lactation

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30 Terms

1
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major components of mammary glands

  • lobule: functional unit (collection of alveoli)

  • alveoli: sac lined by 3 cellular layers (alveolar, myoepithelial, and vascular)

  • milk duct: connect lobules to nipple

2
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mammogenesis

development of the mammary gland & its components

3
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mammogenesis in fetal development

establish rudimentary structure; mammary gland inactive

4
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mammogenesis during puberty & cycling

  • development of alveoli

    • progesterone

    • TGFβ limits alveolar growth

  • elongation and branching of ducts

    • estrogen

    • glucocortioids

    • GH/IGFs

5
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mammogenesis during pregnancy

  • dramatic development of alveoli

    • progesterone (CL & placenta)

    • estrogens

    • prolactin (maternal pituitary & placental lactogens)

  • major drivers of alveolar development both produced by placenta

6
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lactogenesis

initiation of lactation

7
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what hormone inhibits milk synthesis?

  • progesterone

    • decreases around parturition → decreased inhibition of milk synthesis

    • time milk production with arrival of newborn

8
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how is lactogenesis initiated?

  • initiation of milk synthesis regulated by the same hormonal changes that initiate parturition

    • increase in estrogen:progesterone ratio

      • estrogen has a (+) effect on prolactin levels

    • glucocorticoid, prolactin peak

    • decreased progesterone

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how do glucocorticoids affect lactogenesis?

increase transcription of genes encoding milk proteins

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how does prolactin affect lactogenesis?

promotes formation of tight junction between alveolus cells

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why can dopamine cause failure to initiate lactation?

dopamine inhibits prolactin secretion

12
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galactopoiesis

maintenance/continued lactation after parturition

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which hormones are involved in galactopoeisis?

  • glucocorticoids & prolactin: maintain milk synthesis

  • thyroxine & prolactin: control nutrient partitioning (direct nutrients to mammary gland)

    • thyroxine & growth hormones (ruminants)

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why is suckling important for galactopoeisis?

  • suckling causes neuroendocrine release of ACTH, prolactin, TSH, GH

  • empties mammary gland

    • if pressure builds up, alveolar cells stop milk synthesis

15
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what are the 3 major components of milk?

  • lactose (glucose + galactose)

  • proteins

    • caseins: group of phosphoproteins

    • “whey” proteins: e.g. globulins

  • triglycerides (main source of energy)

  • substrates are provided by blood

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why is the antibody content high in colostrum vs. non-colostrum?

colostrum is formed before peaks of glucocorticoids and prolactin (i.e. before their formation of tight junctions) → antibodies trapped in alveolar cells after tight junctions form

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how does suckling cause milk letdown?

suckling leads to neuroendocrine release of oxytocin → oxytocin causes contraction of myoepithelial cells → milk letdown

18
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what hormones regulate nutrient partitioning?

  • calcium: prolactin + parathyroid hormone related peptide

  • glucose, protein, and lipids: thyroxine + prolactin (most species)/growth hormone (ruminants)

    • bovine GH/bovine somatotropin (bGH/bST)

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how does prolactin regulate nutrient partitioning?

increases intestinal calcium absorption

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how does parathyroid hormone related peptide regulate nutrient partitioning?

mobilizes bone calcium and kidney absorption of calcium

21
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how can bST/bGH be used to promote further nutrient partitioning?

  • mechanism is undefined

  • wait until cow is back in positive energy balance (~10 weeks post parturition/lactogenesis)

  • supplemental bST/bGH can increase milk production 10-20% over entire lactation period

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why is bST/bGH use controversial?

  • efficacy

    • need enough feed for cow

  • effects on cow’s heath:

    • stress, mastitis, increased use of antibiotics

  • effects on human health

    • antibiotics in milk, changes in milk composition

  • social issues

    • milk without bST and organic milk more popular

23
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involution (regression) of mammary gland

  • death of alveolar cells; loss of tight junctions, macrophage infiltration

  • important for health of mammary gland

  • essential for accumulation of colostrum for new offspring

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why does involution (of mammary gland) occur?

as offspring grow, suckle less → less galactopoietic stimuli + milk accumulation in alveoli → involution (regression) of mammary gland

25
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lactational anestrus

  • period of time following parturition in which the female’s HPG axis remains inactive → no ovarian activity

  • occurs before the resumption of estrus cycle

  • even after female restarts cycle, usually not effective

    • silent heats

    • anovulatory cycles

26
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what causes lactational anestrus?

  • prolactin: inhibits cycling

  • environmental factors

    • nutrition

    • photoperiod

    • social cues

    • stress

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silent heat

  • follicle develops but no behavioral estrus

  • possibly due to priming effects of P4 in brain during pregnancy

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anovulatory cycle

follicle develops but no ovulation → become cystic follicles

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female reproductive tract repair

  • uterine involution: recovery process of uterus to return to original size. contraction down and loss of damaged tissues

  • endometrial repair: regeneration

  • cervix repair and remodel

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how does progesterone affect milk synthesis in dairy cattle?

  • lactation in dairy cows is less affected by high progesterone → can lactate and be pregnant at same time

  • in most species, progesterone inhibits milk production