Source: OREGON STATE UNIVERSITY submitted to NRP
EFFECT OF ACUPUNCTURE ON PLACENTOME MMP2 EXPRESSION AND PLACENTA RELEASE IN COWS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1007392
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
Aug 14, 2015
Project End Date
Sep 30, 2016
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
OREGON STATE UNIVERSITY
(N/A)
CORVALLIS,OR 97331
Performing Department
Animal and Rangeland Sciences
Non Technical Summary
Retained placentas in dairy cattle are serious animal health and welfare problems, but also have significant economicimpacts. Projected milk loss due to retained placentas is 1657 pounds per cow (over 305 days in milk) and the herdincidence of retained placentas on dairies ranges from 8.3%-28.1%. The release of the bovine placenta from the uterus ismediated by the breakdown of a collagen from tissue proteases (namely matrix metalloproteinase type-2, or MMP2).MMP2 activity is regulated by proenzyme (pro-MMP2) activation, which is in turn regulated by several cytokines andgrowth factors. Dysregulation of pro-MMP2 or the absence of MMP2 reduces collagen hydrolysis and can result inplacental retention. Acupuncture has been used in dairy cows as a complementary treatment for a variety of reproductiveconditions including delayed uterine involution, repeat breeding, mycoplasma infections, and other disorders. To date,there have been no published studies investigating the use of acupuncture as a complementary treatment for retainedplacentas in dairy cows. Through both paracrine and autocrine regulation, acupuncture treatment stimulates productionand release of catecholamines, estrogens and growth factors. Examining dairy cows at 0, 3 and 6 hours after naturalcalving, the objectives of the proposed research are to: 1) compare the activity and immunolocalization of pro-MMP2 andMMP2 in placentomes; and 2) determine the effect of acupuncture on placentomal pro-MMP2 and MMP2 expression. Thisproject will support dairy producers by validating a cost effective treatment for retained placentas without milk or meatwithdrawal concerns.
Animal Health Component
100%
Research Effort Categories
Basic
0%
Applied
100%
Developmental
0%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
30534101020100%
Knowledge Area
305 - Animal Physiological Processes;

Subject Of Investigation
3410 - Dairy cattle, live animal;

