Browse Subject Areas

Click through the PLOS taxonomy to find articles in your field.

For more information about PLOS Subject Areas, click here.

  • Loading metrics

Vascular Alterations Underlie Developmental Problems Manifested in Cloned Cattle before or after Birth

  • Paulo Cesar Maiorka ,

    Contributed equally to this work with: Paulo Cesar Maiorka, Andrea Maria Mess

    Affiliation Department of Pathology, School of Veterinary Medicine, University of São Paulo, São Paulo, Brazil

  • Phelipe Oliveira Favaron,

    Affiliation Department of Surgery, School of Veterinary Medicine, University of São Paulo, São Paulo, Brazil

  • Andrea Maria Mess ,

    Contributed equally to this work with: Paulo Cesar Maiorka, Andrea Maria Mess

    Affiliation Department of Surgery, School of Veterinary Medicine, University of São Paulo, São Paulo, Brazil

  • Caio Rodrigues dos Santos,

    Affiliation Department of Pathology, School of Veterinary Medicine, University of São Paulo, São Paulo, Brazil

  • Miryan Lanca Alberto,

    Affiliation Department of Surgery, School of Veterinary Medicine, University of São Paulo, São Paulo, Brazil

  • Flavio Vieira Meirelles,

    Affiliation Faculty of Animal Sciences and Food Engineering, University of São Paulo, Pirassununga, Brazil

  • Maria Angelica Miglino

    Affiliation Department of Surgery, School of Veterinary Medicine, University of São Paulo, São Paulo, Brazil

Vascular Alterations Underlie Developmental Problems Manifested in Cloned Cattle before or after Birth

  • Paulo Cesar Maiorka, 
  • Phelipe Oliveira Favaron, 
  • Andrea Maria Mess, 
  • Caio Rodrigues dos Santos, 
  • Miryan Lanca Alberto, 
  • Flavio Vieira Meirelles, 
  • Maria Angelica Miglino


Although assisted reproductive techniques are commonly applied in humans and animals, they are frequently associated with major developmental deficits and reduced viability. To explore abnormalities associated with cloning or nuclear transfer (NT) as the most invasive of these methods, we used a bovine model to characterize abnormalities. Detailed necropsy examinations were done on 13 calves that died soon after birth; in addition, we included data from embryos and fetuses (produced by NT) that terminated prematurely. Bovine clones that survived until the neonatal period differed quantitatively and qualitatively from in-vivo-derived cattle. Although alterations affected a variety of organs (e.g. heart, lung and liver), there was a clear association with abberant vascular developmental during the early intrauterine phase. Therefore, we concluded that vascular problems were key alterations induced by cloning (presumably via epigenetic modifications).


Various assisted reproductive techniques (ART) are commonly used in human and large animal reproduction [1,2]. Several million children have been born produced via in-vitro fertilization (IVF) and other methods, providing promising results for individuals with reduced fertility [3]. In domestic animals, artificial insemination (AI) is widely used for genetic improvement, including sport horses as well as large-scale food production (cattle and swine). Furthermore, in vitro production (IVP) and transfer of bovine embryos is common. Finally, more invasive methods, including cloning or nuclear transfer (NT), are also used [4,5].

Reproductive techniques are also important for species preservation or gene banking [6]. However, there are limitations affecting the health of the offspring during pregnancy and postnatal life [7,8], many of which have not been thoroughly characterized. Animal models are essential in this regard, because ethical and medical considerations limit study in humans. The bovine model is valuable, due to its long gestation (similar to humans), well-developed newborns, and functional ART, including cloning [9]. Thus, detailed study of cloning (as the most invasive ART) should provide insights into developmental abnormalities caused by ART, both as a model for application of these technologies in humans and directly for livestock production [10]. Despite many years of experience in bovine cloning [9,1113], efficiency remains very low (∼5% of pregnancies are maintained until term) and there is high postnatal mortality [9,14,15]. These development disturbances have been attributed to artificial treatments of germ cells and embryos, altered patterns of gene expression, and epigenetic disturbances [9,1619]. Moreover, there are indications of severe alterations of the placental and yolk sac systems and their vasculature [16,2024], as well as cardiovascular abnormalities [2428]. In addition, perturbed immune system functions have also been reported [29,30], as well as increased body size (large offspring syndrome or gigantism), and multiple organ defects, most of which have only been superficially described [11,12,25,26,3134]. In that regard, a comprehensive examination to characterize pathology has only been done on a very limited number of newborn clones [25,32]. Therefore, comprehensive pathological investigations are necessary to adequately characterize developmental abnormalities. In the present study, we investigated calves from NT bovine pregnancies that were born alive and died early in the neonatal period, focusing on qualitative aspects of gross pathology and histopathology. To complete previous work on early embryonic and fetal development [24], we included material from terminated NT pregnancies. Pathological data on other cloned animals including the sheep, swine and mice [3537] were consulted for comparative aspects.

