Page 1 of 32Reproduction Advance Publication first posted on 10 April 2015 as Manuscript REP-14-0632
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Title: hCG increases serum progesterone, number of corpora lutea, and
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angiogenic factors in pregnant sheep.
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Short Title: Effects of hCG during early pregnancy in sheep
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Authors:
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Megan P.T. Coleson1,2, Nicole S. Sanchez1,2, Amanda K. Ashley1, Timothy T. Ross1,
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Ryan L. Ashley1, 3
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Address: 1Department of Animal and Range Sciences, New Mexico State University,
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Las Cruces, NM 88003, 2Authors contributed equally to this work, 3Corresponding
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author. New Mexico State University. Department of Animal and Range Sciences. PO
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Box 30003, MSC 3I. Las Cruces, NM 88003. Email:
[email protected] 13 14
Abstract:
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Early gestation is a critical period when implantation and placental vascularization are
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established, processes influenced by progesterone (P4). Although human chorionic
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gonadotropin (hCG) is not endogenously synthesized by livestock, it binds luteinizing
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hormone receptor, stimulating P4 synthesis. We hypothesized treating pregnant ewes
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with hCG would increase serum P4, number of corpora lutea (CLs) and concepti,
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augment steroidogenic enzymes, and increase membrane P4 receptors (PAQRs) and
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angiogenic factors in reproductive tissues. The objective was to determine molecular
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alterations induced by hCG in pregnant sheep that may promote pregnancy. Ewes
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received either 600 IU of hCG or saline i.m. on day 4 post mating. Blood samples were
1 Copyright © 2015 by the Society for Reproduction and Fertility.
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collected daily from day 0 until tissue collection for serum P4 analysis. Reproductive
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tissues were collected on either day 13 or 25 of gestation and analyzed for PAQRs,
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CXCR4, proangiogenic factors and steroidogenic enzymes. Ewes receiving hCG had
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more CL and greater serum P4, which remained elevated. On day 25, StAR protein
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production decreased in CL from hCG-treated ewes while HSD3B1 was unchanged;
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further, expression of CXCR4 significantly increased and KDR tended to increase.
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PAQR7 and CXCR4 protein was increased in caruncle tissue from hCG-treated ewes.
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Maternal hCG exposure influenced fetal extraembryonic tissues, as VEGFA, VEGFB,
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FLT1, and ANGPT1 expression increased. Our results indicate hCG increases serum
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P4 due to augmented CL number per ewe. hCG treatment resulted in greater PAQR7
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and CXCR4 in maternal endometrium and promoted expression of proangiogenic
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factors in fetal extraembryonic membranes. Supplementing livestock with hCG may
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boost P4 levels and improve reproductive efficiency.
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Introduction
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Most pregnancy losses in mammalian species occur during early pregnancy (Edey
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1969, Reynolds & Redmer 2001, Reynolds et al. 2010, Reynolds et al. 2013). Several
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factors contribute to embryonic death including insufficient production of progesterone
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(P4) by the corpus luteum (CL), as suboptimal P4 synthesis is indicative of maternal
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inability to maintain pregnancy (Kittok et al. 1983). P4 is required for establishment and
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maintenance of pregnancy in all mammals. Growth and development of the conceptus
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(embryo/fetus and associated extraembryonic membranes) requires P4 signaling to
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regulate endometrial functions critical for implantation and placentation. Human
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chorionic gonadotropin (hCG) is a potent luteotropic hormone (Norman & Litwack 1987)
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responsible for increased P4 synthesis by the CL upon binding the luteinizing hormone
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receptor (LHCGR). Although livestock do not produce hCG, it binds to the LHCGR,
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which they do express. Due to LHCGR activation by hCG and the substantially longer
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half-life than luteinizing hormone (LH) in mammals (Cole 2012), it may be useful for
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increasing P4 production in livestock species. In beef heifers, serum P4 concentrations
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and conception rates following artificial insemination increased following hCG
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administration (Funston et al. 2005). In ewes, treatment with hCG increased P4 and
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total CL weight 12 and 36 h after administration (Nephew et al. 1994). Further, hCG
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increased the number and size of corpora lutea (CLs) in ewes and these accessory CLs
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could be responsible for the dramatic increase in serum P4 levels observed (Farin et al.