Field Of Science
1020 - Physiology;
Goals / Objectives
1. To compare the activity and immunolocalization of pro-MMP2 and MMP2 in placentomes of dairy cows at 0, 3 and 6hours after natural calving.2. To determine the effect of acupuncture on placentomal pro-MMP2 and MMP2 expression at 0 and 3 hours after naturalcalving in dairy cows.
Project Methods
Freshening cows (n=20) housed at the Oregon State University (OSU) Dairy Center (milking string: 100 cows) and calving during the 30-week study period will be used for this research. Cows will be fed and treated as per the standard operating procedures of the dairy with the exception of the additional experimental techniques listed. Immediately after a natural (spontaneous, term) calving, each cow will be restrained in a squeeze chute on the south end of the maternity barn. The vulva and perineal area will be sterilely prepared with a chlorhexidine scrub. Then, the PI or co-PI will don a sterile rectal palpation sleeve and pass her hand through the vagina, cervix, and into the uterus.The PI or co-PI will obtain a placentome from the uterine body of the uterus using a placentome attainment device. This device will be made per specifications of McNeel and coworkers (2013), consisting of a 0.3-mm steel guitar string and a 10.0-cm length of brass tubing with a 3.0-mm outer diameter and 0.5-mm wall thickness. Three holes, 1.0 mm in diameter, will be drilled completely through both sides of the tubing approximately 4.0 mm apart on center between 3.1 and 5.1 cm of the tubing. The tag end of the guitar string will be passed through the brass grommet of the string and then through all three sets of holes. The string will be held in place by the first loop of string and the handle. The collection loop of the placentome attainment device will be carried into the reproductive tract perched on the thumb, index, and middle finger of the PI or co-PI. The desired placentome will be then identified and the collection loop of the placentomeattainment device will be placed over the placentome and positioned at the base of the caruncle. The placentome will then be held in place and increasing force will be applied to the handle of the placentome attainment device, increasing the tension of the string and drawing the collection loop closed. This results in the laceration of the adjacent endometrium and the fetal membranes, leaving an isolated placentome in the PI's or co-PI's hand. Based upon conversations with the inventor of this method, the entire procedure will be take less than 3 minutes. Following tissue collection, a hemisection of the placentome will be fixed in 10% neutral buffered formalin. The other hemisection will be flash frozen in liquid nitrogen until processed for MMP2 enzymatic activity. This process will be repeated two additional times at 3 and 6 hours last collection, flunixin meglumine (1.1 mg/kg body weight) will be administered intravenously along with ceftiofur crystalline free acid (6.6 mg/kg body weight), subcutaneously, at the base of the ear. This is the standard operating procedure for the treatment of retained placentas and uterine infections (metritis) at the OSU Dairy Center.The cows will be randomly assigned by coin toss to be treated with acupuncture (heads) or to serve as no treatment controls (tails). Aspreviously mentioned, the acupuncture points bladder (BL) 31-34, Baihui (lumbosacral space, DU 20), Guanyuanshu (UB 26), and governing vessel (GV)-1 will be used. The acupuncture treatment will be administered following each placentome collection (at 0 and 3 hours after calving). Each acupuncture site will be gently disinfected with a dilute chlorhexidine solution before needle insertion. Seirin acupuncture needles (50 X 0.30 mm) with a guide tube will be used. The needles will remain in place for 1-2 minutes.The Kutzler laboratory has investigated MMP2 expression in the peripartum canine placenta for the past 4 years has experience determining ontogenic changes in expression using immunohistochemistry. Pro-MMP2 and MMP2 expression in the placenta (trophoblasts) will be compared at the cellular level by immunohistochemistry between time points and between treatment groups (acupuncture or control). The formalin-fixed placentome will be paraffin embedded by the Oregon State University Veterinary Diagnostic Laboratory (Histology Department) and sectioned (5 um) onto glass slides. The tissues will be deparaffinized, rehydrated, and treated with proteinase K (for antigen retrieval). Endogenous peroxidase activity will be inhibited by 3% hydrogen peroxide and non-specific binding will be blocked with DAKO serum free protein block (#X0909, DAKO). Antibodies to be used for immunohistochemistry include rabbit anti-MMP2 (Ab-7) and rabbit anti-pro-MMP2 (#MS223P0) from Thermo Fisher Scientific (Fremont, CA). Primary antibodies will be diluted at 1:200 in an Antibody Diluent with a background reducing component (#S3022, DAKO) and incubated on the tissues in a humidified chamber overnight at 4°C. To analyze for nonspecific binding, primary antibodies will be replaced by rabbit IgG (Sigma) as the same concentration of the primary antibody. A secondary antibody with horse radish peroxidase (HRP)-conjugated dextrane polymer (MaxPoly-One™, MaxVision Biosciences Inc.) will used and peroxidase activity will be detected with VECTOR NovaRED Peroxidase Substrate Kit (#SK-4800, Vector Laboratories) for 5 minutes at room temperature. The sections will be counterstained in hematoxylin histological staining reagent (diluted 1:3 in water, #S3302, DAKO), dehydrated in ethanol, and mounted with Richard-Allan Scientific Cytoseal XYL (#8312-4, Thermo Scientific). Negative controls included replacement of primary antibody with DAKO universal negative control rabbit (#N1699, DAKO). The percentage of positive cells will be determined by an evaluator blinded to the treatment group by counting 100 cells in at least five randomly selected fields at 400X magnification using a premium-class, bright field microscope (DMI 6000B Leica Microsystems, Buffalo Grove, IL).Enzymatic activity of MMP-2 can be readily determined by gel zymography as proMMP-2 (the latent form of MMP-2) is about 72 kDa in size, whereas the active form of MMP2 is about 67 kDa.5 The Menino (co-I's) laboratory has previously demonstrated expertise using the gel zymography techniques. Briefly, the proteins will be extracted in ice-cold samplebuffer (50 mM Tris-HCl, 150 mM NaCl, 10 mM CaCl2, 1% (v/v)) using a tissue homogenizer. The homogenized tissues will be centrifuged at 9000Xg for 30 minutes at 4°C and the supernatant will be collected. The pellet will be re-suspended in a re-extraction buffer, heated to 60°C for 6 minutes, and then re-centrifuged for 27,000Xg for 30 minutes at 4°C. Then, the concentration of the supernatant will determined and it will be stored at -20°C until protease activity assays are run. Samples will be mixed with loading buffer containing 2% SDS and resolved on an 8% SDS-polyacrylamide gelcontaining 0.1% gelatin (Sigma, Germany) as substrate. After electrophoresis, the gels will be washed in renaturing buffer (Invitrogen, Darmstadt, Germany) for 30 minutes, followed by immersion in developing buffer (Invitrogen) for 30 minutes. Developing buffer will be changed and gels were incubated over night at 37°C. Gels were stained with 0.5% Coomassie blue R-250 (10% acetic acid/50% methanol), staining will be removed with 10% acetic acid/40% methanol to reveal discrete areas of gelatin degradation. The proteolytic activity will be indicated by clear bands on a blue background and be recorded in relative units.

