Aaron Monanti Reproductive Endocrinology Introduction: Reproductive endocrinology studies many of the effects that hormones have on the reproductive system and how different organs in the system interact with the brain and rest of the body. In mammals the hypothalamus, anterior pituitary and gonads are responsible for a majority of the interactions that control spermatogenesis and ovulation. The main hormones involved are gonadotropin releasing hormone (GnRH), follicle stimulating hormone (FSH), luteinizing hormone (LH), inhibin and estrogen (Clayton & Catt, 2013). All of these combine in a feedback loop to regulate the reproductive system. Gonadotropin releasing hormone is released by the hypothalamus in the brain. This release stimulates the anterior pituitary gland to release both LH and FSH into the blood stream. These two hormones then interact with the ovaries and stimulate ovulation (Krecek, 1978). During ovulation, the follicle, which consists of the oocyte (egg) and surrounding cells, will become the corpus luteum and maintain levels of estrogen and progesterone in the female. After ovulation estrogen and inhibin levels, produced by the ovaries, will rise and interact with the brain in a negative feedback loop (Clayton & Catt, 2013). This negative feedback inhibits the release of more GnRH, LH and FSH from the hypothalamus and the anterior pituitary. Once blood levels of estrogen and inhibin begin to fall, the brain will begin to secrete GnRH, LH and FSH once more. An ovarectomy is the surgical removal of one or both ovaries. The removal of one ovary is a unilateral surgery and the removal of both is considered a bilateral surgery (Waters & Tomicek, 2014). Since the ovary is a part of the ovulation cycle and the negative feedback loop controlling the hormones, removal will have an effect on both systems. Studying these effects is beneficial because if a female should need to have one, or both, ovaries removed, it is important to know the effects on the body. Doctors will then know what treatments to administer, and if the female will be able to continue menstruation and have children. This experiment will look at the effects of ovarectomy in rats. There is three groups in the experiment, the control, unilateral removal and bilateral removal. Three organs were studied, the ovary, uterine horn, and pituitary gland. It is expected that is a difference in weight between the control and unilateral treatments for each of the three organs. It is also hypothesized that the control and bilateral groups will be different and to a larger extent than the control versus unilateral group. It is expected that there is a difference between the unilateral and bilateral groups but not to the extent seen with the differences compared to the control group. Methods: Ketamine and xylazine were administered to the rats via the abdominal cavity or an intraperitoneal injection. Ketamine put the rat in a sedated state and xylazine is a muscle relaxant and pain killer. Bupivacaine was also administered during surgery to provide additional pain medication. These drugs were administered so the rat was comfortable and experienced minimal pain throughout the procedure. Sprague-Dawley rats were used to observe the effects of the control, unilateral and bilateral treatment groups. An instruction demonstrated how to pick up and hold the rats and the same procedure was followed by students when handling the animals. A sterile operating site was used during the surgery and each surgical team had an anesthesiologist, non-sterile assistant, sterile surgical assistant and sterile surgeon. The roles are further described in the laboratory manual. Each surgical group was given only one rat to operate on. The group then performed a control experiment or unilateral removal of an ovary. The bilateral surgeries were performed by the course instructor. For a full protocol on the surgery procedures, please refer to the Physiology Laboratory Manual (Waters and Tomicek, 2014.) There was then a two week recovery period following the surgery before the rats were euthanized. An autopsy was then performed on the rats. Organ weight will determine if there was a change in the organ function following the surgeries. The ovaries, if any remaining, were removed and weighed. The uterine horn, and pituitary glands were also removed and weighed. The data was pooled across sections and T- tests were used to see if there are differences in the weights of the organs. Again for full procedures and protocol refer to the Physiology Lab Manual (Waters and Tomicek, 2014.) Results: The raw data can be accessed through the course on Angel. The following is the tabulated results and figures for the pooled data. Control Ovary Uterine Horn Pituitary Average 0.1201875 0.580125 0.017 Variance 0.001171996 0.054734897 0.000132 Standard Deviation 0.034234426 0.233954903 0.011489125 Standard Error 0.006988073 0.047755845 0.002345208 n = 24
Table 1. Shows the calculated values for the control experiment. It shows the mean (average) weight for each organ autopsied and the variance, standard deviation, and standard error for each group. The number of rats is seen as n=24.
Unilateral Ovary Uterine Horn Pituitary Average 0.147111111 0.568 0.023470588 Variance 0.001795399 0.015441059 0.000806015 Standard Deviation 0.042372145 0.124262057 0.028390398 Standard Error 0.00998721 0.029288848 0.006691681 n = 18
Table 2. Shows the calculated results for the unilateral treatment group. It has the average weight, variance, standard deviation and standard error for the ovaries, uterine horn, and pituitary glands. The number of rats in this group is seen as n=18. Bilateral Ovary Uterine Horn Pituitary Average N/A 0.184247991 0.014839671 Variance N/A 0.067790678 0.000173816 Standard Deviation N/A 0.26036643 0.013183932 Standard Error N/A 0.08678881 0.004394644
n=9 Table 3 shows the calculated results for the bilateral treatment group. It has the average weight, variance, standard deviation and standard error for the ovaries, uterine horn, and pituitary glands. The number of rats in this group is seen as n=9. Tables 1, 2 and 3 have the calculated data for the control, unilateral and bilateral treatment groups, respectively. They show the values of the mean weight, variance, standard deviation and standard error of the data groups.