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1988, Shabankareh et al. 2012). However, it is unclear if the increase in serum P4 is
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exclusively due to increased CL numbers or if hCG is stimulating synthesis of
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steroidogenic enzymes. Addition of this exogenous hormone may boost serum P4
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levels and decrease pregnancy loss in livestock, thereby increasing animal reproductive
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efficiency.
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P4 signaling in the uterus primes the endometrium to ensure a receptive environment
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for the developing conceptus. P4 elicits its effects through nuclear P4 receptors (PRs)
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as well as membrane P4 receptors (PAQR family). Paradoxically, the elevated P4
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during early pregnancy leads to a downregulation of PR and in sheep the PR protein is
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undetectable in endometrial luminal epithelium and glandular epithelium after days 11
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and 13 of pregnancy, respectively (Spencer & Bazer 1995, Spencer et al. 1995). While
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PRs have been researched extensively, not much is known about PAQRs. Interestingly,
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expression of PAQRs is upregulated by P4 (Karteris et al. 2006) and may play
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functional roles during early pregnancy. Because hCG has noted effects on increasing
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P4 synthesis, one objective of this study was to investigate the effects of exogenous
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hCG on expression and synthesis of the PAQR family of receptors.
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In addition to stimulating P4 production, hCG also serves as a proangiogenic factor at
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the fetal/maternal interface (for a review see Cole, 2012 (Cole 2012). hCG influences
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vascularization by regulating expression of proangiogenic factors such as vascular
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endothelial growth factor (VEGFA) and angiopoietin one (ANGPT1) (Laitinen et al.
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1997, Sugino et al. 2000, Wulff et al. 2000). Further, hCG stimulates proliferation of
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placental microvascular endothelial cells, which are important for capillary sprout
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formation during angiogenesis (Herr et al. 2007). Haploinsufficiency of VEGFA or its
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receptors, FMS-like Tyrosine Kinase Receptor 1 (FLT1) and Kinase Insert Domain-
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Containing Receptor (KDR), results in defective fetal and placental angiogenesis,
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culminating in embryonic death by mid-gestation (Fong et al. 1995, Shalaby et al. 1995,
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Carmeliet et al. 1996, Ferrara et al. 1996). ANGPT1 also regulates angiogenesis, as
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several studies have shown vascular defects when these factors are deficient in mice
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(Carmeliet et al. 1996, Ferrara et al. 1996, Maisonpierre et al. 1997). Similar to hCG
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induced functions, activation of C-X-C chemokine receptor type 4 (CXCR4) by its ligand,
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C-X-C chemokine 12 (CXCL12) amplifies angiogenesis by inducing VEGFA release. In
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turn, VEGFA increases expression of CXCR4, but not other chemokine receptors, thus
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establishing a positive feedback loop in which VEGFA induces CXCR4 and CXCL12
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expression, and conversely CXCL12/CXCR4 signaling enhances VEGFA expression
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(Salcedo et al. 1999, Mirshahi et al. 2000, Salcedo & Oppenheim 2003). We previously
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reported that placental expression of the CXCL12/CXCR4 signaling axis during early
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pregnancy corresponds with placental vascularization with marked induction of VEGFA,
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FLT1, KDR and ANGPT1 (Ashley et al. 2011, Quinn et al. 2014), yet whether hCG
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regulates the CXCL12/CXCR4 signaling axis is not known.
