EFFECTS OF ADRENAL CORTICAL AID PITUITARY HORMONES ON INITIATION AND MAINTENANCE OF LACTATION IN RATS by Robert Merrill Johnson AN ABSTRACT Submitted to the School for Advanced Graduate Studies of Michigan State University of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Physiology and Pharmacology 1957 Approved by ProQuest Number: 10008533 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. uest ProQuest 10008533 Published by ProQuest LLC (2016). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States Code Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 4 8 1 0 6 - 1346 Robert Merrill Johnson 1 ABSTRACT 1* In Experiment I, physiological saline (0*85 percent) or 2 mg, doses of ACTH, cortisone or hydrocortisone were in­ jected daily for days into ij.2 intact, mature female rats, 10 All three hormones produced growth of ducts, y lobule-alveolar development, and secretory activity in the mammary glands. This was most marked for cortisone and least for ACTH at the dose levels employed, 2, Cortisone increased pituitary prolactin content by about 23 percent, hydrocortisone by about Lpl percent, and ACTH by about 71 percent, 3, In Experiment II, 100 mature female rats were ovariectomized and divided into ten groups of according to weight. rats each, Eight groups were divided into two major groups of L|_0 rats each (four groups of maining two groups 10 (20 10 each) and the re­ rats each) were used for controls. The treatment of the groups was as follows: (1) controls, saline only, (2 ) controls, 1 mg. cortisone only. The two major groups received either 5 ug. or 10 ug. of estrone. Within these two major groups cortisone was administered to each sub-group as follows: daily, L}.) J4.. mg. daily. l) none, 2 ) 1 mg. daily, 3 ) 2 mg, All injections were made for 10 days, Cortisone alone stimulated lobule-alveolar develop­ ment and secretory activity in the mammary glands of the ovariectomized rats. However, mammary growth was not as pronounced as observed in the intact rats of Experiment I. On the other y: Robert Merrill Johnson 2 hand, when cortisone and estrone were given together, marked lobule-alveolar development was elicited and secretory activity was greatly increased, 5• Cortisone augmented the pituitary prolactin content of ovariectomized-estrone treated rats at the 1 m g , level. However, when I4. mg, of cortisone was given daily with 10 ug, ^ of estrone, there was an inhibition of estrone action on the pituitary, 6 . In Experiment III, the effects of cortisone on galac- topoiesis was studied in 30 mature female rats. These rats were bred and at parturition their litters were reduced to young each. 7 The dams were injected daily during an 18-day post­ partum period with 0.25# 0,5 or 1.0 mg. of cortisone. The lac­ tational response was measured by the use of litter growth rate. The rats receiving 0.5 mg* cortisone showed a significant in­ crease in milk yield during the peak (6 th- 1 0 th day post-parturn) and during the declining phase of lactation (llth-l 8 th day post-partum). Cortisone at the 1.0 mg. level only slightly Increased the average litter growth during the 18 -day experimental period. However, during the declining phase of lactation, significant increases In litter weight gain were noted over that of the controls. 6. Experiment IV. The results of Experiment III were confirmed in In addition, injections of cortisone were continued for 10 days after the young were removed (l8 th- 2 8 th Robert Merrill Johnson 3 day), In order to study its effects on mammary involution. was found that cortisone at the mammary involution. 1.0 It mg. level markedly retarded These mammary glands were comparable to those of an untreated rat 5 days after removal of the young. Cortisone at the 0.5 nig. level produced slightly less retarda­ tion of mammary disintegration, comparable to that of an un­ treated rat six days after removal of its litter. 7. In Experiment IV the effect of growth hormone, prolactin, oxytocin ana ACTH on galactopoiesis and mammary involution were studied. Prolactin given at a dosage of 1 mg. daily increased the average litter weight throughout the 18-day post-partum period. These increases were about equal to those of the rats treated with 0.5 nig. of cortisone aaily. When cortisone, prolactin and growth hormone were administered to­ gether, the response was of about the same magnitude as cor­ tisone or prolactin alone. Thus no synergistic action on galac­ topoiesis was exerted by these hormones. Growth hormone, when given alone, did not increase lactation. 8. Prolactin (1 mg.) or prolactin, cortisone and growth hormone given together, retarded mammary involution comparable to that of a maraaary gland of an untreated rat 5 days after removal of the young. Growth hormone alone at the level employed did not retard mammary involution. 9. Oxytocin and ACTH exhibited galactopoietic effects in parturient rats comparable to those of prolactin or cortisone-treated rats. However, the former two hormones Robert Merrill Joimson showea no ability to retard mammary involution following re­ moval of the young for 10 days. 10* In Experiment V, suckling decreased the pituitary prolactin content in lactating rats. Electrical stimulation of the cervix of lactating rats appeared to increase pituitary prolactin content over that of non-sucklea or suckleu rats. Injections of oxytocin appeared to produce a large increase in pituitary prolactin content over that of suckled, non-sucxled or electrically stimulated rats. It appears, therefore, that neither oxytocin nor electrical stimulation of the cervix in­ duces a release of prolactin from the pituitary. EFFECTS OF ADRENAL CORTICAL AMD PITUITARY HORMONES ON INITIATION AND MAINTENANCE OF LACTATION IN RATS by Robert Merrill Johnson A THESIS Submitted to the School for Advanced Graduate Studies of Michigan State University of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Physiology and Pharmacology 1957 Dedicated. to my wife TABLE OF CONTENTS Page INTRODUCTION 1 REVIEW OF LITERATURE k Hormonal Control of Mammary Growth 1, Estrogens 2. Progesterone 3* Anterior Pituitary Hormones Ij.* Adrenal Cortex 5« Involution of the Mammary Gland during Lactation Factors Controlling the Initiation and Maintenance of Lactation 1* Role of the Anterior Pituitary 2. Adrenal Cortex 3* Suckling Reflex Attempts to Increase Lactation (galactopoiesis ) or Maintain Established Lactation with Hormones k 5 6 8 10 $ 13 17 EXPERIMENTAL I. II. III. IV. V. EFFECTS OF ACTH AND ADRENAL CORTICAL HORMONES ON MAMMARI GROWTH AND PITHITART PROLACTIN CONTENT IN INTACT RATS 20 EFFECT 01' ESTRONE AND CORTISONE ON PITUITARY PROLACTIN CONTENT AND EAMMARI GROWTH OF 0 VARIECTOMIZED RATS 25 EFFECTS OF CORTISONE ON GALACTOPOIESIS IN T h e RAT 32 EFFECTS OF CORTISONE, GROWTH HORMQN e , PROLACTIN, OXYTOCIN AND ACTH ON LACTATION AND INVOLUTION OF MAMMARY GLANDS IN RATS ko FACTORS INFLUENCING THE RELEASE OF PROLACTIN IN SUCKLING MOTHER RATS 58 DISCUSSION 62 SUMMARY 66 BIBLIOGRAPHY 72 APPENDIX 81 LIST OF TABLES TABLE 1« PAGE Effects of cortisone, hydrocortisone and ACTH on mammary growth and pituitary prolactin content of rats 23 Effect of estrone ana cortisone on pituitary prolactin content of rats 29 Effect of cortisone on body weights of dams and litters, and on adrenal weights of rats 36 ip. Effects of cortisone on litter weight gain in rats 37 5* Effects of cortisone on "instantaneous growth rate" of rat litters 38 Effects of cortisone, growth hormone, prolactin, oxytocin and ACTH on body weight of rat mothers and litters u 2. 3« 6. 7* 8. 9* Effects of cortisone, growth hormone, oxytocin, prolactin and ACTH on body weights of rat litters 47 Effects of cortisone, growth hormone, prolactin, oxytocin and ACTH on "instantaneous growth rate" of litters 48 Release of prolactin in suckling mother rats 61 LIST OF FIGURES FIGURE 1# 2. 3* ip. 5* Photomicrographs of mammary glands from rats receiving saline, cortisone, hydrocortisone or ACTH 2lp Graph showing the effects of estrone ana cortisone on pituit ary prolactin content 30 Photomicrographs ofmammary glanas from rats receiving saline, 10 ug, estrone, 1 mg. cortisone, or 10 ug, estrone plus 1 mg. cortisone 31 Graph showing tne effects of cortisone weight gains in rats 39 on litter Graph showing the effects of cortisone, growth hormone, prolactin, oxytocin ana aCTH on litter weight gains in rats 49 6. Photomicrograph of a control mammary glana from a rat 10 days after young have been removed 50 7. Photomicrograph of a mammary gland from a rat receiving 1 mg, cortisone daily for 10 days after young were removed 51 Photomicrograph of a mammary gland from a rat receiving 0 ,5 mg, cortisone daily for 10 days young were removed 52 8. 9* 10. after Photomicrograph of a mammary gland of arat receiving 1 mg, growth hormone daily for 10 days after young were removed 53 Photomicrograph of a mammary gland of arat receiving 1 mg. prolactin daily for 10 days after young were removed 51f 11. Photomicrograph of a mammary gland of a rat receiving 0 . 5 mg. cortisone, 1 mg. prolactin, ana 1 mg. growth hormone daily for 10 days after youngwere removed 55 12. Photomicrograph of a mammary gland from a rat receiving 0.5 I* U. oxytocin twice daily for 10 days after young were removed 56 Photomicrograph of a mammary gland from a rat receiving 1 mg. ACTH daily for 10 days after young were removed 57 13* Figure 111 # 15. 16. 17• 18. 19* 20. 