Possible Relationship between Long-Term Adverse Health Effects of Gonad-Removing Surgical Sterilization and Luteinizing Hormone in Dogs

SIMPLE SUMMARY: Spaying and neutering dogs is commonly used to prevent the birth of unwanted animals. However, spaying and neutering is associated with an increased risk of several long-term health problems including obesity, urinary incontinence, bladder stones, hypothyroidism, diabetes mellitus, hip dysplasia, cruciate ligament rupture, behavioral changes (including owner-directed aggression and fear), cognition problems, as well as several forms of cancer (including leukemia, prostate cancer, bone cancer, skin cancer, splenic cancer, and bladder cancer). An explanation of how spaying and neutering increases the risk of these long-term health problems is discussed in this review. ABSTRACT: Spaying and neutering dogs is commonly used to prevent the birth of unwanted animals and eliminate the risk of reproductive diseases. However, removal of the gonads prevents the feedback of estrogen and testosterone on the pituitary and hypothalamus. As a result, luteinizing hormone (LH) is continuously elevated at supraphysiologic concentrations. Although the main role of LH is for reproductive function (e.g., ovulation), there are LH receptors present in several normal tissues including the thyroid and adrenal glands, gastrointestinal tract, cranial cruciate ligament and round ligament, and lymphocytes. In addition, there are LH receptors present in several neoplastic tissues (e.g., lymphoma, hemangiosarcoma, mastocytoma, transitional cell carcinoma, and osteosarcoma). The role of LH receptors in non-reproductive normal and neoplastic tissues is not known but may stimulate nitric oxide release and induce cell division. The precise etiology of the increased incidence of several non-reproductive long-term health complications following spaying and neutering is not known but may be related to LH receptor activation in these non-reproductive target tissues. How these effects may be mediated is described in this review.