Progress 08/14/15 to 09/30/16

Outputs
Target Audience:Acupuncture is already accepted by producers in dairy cows as a complementary treatment for abomasal displacement (Lee et al., 2007; Jang et al., 2003) and to provide analgesia during laparatomies (Kim et al., 2004; White et al., 1985). In addition, acupuncture is accepted by producers as a complementary treatment for a variety of reproductive conditions including delayed uterine involution (Korematsu et al., 1993), repeat breeding (Lin et al 2002), Mycoplasma sp. infections (Yan et al., 2008), and other disorders (Chan et al., 2001; Habacher et al., 2006; Holiday, 1989; Turnbull, 1986). To date, there have been no published studies investigating the use of acupuncture as a complementary treatment for retained placentas in dairy cows. However, acupuncture has been used as a complementary treatment for the condition of retained placenta in humans (Bobik and Habek, 2012). Through both paracrine and autocrine regulation, acupuncture treatment stimulates production and release of catecholamines, estrogens and growth factors (Kawakita et al., 2006; Langevin et al., 2001; Stener-Victorin and Wu, 2010). Through these mechanisms, we hypothesized that acupuncture will increase MMP2 and MMP9 caruncular expression and thereby result in a more rapid separation of the cotyledon from the caruncle (i.e. faster release of the placenta). The objectives of this study were to determine the effects of acupuncture in dairy cows on caruncular MMP2 and MMP9 tissue concentrations and immunolocalization at 0, 2, and 4 hours after calving. Changes/Problems:In addition to the change previously described in the Progress Report (i.e. changing from pro-MMP2 to MMP9), we encountered serious difficulties and delays with the gel zympgraphy assay. After careful consultation with our collaborator (Dr. Fred Menino), the decision was made to measure tissue MMP2 and MMP9 concentrations using an ELISA. This was a wise decision and the results from this experiment supported those from the immunohistochemistry experiment. What opportunities for training and professional development has the project provided?Five undergraduate students from my laboratory were responsible for watching the cows in the study for calving. Only one student had previously worked around cattle so this opportunity provided important hands-on agricultural experiences for urban undergraduate students. In addition, two of these undergraduate students performed all of the laboratory experiments. Neither of these students had previously worked in a research laboratory. They both learned basic laboratory methods as well as complex techniques related to their specific projects. One student (Lauren Gentle) write a scientific abstract and then gave two poster presentation of her research findings. The other student (Katrina Hiebel) wrote a considerable amount of the manuscript that was submitted for publication. How have the results been disseminated to communities of interest?Two posters of the findings were presented in May and June of this year. Publication of the manuscript will further disseminate the results. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Immediately after a natural (spontaneous, term) calving, each cow was restrained in a stanchion and the vulva and perineal area was aseptically prepared. A caruncle was obtained from the body of the uterus using a placentome attainment device (McNeel et al., 2013). This technique has been used for research purposes extensively by its creator and found to not result in a loss of subsequent fertility (personal communication). Following caruncle collection, half of the tissue was fixed in 10% neutral buffered formalin and the other half was flash frozen in liquid nitrogen and stored at -80°C until processed. Caruncle sample collection was repeated two additional times at 2 and 4 hours after calving (for a total of three caruncles collected). This study was approved by the Oregon State University Institutional Care and Animal Use Committee (ACUP # 4570). The acupuncture treatment was administered to cows (n=6) following each caruncle collection (at 0 and 2 hours after calving). Untreated controls (n=9) were kept in a stanchion for 15 minutes without any stimulation. While standing in a stanchion, acupuncture needles (30 X 0.30 mm; No. 8, J type; Seirin Corporation, Shizuoka, Japan) with a guide tube were placed into cows and left in place for 15-20 minutes. Acupuncture was applied to six points: bladder (BL) 31, 32, and 34 (Figure 1), Baihui (lumbosacral space, DU 20), Guanyuanshu (UB 26), and governing vessel (GV)-1. Baihui, BL 31-34 and UB 26 were selected as these points relax the cervix and stimulate uterine contractions (Lin et al., 2001). Baihui and GV-1 are also the local points to move the Qi (energy) and resolve stagnation (Xie and Preast, 2007). In addition, the Baihui acupuncture point is known as the "point of 100 meetings" where all the Yang meridians merge and has been used as a complementary treatment in dairy cows for anestrus, cystic ovaries, retained or cystic corpus lutea, silent estrus, pseudopregnancy, inflammation of the reproductive tract, uterine prolapse, prevention of abortion, or to induce parturition (Lin and Panzer Jr., 1992). The