2α后48小时的血孕酮浓度、人工授精后第32天和60天每次人工授精的妊娠情况以及期间的妊娠丢失。尽管在促性腺激素释放激素-1和前列腺素F2α之前孕酮超过3ng/mL时妊娠结局最佳,但两次促性腺激素释放激素注射后孕酮浓度较低时排卵结局更好,这表明促性腺激素释放激素-1之前较高的孕酮浓度和排卵发生率通过不同机制作用以改善后续生育能力。促性腺激素释放激素-2后的排卵及随后的妊娠结局与前列腺素F2α后48小时较低的孕酮浓度呈正相关;然而,为获得最大妊娠结局,孕酮应<0.5ng/mL。在促性腺激素释放激素-1后也形成新CL的母牛妊娠结局最佳,而仅形成新CL的母牛(即不排卵母牛以及在促性腺激素释放激素-1时处于发情期或接近发情期且无CL的母牛)妊娠结局最差。在定时人工授精程序中,妊娠丢失不受CL状态影响。受试者工作特征曲线得出了预测排卵和妊娠风险的孕酮浓度切点。选择的前列腺素F2α后48小时孕酮浓度切点产生的真阳性风险大于90%,假阳性风险小于25%,从而证明基于孕酮浓度对促性腺激素释放激素-2后的排卵及随后的妊娠结局具有较高的预测性。我们得出结论,除了体况、排卵卵泡大小和胎次外,孕酮浓度对排卵和妊娠风险具有高度预测性。

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