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Based on the variety of functions induced by hCG in humans, specifically stimulating P4
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synthesis and influencing placental vascularization, administration of exogenous hCG
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may improve pregnancy success rates and enhance reproductive efficiency and overall
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production in livestock. We hypothesized that ewes treated with hCG would have higher
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serum P4 concentrations, greater number of CL and concepti, augmented steroidogenic
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enzymes, and increased expression of PAQRs and angiogenic factors in reproductive
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tissues. This hypothesis was formulated to cover myriad physiological outcomes
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induced by hCG to provide a more comprehensive perspective on its role in livestock
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reproduction. The objectives of the study were to determine molecular alterations
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induced by hCG administration in pregnant sheep that may serve to promote early
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pregnancy and elucidate additional enzymatic alterations induced by hCG treatment.
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Specifically, hCG-induced changes in the regulation and synthesis of angiogenic factors
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and PAQRs were investigated.
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Materials and Methods
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Animal Procedures and Tissue Collection
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All procedures involving animals were approved by the New Mexico State University
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Animal Care and Use Committee (IACUC #2012-018). Unless indicated, all reagents
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were purchased from Sigma Aldrich (Saint Louis, MO). Nineteen mixed-aged western
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whiteface ewes (70.5 ± 1.5 kg body weight) received an intravaginal pessary
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impregnated with 20 mg flurogestone acetate (Searle, Skokie, IL, 60076) for 14 days to
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synchronize estrus. Three vasectomized rams, fitted with marking harnesses, were
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placed with ewes, for detection of estrus. Ewes were mated with fertile rams upon
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detection of their second estrus after pessary removal and onset of estrus was
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determined as the day serum P4 was at or below 1 ng/ml (day 0). Ewes were randomly
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assigned to one of two treatments. Ewes received 600 IU (4.8 ml) of hCG (ProSpec-
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Tany Techno Gene Ltd., Ness Ziona, Israel, Cat #: hor-250) i.m. (n = 9) or saline (4.8
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ml, n = 10) on day 4 post mating. Treatment day and dose was determined by previous
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studies utilizing pregnant sheep (Nephew et al. 1994, Akif Cam & Kuran 2004) and
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studies conducted in the laboratory of Dr. Tim Ross, where varying doses of hCG as
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well as single versus multiple injections of hCG have been evaluated in pregnant ewes
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(personal communication). This treatment regime was highly effective at increasing
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serum progesterone concentrations and additional injections were not warranted. Within
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each treatment, ewes were randomly assigned to one of two groups where half the
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ewes were euthanized 13 days post mating (control n = 4; hCG-treated n = 5) and the
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remaining ewes euthanized 25 days post mating (control n = 6; hCG-treated n = 5).
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Ewes were anesthetized with 20 mg/kg body weight of sodium pentobarbital (Vortech
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Pharmacy, Dearborn, MI, 48126) via i.v. administration. The surgical area was shorn
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and reproductive tract removed using a mid-ventral laparotomy prior to euthanasia by
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exsanguination. One group of ewes was euthanized on day 13, and CLs were counted.
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In addition, uteri were flushed with approximately 20 ml of phosphate buffered saline
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(PBS) supplemented with 0.25% bovine serum albumin (BSA; pH 7.1) and numbers of
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concepti were recorded. The second group of ewes was euthanized on day 25 post
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mating, and CL and concepti were counted and weighed. Caruncles, CLs, and fetal
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extraembryonic membranes were collected, diced into smaller pieces, and immediately
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immersed in liquid nitrogen, then stored at -80°C.
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Blood Collection and Serum P4 Assessment
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Daily blood samples were collected via jugular venipuncture into serum separator tubes
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(Corvac, Kendall Health Care, St. Louis, MO) from all ewes starting on the date of
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marking by the ram until euthanasia. Tubes were incubated at room temperature for at
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least 30 min prior to being centrifuged at 4°C for 15 min at 1,500 x g. Serum was
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harvested and subsequently stored at -20°C until assayed. Serum P4 concentrations
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were determined using RIA procedures described by Schneider and Hallford (1996;
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Coat-A-Count, Siemens Medical Solutions Diagnostics, Los Angeles, CA) and
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performed by the New Mexico State University Endocrinology Laboratory. Inter- and
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intra-assay CV were 4.7 and 6.7%, respectively.
