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
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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.
Cortisone and hydrocortisone increased it
about 23 and Ipl percent respectively, and ACTH about 71 percent
(on a body weight basis).
23
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Pacing page 30
Figure
2.
Effect of estrone and cortisone on
pituitary prolactin content.
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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.
They also demonstrate that cortisone and
prolactin were able to markedly retard mammary involution.
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Facing page ip9
Figure 5
Effects of cortisone, growth, hormone,
prolactin, oxytocin and A C T H on body
weights of litters.
1+9
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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
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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
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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*