formalin-fixed caruncles were paraffin embedded, sectioned to 6 μm, and mounted on poly-l-lysine-coated slides. MMP2 and MMP9 expression in the caruncle was then determined using routine immunohistochemistry. Briefly, slides were deparaffinized in xylene, rehydrated in graded ethanol series (100%, 75%, 50%), and then subjected to either enzymatic or heat-induced epitope retrieval for MMP2 or MMP9, respectively. For MMP2, proteinase K (#S3020, Dako) was applied to slides for 5 minutes. For MMP9, slides were boiled in sodium citrate (#S1700, Dako) for 10 minutes in a Nordicware® tender cooker in the microwave and then cooled to room temperature for 20 minutes. Endogenous peroxidase activity was inactivated with 3% hydrogen peroxide and nonspecific binding was blocked with Protein Block serum (#X0909, Dako). MMP2 (#LS-B2799, LifeSpan Biosciences) was applied at a 1:1000 dilution and MMP9 (#LS-A9461, LifeSpan Biosciences) at a 1:100 dilution. Negative controls from each tissue were treated with a universal negative antibody (#N1699, Dako). Slides were then reacted with One Step Horse Radish Peroxidase-Conjugated Polymer Anti-Rabbit IgG (#IH-8064-custom-OrSU, ImmunoBioScience) followed by Nova Red Peroxidase substrate (#SK4800, Vector Laboratories). Slides were counter-stained with hematoxylin (#S3302, Dako), dehydrated, and mounted. Utilizing bright-field microscopy, images were digitally captured at 400X magnification. At 50X magnification, immunoexpression of MMP2 and MMP9 was scored (0-3) across four quadrants of the caruncle by a single observer. Frozen caruncle tissue samples were cut into 0.5 cm3 pieces and combined with about 1.5 mL of solubilization buffer (0.5M NaCl, 0.001M EDTA, 0.05M Tris-HCl pH 8.1, 1% Triton X-100, 0.2% SDS). Samples were homogenized on ice using a Biospec tissue tearer (model 985-370) and then centrifuged at 10,000 x g for 10 minutes at 4°C. The supernatant was collected and the total protein concentration was determined using the Stanbio LiquiColor kit (#0345, Stanbio Laboratory) per manufacturer's instructions on a 96-well plate reader at 550 nm. Homogenized protein samples were then stored at -80°C until analyzed. MMP2 and MMP9 concentrations (pg/mL) were calculated from caruncular homogenates run in triplicate using commercial assays specific for bovine (Nori® Bovine MMP2 and MMP9 ELISA, Genorise Scientific, Inc.) in accordance to the manufacturer's instructions. Each 96-well plate was read at 450 nm with a wavelength correction set to 540 nm. For MMP2, the assay sensitivity was 32 pg/mL with an intra- and inter-assay CV of 5% and 9%, respectively. For MMP9, the assay sensitivity was 8 pg/mL with an intra- and inter-assay CV of 6% and 9%, respectively. Computer software (GraphPad Prism 7.0, GraphPad Software) was used for all statistical comparisons. The average value (score or concentration) for each time point for each individual was used to calculate the mean ± SEM for each treatment group.Tukey's multiple comparison test was used to test for significant differences between the three time points as well as between the control and acupuncture treatment groups. Differences at values p<0.05 were considered statistically significant. RESULTS Immunoexpression of MMP2 and MMP9 (data not shown) was predominately localized to the epithelial and subepithelial stromal cells of the caruncles in both treatment groups. MMP2 immunoexpression did not differ between control and acupuncture treated cows at calving or two hours after calving (after the first treatment). However, MMP2 immunoexpression was lower four hours post calving in the control cows but not in the acupuncture treated cows. Previous studies have shown that MMP2 immunoexpression decreases quickly after parturition, so this finding in the control cows in the current study was expected. It is important to note that cows treated with acupuncture had prolonged MMP2 expression of after calving. When the MMP2 immunoexpression between these two groups was directly compared, there was a trend toward an increase in the acupuncture treated cows compared to controls (p=0.06). Similar to MMP2, MMP9 immunoexpression did not differ between control and acupuncture treated cows at calving or two hours after calving (after the first treatment). However, MMP9 immunoexpression was lower four hours post calving in the control cows but not in the acupuncture treated cows. MMP2 concentration in caruncle tissue homogenates did not differ between control and acupuncture treated cows at any of the time points. However, MMP2 tissue concentration was lower two hours after calving in the control cows but not in the acupuncture treated cows. In fact, there was a trend (p=0.09) for cows treated with acupuncture to have higher MMP2 tissue concentration two hours after calving (after the first treatment) compared to the time of calving. Similar to MMP2, MMP9 tissue concentration did not differ between control and acupuncture treated cows at any of the time points. In both treatment groups, MMP9 tissue concentrations was lower at calving compared to two and four hours after calving. These results are similar to those of Takagi and coworkers (2007) who found that MMP9 mRNA expression was lower at parturition compared to six hours postpartum.