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RNA Isolation and cDNA Synthesis
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Total cellular RNA was extracted from tissues using 1 ml of Tri Reagent BD (Molecular
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Research Center Inc., Cincinnati, OH) per 100 mg of tissue, according to the
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manufacturer’s directions. RNA was eluted in nuclease-free water, and subsequently
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treated with DNase using the TURBO DNA-free kit (Ambion, Foster City, CA) to ensure
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samples were not contaminated with genomic DNA. The quantity and purity of RNA was
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determined using a NanoDrop-2000 spectrophotometer (Thermo Scientific, Waltham,
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MA). RNA samples were stored at -80°C until further analysis. Complementary DNA
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was synthesized from 1 µg RNA using the iScript cDNA Synthesis Kit (BioRad)
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according to the manufacturer’s recommendations. The products were diluted to a final
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volume of 100 µl (10 ng/µl).
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Quantitative Real-Time PCR (qPCR)
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The qPCR analysis was performed using a CFX96 Touch Real-Time PCR Detection
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System and components of the iQ SYBR green supermix (BioRad Laboratories,
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Hercules, CA) as previously described (Quinn et al. 2014). Forward and reverse primers
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were used at a final concentration of 0.525 µM and 2 µl of cDNA for each sample was
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assayed. The specific primers employed are shown in Table 1. The efficiency of all
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primers was tested using varying levels of cDNA (50 – 0.05 ng per reaction); all were
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within acceptable limits (Livak & Schmittgen 2001), and no primer-dimers were formed.
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The qPCR conditions were 95◦C for 3 min followed by 40 cycles of 95◦C (30 s), 55◦C (30
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s), 72◦C (15 s) and then a melt curve was performed to assure no primer-dimers were
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present. Cq values were attained during logarithmic amplification phase of PCR cycling.
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The GAPDH amplicon did not change across days or pregnancy status and was used to
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normalize each target via the 2-∆∆Cq method (Livak & Schmittgen 2001).
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Protein Isolation and Immunoblotting
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Protein was isolated from ovine tissues by homogenizing 100 mg of tissue in 1 ml of
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RIPA buffer (50 mM Tris (pH 7.4), 2 mM EDTA, 150 mM NaCl, 0.1% sodium dodecyl
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sulfate (SDS), 1.0% TritonX-100) supplemented with phosphatase and protease
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inhibitor cocktails (Roche Applied Science, Germany). Samples were placed on ice for
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15 min, then centrifuged at 12,000 × g for 10 min at 4◦C. The supernatant was collected
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and stored at -80◦C. Concentrations of protein were determined using the BCA protein
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assay (Pierce, Rockford, IL).
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Unless indicated, all reagents used for western blot analysis were purchased from Bio-
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Rad Laboratories Inc. (Hercules, CA). Equal protein amounts (ranged from 30-50 µg
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depending on tissue) were combined with 6X dye (187 mM Tris (pH 6.8), 6% SDS, 30%
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glycerol, 440mM beta-mercaptoethanol, 0.2% bromophenol blue, deionized water) and
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denatured on a heat block at 100°C for 5 min, then cooled and subjected to SDS-PAGE.
