Assisted Reproductive Technologies for Horses:

Embryo Transfer
By Dr. Simon Robinson

Embryo transfer can extend the breeding life of old mares and produce foals from mares with a history of abortion. There are, however, a number of factors to consider before using ET to produce a foal from your champion mare. The first successful embryo transfers in horses were performed over 25 years ago. However, it has only been in recent years that embryo transfer has become widely accepted as a means of producing foals from a variety of breeds. In the United States and Europe, the use and availability of embryo transfer services has increased greatly throughout the last decade.

Reasons for using Embryo Transfer
To the wider horse world, there are a number of reasons to use embryo transfer to produce foals from top class mares. To many performance mare owners, the most appealing aspect of embryo transfer is that they can produce foals from their mares without disrupting their training and competition schedules. Other advantages include producing foals from older mares who are no longer able to carry their own foals; obtaining pregnancies from late foaling mares, allowing them to be bred early in the next season; and producing more than one foal from elite mares in a year. However, not all breed societies allow the use of embryo transfer in all of these situations.

Breed Regulations: What are we permitted to do?
Before using embryo transfer to produce a foal from your mare, it is wise to consult your breed registry regarding the use of this technique. The Arabian Horse Society of Australia Limited have only recently adopted a new set of regulations regarding the use of' embryo transfer. The regulations are quite clear but demand a considerable amount of paperwork, which is essential if the foal is to be registered with the Society. Essentially the new regulations allow breeders to produce a single, foal per year by embryo transfer, but only from mares which are unable to carry their ovn foal. This needs to be verified in writing by it veterinarian, and approval to perform the procedure needs to be sought BEFORE you start. A further requirement is that the donor mare and stallion be blood-typed prior to the mare being served or inseminated and the foal needs to be blood-typed immediately after birth. This blood-typing is likely to become obsolete when the simpler and less expensive method of flair follicle DNA testing becomes available. The visual identification of the recipient (surrogate) mare needs to be carefully recorded at the time the embryo transfer is performed and this needs to be verified by a veterinarian when the foal is blood-typed. Although it is ultimately the responsibility of the mare owner to satisfy all the requirements of the Society, veterinarians who perform embryo transfers should be able to guide and assist to ensure that the resulting foal may be registered.

So is your mare a candidate for Embryo Transfer?
Ask yourself these questions:

  1. Is your mare empty when you wanted her in foal?
  2. Is your mare old? · Has she ever aborted or slipped a foal?
  3. Does your mare take all season to get in foal….and then lose it?
  4. Has she ever had an infection or difficult foaling which may have scarred her uterus?

If you answered yes to any of these questions, embryo transfer is likely to be a solution to producing your next foal.
Embryo transfer involves the collection of an embryo from a donor mare and transfer of that embryo into a suitable recipient mare. The donor mare is bred normally using fresh, chilled or frozen semen. Seven days after she ovulates, the embryo, which is less than half a millimetre in diameter, is flushed out and implanted into a recipient mare. An important point is that the resulting foal is the product of the genetics of the stallion and donor mare. The genes of the recipient or surrogate mare have no influence on the foal she carries, she merely provides an ideal environment for the developing foal the grow.

Synchronised Cycling
The first step an embryo transfer program is to synchronise the reproductive cycles of the donor and recipient mares. It is critical that the recipient mare is at the same stage in her cycle as the donor mare. This ensures that the recipient mare's uterus is ready to accept and nurture the transplanted embryo. This sounds simple enough, but success is dependent on considerable veterinary input and experience. The ovaries and reproductive tracts of the donor and recipient mares will need to be examined using an ultrasound scanner. From this examination, the veterinarian can establish what stage of the cycle each mare is at. To improve the chances of having the mares synchronised, it is better, to have at least two recipient mares for each donor mare. Furthermore, to assist in achieving accurate synchronisation of the donor and recipient mares the veterinarian may also use hormones such as Regumate and prostaglandin to control the mares' reproductive cycles, and human chorionic gonadotrophin (hCG; Chorulon) or GnRH (Ovuplant) to induce ovulation. Further examinations are necessary to determine the correct time to breed or inseminate the donor mare, and the day of ovulation. Ideally, the recipient mare must ovulate on the same day or up to 48 hours after the donor mare.
It is important to know the day of ovulation as this dictates the day on which the mare will be flushed to recover the embryo. In the mare, the embryo doesn't enter the uterus, from where it can be recovered, until around day 6 after ovulation. Once the embryo is in the uterus it undergoes a rapid period of' expansion, with its size increasing more than tenfold in three days.
Therefore, if the donor mare is flushed too early, it is likely that the embryo will not yet be in the uterus, and if she is flushed too late, the embryo may well be too large to handle and transfer without causing damage. Synchronisation and timing are critical for successful embryo transfer.