21* 22, 23* Photomicrograph of after removal of Page a control mammary gland immediately young 83 Photomicrograph of a control marrmary gland from a rat one day after removal of young 84 Photomicrograph of a control mammary gland from a rat two days after removal of young 85 Photomicrograph of a control mammary gland from a rat three days after removal of young 86 Photomicrograph of a control mammary gland from a rat four days after removal of young 87 Photomicrograph of a control mairmary gland from a rat five days after removal of young 88 Photomicrograph of a control mammary gland from a rat six days after removal of young 89 Photomicrograph of a control mammary gland from a rat seven days after removal of young 90 Photomicrograph of a control mammary gland from a rat eight days after removal of young 91 Photomicrograph of a control mammary gland from a rat nine days after removal of young 92 ACKNOWLEDGMENTS The author wishes to express his sincere gratitude to Dr. J. Meites, Professor, Department of Physiology and Pharma­ cology, for his generous assistance ana constructive criticism \ throughout the course of this work ana during tne preparation of the manuscript. He also wisnes to express his appreciation to Dr. B. V. Alfredson, head of tne Department of Physiology and Pharmacology, for providing facilities a m to carry on these experiments; labpratory space to Dr. E. P. Reineke whose assis­ tance and advice were most helpful during Dr. J. Meites' sabbatical leave; and tc Dr. A. T. Hardy, H. D., Sparrow Hospi­ tal, for his assistance in the reading of the histological sections. The author also wishes to thank Dr. J. E. Nellor, Dr. G. Hoppert, Dr, L. F. Wolterink and Dr. W. D. Collings, for their advice during the course of this work. Thanks are also due Dr. C. E. Black, M. D., Pathologist, Sparrow Hospital, for the use of laboratory facilities, Miss V. Perkins for her technical assistance, Mr. John Monroe for his help in the care of experimental animals and Miss Joan Ahrenhold, Mr. Gene Flamboe and Mr. Robert Collins who assisted in con­ ducting parts of the experiments. Thanks are also due Dr. E. Smith for her assistance in preparing the photomicrographs. The author wishes to thank Dr. L. Michaud of Merck and Company, Rahway, N, J., for the cortisone acetate and hydrocortisone acetate, Dr. I. Bunding of Armour Laboratories, Chicago, Illinois, for ACTH and growth hormone, and Dr, A. Borman of Squibb and Sons, New Brunswick, N. J,, for the pro­ lactin used In this work. The writer is indebted to the Michigan Agricultural Experiment Station, American Cancer Society and the Committee for Research in Problems of Sex of the National Research Coun­ cil for providing financial support to Dr. J. Meites, which enabled the author to carry out this work. The author is particularly obligated to the Department of Physiology and Pharmacology for providing a Graduate Assistantship for the three years of this work. 1 INTRODUCTION It is widely accepted that mammary growth requires es­ trogen for duct growth, and progesterone and estrogen in com­ bination for lobule-alveolar development* In some species, I*e., the guinea pig, cow, goat, etc., estrogens alone in suf­ ficient amounts are capable of producing lobule-alveolar growth. A possible explanation is that the guinea pig and other species may be able to secrete progesterone or other adrenal cortical hormones from the adrenal cortex under estro­ gen stimulation, which may stimulate lobule-alveolar mammary growth (Hohn, 1957). Desoxycorticosterone (DCA) has about one-third the mam­ mary growth activity of progesterone in mice (Mixner and Turner, 1914-3) and it is able also to stimulate mammary growth in guinea pigs (Van Heuverswyn, ejt al, 1939; Nelson, 1937). The importance of the adrenal cortical hormones for the maintenance of lactation Is well established. Adrenalectomy during lactation results in cessation of lactation, but if the adrenal cortical hormones are replaced, lactation can be main­ tained. It has not been definitely established whether these hormones are only necessary for the general maintenance of / carbohydrate, protein and electrolyte metabolism in the body as a whole, or if they have a more direct role in the initia­ tion and maintenance of lactation. 2 It has been established that lactation in most mammals rapidly reaches a peak and then slowly declines over a long period of time* Attempts have been made to increase milk yield during lactation by the use of hormones. Crude anterior pituitary extracts given during the declining phase of lacta­ tion in cattle produces a temporary increase in milk secretion (Asimov and Krouze, 1937; Folley and Young, 193^). A more pro­ nounced increase can be obtained by the injection of growth hormone while the galactopcietic effect of purified prolactin is relatively small (Folley, 1955)* This suggests that prolactin is not the only hormone responsible for the galactopoietic potency of the pituitary, and that other hormones of the pituitary may act synergestically with prolactin. Despite its low galactopcietic potency, prolactin is essential for the ini­ tiation and maintenance of lactation. Other factors leading to the decline in lactation are the involutionary changes in the mammary gland (Selye and McKeown, 193l+; Turner and Reineke, 193&)* It is well established that suckling or milking causes the release of pitocin and pro­ lactin which may be at least partially responsible for the main­ tenance of the mammary gland. Williams (191-1-5) has shown that prolactin is capable of retarding mammary involution in par­ turient, non-suckled rats. However, little is known of the action of other hormones on the maintenance of tne mammary gland during lactation. The adrenal cortex may play a role 3 since Gregoire (191+7) and others have shown that ACTH is re­ leased during suckling. This thesis is an attempt to provide additional in­ formation on the relation of the adrenal cortex ana pituitary hormones on the initiation and maintenance of lactation. specific problems studied were: The (l) the effects of adrenal glucocorticoids and ACTH on mammary growth and secretion; (2) the effects of ACTH and glucocorticoids on pituitary pro­ lactin content; cortisone, (3 ) tne possible galactopoietic effects of prolactin, oxytocin, ACTH and growth hormone in lactating rats; (1+) the effects of all these hormones on the retardation of mammary involution after parturition, and (f>) the effects of oxytocin on prolactin release in the lac­ tating rat. b REVIEW OP LITERATURE Hormonal Control of Mammary Growth Estrogens It was concluded in earlier work that duct growth could be induced with estrogen alone, but that complete development of the lobule-alveolar systems required progesterone as well. While estrogen stimulates duct growth in all species, the lobule-alveolar response to estrogens varies among different species. For example, in the mouse, estrogen-induced growth has been reported to be limited to the duct system with no lobule-alveolar development (Bradbury, 1932; Turner and Gomez, 193W • In the rat estrogen induces a limited lobule-alveolar development (Turner and Schultz, 1931)> while in the guinea pig estrogen will cause complete lobule-alveolar development (Nel­ son, 1937). With the development of synthetic estrogens a number of workers have been able to produce fairly large milk yields in dairy cows and goats from estrogenic treatment alone, which suggests that this hormone may induce some lobale-alveolar development. (Mixner, Meites and Turner, 19l|l}., in goats; Folley, Steward and Young, 19i|4* in cows; Walker and Stanley, 1940* in spayed heifers.) 5 Mixner and Turner (19l|3) reported that lobule-alveolar development in the goat udder stimulated by diethyIstilbestrol was not normal in appearance. The alveoli were oversized and papillomatous outgrowths of the epithelium projected into the lumen. However, when progesterone was administrated along with diethylstilbestrol, normal alveolar development occurred. It should be pointed out that in these experiments and in those reported by Nelson (1937) in the guinea pig, there is the pos­ sibility of intervention by extra-ovarian progesterone or other steroids from the adrenal cortex. Thus the ability of estrogens to induce some lobule-alveolar growth does not rule out the need for progesterone or progesterone-like compounds. Progesterone That the corpus luteum of pregnancy has a definite role in developing the mammary gland was shown early by Nelson and Pfiffner (1930, 1931)* They were able to obtain lobule- alveolar development in male and spayed female rabbits, rats and guinea pigs with injections of crude corpus luteum ex­ tracts, However, Turner and Schultze (1931) observed that crude progesterone itself had very little effect on mammary growth unless estrogen was given first as a primer. and Hill (193&) » on the other hand, Gardner showed that large aoses of progesterone alone were capable of producing good lobulealveolar development in mice. Mixner and Turner (19i|3) sug­ gested that the ability of small doses of progesterone to j 6 elicit lobule-alveolar development in the presence of estrogen was due to the action of estrogen in producing hyperaemia of the mammary stroma, leading to an increased vascular perme­ ability. This provides an easy access to the gland of proges­ terone and other mammary stimulating hormones needed for the growing tissues. Anterior Pituitary Hormones The work of Corner (1930) and Lyons and Catchpole (1933) demonstrated a mammary growth response to anterior pituitary extracts, suggesting that this gland plays a role in normal mammary development. However, other workers failed to stimu­ late mammary growth with estrogen alone or with estrogenprogesterone combinations in hypophysectomized animals. (Reece, Turner and Hill, 1937; Gomez and Turner, 1937a, in the rat; Gomez and Turner, 1937a, in the guinea pig.) As a result of the above findings Turner postulated the ’’mammogen theory . 11 He stated that the ovarian hormones, es­ trogen and progesterone, do not exert their growth stimulus directly on the mammary gland but evoke their effects through the anterior pituitary, which secretes a wduct-stimulating hormone 11 and a f,lobule-alveolar hormone . 