ABSTRACT THYROID FUNCTION IN THE LACTATING RAT, COW, AND EWE BY Fritz L. Lorscheider The author had previously demonstrated, using a direct- output method, that thyroid hormone secretion rate (TSR) was markedly reduced in the rat during lactation. This was postulated to be due to a relative iodine deficiency result- ing from the large losses of iodine occurring in milk. Inasmuch as this TSR method was not adaptable in other than small laboratory animals, other means were sought to further substantiate observations on thyroid function as related to lactation in rats and dairy cattle, to the nonbreeding cow and heifer, and to lactation, phenothiazine treatment, and wool growth in sheep. Thyroid function was measured by a competi- tive protein-binding technique (Tetrasorb-lZS method) which directly measures the serum thyroxine (T4) level. A comparison of the serum T4 method and TSR by the direct- output method in nonlactating and lactating rats established that both methods detected a greater than 50% decrease in thyroid function by 16 days lactation. In another experiment Fritz L. Lorscheider using heavily lactating rats suckling 12 pups each, serum T4 at 16 days lactation was reduced to one-half that of non- pregnant, nonlactating controls. Addition of 10 times the usual amount of iodine to the diet of another group of lac— tating rats suckling 12 pups did not effect the serum T4 level. In the same eXperiment lactating rats suckling 9, 6 and 5 pups had serum T4 levels that were inversely correlated to lactational intensity. Serum T4 levels remained unchanged in nonlactating rats when exogenous ovine prolactin was ad- ministered. High serum prolactin, associated with nursing, did not appear to be a direct contributing factor to the re— duction in serum T4 observed during lactation. Holstein cows showed no change in serum T4 during preg- nancy when compared to dry-open cows. At peak lactation high producing cows had serum T4 values that were only 50% those of dry-Open and dry-pregnant cows. When milk production had declined to 28 lbs per day, at about 5 months postpartum, serum T4 levels returned to those of dry-Open or dry-pregnant cows. In cows diagnosed as nonbreeders or as having cystic ovaries, serum T4 was markedly reduced. Nonbreeding heifers showed no reduction in serum T4. Normal heifers had higher serum T4 levels than those of normal adult cows. Suffolk ewes, like Holstein cows, exhibited no change in serum T4 during pregnancy. At 30 days lactation both Suffolk and Hampshire ewes showed a significant reduction in serum T4 when compared with dry-pregnant or yearling ewes. Fritz L. Lorscheider Lactating Hampshire ewes developed a considerable amount of wool slippage. Regrowth of wool was greatly enhanced and serum T4 levels were significantly elevated to those of dry controls when 0.5 g of thyroprotein was supplied daily in the grain ration. Removal of phenothiazine from the diet of lactating Hampshire ewes resulted in an increase in serum T4 levels to those of dry-open controls. It appeared that both phenothiazine and lactation may contribute to a reduc- tion of serum T4 in the ewe and could confound the problem of wool loss observed during advanced pregnancy and lactation. It was concluded that thyroid function, as determined by serum T4 assay, was significantly reduced in the heavily lactating rat and Holstein cow. It was postulated that the primary reason for the reduction in serum T4 during lactation is the diversion of iodine to the mammary glands. A signifi— cant reduction in serum T4 in cows, but not in heifers, was associated with nonbreeding and cystic ovaries. The reduc- tion in serum T4 in the lactating Suffolk and Hampshire ewes may have been due in part to phenothiazine normally supplied as an anthelmintic in the diet. Wbol loss occurring in Hampshire ewes during late pregnancy and lactation, appeared to be associated with a reduction in serum T4 and was be- lieved to be due in part to lactation and in part to pheno- thiazine treatment. After wool slippage the regrowth of wool was greatly enhanced and the serum T4 was elevated when thyroprotein was added to the diet. THYROID FUNCTION IN THE LACTATING RAT, COW, AND EWE BY 1.