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After electrophoresis, protein was transferred to polyvinyl difluoride (PVDF) membranes
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for immunoblotting. After blocking in 5% non-fat dry milk or 5% BSA (Sigma Aldrich)
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made in Tris-buffered saline plus tween (TBS-T; 68.4 mM Tris base, 10 mM NaCl,
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0.10% tween 20, pH 7.6) for 1 h at room temperature, membranes were incubated with
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primary antibody in blocking solution over night at 4°C. Unless indicated, antibodies
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were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Antibodies specific
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to FLT1 (sc-316), KDR (sc-315), CXCR4 (sc-9046), VEGFA (sc-152), ANGPT1 (Abcam,
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ab95230), HSD3B1 (sc-30820), StAR (sc-25806), ISG15 (#2743BC; Cell Signaling
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Technology), PAQR5 (Abcam, ab123979), PAQR7 (Abcam, ab79517), or ACTB (sc-
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47778) were used to probe membranes. Membranes were washed, and an appropriate
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secondary antibody (goat anti-rabbit IgG-HRP, sc-2004; donkey anti-goat IgG-HRP, sc-
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2020; donkey anti-rabbit IgG-HRP, sc-2317) was added in blocking solution for 1 h at
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ambient temperature. The concentration of antibody varied per tissue, but ranged from
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1:500 to 1:2000 for primary antibodies and 1:5000 to 1:20,000 for secondary antibodies.
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Proteins were visualized by Clarity Western ECL Substrate peroxide solution and
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Luminol/enhancer solution for 5 min and immediately detected using the ChemiDoc™
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XRS and Image Lab Software Version 3 (BioRad Laboratories, Hercules, CA). If
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antibody removal was required in order to assess loading controls, membranes were
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stripped in stripping buffer (TBS-T, 143 µM beta-mercaptoethanol, 2% SDS) heated to
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65°C, then washed with TBS-T and blocked in 5% non-fat dry milk for 1 h at room
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temperature. Following the stripping procedure membranes were assessed to assure
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lack of chemiluminescence in the absence of antibody before being probed for the
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loading control.
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Statistical Analysis
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The experimental design was completely randomized. Number of corpora lutea and
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concepti per ewe were analyzed by Chi-Square using the frequency procedure of SAS
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(SAS Inst. Inc., Cary, NC). P4 concentrations were analyzed using the mixed procedure
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of SAS with repeated function. Treatment and ewe were in the whole plot and day and
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day by treatment interaction were in the subplot. For qPCR the Cq value of the gene of
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interest was normalized to the Cq value of GAPDH for each sample and analysis was
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run on the 2-∆∆Cq values using GraphPad Prism (Version 6 from GraphPad Software,
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Inc.). The chemiluminescent signals for western blots were quantified using the mean
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value (intensity) using Image Lab software (Version 4.1). Each band of interest was
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normalized by dividing by mean value (intensity) for the protein of interest divided by
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mean value (intensity) of ACTB. Significant changes were determined at P < 0.05 using
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an unpaired, two-tailed student’s t-test. If the variance significant differed, Welch’s
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correction was used.
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Results
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Serum Progesterone Concentrations and Corpora Lutea and Concepti Numbers.
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A day by treatment interaction (P < 0.05) was observed for serum P4 concentrations for
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all ewes until day 13 (Fig. 1A). Serum P4 concentrations were similar among treatments
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through day 3. Ewes receiving hCG on day 4 had greater (P < 0.05) serum P4
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concentrations than control ewes from days 4 to 13. No treatment by day interaction
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was detected (P > 0.20) for serum P4 concentration between days 14 and 25; therefore,
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treatment effects were examined across sampling days. During this period hCG-treated
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ewes maintained elevated (P = 0.001) serum P4 values (10.9 ± 0.6 ng/mL) compared to
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controls (6.0 ± 0.6 ng/mL). Treatment with hCG tended (P = 0.108) to increase number
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of concepti (Fig 1B). On day 25, in the control group, three ewes had singletons, two
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had twins, and one bore triplets, whereas all hCG treated ewes had twins. No difference
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was observed between mean weight of concepti for control and hCG-treated ewes
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(339.7 and 473.6 ± 74.7 mg, respectively, P = 0.20). Ewes receiving hCG had greater
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number of CL (P = 0.006) compared to control ewes (Fig 1C). Control ewes had ≤ 3 CL,
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whereas, 87.5% of ewes that received hCG had ≥ 3 CL (Fig 1C). Further, CL weight (g)
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per concepti was significantly greater (P