11 These were named 1fMammogen I,** the duct growth factor stimulated by the action of estrogen, and "Mammogen II” the lobule-alveolar factor elicited by progesterone stimulation. To support this theory, Turner and his students in a series of papers, (Gomez and 7 Turner, 1937a; Gomez, Turner and Reece, 1937 ; Gomez and Turner, 1938) showed that pituitaries from estrogen-primed rats would induce mammary growth while pituitaries from un­ treated rats had no effect in the hypophysectomized male guinea pig* When pituitary extracts from pregnant cows were injected into rats, a greater degree of mammary growth was produces than with pituitary extracts from non-pregnant cows* Nelson (191+1) and Folley et^ &1 (19i.p0) showed that topical ap­ plication of estrogens to rudimentary mammary glands of guinea pigs and goats respectively, produced mammary development while adjacent non-treated glands showed little or no growth* This suggested that estrogens acted directly on the mammary gland* Mixner and Turner (191+3) interpreted these results to mean that topical applications elicited a localized hyperaemia in the gland which enabled sub-threshold levels of mammogens to become effective* Lyons (191+2) reported convincing evidence that pituitary prolactin may be a growth-stimulating factor by obtaining lo­ calized alveolar growth following intraductal injection of prolactin in the teats of rabbits. In hypophysectomized rats, Lyons (191+3) was able to obtain well developed mammary glands by injecting estrogen and prolactin combinations* Lyons et al (195?) showed that in hypophysectomized, gonadectomized imma­ ture male rats, it was possible to produce different degrees of development of the female mammary glands by the following sequence of injections: (1 ) estrone and growth hormone 8 produced mammary duct growth, (2 ) estrone, progesterone and prolactin produced lobule-alveolar growth comparable to early pregnancy, (3 ) estrone, progesterone, lactogenic and growth hormone produced lobule-alveolar development comparable to late pregnancy, (I4.) prolactin, growth hormone and hydrocortisone acetate initiated milk secretion in the fully developed glands. It seems logical to conclude therefore, that the ovarian hor­ mones stimulate mammary growth best in the presence of anterior pituitary hormones. The "mammogenic hormones 11 of the anterior pituitary appear to be prolactin, ACTH and growth hormone. Adrenal Cortex The role of the adrenal cortex in mammary development is not yet fully understood. Trentin and Turner (19JLp7) reported that adrenalectomy reduced mammary growth in rats, while Smithcors and Johnston (l9 lj-8 ) found an increase in mammary growth in adrenalectomized rats. Van Heuverswyn ot_ al (1939) and Nelson (1937) noted that desoxycorticosterone (DCA) stimulated duct growth in mice and guinea pigs respectively. Mixner and Turner (191p3) reported that DCA had about l/3 the mammary growth activity of progesterone In mice. Turner and Meites (19lp7) observed that DCA did not augment the pituitary prolactin con­ tent in female rats. Recently the mammary growth effects of ACTH and the glucocorticoids have become the subject of investigation. Nelson (l9ipl) noted that crude ACTH preparations stimulated 9 mammary growth in hypophysectomized rats. However, Flux (1954) observed that cortisone, hydrocortisone and ACTH produced in­ hibition or mammary growth when injected into estrone-treated, ^ ovariectomized mice of the CHI strain. When given alone, ACTH and the glucocorticoids were without effect on the mammary glands of ovariectomized mice. In contrast Selye (1954®-) found substantial mammary development and secretory activity when hydrocortisone and ACTH were injected into ovariectomized rats, estradiol. Selye previously primed with (1954^) further reported that adrenalectomized and ovariectomized rats treated with hydrocortisone and estra­ diol showed marked mammary development and secretion. When hydrocortisone was given alone, mammary growth was reduced and confined to the ducts. Hohn (1957) has recently reported that In the adrenalectomized guinea pig, estrone alone was incapable of producing lobule-alveolar development and elicited only duct growth, sug­ gesting an adrenal involvement in mammary growth by estrogen. The hormones responsible for the lobule-alveolar growth of the mammary gland may be progesterone or other adrenal-cortical hormones with progesterone-like activity. This probably e x ­ plains why Nelson (1937) was able to obtain full mammary growth in the intact guinea pig with estrogen Injections alone. Involution of the M ammary Gland during Lactation Failure to remove milk from the mammary glands leads to rapid disintegration of the lactating glad to a resting condition, which closely resembles that seen in virgin ani­ mals * Williams (l9lj-2) noted that In the mouse there is a rapid engorgement of the gland with secretion upon the removal of the young* This is followed by absorption of the milk. By the third day after removal of the young the mammary glands of the dams are still morphologically intact* However, from the fourth day onward there is a rapid regression of the paren­ chyma* The alveoli collapse and the small interlobular ducts disintegrate, leaving the collapsed alveoli as isolated cell masses* Finally the site of the alveoli and small ducts are infiltrated with corpuscles. The larger ducts show very little degeneration but are reduced in size* Cessation of milking or the removal of young are not the only factors responsible for mammary involution. the peak of lactation has been reached, After a period of decline follows in which secretory activity gradually decreases despite the fact that the animal still produces milk. Whether this is due to decrease in hormones stimulating lactation, decreased secretory rate of the individual alveoli, or to degeneration of the alveoli is not definitely known. Selye and McKeown (193^) observed that despite a strong and continuous suckling stimulus, the mammary glands of 11 mice will involute over a period of time. Turner and Reineke (1 9 3 6 ) reported that in advanced stages of lactation in the goat, involution was almost complete with only a small number of active alveoli still present. When milking was suspended on one side of the udder of an actively lactating goat, while continuing milking on the other side, they observed that in­ volution was retarded in the side not milked. This seems to demonstrate that the milking stimulus is necessary to maintain the integrity of the gland, Selye (193U) also demonstrated that suckling is of prime importance in preventing the rapid involution of the mammary gland. If he ligated the galactophores of a rat, thus pre­ venting milk from being withdrawn, and permitted active suckling by the young, rapid involution did not take place. When some of the nipples were excised to prevent suckling, mammary invo­ lution was retarded provided the other nipples were suckled. Hooker and Williams (19JL}.0, 19i|l) observed the same phenomenon in mice although they did note some involution that was not characteristic of post-weaning involution. Hooker and Williams (l9ipl) applied turpentine to the nipples of lactating mice isolated from their young in an at­ tempt to mimic the suckling stimulus by irritation. They re­ ported that mammary involution was retarded in the treated glands and even in the untreated glands to a lesser degree. Reece and Turner (1937a) reported that pituitary pro­ lactin content decreased in cows upon resumption of milking 12 after a period of milking* This was also demonstrated to be true when the galactophores in rats were ligated, thus showing that decreased milk secretion was related to the milking stimu­ lus rather than to the removal of milk from the gland* It was further demonstrated that suckling in rats and rabbits main­ tained a higher prolactin secretion than in unsuckled animals (Meites and Turner, 19i|-8b) * Williams and Hooker (19i.pl) and Williams (191+5) showed that prolactin injections of 20-60 I# U. daily retarded mam­ mary involution In mice after the young were removed* Pro­ lactin maintained lobule-alveolar and duct system similarly to mammary gland of mice at parturition when Injected over a seven-day period. That the suckling stimulus influences the release of other anterior pituitary hormones than prolactin has been demonstrated by Desclin (19^4-7) • He showed that when rats were spayed at parturition and the galactophores were ligated, the appearance of castration cells in the pituitary could be prevented if suckling was continued* Gregoire (19^7) reported that thymic involution resulting from gestation could be maintained in rats spayed at parturition if the suckling stimulus was continued* 13 Factors Controlling the Initiation and Maintenance of Lactation Role of the Anterior Pituitary Strieker and Grueter (1928) were the first to demonstrate that lactation could be initiated in ovariectomized, pseudo­ pregnant rabbits by injections of anterior pituitary extracts* This was the first step in demonstrating that lactation was not only inhibited by the products of pregnancy, but a definite hormonal stimulus was required for the initiation of lactation* The factor necessary for this stimulus was demonstrated to be prolactin (Riddle and Bates, 1939; Lyons, 191-4-8). 