\’ Fritz LP Lorscheider A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Physiology 1970 - O t- 0 .( \ I- z ¢ = 3. I: :3 F 3 z 3 H- 0 a O a 6 j 2 z 2 g) a o '2 0 ,m IX l0 I0 l5 P<.OOI . P<.OOI NOS. OF RATS/ GROUP l n. I unto lg. nzo Figure 1. Comparison of serum thyroxine method and thyroid secretion rate by the direct-output method in nonlactating and lactating rats. 24 These data by the Tetrasorb-125 method confirm the previous interpretation by Lorscheider and Reineke (1966), Reineke and Lorscheider (1967) and Lorscheider and Reineke (1970), that the T4 substitution method as employed by Grosvenor and Turner (1958a) cannot detect a decrease in thyroid hormone production during lactation. .Figure 2 illustrates levels of serum T4 in the rat at several levels of lactational intensity and elevated iodine intake. Individual serum values are listed in Appendix E. It can be seen in groups A, B, C, and D, that as the number of pups per litter is increased from 0 to 5, 6, and 12, reSpectively, serum.T4 is Significantly reduced. A high in- verse correlation exists between serum T4 and lactational intensity (r = -0.85, p <:.001). -Even with only 5 pups per litter the serum.T4 of a nursing rat is significantly reduced (p <1.05) below that of nonlactating controls. The normal level of dietary iodine necessary for euthy— roid function in a nonlactating rat is 1.0 ug per 9 feed (Reineke and Lorscheider, 1967). When 10 times this amount of iodine is added to the diet of lactating rats (Group E, Figure 2) there is no significant increase in serum T4 when compared to that of similar rats receiving 1.0 ug of I per 9 feed (Group D). Previous studies in women have indicated that iodine therapy could be used in the treatment of in- adequate lactation (Robinson, 1947b; Miller, 1951; Miller, 1952). Presumably the supplemented iodine was sufficient to 25 .wxMDCH mcaooH omum>mam ocm muflmcmuca Hmcoflpmuoma .m> mafixoumnu Eamon pom .m musmflm r no: .3 32:. a .5 . .onv-n nQdI-L UflJI/t "On< manomo $5252. . a, SNILVLOV‘INON 4.3535,. .3 .ozfl D 0 I m f l i Z 9 c. I d . m m n d d d W S s S O l I I on.A u.:o v n 1 n on.A .uu.o I i u I So.v 9.:o .1 m n n «o.v nua.n u u a a .00. V a .2. < O 5.v “vas( 9 mg v a {4‘ I 4 mafia“... ., / uozucuta _...HL 1 j N — N3 ¢ 'IOV'I 9| AVG NO 3'8 :F "0835 'I‘“ OOI /’.l. '5“ l U) (D 26 saturate the mammary iodide space thereby permitting enough iodine to be diverted to the thyroid for increased hormone production. However, in these circumstances some difficulty has been encountered in quantitating the dose of iodide (Friend, 1960). In the case of the lactating rat, either it does not reSpond to iodine therapy by increasing T4 produc- tion, or the rat requires an iodide supplement far in excess of the elevated level provided in the present investigation. ‘When sufficient serum was available, PBI determinations were run on the same rats for which data are presented in Figure 2. As shown in Appendix E the lactating rats receiving 10 times the normal iodine intake (Group E) had an average PBI value of 2.65 ug I per 100 ml of serum, similar to that of nonlac- tating rats in Group A which had a PBI of 2.70 ug I per 100 ml of serum. The fact that this similarity in PBI values between these two groups is not reflected in a similarity in serum T4 values further illustrates the possible error previously discussed (Man and Peters, 1950; Barker gt_al,, 1951; Acland, 1957) in using PBI as an index of thyroid function. It is Shown in Table 1 that exogenous ovine prolactin had no significant effect on serum T4 in the nonlactating rat (p )>.90). .MacLeod _£_al, (1966) tranSplanted