Material and Methods

Ethics statement

The research was approved by the Ethical Committee of the School of Veterinary Medicine and Animal Science of University of Sao Paulo, Brazil (Protocol 1393/2008).

Nuclear transfer

The nuclear transfer and production of bovine clones followed established protocols [38,39]. Briefly, donor cells were prepared with serum starvation (DMEM.0.5% FBS) for 48 h before each round of micromanipulation. Oocytes aspirated from ovarian antral follicles (3–6mm in diameter) were selected (based on morphology) and matured in vitro for 18 h. Thereafter, oocytes were denuded and selected for extrusion of the first polar body and the donor cell was placed into the perivitelline space of each enucleated oocyte. Somatic cell nuclear transfer couplets were electrically fused, chemically activated, and cultured for 7 d. For recipients, healthy Nelore or zebu (Bos indicus) or cross-breed (B. indicus × B. taurus) heifers, 18–26 mo old, were used as embryo recipients. Without regard to the stage of their estrous cycle, heifers received a 3 mg norgestomet implant (Crestar, Intervet, Boxmeer, The Netherlands) placed SQ in the ear, plus 2 mg of estradiol benzoate (EB; Estrogin, Farmavet, Sao Paulo-SP, Brazil) given im. After 8 d, the implant was removed and 150 μg of d-cloprostenol (Preloban, Intervet) was given im, and 2 d later, embryos were nonsurgically transferred to the uterine horn ipsilateral to the ovary containing a corpus luteum. All recipients were kept on pasture (ad libitum access to mineral salt and water) at the Tambaú farm located near Tambaú, SP, Brazil. Pregnancy status was determined by transrectal ultrasonography approximately 28–30 d after embryos were transferred.

Sample collection of prenatal stages

Studies on embryo development were supplemented with 6 embryos and fetuses, ranging from 32 to 70 d, with varying crown-rump-lengths (CRL). Tissues were prepared for histology and transmission electron microscopy (TEM), following previous protocols used in our laboratory [24,40].

Sample collection of postnatal stages

In total, our samples were comprised of 13 neonatal calves from pregnancies that were carried to term, but died soon after birth, despite being treated with surfactant, antibiotics and anti-inflammatory drugs [4143], were received for necropsy at the Department of Pathology, FMVZ-USP. Individual and biometric data are shown (Table 1). Samples were collected from all organs, fixed in 10% buffered formalin, and routinely processed for histopathology (embedded in paraffin wax, sectioned at 5 μm and stained with hematoxylin and eosin). For immunohistochemical analyses, a modified avidin-biotin peroxidase complex (ABC) amplification and detection system was used. After dewaxing and dehydration, antigen retrieval was done in citrate buffer (pH 6.0), by heating in a microwave oven (750 W) for 20 min). Thereafter, samples were incubated in 3% H2O2 for 10 min and blocked in a 2% solution of skim milk powder for 20 min. Sections were incubated overnight with primary antibody against CD3 (polyclonal, rabbit anti-human A0452, Dako Corporation, Carpinteria, CA, USA, 1:100 dilution) following Beltrão-Braga et al. [44].

Table 1. Data for cloned bovine fetuses, including sex (F = female and M = male), duration of post-natal survival (d = days and h = hours), body weight and weight of internal organs.


Morphopathology of embryos and fetuses

The 43-d embryo (27.5 mm CRL) had well-differentiated neurological compartments, a well-developed liver, and a heart with atrial and ventricular differentiation (Fig. 1A). Fetuses of 50 and 68 d had all their major organs present. However, a 70-d old fetus was very small (13 mm CRL); it had a rudimentary liver, lungs and other internal organs, but the heart was large (Fig. 1B). In particular, the heart musculature was prominent, round and had loose muscle fibers, with incomplete separation of the chambers (Fig. 1B). In contrast, a fetus of 68 d (53.3 mm CRL) had more normal development, including a developing heart with both atrial and ventricular chambers with a compact muscle fiber structure (Fig. 1C). However, lung bronchi had signs of edema (Fig. 1D).

Figure 1. Morphology of cloned bovine embryos and fetuses.

(A): Histology of 43 d old embryo (CRL, 27.5 mm). (B): Histology of 70-day fetus (13mm). (C): Histology of heart of a 68-d fetus (CRL, 53.3 mm). (D): TEM of a lung bronchus at 68 d. Shown are: prosencephalon (pc), mesencephalon (mc), rhombencephalon (rc), ventricular chamber (vc), atrial chamber (ac), lung (l), liver (li), mesonephros (ms), umbilical cord (uc), oral cavity (oc), intestine loops (it), pericardial cavity (pc), left ventricle (lv), right ventricle (rv), right atrium (ra), bronchus (br), epithelium (ep), nucleus (n), lumen (lm), and basal lamina (bl).