1914-2 ; Meites and Turner,* The latter two groups of workers showed that small quan­ tities of prolactin injected into the galactophores of nonlactating rabbits with fully developed mammary glands evoked a localized lactation, indicating that prolactin acts directly on the epithelial cells* The reports of several workers (Gomez and Turner, 1938, 1937b; Nelson and Gaunt, 1938, 1937b) suggested that other anterior pituitary hormones than prolactin were necessary for the initiation of lactation in hypophysectomized animals since crude extracts of the anterior pituitary initiated lactation in such animals while purified prolactin extracts did not. ACTH appears to be one of these hormones, since lactation can be initiated In hypophysectomized guinea pigs with purified prolactin extracts and ACTH or adrenal cortical extracts (Gomez and Turner, 1938, 1937b; Nelson and Gaunt, 1937b)* Recently Lyons et al (1953) have shown in hypophysectomized rats that lactation can be initiated with combinations of prolactin, growth hormone and cortisone or ACTH, provided the mammary glands are fully developed. This is further proof of the necessity for other pituitary hormones than prolactin to ini­ tiate lactation in hypophysectomized animals. however, Prolactin alone can initiate lactation in intact animals with develop mammary glands, with the possible exception of the rat (Meites and Turner, 19l|-8)* Adrenal Cortex It has been clearly established that adrenalectomy interrupts established lactation. Adrenalectomy before par­ turition does not prevent the Initiation of lactation but lactation will not be maintained (Gaunt, 1933; Carr, 1931)* However, there is some disagreement as to which cortical steroids are responsible for the maintenance of lactation. Gaunt et al (19i|2) reported that cortisone was able to com­ pletely maintain lactation in rats adrenalectomized the day after parturition. However, DCA only partially maintained lactation. Folley and Cowie (I9l|i;) and Cowie and Folley (l9l|-7) have shown that DCA is more effective than cortisone in main­ taining lactation in rats adrenalectomized on the fourth day after parturition. However, there was not a complete restora­ tion of lactation with these compounds when given individually 15 Even when dietary protein was increased by 50 percent, so as to favor the action of the glucocorticoids, the lactational response was subnormal* Cowie (1952) was able to obtain com­ plete maintenance of lactation in adrenalectomized rats by the implantation of cortisone and DCA pellets* Reece (1939) initiated a higher degree of milk secretion (++♦) in pseudo- ^ pregnant rats when prolactin was given together with adrenal cortical hormones and 20 percent glucose solution, than with prolactin alone (++). Brownell, Lockwood and Hartman (1933) postulated the existence of a specific adrenal cortical hormone, !,cortilactin*” However, Hurst, Meites and Turner (19I4.2 ) were unable to detect any pigeon crop-stimulating activity in adrenal extracts from several species. The circulating levels of the adrenal corticoids (17hydroxicorticosteroids) begin to rise early in pregnancy and remain high until shortly after parturition (Gemzell, 1953)* Venning (19l|-6) has also shown a progressive rise in excretion of the glucocorticoids in women beginning early in pregnancy. There is a significant reduction of circulating leukocytes during suckling in the lactating rat and mouse. However, this may be due to removal of leukocytes via the milk. Tabachnick and Trentin (1951) have suggested a possible involvement of the adrenal in this lymphopenia of lactation, since they found a significant decrease in the mean ascorbic acid of the adrenals in suckled as compared to non-suckled mice. 16 Folley and his group reported the effects of hormones on the metabolism of mammary gland slices in vitro. After parturition the R. Q. of the mammary gland in the presence of glucose or glucose plus acetate was above unity (Folley and French, 1914-9). A composite respiratory curve showed that mam­ mary gland slices from 20 -day pregnant rats, incubated in bi­ carbonate saline buffer with glucose plus acetate added, produced an over-all fall in pressure while mammary tissue from lactating rats exhibited a rise in this curve (Balmain and Folley, 1952). When prolactin was added to mammary gland slices from rats pregnant 20 days there was no effect on respiration. However, cortisone produced an increase in respiration. Cortisone and prolactin did not give any greater increase in respiration than cortisone alone. These English investigators further found that prolac­ tin added to mammary slices of rats 1-5 days after parturition elicited an increase in respiratory activity. They suggested that cortisone conditions the mammary gland before parturition and that after parturition the gland is able to respond to prolactin. This remains to be proved. Suckling Reflex Suckling is known to evoke the release of oxytocin through a neurohormonal reflex (Ely and Peterson, 19^1; Cross, 1955&* h). Reece and Turner (1937) have also demonstrated that suckling results in release of prolactin from the pituitary, 17 and Meites and Turner (191^-8) showed that suckled rats and rab­ bits contained more prolactin in their pituitaries than non­ suckled animals* of lactation. Suckling is not necessary for the initiation At parturition, although neither maximum milk production nor maximum pituitary prolactin content is attained without it. Benson and Folley (1958) reported that release of pro­ lactin could be stimulated by treatment with oxytocin, as judged by the appearance of secretion in the mammary gland. However, they did not actually measure prolactin secretion. These investigators inhibited the decline in milk secretion in rats which had their young removed, by injecting I I . U. of oxytocin three times daily from the fourth to the thirteenth day after parturition. They suggested that impulses arising from sensory fibers of the mammary gland stimulates the poster­ ior pituitary to release oxytocin, which in turn produces a release of prolactin. Attempts to Increase Lactation (Galactopciesis) or Maintain Established Lactation with Hormones It has been established that lactation in most mammals rapidly reaches a peak and then slowly declines over a long period of time. Attempts have been made to Increase milk yield during lactation by the use of hormones. Folley and Young (1939) have classified hormones with this ability as "galactopoietic.,t It is important to emphasize that these "galactopcietic” 18 agents may not necessarily play a role in the initiation of lactation (lactogenesis)• Azimov and Krouze (1937) were the first to demonstrate galactopoietic activity in crude anterior pituitary extracts during the declining phase of lactation in cattle. They showed that injections of ox anterior pituitary into cows produced a marked but temporary increase in milk (lasting 5 to 6 days). Folley and Young (193$) confirmed this work in cows, using purified prolactin and growth hormone preparations. These workers found that a single injection produced a mean increase in milk yield of about percent. 10 Folley and Young (1939, 191+0) were able to substantially increase yields in cows by 15-20 percent by injecting crude ox pituitary extracts every other day over a three-week period. The lactation curves obtained by pituitary treatment during the declining phase of lactation were identical in slope with untreated cows. They also showed that crude pituitary extracts did not affect the peak of lactation nor delay the onset of the decline of lactation. Cotes et al {191+9) showed that growth hormone given as a single injection of milk yields. 30 mg in cows, substantially increased This was confirmed by Donker and Petersen (1951)* Shaw (1955) treated a few cows at parturition with growth hor­ mone and was able to increase lactation during the entire lac­ tational curve over that of untreated control cows. ACTH injections exerted an inhibitory effect on lacta­ tion in cows (Cotes e_t al, 191+9)* This action does not seem to 19 be in agreement with the view that ACTH and the adrenal-cortical hormones are necessary Tor the maintenance of lactation in the adrenalectomized animals described earlier* ages used may have influenced these results. However, the dos­ Roy (I9i|7) claimed that large doses of purified ACTH injected every other day, in­ creased lactation during the declining phase as much as percent. 20 When prolactin was added to the ACTH preparation there was no significant increase above that of ACTH alone. Hater wcrk by Folley (1955) indicated that ACTH is only capable of inhibiting rather than augmenting lactation in cows. 20 EXPERIMENT I. EFFECTS OF ACTH AND ADRENAL CORTICAL HORMONES ON MAMMARY GROWTH AND PITUITARY PROLACTIN CONTENT IN INTACT RATS Procedure This experiment was performed to determine the effects of cortisone, hydrocortisone and ACTH on mammary development and pituitary prolactin content in intact female rats. Forty-two mature female albino rats, of the Carworth strain, were divided into four groups and injected daily for 10 days as follows: 1 , controls, 0-85 percent saline; 2 , 2 mg cortisone; 3> 2 mg hydrocortisone; and If, 2 mg (2 I- U.) ACTH (Armourfs). volumes. All injections were made subcutaneously in 0.1 cc On the 11th day the rats were killed and the pitui- taries were removed, weighed and prepared for prolactin assayThe prolactin content of the pituitaries from each group of rats was assayed in 5 or 6 white Carneau pigeons by the sensitive intradermal method of Reece and Turner (1937)In one group of 6 pigeons, the control pituitaries were injected over one crop sac and directly compared with the pituitaries from the hydrocortisone-treated rats, injected over the other crop sec. In another group of 5 pigeons, the pituitary sus­ pension from the cortisone-treated rats was directly compared with the pituitaries from the ACTH-treated rats. of 2 Thus a total rat pituitaries were injected over each crop sac during a 21 four-day period. On the 5 th day the pigeons were killed and the crop glands were removed and rated visually for degree of proliferation. The right inguinal mammary gland was dissected from each rat and prepared for gross mounting and for fixing in Bouinfs Fluid. Standard histological staining procedures were employed, using hematoloxylin and eosin. Each of the excised mammary glands was rated (0 —2_p) for degree of development and secretion. Results These findings are summarized in Table 1 and Figure 1 . Cortisone and particularly hydrocortisone inhibited body growth while the dose of ACTH employed had no effect on body growth. The mammary glands of the controls showed mostly bare ducts with little branching, and few to moderate number of ductal buds. Cortisone and hydrocortisone induced marked branching of the ducts and considerable lobule-alveolar development. | ACTH was least effective in eliciting mammary growth, but pro­ duced moderate branching of the ducts and limited lobule- alveolar growth. Cortisone was the most effective in inducing secretory activity in the mammary glands while hydrocortisone was only moderately effective and ACTH was least effective. no evidence of secretion in the control glands. mammary glands are shown in Figure 1. There was Representative 22 The pituitary weights were not altered by any of the hormone treatments when compared on a body weight basis* However, all three hormones increased the prolactin content of the pituitary. 