0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 0.16 0.18 Control Unilateral M e a n
W e i g h t
( g )
Treatment Group Figure 1. Mean Ovary Weight in Control versus Unilateral Treatments Figure 1 is the mean weight of the ovaries in the control and unilateral treatments. There is no bilateral data because there are no ovaries when both are removed.
Figure 2 is the mean weight of the Uterine Horn in the control, unilateral and bilateral treatments.
Figure 3 is the mean weight of the Pituitary in the control, unilateral and bilateral treatments. Figures 1, 2 and 3 show a side by side comparison of the mean weights of the ovaries, uterine horn and pituitary glands, respectively. As seen in the figures, there is very little difference between the treatment groups. The only major difference seen is in the uterine horn weight, where the bilateral group is much lower than the other two treatment groups. 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 Control Unilateral Bilateral M e a n
W e i g h t
( g )
Treatment Groups Figure 2. Mean Uterine Horn Weight of Control versus Unilateral versus Bilateral Treatments 0 0.005 0.01 0.015 0.02 0.025 0.03 Control Unilateral Bilateral M e a n
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Treatment Group Figure 3. Mean Weight of Pituitary Gland in Control versus Unilateral versus Bilateral Treaments observed t Control vs uni Control vs bi uni vs bi ovarian 2.27788032 N/A N/A 40 N/A N/A Uterine 0.199391746 5.247858914 8.670639661 40 31 25 Pituitary 1.014462418 0.831824343 1.015981894 40 31 25 Table 4 is the calculated observed t-value of the comparison between the three treatment groups. The degrees of freedom are found underneath the calculated values. t-significance Control vs uni Control vs bi uni vs bi ovarian no N/A N/A
Uterine no yes yes
Pituitary no no no Table 5. This is the T-significance results of the data when compared to a tabulated t-value. No means there is no significant difference between the groups, and yes means there is a significant difference between the groups. Tables 4 and 5 show the calculated t-values and results to a t-significance test. The observed t was calculated as instructed in the laboratory manual. As the procedure guidelines on page 99 state, the critical tabulated t-value was found by using alpha = 0.01 and a two-tailed T-test. If one were to use alpha = 0.05, then only one value is changed to being significantly different, the other values remain the same. Figures 1, 2 and 3 along with Table 5 show that there is no significant difference between the control and unilateral groups for any of the organs. There is also no difference between the average pituitary weights between any of the treatment groups. The only difference seen is between the control versus the bilateral, and the unilateral versus the bilateral for the uterine horn weight. Discussion: The data from the experiment show that there was no difference between the control and the unilateral treatment for any of the organs. This is not what was expected and rejects the hypothesis that there would be a difference between the control and unilateral groups. The data also show that there is only a difference between the uterine weight of the bilateral when compared to the unilateral and control groups. This agrees with the hypothesis that there will be a difference seen in the bilateral group when compared to the other groups. However, this data is weak because there is no difference seen in any of the other comparisons. The lack of significance could be due to the small sample size of each treatment group. The control group had only 24 rats, and the experimental groups had even less with the unilateral group having only 18 surviving rats and the bilateral only had 9 surviving rats. This makes the data weaker than it could be and the comparisons are less representative of what a larger sample size would produce. There is also one erroneous data point that if excluded may cause a larger difference in the pituitary size and could possibly increase the difference between the groups. The sample size could also be increased to help determine if the results are reliable. The two week period between the surgery and the autopsy may also not have been long enough for the body to adjust to different hormone levels. It could be that some of the rats already had high levels of estrogen and inhibin circulating in their system so the removal of the ovary had little effect on the hormone levels. To further improve the results, the serum levels of hormones could be measured at different time intervals leading up to the autopsy. This could help confirm if the hormone levels are affected from the surgery. It could also show if the stress from the surgery had a noticeable impact on the rats. A longer time from the surgery to autopsy may help see a bigger change in organ function and weight. Performing this experiment earlier in the year would allow for more time between the surgery and autopsy, and could improve the results. Unfortunately the data from this experiment is not what was hypothesized. It is also not consistent with literature on the topic (Channing, Hillensjo, & Schaerf, 1978). A change in organ function was to be measured by a change in organ weight for this experiment. The results show that there was no difference between the control and unilateral groups, indicating no change in organ function. The results also only show a change in the control versus bilateral and unilateral versus bilateral groups for the uterine horn weight. This is not strong evidence because a resulting change in the pituitary should have been seen since the feedback loop, mentioned in the introduction, can no longer function properly without the ovaries. In conclusion, the errors and results of the experiment show there is little to no effect in organ weight after two weeks of surgery. References: Channing, C., Hillensjo, T., & Schaerf, F. (1978). Hormonal control of oocyte meiosis, ovulation and luteinization in mammals. Clinics in Endocrinology and Metabolism, 7(3), 601-624. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/215357 Clayton, R., & Catt, K. (2013). Regulation of pituitary gonadotropin-releasing hormone receptors by gonadal hormones. Endocrinology, 108(3), retrieved from http://press.endocrine.org/doi/abs/10.1210/endo-108-3-887 Krecek, J. (1978). Effect of ovarectomy of females and oestrogen administration to males during the neonatal critical period on salt intake in adulthood in rats. Physiologia Bohemoslovaca, 27(1), 1-5. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/148053 Waters, J. and Tomicek, N. (2014). Physiology Laboratory Manual. Hayden-McNeil, LLC. Plymouth, MI.