tumor- bearing pituitaries secreting large amounts of prolactin and growth hormone into rats, and reported a depression in thy- 131 roid I uptake and a decrease in host pituitary thyroid 27 TABLE 1 EFFECT OF PROLACTIN INJECTIONS ON.SERUM THYROXINE IN THE ADULT FEMALE RAT All rats received 1.0 ug I‘ added/g feed. *- NIH-P-SS Ovine Prolactin 28.58 I.U./mg (10 mg. prolactin/ 1.0 ml saline) Prolactin injected rats (1 mg prolactin* injected subcuh Saline injected rats taneously twice daily for 14 days) H9 T4/ ”9 T4/ Rat no. 100 ml serum Rat no. 100 ml serum 1 6.17 12 6.28 2 4.95 15 5.55 5 5.80 14 5.55 4 5.85 15 6.59 5 6.02 16 5.85 6 7.05 17 5.54 7 6.17 18 5.75 8 6.17 19 6.71 9 5.52 20 6.28 10 6.81 21 6.17 X=6.05 X=6.00 S.E. = 0.19 S.E. = 0.15 N = 10 N = 10 28 stimulating hormone (TSH) content. They concluded that SUp- pression of thyroid function was mediated by an inhibitory effect of the tumor hormones on the pituitary of the rat. In a subsequent study MacLeod and Abad (1968) reported free T4 tended to be slightly lower in similar tumor bearing rats. However, this decrease in free T4 was not statistically Sig- nificant. Gona (1967) has suggested that prolactin has a goitrogenic effect in the frog. Prolactin reduced thyroidal 1131 uptake and this reduction was not changed by injections of TSH. The impairment of metamorphosis caused by prolactin could be counteracted by T4 administration. Gona concluded that prolactin had no direct effect on the frog pituitary TSH content, but rather has a direct effect on the frog thyroid. However, Grosvenor and Turner (1958b) showed by bioassay techniques that the suckling stimulus caused a fall in pituitary prolactin stores in the lactating rat. .More recently, Johke (1969) has shown by radioimmunoassay an in- creased plasma prolactin level following milking in the cow and goat. Amenomori §£_§l, (1970) have also shown by radio— immunoassay that serum prolactin increases are directly cor- related to increases in suckling stimuli in rats with litter sizes ranging from 0 to 12 pups. In view of the earlier reports by others it could be suggested that the progressive decrease in rat serum T4 as lactational intensity increases (Figure 2) is due to the concomitant increase in serum prolactin which in turn exerts 29 a progressively greater suppression on thyroid function. However, the use of thyroid 1131 uptake as.an index of thy- roid activity is questionable since hyper- or hypothyroid function can be accompanied by either high or low 1131 uptake. The present study (Table 1) would indicate that exogenous ovine prolactin, at the level administered, has no influence on thyroid function when evaluated by serum T4 measurements. Chen and Meites (1969) have shown that T4 has no effect on hypothalamic prolactin inhibiting factor (PIF) content, but does stimulate an increase in pituitary prolactin. Thiouracil reduced pituitary prolactin levels. They con- cluded that T4 acts directly on the anterior pituitary to enhance prolactin production and that a lack of T4 when thiouracil is administered will depress prolactin secretion. This reduction in prolactin secretion in the absence of adequate T4 would partially eXplain why lactation can be en- hanced by the administration of thyroactive substances as reviewed by Blaxter gt al., (1949). If prolactin were an antithyroid agent as suggested by others (MacLeod §t_a;,, 1966; Gona, 1967; MacLeod and Abad, 1968), then it would be inhibiting its own production via the thyroid. The evidence to date would indicate that the primary reason for a reduc- tion in serum T4 during lactation is the mammary diversion of iodine coupled with a possible decrease in total serum thyroid-binding protein (TBP). .The latter could be due to 50 the increased demand for protein synthesis during lactation. There is also the possibility that high endogenous prolac- tin secretion could indirectly exert an