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Eh CO S I —25I a O 0 3 cd *G o rH 1 NO 03 >> cd TO w o to XA 1 Eh ft? o M CM rH > € P cd CD Eh Eh A - rH vO CD O rH 0P C O 1 —1 O Eh P G o o G a o rd 0 3 P P Eh O O '— P cd 0 O G O 50 w S W} p E P Eh rH P CO XA o o O • Eh P cd 0 O 0 G 50 o S 0 3 P XA P CM Eh o o o • f ■JHs-Standard PQ < E-i XAO r - 0 3 O — i i -=*- two litters were stunted and one dam died of infection. k2 Results As can be seen in Table 6 , there was no significant weight loss in the control dams (groups entire experimental period sone (groups 3 days). (28 1 and 2 ) over the Both levels of corti­ and ip) produced a weight loss. However, this was not as great as that exhibited in Experiment III. Both growth hormone (group 5) and ACTH (group 9) increased the body weight of the dams. The other groups showed no significant changes in body weight. In the rats receiving cortisone, prolactin, oxytocin or ACTH (groups 3* 4* 6 weight gain during the experimental period 0.5 # 8 and 9), there was a significant litter (18 days), while mg. cortisone (group ip) produced the greatest increase in litter weight gain over that of the controls. ceiving growth hormone (group in litter weight. mones (group 7 5 In the rats re­ ) there was no significant gain The rats receiving the combination of hor­ ) also showed a significant increase in the average litter weight gain, but it was no greater than that in the rats given 0.5 mg. cortisone (group ip). Therefore, prolactin and cortisone do not seem to have a synergistic action on milk secretion as judged by gain in weight of the young. The results in Table 7 show that cortisone at the 0.5 mg. level (group ip) only slightly increased lactation during the initial phase (0-5th day). However, milk secretion was significantly increased between the the 7 6 th and 10 th day and during declining phase (llth-l 8 th day) over that of the controls (groups 1 and 2). The rats treated with all three hormones (group 7) and the prolactin-treated rats (group the same trends as the rats treated with O.j?cortisone (group I4.) • Growth hormone (group 5 )» on 6 ) showed the other hand, re­ sulted in no greater gains in litter weight during these periods than in the controls (groups 1 and 2 ). It is interesting to note the results obtained with oxytocin (group 8 ).and ACTH (group 9)« Although their stimu­ lating effect on lactation was similar to that of cortisone, prolactin or the hormone-combination group during the peak phase and declining phase of lactation, there was no effect at all during the initial phase of lactation. When computed in terms of "instantaneous growth rates," the same trends were noted in litter weight gain (Table 8 )• Figure £ shows a graphical representation of these experimental data. Histological examination of the mammary glands reveal striking differences between the different groups (Figures 6-13). The control mammary glands (Figure involution. 6 ) show marked All the alveoli are collapsed or in an advanced state of disintegration. Also, marked fibrosis of the lobules can be seen, despite an apparently normal ductal epithelium. Cortisone (Figures 7 and 8 ), prolactin (Figure 10), and the hormone-combination group (Figure 11) showed definite mainten­ ance of alveolar structure as compared to the controls. In the above hormone-treated groups the alveolar epi­ thelium was intact in most of1 the sections cut# although some degeneration was noted in a few lobules. The greatest amount of degeneration can be seen in the cortisone-treated (0 . 5 mg.) rats (Figure 8 )• these sections. Inspissated secretions were seen throughout These mammary glands (groups 3, ip, 6 and 7) were comparable to control mammary glands from rats five days after the young had been removed. Cortisone at the 0.5 mg. level (group Ip) produced mammary glands which resembled a control mammary gland six days after the young we're removed (see Appendix, Figures 19 and 20). Growth hormone, oxytocin and ACTH appeared to have,little or no effect in retarding involution of the mammary gl^nd. Sections from the mammary glands of these rats showed no marked differences from those in the controls (Figures 9, 12 - and 13). The oxytocin and ACTH-treated groups did show some very sparse but intact alveoli. However, this was also seen in some con­ trol glands. Macroscopic examination of the mammary glands from all groups revealed very few differences at the end of the post-weaning period. hormones, 1 0 -day In the controls and all rats treated w i t h W the larger lobular ducts were intact. However, the smaller interlobular ducts had disintegrated and the lobules were arranged in clusters throughout the parenchyma. cortisone-treated rats (groups ip and (group 6 5 )* in In the prolactin rats ), and in the rats given the combination of hormones 45 (group 7 ) f the lobules appeared more dense and the individual alveoli were larger than those in the control group. These results show a similar galactopoiettc activity for cortisone as in ExperimentfIII, but in addition indicate that prolactin, ACTH and oxytocin also possess an ability to in­ crease lactation. 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G 0) &p *H r;S +3 * L\XAX\X 5 O bO oqia od e 7j *H K “ go OH • Q G O3 0 a* G *H L W W V -P O cd aO rH . fi O «H A On » m cd cd *0 o rH cd rH X3 cd p co O rH Eh w J3 ® t^UA ^ • O f-"S o u o •ri -P LT\ •H I O M - —1 rH G O _ £G O g ~ O sss rH O G -P— Coo O—' o o o O O o o OJ SO rH OJ rH CO PT _ sraea*) ut q.qSx0 ^ A'pog 0X3BJ0AY UA 0> u G bO Facing page Figure 6 . ^0 Control mammary gland f r o m a rat 10 days after young have been removed. Top 1 3 0 x, bottom 250x. Stained with hematoxylin and eosin. 50 Figure 6 Facing page 51 Figure 7. Mammary gland from a rat receiving 1 . 0 mg cortisone daily for 1 0 days after young were removed# Top 1 3 0 x, bottom 250x. Stained w ith he matoxylin and eosin. 51 w m m Figure ?• Facing page 52 Figure 8 . Mammary gland from a rat receiving 0 . 5 mg. cortisone for 1 0 days after young were removed. Top 130x, bottom 250x. Stained with, hematoxylin and eosin. 52 Figure 8* Facing page 53 Figure 9. Mammary gland of a rat receiving 1 mg* growth hormone for 10 days after young were removed* Top 1 3 0 x, bottom 250x. Stained witn h e matoxylin ana eosin • 53 st Figure 9 Facing page Figure 10♦ SU Mammary gland of a rat receiving 1 mg. prolactin aaily for 10 ciays after young were removed. Top 130^ bottom 250x. Stained with hematoxy and eosin. 54 Figure 10 F a c in g Figure 11. page 55 Mammary glanu of a rat receiving cortisone 0.5 prolac tin 1.0 mg . and growth, hormone 1.0 mg. Tor 10 days after young were r e ­ moved. Top 130x, bottom 250x. Stained with hematoxylin and eosin. 55 Figure 11• F a c in g Figure 12. page $6 Mammary gland of a rat receiving oxytocin 0.5 1* ^ » twice aaily, Tor ten aajs after young were r e ­ moved. Top 130x, bottom 250x. Stained with hem atoxylin and eosin. 56 Figure 12* F a c in g Figure 13* page 57 Mammary gland of a rat receiving A C T H 1 mg* for 10 days after young were r e ­ moved. Top 130x, bottom 250x. Stained with hematoxylin and eosin. 57 Figure 13» 58 EXPERIMENT V. FACTORS INFLUENCING THE RELEASE OF PROLACTIN IN SUCKLING MOTHER RATS Procedure The object of this experiment was to determine whether injections of pitocin or a nervous stimulation which produced pitocin release from the pituitary (electrical stimulation of the cervix) results lactating rats. in release of pituitary prolactin of For this investigation, 25 mature female albino rats of the Carworth strain were bred. day after parturition, and were divided into as follows: On the third the dams were removed from their young groups of 5 each. (l) Negative controls. These were treated The dams were separated from their young for 15 hours and were then killed. tive controls. (2) Posi­ After 12 hours of separation from their young, the mothers were returned to their litters for a period of three hours of suckling, at the end of which time the dams were killed. (3) After 12 hours of separation from their young, the cervices of the mother rats were electrically stimulated for a period of one minute with 25 volts, on the 12th, lipth and 15th hours. the last stimulation. their young, 1 3 th, The dams were killed immediately after (ip) After 12 hours of separation from these rats were Injected subcutaneously with 1.0 IT, pitocin on the 12th, 13th, llpth and 15th hours. dams were killed immediately after the last injection. The 59 In all four* groups} the pituitaries were removed from the mother rats immediately after sacrifice on the and were weighed and prepared for prolactin assay. 