Adenomyosis and fibrosis define the morphological memory of the postpartum uterus of dairy cows previously exposed to metritis

作者：Isabella Sellmer Ramos, M.O. Caldeira, S.E. Poock, J.G.N. Moraes, M.C. Lucy, Amanda L. Patterson · 发表于：JDS Communications · 年份：2024 · DOI：10.3168/jdsc.2024-0633 · 被引用次数：4 · 研究领域：Reproductive Physiology in Livestock、Endometriosis Research and Treatment、Animal health and immunology

Optimal fertility after calving in lactating dairy cows is dependent upon the successful completion of uterine involution. Invasion of pathogenic bacteria into the uterine environment within the first week postpartum can lead to uterine disease (metritis). Metritis is associated with decreased fertility and a failure or delay in establishing pregnancy. We hypothesized that early postpartum metritis would be associated with long-term changes in uterine morphology that begin within the first 30 d postpartum (DPP) and are present during a typical breeding window (2-6 mo postpartum). First parity Holstein cows were diagnosed with metritis (M) or deemed healthy (H) at 7 to 10 DPP and uterine tissues were collected and analyzed postmortem at 30 (experiment [Exp.] 1; M = 10, H = 10), or 80 and 165 (Exp. 2; M = 9, H = 10) DPP for the presence of abnormal morphology, including abnormal invasion of endometrial glands and stroma into the myometrium (adenomyosis) and endometrial fibrosis. Glands were identified using immunohistochemistry for FOXA2 (uterine gland specific marker) and fibrosis was identified using Masson's trichrome stain (MTS). The severity of adenomyosis was assessed by the number and size of adenomyotic foci and the distance of foci from the endometrium-myometrium interface (EMI). The degree of fibrosis was defined by MTS intensity. Data were analyzed using a 2-way ANOVA procedure including the effect of metritis and DPP on the dependent variables foci size, distance fr...