Uterine torsion can result in local ischemia, leading to fetal death, and potentially causing the death of the cow [2]. The fetal mortality rate in calves born to cows with uterine torsion was 7.85 times higher than that of cows without torsion. Therefore, uterine torsion is considered to cause greater economic losses in calves compared to other types of dystocia.
Zn is an essential component of various enzymes, including those involved in the synthesis of DNA and RNA [11]. Studies in humans and animals have demonstrated that Zn deficiency decreases immunity and resistance to infectious disease [12]. Serum Zn concentrations in dairy cows have been shown to decrease in cases of subclinical ketosis [13]. Serum Zn concentrations are also known to decrease in dairy cows with subclinical hypocalcemia [14]. Therefore, Zn deficiency is suspected to contribute to immunosuppression, decreased productivity, and poor reproductive performance associated with these conditions. In this study, maternal serum Zn concentrations were significantly lower in cows with uterine torsion compared to those without torsion. Blood Zn concentrations also decrease during parturition [15] and from before parturition to one week following parturition [14]. Therefore, the results of this study revealed that cows with uterine torsion showed a marked decrease in serum Zn concentration, whereas healthy cows showed a decreased periparturient Zn concentration. As serum Zn concentration decreased, the Cu/Zn ratios were significantly higher in cows with uterine torsion than in those without torsion. The Cu/Zn ratios have been reported to be associated with malnutrition, increased oxidative stress, inflammation, and a disrupted immune status in humans [16]. The Cu/Zn ratios are considered a clinically useful index compared to the concentration of either Cu or Zn alone [17]. In human studies, the Cu/Zn ratio has been reported to be a useful diagnostic marker for ectopic pregnancy related to oxidative stress [18]. Uterine torsion induces significant oxidative stress at the tissue level owing to the increased production of free radicals, as indicated by the high levels of malondialdehyde, superoxide dismutase, and glutathione [19]. Therefore, the Cu/Zn ratio may provide valuable insights into the pathology of uterine torsion in dairy cows.
Selenium is a trace element that plays an important role in animal health and performance [20]. In cattle, Se deficiency can contribute to the retained placenta [21], incidence of mastitis [22], reduced fertility, and metritis [23], which can have significant economic impacts reduction in milk production and poor reproductive performance. However, a study on pregnant cows fed with Se demonstrated that subclinical Se toxicosis could lead to stillbirth, which may adversely affect both pregnancy outcomes and the bovine immune system [24]. In the present study, serum Se concentrations tended to be higher in both cows with uterine torsion and in calves born to cows with uterine torsion, although the difference was not statistically significant. However, the association between Se and uterine torsion in dairy cows remains unclear and requires further investigation.
Co., is essential for the formation of vitamin B12 [25]. Vitamin B12 deficiency is known to cause macrocytosis [26]. It has been reported that buffaloes with uterine torsion show macrocytosis [27]. However, the results of this study indicated that neonatal calves born to cows with uterine torsion had significantly higher serum Co concentrations (p < 0.01). Cobalt chloride is traditionally used to treat anemia in pregnant women, infants, and patients with chronic anemia undergoing long-term hemodialysis. Cobalt chloride is known to induce hypoxia-like reactions, such as erythropoiesis and angiogenesis, in vivo [28]. Uterine torsion leads to local ischemia [2], which results in insufficient oxygen supply to the fetus and presumed hypoxemia. The hypoxia inducible factor (HIF) activates the expression of genes containing a hypoxia response element and helps cells adapt to hypoxia [29]. HIF is a heterodimeric transcription factor composed of oxygen-regulated alpha subunit (HIF-1α, -2α, -3α) [30]. It is reported that there is a correlation between Co and HIF-1α mRNA in a dose- and time-dependent manner [31]. Therefore, high serum Co concentrations in neonatal calves born to cows with uterine torsion may protect against ischemic hypoxemia. The mechanism underlying high Co levels in neonatal calves requires further investigation.
In conclusion, uterine torsion is associated with a higher fetal mortality rate and greater economic loss compared to other types of dystocia. Cows with uterine torsion have low serum Zn levels, which may predict reduced disease resistance. Calves born to cows with uterine torsion have high serum Co concentrations and can adapt to ischemic hypoxemia. To the best of our knowledge, this is the first study to examine serum trace mineral levels in dairy cows with uterine torsion and their neonatal calves. Further investigation is required to elucidate the relationship between uterine torsion and trace mineral levels.