antithyroid effect by enhancing lactation, thereby increasing the mammary drain on iodine supplies which would ultimately further decrease serum.T4. Figure 5 illustrates a pr0posed schema for the thyroid- mammary—kidney distribution of iodine. The size of the arrows are indicative of the relative magnitude of the com- ponents of this iodine cycle. This chart shows that sub- normal iodine intake in the nonlactating rat will result in less thyroid hormone production and eventually in a hypo- thyroid condition characterized by elevated.TSH output and thyroid gland hyperplasia. The two primary competitors for dietary iodine in the nonlactating rat are the kidney and the thyroid. In the lactating rat a third competitor for dietary iodine is introduced, namely the mammary gland. As a result a functional hypothyroidism is produced, similar to that observed in a nonlactating rat on reduced iodine intake, even though the lactating rat receives an iodine allowance that would be adequate in the nonlactating state. As indicated, some Species such as the rat, recycle iodine via the urine of the suckling infants. This phenomenon has been well documented by several investigators (Capek and Jelinek, 1956; Samel gt §;,, 1965; Samel and Caputa, 1965; Beltz and Reineke, 1968). It does not appear that the net 51 .umu mGADMDUmH ocm mcwumuomH Icoc may as ocwoofl mo coHpsnfluumfio hmsoflx ocm mumEEwE .oHOH>£B .m musmflm 8mm“. Sax H oi n9 sliymazas ”b. .tP H4 U 6mm”. 58 H a: as w W55 28. .252 a. 3,. a 4180 .Cqm oz_._.<.roflo2H Hom* goo. v m . o A a aoo. v m . m A_4 mummulu omuflma\smwwssmwm amouo mm.o u .m.m om.o u .m.m mm.o n .m.m wihm u M om.m u M m.mm u M. mm.¢ u M mob u M. m.mm m>.m m.mm mm.w mm.m mmh m.oh an.m m.¢m ma.¢ am.w How AxHHE omxmwaqg, omaaflx o.m> >¢.¢ >m.m mow o.m> m¢.N >.mm mm.¢ mm.m mmm m.¢> om.m o.wm m¢.m md.m mow m.mm ma.¢ >.mm om.m mm.> hmm o.mm w>.¢ m.mm oa.m mm.m dmm o.m> mm.m m.mm dd.m fi>.m mom o.am ma.¢ >.mm oo.¢ ow.m mmm o.>w om.m >.mm mo.¢ om.m me m.wm wa.m 5.0m mw.m mm.¢ oom moundum Eamon HE moundlaa Edmwm HE ESHMw He *.02 300 “.mnflv ooa\¢a m: A.hnav ooa\¢a.m1 00fi\.e m1 .omm Maw: .00& Mag: mwumdnn mmuwfila monamnad mumo mcflamfimm oooam flmmumlmflmo om .pmm GOHDMDUMH mwmo mm U macaw :mmum m>mo mmN hub mwmo me C mDQmw coflumuuma m>mo om m mDDdU E ZOHB¢BU¢Q m0 mWO4Em BzmmmthQ 92¢ NUZdZOmmm GZHmDQ mSOU,ZHflBmAOE ZH MZHNOMW3872Dmmm ho ZOmHMQAZOU QHMHdm N manda 56 values. {This is attributed to the fact that lactational performance is a function of both intensity and duration. {The overall trend between groups though, was for markedly lower serum T4 levels during the first 5 to 4 months follow- ing calving, a time when milk production is highest. Tucker and Reece (1961) showed that the increase in milk output due to therprotein feeding was much greater in cows at peak lactation. They concluded that thyroid hormone secretion may be a limiting factor on milk secretion at the peak of lactation. .Sorensen (1958) reported that a high TSR of cows was highly correlated with high milk yield. The present investigations would tend to support the conclusions of Tucker and Reece in that serum T4 is markedly reduced during high lactation. In Table 5 serum T4 values are shown for Holstein cows diagnosed as nonbreeders or as having cystic ovaries. It can be seen that the highest value (5.07 ug T4/100 m1) is only half that of values for comparable nonlactating nonpregnant control animals (Figure 4 and Appendix F). .Reineke and Soliman (1955) reported that hypothyroidism in mice is associated with cystic ovaries. The present study suggests that a similar relationship may be true in cows. [Further investigations in cows are currently underway to establish the feasibility of employing the serum T4 assay as a diagnos- tic tool for the detection of cystic ovaries and other causes of reproductive failure. 