Publications

  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2016 Citation: Gentle L, Kutzler M. Matrix metalloproteinase type-2 (MMP2) and type-9 (MMP9) immunoexpression in bovine caruncular tissue at the time of calving, 2 hours post-calving, and 4 hours post-calving. Presented at the Celebrating Undergraduate Excellence event on May 13, 2016 (Corvallis, OR) and the Northwest Reproduction Sciences Symposium on June 2, 2016 (Philomath, OR).
  • Type: Journal Articles Status: Submitted Year Published: 2017 Citation: Hiebel K, Gentle L, Kutzler M. Acupuncture increases matrix metalloproteinase type-2 immunoexpression and tissue concentration in bovine caruncles after calving. Journal of Animal Science


Progress 08/14/15 to 09/30/15

Outputs
Target Audience:In cattle, a retained placenta is defined as the failure to pass all or part of the placenta from the uterus within 12 hours of calving (Roberts, 1971). The herd incidence of retained placentas on dairies ranges from 8.3%-28.1% (Han and Kim, 2005). Retained placentas in dairy cattle result in serious animal health and welfare problems, but also have significant economic impacts. Projected milk loss due to placental retention is 1,657 pounds per cow (over 305 days in milk) (Dubuc et al., 2011). The condition has a direct effect on the reproductive performance of cattle, increasing the calving-to-conception interval by up to 51 days and almost doubling the average number of services per pregnancy (Gröhn and Rajala-Schultz, 2000; LeBlanc, 2008). Research carried out within the past 20 years suggests that there is a physiologic basis for retained placentas but the treatment and prevention of this condition continues to elude dairy producers and veterinarians. There have been dozens of different treatments for retained placentas in cattle described. Most treatments for placental retention in cattle result in drug withdrawal times prior to slaughter that vary depending upon the antibiotic, anti-inflammatory, or hormone used (Peters and Laven, 1996; Beagley et al., 2010. Pyörälä S et al., 2014). In addition, many treatments have limited efficacy and may actually be harmful to the cow. Changes/Problems:We found in the first four cows under study that the cervix was closed by six hours making it impossible to collect the last sample. As a result, the timing of sample collection was adjusted to 0, 2, and 4 hours after collection. In addition, the pro-MMP2 antibody purchased for immunolocalization did not work on the bovine tissue. MMP9 was substituted for pro-MMP2, which works well in our laboratory. What opportunities for training and professional development has the project provided?The project is providing valuable experience for undergraduate students with an interest in going into veterinary college or graduate school. These students will be watching cows calve as well as helping with the laboratory experiments. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?I plan to complete the sample collection and laboratory experiments, analyze the results and write a manuscript. In addition, I plan to present these finding at regional and national meetings.

Impacts
What was accomplished under these goals? In the past six weeks since the projected was funded, samples were collected from two control and two acupuncture-treated cows. In these four cows, the cervix was closed by six hours making it impossible to collect the last sample. As a result, the timing of sample collection was adjusted to 0, 2, and 4 hours after collection. In addition, the pro-MMP2 antibody purchased for immunolocalization did not work on the bovine tissue. MMP9 was substituted for pro-MMP2, which works well in our laboratory.

Publications