15 th hour, The prolac­ tin content of the pituitaries from each group of rats was assayed in 20 white Carneau pigeons by the intradermal method of Reece and Turner (1937). In one group of 10 pigeons, the 'positive control (group 2) pituitaries were injected over one crop sac and directly compared with the pituitaries from the electrically stimulated rats (group 3), injected over the other crop sac. In another group of 10 pigeons, the pituitary suspension from the negative control rats (group i) were directly compared with the pitui­ taries from the pitocin-treated rats (group i|). One-quarter of a pituitary was injected over each crop sac during a Jq-day period. On the 5th day the pigeons were killed and the crop glands were removed and rated visually for degree of prolifer­ ation. Results The pituitary weights, when compared on a body weight basis, did not show any significant alteration as a result of the different treatments. The negative controls (group l) showed a significant increase in prolactin content of the pitu­ itary by all three measures of comparison over that of the positive control (group 2) • The electrically-stimulated rats (group 3) also showed a marked increase in pituitary prolactin 60 content over that of both control groups, while the greatest increase occurred in the pitocin-treated rats (Table 9). These results show that suckling decreased pituitary prolactin content, while electrical stimulation of the cervix and pitocin injections apparently increased it. 61 oO o o -rt O 02 -P -H G A2 A, g • O bp a . P 02 &o *H co H IA O IA CO 1A rH rH v£> O G *H N G P 02 -H Pi a cm > G cq 02 g cd a, p •H G p •H P i <—i cd • 3 p > < o n- o 0 + 1 CO i —I pf-d- .ztxf oco v r\N _rh A j r -i -d" + | ^A+l xh + l -j" + -=±Al CO £"— A- o • • O rH rH + I < oq o AJ O vO CMco rH O • * CM H-| At CM O' (A • • o + 1 rH X2 rH pj-tA • * q +i EH P 3: >» Ad o • bO PQ • V O' o o LA '20 vO -cfH| o rs— ° ~rt AJ ^ | af + | -1 + 1 CM CM CM • • CM - O CM > O LA “J• • O aj CM • •o o~=t O AJ • • rH rH G cd a, cu G a o G 02 bQG p G » rH Ad H C D cd P o cd -H rH G -—> IA O h G 02 O T3 G Eh Cd G 02 X f o o p •H At a os Gp x; oa *f—| „ _d" $ * ❖ 62 DISCUSSION The results of Experiment I show that cortisone, hydrocortisone and ACTH can induce mammary growth and secretion in intact female rats. of Selye This Is in accord with similar findings (I9?i].a, b) in ovariectomized, estrogen-primed rats. Although the reports of Selye (l95iia, b) had not yet appeared when this study was completed, these results confirm and ex­ tend his observations. In addition they show that ACTH and glucocorticoids can increase the prolactin content of the pituitary and suggest that this mechanism is responsible for the initiation of secretion. In this study the greatest de­ gree of mammary growth and secretion were produced by corti­ sone rather than by ACTH, as reported by Selye (1952+a) • The latter employed almost 25 times as much ACTH as was used in the present experiment. The lesser degree of mammary growth noted with hydro­ cortisone as compared to cortisone in the present experiment may be due to over-dosage with the former, as indicated by the considerable loss of body weight In these rats. In Experiment II, cortisone injected alone into ovari­ ectomized rats induced some degree of mammary growth, but tnis growth was more limited than in intact rats. The alveoli were y small and duct growth was only slightly increased over that of the controls or estrone-primed rats. 63 Secretion in the cortisone—treated, rats was not as narked as in the intact rats treated with cortisone in hxperi— ment I* When cortisone was injected into estrone— primed ratsj alveolar growth and secretion were greatly increased over that y of the rats treated with cortisone alone. It appears there­ fore, that there is a synergistic action between cortisone and estrone in ovariectomized rats. It has been noted in the Re­ view of Literature that in normal mammary growth, estrogen may produce a hyperaemia of the mammary stroma which could lead to increased vascular permeability. This in turn is believed to lead to easy access to the gland of progesterone and other mam­ mary stimulating hormones (Mixner and Turner, 19^3)* This may explain the increased alveolar growth seen in the ovariectomized rats treated with both cortisone and estrone as compareo to those treated with cortisone alone* The explanation for the action of cortisone in inducing mammary growth and secretion is not fully understood, but it is believed that cortisone may exert a direct action on the mammary gland as well as on the anterior pituitary. Since ^ secretory activity was not prominent when cortisone or estrone were given alone, it is apparent that the two hormones were most effective when given together* This is not surprising since both have been shown to increase pituitary prolactin content• The glucocorticoids and ACTH appear to possess considerably less ability to increase pituitary prolactin content in rats than estrogen, although they are as much or more potent 6i+ in this respect than testosterone or progesterone (Meites and Turner, 1914-8)* The adrenals are believed to be essential Tor main­ taining lactation in rats Folley, 1914.7) • (Nelson and Gaunt, 1937; Gowie and However, the adrenal hormones have also been reported to inhibit established lactation. Flux et al (1951|) and Shaw (195U- > 1955) reported a decrease in cows. Meites and Reineke (unpublished, 1955) found that 100 mg. of cortisone injected daily into goats during the declining phase of lacta­ tion had no effect. In Experiment III and IV, cortisone in­ creased the lactational response during the peak of lactation (Cowiefs litter-growth index) and during the declining phase of lactation (llth-l8th day post-partum) * Although this in­ crease was only moderate, it was of the same magnitude as at­ tained with prolactin. When these two hormones and growth hormone were given in combination, with prolactin or cortisone alone. the response was the same as Apparently there was no synergistic action between the levels of cortisone, prolactin and growth hormone used in this experiment. It thus appears that cortisone may stimulate or inhibit lactation, depending on dosage and species used. In Experiment IV the results indicate that both corti­ sone and prolactin retarded mammary involution when administered to rats for 10 days after suckling had been terminated. Hooker and Williams (19^1) had previously shown that prolactin could retard mammary involution In mice. If cortisone acts on the 65 anterior pituitary to cause a release of prolactin, then its effects in retarding mammary involution may be mediated, in part at least, through this mechanism. Since cortisone also can induce mammary growth in the rat, it is probable that both these actions account for its ability to retard mammary invo­ lution. The inability of growth hormone to increase the lacta­ tional response or to retard mammary involution is difficult to explain. It is not in agreement with the positive results of Cotes et. al. (l9l|-9), Donker and Petersen (195l) and Shaw (1955) in the cow, and of Meites and Relneke (1955) in the goat. In about IpO percent of the rats treated with growth hormone, there were one or two abnormal young in each litter, while the litters in the controls remained normal. This sug­ gests that the growth hormone used may have been toxic, or that it was detrimental when given to lactating as opposed to non-lactating rats. In Experiment IV there was a strong indication that oxytocin and ACTH produced a galactopoietic effect. While these two hormones proved capable of increasing milk secretion during the peak and declining phase of lactation, they did not have as great an effect on the initial phase as cortisone or prolactin. Also, despite their ability to increase lactation, ACTH and oxytocin did not show any notable ability to retard mammary involution after the young were removed from the dams. difficult to explain in the case of ACTH. This is Presumably ACTH 66 stimulates adrenal cortical secretion, which in turn should increase pituitary prolactin content and maintain mammary growth. It is possible however, that the dose of ACTH em­ ployed was suboptimal for both of these actions. Closer exam­ ination of the histological sections indicate that there was a more definite alveolar pattern in the ACTH-treated glands than In the control glands. The action of oxytocin in increasing litter weight gains may have been directly on the myoepithelium of the al­ veoli, making available a greater supply of milk to the young through its easier removal. Benson and Folley (1956) were able to markedly retard loss of secretory activity with intraperitoneal injections of 1 I. U. of oxytocin three times daily given from the fourth to thirteenth day after parturition in rats which had their young removed on the fourth day after par­ turition. The present results are not entirely in agreement with these workers. However, It should be pointed out that their studies were made on rats whose mammary glands were at the height of activity (l|th-10th day), when involutionary changes would be expected to be minimal, while the present study was made on rats towards the end of lactation (18 days), when a larger degree of involution might be expected. Benson and Polley (1956) suggested that the effects of oxytocin in retarding loss of secretory activity were not mediated through a direct action on the mammary gland but rather to a release of prolactin from the anterior pituitary. 67 lac tin has previously been shown to inhibit mammary involu­ tion in the mouse (Hooker and Williams, 191+1) , and in this study, in the rat. The results in Experiment V show that in lactating rats, suckling causes a release of prolactin, which confirms the original report of Keece and Turner (1937). have this effect. Oxytocin does not On the contrary these results suggest that oxytocin in the lactating rat may increase the prolactin content of the pituitary. Meites and Turner 1191+8) have previously reported that injections of posterior pituitary extracts do not elicit a release of prolactin from the pituitary of rats, guinea pigs and rabbits. These results are therefore not in agreement with the explanation of Benson and Folley (1956), and suggest that another mechanism is responsible for the favorable action of oxytocin in inhibiting decline in secretory activity. It is possible that oxytocin may cause the release of other anterior pituitary hormones favorable to lactation, such as ACTH. Posterior pituitary extracts have been shown to induce a release of ACTH (Saffran et al, 1955)* and it has also been demonstrated that suckling induces a release of ACTH (Gregoire, 191+6) . It has not been demonstrated tnat oxy•* tocin either stimulates or maintains mammary development. J 68 SUMJ1ARY 1. In Experiment I, physiological saline (0.85 percent) or 2 mg. doses of ACTH, cortisone or hydrocortisone were in­ jected daily for 10 days into ip2 intact, mature female rats. All three hormones produced growth of ducts, lobule-alveolar development and secretory activity in the mammary glands. This was most marked for cortisone and least for ACTH at the dose levels employed. 2. Cortisone increased pituitary prolactin content by about 23 percent, hydrocortisone by about Ip1 percent, and ACTH by about 71 percent. 