57 TABLE 5 SERUM THYROXINE VALUES IN HOLSTEIN.COWS DIAGNOSED AS NONBREEDERS OR AS HAVING CYSTIC OVARIES* NONPREGNANT/NONLACTATING (blood sampling 10-1—6§L Birth Cow No. Date Pathology, ug_T4/100 ml serum 960 7-6-65 cystic ovaries 5.07 909 11-12-62 cystic ovaries 2.94 886 6-21-66 nonbreeder 1.48 866 9-8—66 nonbreeder 1.76 709 5-7-61 nonbreeder 0.64 *- Cystic ovaries--post mortem diagnosis. 58 TABLE 4 SERUM THYROXINE VALUES IN NORMAL AND NONBREEDING HOLSTEIN HEIFERS All heifers bled on 2-21-69 * Etiology unknown NORMAL HEIFERS Heifer No. Birth Date ug T4/100 ml serum 997 11-16—67 9.58 1000 11-50-67 12.57 1005 12—12-67 .10.77 1006 12-15-67 9.98 1010 1-5-68 5.98 1011 1-4-68 9.58 1012 1-5-68 7.18 1016 1-29-68 5.19 i = 8.85 S.E. = 0.87 NONBREEDING HEIFERS* Nos. of Previous ung4/100 Heifer No. Birth Date Inseminations ml serum 218 5-22-67 12 11.18 255 4-9-67 8 8.58 270 7-5-67 10 9.58 286 6-21-67 11 7.18 SE = 9.08 S.E. = 0.85 59 The relationship between serum T4 and the incidence of nonbreeding in Holstein heifers, not diagnosed as having cystic ovaries, is somewhat different (Table 4). -Average serum T4 values for controls and nonbreeders are 8.85 and 9.08 ug T4/100 ml reSpectively. No significant difference was found between these two groups (p )>.90). The average control serum T4 value is significantly higher (p '.10). Thus, as in the cow, pregnancy does not elevate serum T4 of ewes. .In pregnant women, serum T4 does rise (Arango §£__l,, 1968). At 50 days lactation, estimated to be peak lactation in ewes, serum of T4 of Suffolks is sig- nificantly-reduced (9.52 ug T4/100 ml) below that of pregnant 40 .mcfiowmm Camuonmonmnu ocm .cowumuoma .coflumummm mcfluso mew wuwsmmfimm ocm Maommsm ca mConnmnu Enumm .m wusmwm .526 \ mm: .._o .moz. m m s m o. m. .0 My. ._ x. c_€ ..o O W W M m M .m M .I.u mm mm mw “N L . ”Hm” a. v. mm M. W“ m 4% d 3 .l. S N .I. I? / 8.] l. l v I mmw s. u .. u z 1. 0 Al. N o * N [w w i ) o m _ 3 L w .L. . mu .3 8 c. a m m. .8 u A nu H .._. S hm W 19:. 1__mo ._. .3 n N. c. in. 1c; mmzm 3.122? 3:: 30...qu .2 41 ewes (p <1.02). In Hampshire ewes (Figure 5 and Appendix H), serum T4 is likewise significantly reduced at 50 days lac- tation from 8.59 ug T4/100 ml in yearling controls to 5.27 ug T4/100 ml (p ‘(.01). Thus both breeds of ewes exhibit a reduction in serum T4 during lactation similar to that ob- served in the rat and cow. If the serum T4 of the Suffolk and Hampshire yearling controls is compared, 15.52 and 8.59 ug T4/100 ml reSpectively, there is a significant breed dif~ ference in thyroid hormone levels (p <7.01). Henneman 23 El’ (1955) reported that TSR is not altered in sheep during pregnancy. The serum.T4 values for yearling and pregnant Suffolk ewes in the present study tend to con- firm this finding. When the T4 substitution method was employed in previous investigations (Henneman §£_al., 1955; Griffin 2; al., 1962), apparent TSR was found to be elevated in sheep during lactation. The present data, showing re- duced serum T4 in lactating sheep, are consistent with the previous rat studies (Lorscheider and Reineke, 1966; Reineke and Lorscheider, 1967; Lorscheider and Reineke, 1970). These eXperiments show that the T4 substitution method re- flects the thyroid hormone demand, which is greater during lactation, but cannot detect the actual decrease in thyroid function that occurs in lactating animals. The direct-output TSR and serum T4 methods for measuring thyroid function are more applicable in any case where iodine availability is likely to be a limiting factor. 