ABSTRAcT. Escherichia coli(E. coli) isolated from the uterus of a Thoroughbred mare with bacterial endometritis was used to evaluate the effect of progesterone (P 4 ) on the immune response of mares. Peripheral blood mononuclear cells (PBMcs) were collected from 10 nonpregnant clinically healthy adult mares (range, 4-12 years) during diestrus, four Thoroughbreds and six Hokkaido native horses. Cell proliferation and expression of cytokine mRNA, including interferon (IFN)-γ, tumor necrosis factor (TNF)-α and interleukin (IL)-10, of PBMcs stimulated with E. coli and P 4 were examined in vitro. P 4 was shown to have significantly inhibited E. coli induced proliferation and expression of IFN-γ in PBMCs. These results indicate that P 4 inhibits the immune response to E. coli in mares. KEY WORDS: bacterial endometritis, cytokine, Escherichia coli, mare, progesterone.doi: 10.1292/jvms.11-0364; J. Vet. Med. Sci. 74(5): 629-632, 2012 Endometritis is the third most common medical condition in horses [28] that causes infertility and results in major losses in the equine breeding industry. To date, bacterial uterine infection has been reported to occur in 25-60% of barren mares [2,5,7] and Escherichia coli(E. coli) are most frequently associated with fertility problems in mares [1]. It was reported that the endometrium of the mare shows an enhanced ability to eliminate infection during the follicular phase compared with the luteal phase of the estrous cycle [14]. Previous studies suggest that progesterone (P 4 ) is closely associated with the incidence of bacterial endometritis and that P 4 dominated uterus exhibits reduced physical clearance of bacteria in the mare [10]. These findings suggest that P 4 significantly affects the incidence of endometritis.Inflammation is initiated and maintained by the emergence of a network of proinflammatory cytokines, such as interferon (IFN)-γ and tumor necrosis factor (TNF)-α, and anti-inflammatory cytokines, such as interleukin (IL)-10 [24]. Recently, Fumuso et al. [12,13] reported that mares susceptible to developing persistent endometritis have higher endometrial expression of proinflammatory cytokines and lower levels of the anti-inflammatory cytokines. In addition, Watson et al. [30] reported that mares with elevated plasma concentrations of P 4 had decreased bactericidal activity of neutrophils in the uterus. Also, in anestrus dogs, P 4 caused significant inhibition of the proliferation of peripheral blood mononuclear cells (PBMcs) in response to E. coli isolated from the uterus affected by pyometra [27]. Progesterone inhibits the proliferation of peripheral blood lymphocytes activated by mitogens in humans [22], cows [3], sheep [16] and pigs [31]. Progesterone treatment of mares has been associated with prolonged infection after intrauterine inoculation with bacteria [4,14]. These reports in different species indicate that not only the status of systemic immunity affected by P 4 was associated with bacterial growth in the uterus but also that the immunosuppressive effects of P...