Embryo Recovery
On day 7 or 8 after ovulation, the uterus of the donor mare is flushed to recover the embryo. This is a non-surgical procedure performed while the mare is standing and usually doesn't even require sedation. Firstly a soft catheter is inserted through the cervix into the uterus and a balloon cuff is inflated around the catheter to form a seal around the cervix to prevent any fluid loss. The uterus is filled with 1-3 litres of a warm saline and protein solution which is allowed to flow in by gravity. Once it is full, the uterus is gently massaged through the rectum to ensure the embryo is released into the fluid. The fluid is then allowed to flow out of the uterus and passes through a very fine in-line filter which captures the embryo. This procedure is repeated two or three times unless the embryo is spotted in the filter after the first flush. Depending upon the, time of the day the mare is flushed, the embryo may be identified as a perfect translucent sphere. Once the embryo is recovered, it is washed and examined using a microscope. The embryo can be held in a 37'C holding solution for a short period prior to transfer, but should be transplanted into the recipient mare as soon as possible.
The recovery rate of embryos from mares generally reflects the conception rate. This is dependant upon the age and reproductive status of the donor mare, and on the type and quality of semen used to breed the mare. The recovery rate from older mares and those that are normally difficult to get in foal is lower than for young healthy mares, which is usually 70-80%. Similarly, use of frozen or poor quality semen results in a lower recovery rate than good quality fresh or chilled semen
One of the major commercial drawbacks with embryo transfer in horses is that the horse cannot be reliably induced to superovulate as is the case with cattle. Therefore mares are only able to produce one or two embryos each cycle.

Is it safe for my mare?
The flushing procedure only takes about 30 minutes and causes little discomfort to the mare. More importantly, this is the end of the donor mare's involvement in the embryo transfer program. Large embryo transfer programs in Argentina and Brazil have shown that repeated flushing of mares to recover embryos year after year has no effect on the mare's reproductive ability or performance. And with a little planning, the disruption to a performance schedule by the embryo transfer program should be minimal.

Embryo Transfer
The embryo may be into the uterus of the recipient mare either surgically or non-surgically. Non-surgical transfer is the simplest and quickest method involving the least discomfort to the mare.
For this method the embryo is loaded into a sterile plastic transfer pipette, similar to an AI pipette. The transfer is performed with the mare standing and is similar to performing artificial insemination, but requiring considerably more skill and cleanliness. The mare's vulva is cleaned thoroughly rising an iodine solution and the transfer pipette is covered in a sterile sheath which guards the pipette as it passes through the vagina, and is torn once the pipette is into the cervix.
This ensures that contamination is not carried into the uterus. The veterinarian, wearing a sterile glove, will carefully introduce the pipette into the cervix and pass it through to the uterus, causing minimal trauma on the way through. The embryo is then deposited into one of the uterine horns. Non-surgical transfer has a 60-70% pregnancy rate, which is 5-10% lower than surgical transfer. The success is highly dependent on the experience and skill of the operator and on the anatomy of the recipient mare.
Surgical transfer is most commonly performed with the recipient mare standing and sedated. A small incision is made into the flank of the mare and the uterine horn is carefully exteriorised. A small puncture is made through the wall of the uterus and the embryo is deposited into the uterus using a fine sterile pipette. The uterus is then replaced the abdomen and the wound is sutured. The mare usually recovers rapidly and uneventfully. Once mastered, this method of transfer is quite rapid and results in pregnancy rates of 70-80%.
Recipient selection and management is the primary determinant of a pregnancy following embryo transfer. The most suitable recipients are large, young (4-10 years) mares with a normal reproductive history, and preferably having had at least one foal. For non-surgical transfer, the temperament of the mare and the anatomy of the cervix are also very important.
Six days after the transfer, the recipient mare may be examined for pregnancy using an ultrasound scanner. It is useful to follow up this initial pregnancy test with further tests at around three weeks and five weeks after transfer. At these stages, the veterinarian can see a foetal heart beat and establish that the foetus is growing and developing normally.

What about the costs?
The costs involved in embryo transfer are often a major deterrent. The cost of embryo transfer varies between practitioners, and depends on the number of attempts required to obtain a pregnancy. The cost can as little as $1,000, but an average is $2,000-$2,500 per pregnancy. Embryo transfer requires considerable expertise, both in the reproductive management of the mares and in performing the procedures. Other than professional time and expertise, the main cost associated with an embryo transfer program is maintaining a group of' suitable recipient mares. Often clients are able to provide a recipient (or two) for their donor mare. This will significantly reduce the cost, but the recipients will need to be screened for suitability. It is not worth using a poor recipient to save money as the chances of getting a pregnancy are reduced.
When added to the service fee embryo transfer can be a relatively expensive method of creating a foal. However, the costs need to be weighed up against the benefits of breeding from elite mares while they are still competing and from older proven mares. If we are to improve the quality of our horses, the cost of producing quality foals has to be seen as an investment in the future. Moreover, for many mare owners, the costs of embryo transfer are low compared to the expense of buying another advanced horse to compete with while breeding from another.

