Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares

In this paper, the evolution of our understanding about post breeding endometritis (PBE), the susceptibility of mares, and events leading to endometrosis are reviewed. When sperm arrive in the uterus, pro-inflammatory cytokines and chemokines are released. They attract neutrophils and induce modulat...

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Main Authors: Terttu Katila, Graça Ferreira-Dias
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/12/6/779
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author Terttu Katila
Graça Ferreira-Dias
author_facet Terttu Katila
Graça Ferreira-Dias
author_sort Terttu Katila
collection DOAJ
description In this paper, the evolution of our understanding about post breeding endometritis (PBE), the susceptibility of mares, and events leading to endometrosis are reviewed. When sperm arrive in the uterus, pro-inflammatory cytokines and chemokines are released. They attract neutrophils and induce modulatory cytokines which control inflammation. In susceptible mares, this physiological defense can be prolonged since the pattern of cytokine release differs from that of resistant mares being delayed and weaker for anti-inflammatory cytokines. Delayed uterine clearance due to conformational defects, deficient myometrial contractions, and failure of the cervix to relax is detected by intrauterine fluid accumulation and is an important reason for susceptibility to endometritis. Multiparous aged mares are more likely to be susceptible. Untreated prolonged PBE can lead to bacterial or fungal endometritis called persistent or chronic endometritis. Exuberant or prolonged neutrophilia and cytokine release can have deleterious and permanent effects in inducing endometrosis. Interactions of neutrophils, cytokines, and prostaglandins in the formation of collagen and extracellular matrix in the pathogenesis of fibrosis are discussed. Endometritis and endometrosis are interconnected, influencing each other. It is suggested that they represent epigenetic changes induced by age and hostile uterine environment.
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spelling doaj.art-4cf60f0bd1de40d882b05a816b12e2922023-11-24T00:10:02ZengMDPI AGAnimals2076-26152022-03-0112677910.3390/ani12060779Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of MaresTerttu Katila0Graça Ferreira-Dias1Department of Production Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, 04920 Saarentaus, FinlandDepartment of Morphology and Function, CIISA—Centre for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, 1300-477 Lisbon, PortugalIn this paper, the evolution of our understanding about post breeding endometritis (PBE), the susceptibility of mares, and events leading to endometrosis are reviewed. When sperm arrive in the uterus, pro-inflammatory cytokines and chemokines are released. They attract neutrophils and induce modulatory cytokines which control inflammation. In susceptible mares, this physiological defense can be prolonged since the pattern of cytokine release differs from that of resistant mares being delayed and weaker for anti-inflammatory cytokines. Delayed uterine clearance due to conformational defects, deficient myometrial contractions, and failure of the cervix to relax is detected by intrauterine fluid accumulation and is an important reason for susceptibility to endometritis. Multiparous aged mares are more likely to be susceptible. Untreated prolonged PBE can lead to bacterial or fungal endometritis called persistent or chronic endometritis. Exuberant or prolonged neutrophilia and cytokine release can have deleterious and permanent effects in inducing endometrosis. Interactions of neutrophils, cytokines, and prostaglandins in the formation of collagen and extracellular matrix in the pathogenesis of fibrosis are discussed. Endometritis and endometrosis are interconnected, influencing each other. It is suggested that they represent epigenetic changes induced by age and hostile uterine environment.https://www.mdpi.com/2076-2615/12/6/779marebreedingendometritisendometrosisinflammationfibrosis
spellingShingle Terttu Katila
Graça Ferreira-Dias
Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares
Animals
mare
breeding
endometritis
endometrosis
inflammation
fibrosis
title Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares
title_full Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares
title_fullStr Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares
title_full_unstemmed Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares
title_short Evolution of the Concepts of Endometrosis, Post Breeding Endometritis, and Susceptibility of Mares
title_sort evolution of the concepts of endometrosis post breeding endometritis and susceptibility of mares
topic mare
breeding
endometritis
endometrosis
inflammation
fibrosis
url https://www.mdpi.com/2076-2615/12/6/779
work_keys_str_mv AT terttukatila evolutionoftheconceptsofendometrosispostbreedingendometritisandsusceptibilityofmares
AT gracaferreiradias evolutionoftheconceptsofendometrosispostbreedingendometritisandsusceptibilityofmares