42 Figure 5 shows that lactating Hampshire ewes fed thyro- active protein had significantly higher serum T4 values (7.01 pg T4/100 ml) than_did a comparable lactating group not fed therprotein (5.27 pg T4/100 ml) (p (1.02). Individual Hampshire serum T4 values for these two groups are listed in Appendix H. It is interesting to note that lactating ewe number 421, which was not fed thyroprotein, has the lowest serum T4 in its group (5.54 pg T4/100 ml). This particular animal also had the highest degree of wool slippage at lambing in its group. Lactating ewe number 505 on the therprotein treatment also had the highest degree of wool slippage at lambing in its group. -Plate 1 shows that ewe number 421 has a negligible regrowth of wool 2 1/2 months after lambing. Plate 2 shows a 2.0 cm. regrowth of wool on ewe number 505 2 1/2 months after lambing and therprotein treatment. Based on these data, it would appear that severe wool slippage is associated with a marked reduction in serum T4 during lactation. Therprotein supplemented in the diet will significantly raise serum T4 and facilitate the regrowth of wool. More extensive trials are currently underway in Shr0pshire and Hampshire ewes to further assess the effec- tiveness of thyroprotein feeding in alleviating the alopecia- 1ike condition which develOps during late pregnancy and lactation. One theory proposed is that thyroid hormones exert an effect on mitochondrial membranes to increase respiratory exchange and energy transfer (Tapley and Hatfield, 1962) and 45 98°C ‘4‘ .1. ' vow nun IOI AIIIICAN DAIIV A ,. v0u‘ nun ovv'olow Plate 1. Control Hampshire ewe number 421 about 2 1/2 months after lambing. Note the negligible regrowth of wool. 44 Plate 2. Hampshire ewe number 505 about 2 1/2 months after lambing and thyroprotein treatment. Note that wool has regrown to a length of 2.0 cm. 45 that secondarily, T4 stimulates increased amino acid incor- poration into newly synthesized protein (Sokoloff and Kaufman, 1961) for wool growth. Suffolk ewes have a higher serum T4 level than do Hampshire ewes, as previously discussed. This may explain why Suffolks rarely show wool slippage during lactation. The fact that the incidence of wool slippage is greater in Shropshire than Hampshire ewes could mean that the serum T4 is lower in the Shropshire breed than in the Hampshire breed. The study by Henneman gt_§l. (1955) would tend to support this hypothesis. In their study the mean TSR of nonlactating ShrOpshire and Hampshire 2—year-olds was 0.17 and 0.28 mg T4 per day, respectively, during January. Griffin _£Mgl. (1962) also reported a significantly reduced TSR in Shropshire rams as compared to Hampshire rams, regardless of the season of year. The problem of postpartum a10pecia is not exclusively confined to Hampshire and Shropshire ewes. Morris (1969) reported a similar condition in lactating bitches, especial- ly in Great Danes, Beagles, and many long-haired show dogs. The cause was hypothesized to be a low-energy maintenance ration. The etiology of postpartum Alopecia areata in man remains unknown and as yet no causal therapy has been found. .Gip gt gl.(1969) reported in their study that women with.Alopecia areata exhibited a manifest improvement during pregnancy followed by a marked deterioration after 46 parturition. It is interesting that hair loss should be alleviated during pregnancy (a time of elevated serum T4 in women) followed by a severe loss after parturition (at the onset of lactation) when serum T4 is probably reduced as it is in the rat, cow, and ewe. No records on breast— feeding were reported in Gip's investigation. .Thyroxine therapy has been utilized in the past as an effective treat- ment for increasing milk yield in women suspected of having reduced thyroid function (Robinson, 1947a; Roche §t_§l,, 1950; Romani, 1951). If the etiology of postpartum alopecia is related to the status of the thyroid, T4 therapy might also prove beneficial in this instance. Table 5 shows serum T4 values in lactating Hampshire ewes fed phenothiazine, which is routinely used as an anthelmintic. Again, as in Figure 5, it can be seen that serum.T4 is significantly reduced during lactation from 8.44 to 6.44 pg T4/100 ml (p <:.02). When phenothiazine was withheld from the diet the average serum T4 level during lactation was significantly elevated to 8.41 ug T4/100 ml (p