Embryo Storage and Transport
The collection of embryos at one venue and shipment to a centre for transfer has become quite popular in the United States. In this situation, the mare remains at home and is examined, inseminated and flushed by a local veterinarian who has been trained in embryo collection. The embryo is then placed in a special culture medium and cooled to 5'C in a refrigerated Equitaner. The embryo is transported to the central laboratory within 24 hours of collection for transfer to a recipient. Such a system is ideal in a country the size of Australia, but is limited as the number of veterinarians experienced in embryo collection and transfer is low.
Although it is possible to successfully freeze equine embryos, it is uncommon. This is because the pregnancy rates achieved following transfer of these embryos tends to be quite disappointing. Small day 6 embryos are most tolerant of freezing and thawing, but the recovery of these embryos is low. Considerable research is being conducted to improve the methods for freezing larger embryos.
A further impediment to the widespread freezing and transport of embryos is that many breed societies only permit embryo transfer involving freshly collected embryos. With improvement of freezing methods, breed societies should reconsider their position as there are certainly a member of breeds in Australia that would benefit greatly from the introduction of frozen embryos collected from top performing mares in Europe and North America.

New Technologies
There have been some recent developments in assisted reproduction for horses which broaden our ability to produce foals from sub- or infertile mares and stallions. Multiple eggs can be harvested from the ovaries of mares using a needle guided by ultrasound. These eggs call then be harvested in an incubator and fertilised in vitro (in the laboratory) using a technique called ICSI - IntraCytoplasmic Sperm Injection. ICSI refers to the injection of a single sperm into an egg to achieve fertilisation. ICSI was developed in Belgium about 10 years ago for the treatment of male-factor infertility in humans, and is now the technique of choice in human infertility or IVF clinics where the male partner is unable to produce large numbers of good quality sperm. ICSI itself is a fairly simple procedure once mastered. It requires considerable skill and experience, and a set of very precise micromanipulators. Once the egg is fertilised it is cultured for a short period and then transplanted into the oviduct of a recipient mare using a surgical procedure.
Throughout the world, only a handful of foals have been produced using ICSI and at present there are only two centres in Australia which offer this technique. This situation is unlikely to change in the short term due to the skill and expertise required to successfully perform all steps in the procedure and the cost of the equipment required. However, for the horse, ICSI offers a means of producing a foal in cases where there are limiting numbers of normal motile sperm (from subfertile stallions or from poorly frozen semen) or from mares which fail to conceive due to blockages in the tube which carries the egg into the uterus.
Embryo transfer offers a perfect solution to owners of competition mares who are debating whether to breed or carry on competing. The improvement of many breeds is impaired because there are too few competition mares being used for breeding, and often those mares that have had long and successful careers are too old to maximise their breeding potential. With such a large proportion of the breed's genetic input coming from overseas, the Arabian Horse Society should consider taking the next step of allowing embryo transfer from healthy competition mares.

For further information on embryo transfer, please contact Dr Simon Robinson at Alabar bloodstock by phone on (03) 5859 2201, fax (03) 5859 2206 or by Email : alabar@alabar.com.au

HORSE REPRODUCTION AND EMBRYO TRANSFER GLOSSARY

Donor Mare: Mare from which an embryo is recovered for transfer into a surrogate (recipient) mare.
Embryo Transfer: The procedure in which an embryo is recovered from one mare seven days after ovulation and transferred into another mare.
ICSI (IntraCytoplasmic Sperm Injection): Injection of a single sperm into an egg to produce an embryo. This is a form of in vitro fertilisation.
Ovulation: Release of the mature egg from the ovary. The egg is transported to the oviduct or fallopian tube where it is fertilised and develops into an embryo. Ovulation can be induced in horses by injectiong Chorulon (hCG: human chorionic gonadotrophin) or by inserting an Ovuplant (GnRH) implant.
Ovum Pick-up: Harvesting of eggs (ova) directly from the ovaries using a needle guided by ultrasound. These eggs may be cultured and fertilised in vitro.
Recipient Mare: surrogate mare into which an embryo is transferred. The recipient will carry the foal and nurture it as its own after birth. The recipient has no genetic influence on the foal.
Ultrasound Scanner: A machine with a transducer which emits and receives sound waves. It is used to visualise the reproductive tract and ovaries via the rectum.
Uterus:
The part of the female reproductive tract into which semen is deposited during AI and in which the pregnancy forms.

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