3* In Experiment II, 100 mature female rats were ovariectomized and divided into ten groups of 10 rats each, according to weight. Eight groups were divided Into two major groups of IpO rats each (four groups of 10 each) and the re­ maining two groups (20 rats each) were used for controls. The treatment of the groups was as follows: (1) controls, saline only, (2) controls, 1 mg. cortisone only. The two major groups received either 5 ug. or 10 ug. of estrone. Within these two major groups cortisone was adminis­ tered to each sub-group as follows. 3) 2 mg. daily, ip) Ip tig. daily. 10 days. 1) none, 2) 1 mg. daily, All injections were made for 69 il» Cortisone alone stimulated lobule-alveolar develop­ ment and secretory activity in the mammary glands of tiie ovari— ectomized rats. However, mammary growth was not as pronounced as observed in the intact rats of Experiment I. On the other hand, when cortisone and estrone were given together, marked lobule-alveolar development was elicited ana secretory activity was greatly increased. 3- Cortisone augmented the pituitary prolactin content of ovariectomized-estrone treated rats at the 1 mg. level. However, when Ip mg • of cortisone was given daily with 10 u g . of estrone, there was an inhibition of estrone action on the pituitary. 6. In Experiment III, the effects of cortisone on galac- topoiesis was studied in 30 mature female rats. These rats were bred and at parturition their litters were reduced to 7 young each. The dams were injected daily auring an lb-day post­ partum period with 0.23, 0*3 or 1*0 mg. of cortisone. The lactational response was measured by the use of litter growth rate. The rats receiving 0.3 mg. cortisone showed a signifi­ cant increase In milk yield during the peak (6th-10tn day post-partum) and during the declining phase of lactation (llth18 th day post-partum). Cortisone at the 1.0 mg. level only slightly increased the average litter growth during the period. 1 6 —da^ experimental However, during the declining phase of lactation, 70 significant increases in litter weight gain were noted, over that of the controls, 6. The results of Experiment III were confirmed in Experiment IV, In addition, Injections of cortisone were continued for 10 days after the young were removed (ldth-2cith day), in order to study its effects on mammary involution. It was found that cortisone at the 1.0 mg, level markedly retarded mammary involution. These mammary glands were comparable to those of an untreated rat 5 days after removal of the young. Cortisone at the 0.5 mg* level produced slightly less retarda­ tion of mammary disintegration, comparable to that of an un­ treated rat six days after removal of its litter. 7. In Experiment IV the effect of growth hormone, prolactin, oxytocin and ACTH on gaiactopoiesis and mammary in­ volution were studied. Prolactin given at a dosage of 1 mg. daily increased the average litter weight throughout the l8-day post-partum period. These increases were about equal to those of the rats treated with 0.5 mg. of cortisone daily. When cortisone, prolactin and growth hormone were administered to­ gether, the response was of about the same magnitude as cor­ tisone or prolactin alone. Thus no synergistic action on galactopoiesls was exerted by these hormones. Orcwth hormone, when given alone, did not increase lactation. 8 . Prolactin (1 mg.) or prolactin, cortisone and growth hormone given together, retarded mammary Involution comparable to that of a mammary gland of an untreated rat 71 5 days after removal of the young. Growth hormone alone at the level employed did not retard mammary involution. 9. Oxytocin and ACTH exhibited galactopoietic effects in parturient rats comparable to those of prolactin or cortisone-treated rats. However, the former two hormones showed no ability to retard mammary involution following re­ moval of the young for 10 days. 10* In Experiment V, suckling increased the pituitary prolactin content in lactating rats. Electrical stimulation of the cervix of lactating rats appeared to increase pituitary prolactin content over that of non-suckled or suckled rats. Injections of oxytocin appeared to produce a large increase in pituitary prolactin content over that of suckled, nonsuckled or electrically stimulated rats. It appears, there­ fore, that neither oxytocin nor electrical stimulation of the cervix induces a release of prolactin from the pituitary. 72 BIBLIOGRAPHY Azimov, G. J. and. Krouze, N. K. The lactogenic preparations from the anterior pituitary and the increase of milk yield in cows, J, Pair}/ Sci. 20:269-306, 1937. Balmain, J. H . , and Folley, S. J. In vitro effects of pro­ lactin and cortisone on the metabolism of rat mammary tissue. Arch. Biochem. Biophys. 39 :168-191+, 1952, Balmain, J. H,, Folley, S. J. and Glascock, R. F. Inhibition of fatty acid synthesis in rat mammary glanci slices by cortisone in vitro and its antagonism by insulin. Nature 169 :1+1+7-1+1+9, 1952. Benson, G. K. and Folley, S. J. Oxytocin as stimulator for the release of prolactin from anterior pituitary. Nature 177:700, 1956. Bradbury, J. T. Study of enciocrine factors influencing mammary development and secretion in the mouse. Proc. Soc. Exper. Biol, and h e d . 30:212-213, 1932. Brody, S. Bioenergetics and Growth. ReinhoId Publishing Corp., N. Y ., pp. 507-517', 191+5 • Brownell, K. A., Lockwood, J. E., and Harman, F. A. A lactation hormone of the adrenal cortex. hroc. Soc. Exper. Biol. and M e d . 30:783-7811, 193.3* Carr, J. L. Effect of Swingle's extract upon lactation in the adrenalectomized white rat. Proc. Soc. Exper. Biol, and M e d . 29:131, 1931* Clemenko, D. R., and hcChesney, E. W. Influence of epinephrine and adrenal cortical extract on the lactogenic property of prolactin. Endocrinology 28:710-7li|, 191+1. Corner Cotes G. W. The hormonal control of lactation. I. ^on-effect *of the corpus luteum. II. Positive action of extracts of the hypophysis. Am. J. Physiol. 95*l+3-51+, 1938. P. M., Crichton, J. A., Folley, S. J. and foung, F. G. * Galactupoietlc activity of purified anterior pituitary growth hormone. Nature l 6 lj_:992-993, 191+9. 73 Cowie, A* T. The relative growth of the mammary gland in normal gonadectomized and adrenalectomized rats. 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The hypothalmus ana the mechanism of sympatheticoadrenal inhibition of milk ejection. J. Endocrinology 12:15-28, 1995a. Cross, B. A, Neurohormonal mechanisms of emotional inhioition of milk ejection. J. Endocrinology 12:29-37, 1955b. Cross, B. A. and Harris, G. W. The role of the neurohypophysis in the milk ejection reflex. J. Endocrinology B:l4d161, 1952. Desclin, L. Concerning the mechanism of diestrum during lac­ tation in the albino rat. Endocrinology 40:14-29, 1947. Donker, J. D • and Petersen, W, E. The milk secretion response *of the bovine to injected growth hormone. J. Anim. Sci. 10:1074* 1951. Espe, D. and Smith, V. R. Secretion of Jjilk. College Press, Fourth edition, 19^2. Elv The Iowa State F. and Petersen, W. E. Factors involved in tne ejection 9 of milk. J. Dairy Sci. 24:211-223, 1941* 71* Flux, ; S. Growth of the mammary duct system in intact and ovariectomized mice of the CHI strain. J. Endocrin­ ology, 11:223-237, 1951+a. Flux, ' S. The effect of adrenal steroids on the growth of the mammary glands, uteri, thymus and adrenal glands of intact, ovariectomized and oestrone-treated ovariec­ tomized mice. J. Endocrinology 11:238-254, 19548. Flux, :). S., Folley, S. J. and Howland, S. J. The effect of adrenocorticotrophic hormone on the yield and composi­ tion of the milk of the cow. J. Endocrinology 10: 333-339, 1954Folley , S. J* The adrenal cortex and the mammary gland. The Supra-adrenal Cortex Academic Press Inc., N . Y., c5-94, 1952. Folley , S. J. Effects of somatotropin ana other pituitary hormones on the lactating mammary gland. Hypophyseal. Growth Hormone, Nature ana Action, IvicGraw-Hill Book Co., Inc., N. if., pp. l|.73-l*t)6, 195^. Folley , S. J. and Cowie, A. T. Adrenalectomy and replacement therapy in lactating rats. Yale J. Biol. Hed. 1 7 2 67-74, 1944* Folley S. J. and French, T. li. The intermediary metabolism of the mammary gland. 2. Respiration and acid pro­ duction of mammary tissue during pregnancy, lactation and Involution in the rat. Biochem. J. ipS*270-275, 19lp9 • Folley S. J., Scott Watson, li. K., and bottomly, A. C. Induction of lactation in goats with aiethylstilbestrol dipropionate. J . Physiol. 98:15-10, 1946 • Folley S. J., Steward, P. L. and Young, F. G. Experiments on the use of tables containing 5 0 percent hexoestrol for artificial induction of lactation in bovine. J. Endocrinology 4^43-52, 19ij4 (Cited by Espe, D. ana Smith, V. H . , Secretion of Milk, 1952.) Folley, S. J. ana Young, F. G. The effect of anterior pitui­ tary extracts on established lactation in the cow. Proc. Hoy Soc. B. 1 2 6 :4. 5 —78, 1938. F. G. The effect of continued treat­ Folley. S # J. and Young, ment with anterior pituitary extracts on milk volume and milk fat production in the lactating cow. Biochem. j. 33:192-197, 1939. 75 Folley, S. J, and Young, F. G. Furtner experiments on the continued treatment of lactating cows with, anterior pituitary extracts. J. Endocrinology 2:226-236, 196.0. (Cited by Espe, D. and Smith, V. R. Secretion of milk, 1952.) -----------------Gardner, W. U., and hill, R. T. Effect cf progestin upon the mammary gland of the mouse. Proc. Soc. Exper. Biol, and fried. 36-^716-720, 1936. Gaunt, R. Adrenalectomy in the rat. 6.96--510, 1933. Am. J. Physiol. 103: Gaunt, R. Lactation in adrenalectomized rats. 115:538-598, 1936. Am. J. Phvsiol. Gaunt, R., Eversole, W. J., and Kendall, E. 0. Influence of some steroid hormones on lactation In acirenalectomized rats. Endocrinology 31:86.-88, 196-2. Gemzell, C. A. Blood levels of 17-hydroxyccrticosteroids in normal pregnancy. J. Clin. Endo. and Metab. 13:896902, 1953. Gomez, E. T. and Turner, C. W. Effects of hypophysectorny and replacement therapy on lactation in guinea pigs. Proc. Soc. Exper. Biol, and M e d . 36-:6-06--6-06, 3936. Gomez, E. T. and Turner, C. W. Hypophysectomy and replacement therapy in relation to the growth and secretory activity of the mammary glands. Res. Bull. Mo. Ag. Exper. Sta. 259, 1937a. Gomez, E. T. and Turner, C. w. The aarenotropic principle of the pituitary In relation to lactation. Proc. Soc. Exper. Biol and Pied. 36:78-80, 1937b. Gomez, E. T. and Turner, C. W. Further evidence for a mammogenic hormone in the anterior pituitary. Proc. Soc. Exper. Biol, and M e d . 37:607—609* 1933. Gomez, E. T., Turner, C. W., and Reece, R. P. Growth of mammary gland of hypophysectomizea guinea pigs. PjjQ_c •_ Soc. Exper. Biol, and M e d . 36:286-287, 1937. Gregoire C. Factors involved in maintaining involution of the thymus during suckling. J . End o . 5:60-87, 196-6. 76 Hohn, E. D. Estrogen response of mammary gland In adrenalectomized guinea pigs. Fed. Proc, 16:60, 1957. Hooker,^C. W* and Williams, W. L, Retardation of mammary involution in the mouse by irritation of the nipples. Yale J. Biol. M e d . 12:559-561+, 191+0. Hooker, C. W* and Williams, W. L. Retardation of mammary involution in mice by injection of lactogenic hormone. Endocrinology 28:1+2-1+7, 191+1, Hurst, J., Meites, J. and Turner, 0. W. Assay of aorenals for lactogenic hormone. Proc. Soc. Exper. Biol, and M e d . 1+9:592-591+, 191+2. Johnston, R. F. and Smithcors, J. F. The effects of estrogen on mammary structure of adrenalectomized and tniouracil-treated castrated rats. Endocrinology U3:193201 , 191+8 . Lyons, W. R. The direct mammotrophic action of lactogenic hormone. Proc. Soc. Exper. Biol, and Med. 51:308-311. 191+2. Lyons, W. R. Lobule-alveolar mammary growth induced in hypophyseotomized rats by injections of ovarian hypophy­ seal hormones. Essay in Biology. University of Cali­ fornia Press, Los Angeles, 315-330, 191+3Lyons, W. R., Choh, H. F., Cole, R. D. and Johnson, R. E • Some of the hormones required by the mammary gland in its development and function. J. Ginn. Endo. and Metab. 1 3 :6 3 6 - 8 3 /, 1953• Lyons, W. R., Johnson, R. E., Cole, R. D., ana Li, C. 11. Mammary growth and lactation in male rats. Hypophyseal Growth Hormone. Mature and Action. McGraw-nill Book Co., Inc., 1+61-1+72, 1955Lyons, W. R. and Catchpole, H. R. Availability cf the rabbit for assay of the hypophyseal lactogenic hormone. Proc. Soc. Exper. Biol, and M e d . 31:305-309, 1933Meites, J. General discussion. Hypophyseal Growth Hormone, Mature and Action* McGraw-Hill Book Co., Inc., M • f*, i4.93-i4.95/1vh'Meites, J., Trentin, J. J. and Turner, C. W. Effect of adrenalectomy on the lactogenic hormone and initiation of lactation. Endocrinology 31:607-612, 191+2. 77 Meites J. and Turner, C. W. Studies concerning the inauction and maintenance of lactation, X, The mechanism con­ trolling the initiation of lactation at parturition. Res. Bull, Mo, Agri. Exper, Sta. 1+15, 191+6. Meites J, and Turner, C. W. Studies concerning the inauction and maintenance of lactation. II. The normal main­ tenance and experimental inhibition ana augmentation of lactation. Res. Bull. Mo. Agri. Exper. Sta. 1+16, 19l+ob. Mixner J. P., Meites, J. and Turner, C. W. The stimulation and inhibition of milk secretion in goatswith diethylstilbestrol. J. Dairy S c l . 27:957-961+, 191+1+. Mixner J. P. and Turner, C. W. The mammogenic hormones of the anterior pituitary. II. The lobule-alveolar growth factor. Res. Bull. Mo, Agri. Exper. Sta. 378, 191+3. Nelson W. 0. Endocrine control of the mammary gland. R e v . 16:1+88-526, 1936. Nelson W. The and Am. Nelson W. 0. Growth of the mammary giana following local application of estrogenic hormone. Am. J. Physiol. 133 0 9 7 , 191+1. Nelson W. 0. and Gaunt, R. Initiation of lactation in the hypophysectomized guinea pig. Proc. Soc. Exper. Biol. and M e d . 3^:671-673, 1936. Nelson W. 0. and Gaunt, R. The adrenal-pituitary relationship. Symposium on Quant. Biol., Cold Spring Harbor, 5:3981+02, 1 9 3 7 ^ Nelson W. 0., and Gaunt, R. The adrenal and pituitary in initiation of lactation. Proc. Soc. Exper. Biol, and M e d . 36:136-138, 1937b. Nelson W. 0. and Pfiffner, J. J. An experimental study of the factors concerned in mammary growth and in milk secretion. Prod. Soc. Exper. Biol, and M e d . 28:1-2, 1930. Nelson W 0 and Pfiffner, J . J * Studies on the physiology of lactation. I. The relation of lactation to ovarian and hypophyseal hormones. Anat. Rec. 51*51-63, 1931. Physiol. 0. Studies on trie physiology of lactation. VI. endocrine Influences concerned in tne development function of the mammary gland of the guinea pig. J . A n a t . 60:31+1-366, 1937. 78 Reece, R. P. Initiation of lactation in the albino rat with lactogen and adrenal cortical hormones* Froc. Soc. Exper. Biol, and M e d , 1+0:25-27, 1939. Reece, R. P. and Turner, C. W. The lactogenic and thyrotropic hormone content of the anterior lobe of the pituitary gland. Res. Bull. Mo. Ag. Exper. Sta. 266, 1937a. Reece, R. P. and Turner, C. W. Effects of stimulus of suckling upon galactin content of the rat pituitary. Proc. Soc. Biol, and M e d . 35:621-622, 1937b. Reece, R. P., Turner, C. W. and Hill, R. T.Mammary gland development in the hypophysectomized albino rat. Soc. Exper. Biol, and M e d . 3 I4 :201+-207, 1937. Proc. Richardson, K. C. Measurement of the total area of secretory epithelium in the lactating mammary gland of the goat. J. Endocrinology 9 :170-181+, 1953* i/ Riddle, 0. and Bates, R. W. Chapter XX in Sex and Internal Secretions. The Williams and Wilkins Co., 2 nd edition, Baltimore, 1939. Roy, A. The galactopoietic activity of hormones in cows in declining lactation. J. Endocrinology 5 :35, 191+8. Saffran, M., Schally, A. V. and Benney, B. G. Stimulation of the release of corticotropin from the aasnohypophysis by a neurohypophyseal factor. Endocrinology 57:1+391955* Selye, H. On the nervous control of lactation. 107:535-538, 193b• Selye, H. 1 3 Stress and lactation. :377-381+, 195i+a. Am. J. Physio. 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Turner, C. W. and Schultze, A. B. A study of the causes of the normal development of the mammary gland of the albino rat. Res* Bull. Mo. Agri. Exper. Sta. 157:1931. Van Heuverswyn, J., Folley, S. J., and Gardner, W. U. Mammary growth in male mice receiving androgens, estrogens and desoxycorticosterone acetate. Proc. Soc. Exper. Biol. and Med. 41:389-392, 1939. Venning, E. H. Adrenal function in pregnancy. 39:203-223* 1946. Endocrinology 80 Walker, S. M. and Stanley, A. j. Induced lactation in virgin heifers. Anat. R e c . 78:342, 191*0. Walker, S. M. and Stanley, A. J. Effect of diethylstilbestrol dipropionate on mammary development and lactation. Proc. Soc. Exper. Biol, and M e d . 14.8:50-53* 1914-1* Williams, W. L. Normal and experimental mammary involution in the mouse as related to the inception and cessation of lactation. Am. J. Anat. 71:1-14-1, 1914-2. Williams, W. L. The effect of lactogenic hormone on post­ parturient unsuckled mammary glands of the mouse. Anat. R e c . 93s 171-181, 191+5* APPENDIX 82 Figures II4. to 23 are histological sections of mammary glands from normal parturient rats showing daily involutionary changes in mothers from the first to ninth day after removal of their young• In this series the young were removed 18 days post-partum, and the mothers were sacrificed each day there­ after until the 27th day post-partum. magnification of 130x All figures are at a and stained with hematoxylin and eosin. Facing page 83 Figure Eighteenth day post-par turn or immediately after removal of young. Sections are comprised almost completely of large lobules with dilated alveoli containing copious secretion. The nuclei lie at the cell bases. The thin connective tissue septa contain greatly dilated, engorged blood vessels* 83 Figure 14# Facing page olp Figure If?. Nineteenth hay post-partum or First day after removal of young* Sections show alveoli with increased dilation, and filled with secretion. The epi­ thelium is flattened. Other factors are the same as on the previous day. 84 Figure 15* Facing page Figure 16. 8$ Twentieth day post-partum or second day after removal of young. The alveoli are engorged with secretion and the epithelium is slightly ragged. In other areas the alveoli are flllea with secretions, Other factors are the same as on the previous two days. 85 Figure 16 Facing page 86 Figure 17. Twenty-first day post-partuin or third day after removal of young. These sections show alveoli and ducts markedly engorged with secretions. There is an even greater flattening of the epithelium with less secretion in the cells. 86 Figure 17* Facing page 87 Figure 18. Twenty-second day post-parturn or fourth day after removal of young* These sec­ tions show a little more flattening of the epithelium and less cellular secre­ tion. Some epithelial cells have lost their nuclei, indicating early degenera­ tive changes. 87 Figure 18* P a c in g Figure 19. page 88 Twenty-third day post-parturn or five days after removal of young. These sections show that the lobules are small and isolated, w i t h increased fibrosis. The alveoli are rapidly degenerating and are small. Infiltration of fat has increased. Inspissated secretions are found in the degenerating alveoli. The ducts are lined by cuboidal cells and nuclei are ovoid. 88 Wimm Figure 19* Facing page 89 Figure 20. Twenty-fourth day post-partum or six days after removal of young. These sections show a more pronounced fibrosis in the lobules with further degeneration of the alveoli. There are still a few actively secreting alveoli. The ducts are filled with secretion. 89 r*ti 4*‘U / Figure 20. F a c in g Figure 21. page 90 Twenty-fifth day post-partum or seventh day after removal of young. These sec­ tions show a large increase in fat. The lobules are very small and an oc­ casional alveolus contains inspissated secretion. Little secretory material is found in the aucts and the ductal epithelium has about reached its m a x i ­ mum height. Figure 21. fa c in g Figure 2?, page 91 Twenty-sixth ctay post-parturn or eighth day after removal of young* These sections show no pronounced change from the previous day, Farly lympho­ cytic infiltration can be seen. 91 m m r- Figure 22• Facing page 92 Figure 23 • Twenty-seventh day post-partum or ninth day ai'ter removal of youngThese sec­ tions show a large amount of glandular degeneration. The lobules are very small and fibrotic. Lymphocytic infiltration is scattered throughout tne lobules. 92 Figure 23*