Pathology of postnatal calves

Body weight was outside the normal range in 92.3% of term calves that survived 1 to 20 d after birth (Table 1). Body weight was apparently not related to survival time after birth (Table 1) or to the severity of malformations. The most common abnormality was gigantism, with a maximum of 62 kg in an individual that died half an hour after birth (Fig. 2A–H). Also, birthweight of one calf that survived 20 d was ∼60 kg, whereas most calves had a birthweight between 45 and 55 kg (Table 1). In contrast, one calf was only 13 kg at 3 d of age (Table 1, Fig. 3A-F), and approximately the same weight at birth (F.V. Meirelles, pers. observation). Biometrics of the internal organs also resulted in a very broad range for all organs, likewise independent of survival rates and other parameters (Table 1, see below). Although these offspring were a single breed and all were produced using an identical cloning technique, there was an enormous range in size and weight of internal organs (Table 2).

Figure 2. Cloned newborn calf with greatest body weight.

(A): Clone No. 7, female, birth weight of 62.0 kg, delivered by Ceasarian section, but died within 0.5 h due to cardio-respiratory insufficiency. UC = umbilical cord. (B and C): Detail of the enlarged umbilical cord vessels, with lymphonoid swelling (Ln) and hematoma in the umbilical veins (Hv). (D): Lung (L) congestion with enlarged lymph node (Ln). (E): Hematic cyst (Hc) within tricuspid valve (Tv). (F): Histology of hematic cyst with organized thrombus (T). (G): Atrium (At) with incomplete foramen ovale or inter-atrial communication (arrow). (H): Left ventricle (Lv) with hypertrophy and interventricular communication (arrow).

Figure 3. Cloned newborn calf with lowest body weight.

(A): Clone No. 3, male, that died 3 days after birth with an enlarged umbilical cord (UC). (B): Histology of umbilical cord showing the umbilical veins (UV) and thrombus (T). (C): Abdominal cavity with intestine (It) and ascites (Ac). Note the presence of liquid inside the cavity (arrow). (D): Hydropericardium (P) filled with transudate (arrow). (E): Small hematic cyst (arrow) in tricuspid valve. (F): Atrium (At) with patent foramen ovale (arrow).

Cyanotic mucous membranes and red-tinged liquid at the nostrils were common (70%). Umbilical cord swellings and enlarged umbilical vessels (Figs. 2A–B, 3A–B) were present in all calves, in addition to hematomas within the vessels (Fig. 2C). Some animals (30%) had anasarca (Fig. 2A), i.e. severe edema inside the body cavity (Fig. 3C). In most calves, there were large quantities of peritoneal effusion, with a brown tinge (Fig. 3C). Thoracic cavities had serous effusion with red liquid that included traces of fibrin (serofibrinoushydrothorax). There was commonly effusion in pericardial cavities (70%) (Fig. 3D). The surface of the lung lobes had mild adhesions and lymphadenomegaly of mesenteric lymph nodes in the thorax (Fig. 2C,D). Areas of emphysema distributed diffusely throughout the lung were common, especially in animals that died within the first 24 h (Fig. 4A–C), but were less pronounced in those that survived longer (Fig. 4B,D). Bilateral atelectases was common (70%) in calves that died within the first day, in addition to severe edema and meconium aspiration (Fig. 4C). Moreover, pulmonary congestions were present in all calves, usually distributed throughout the entire parenchyma, but more pronounced in dependent areas (Fig. 2D,4B). Mild to moderate pulmonary edema with the externalization of reddish (sero-hemorrhagic) liquids were consistently observed (80%) in calves that survived for longer intervals (Fig. 4D). There was cellular debris inside the lung parenchyma (Fig. 4D,E) and thrombi in the pulmonary arteries (Fig. 4F). Although all newborn calves were treated with a surfactant, antibiotics and anti-inflammatory compounds, they had evidence of pulmonary hypertension and aseptic pneumonia. In addition, there were frequently signs of increased vascular resistance or high blood pressure in the pulmonary vasculature (Fig. 4F).

Figure 4. Details regarding internal organs of cloned bovine fetuese.

(A and B): Clone No. 7, showing gross morphology of the lungs (L) with congestion and areas of emphysema (E), near overlarge heart (H), and histological evidence of meconium aspiration (MC). (C–F): Clone No. 1, female, that survived 15 d. (C): Lung (L) with aseptic pneumonia showing severe congestion, edema and areas of red hepatization (Ha). (D): Lung histology, with severe congestion showing cellular debris (Cd) fulfilling both alveolar (*) and bronchiolar spaces (Br). Note the fibrotic areas surrounding the vessels (arrowhead). (E): Detail of the areas of cellular debris (CD) with minimal inflammatory cells, such as macrophages (Mc) and neutrophil (Nt) and lack of bacteria. (F): Thrombus (T) in pulmonary artery (A).

The heart had an average gross weight of 570 g (range, 137 to 743 g). However, there was no apparent association of heart weight and either body weight or survival rate (Table 1). In contrast, heart weight varied markedly among calves with similar body weight. For instance, the largest clone (No. 7, 62 kg) had a heart that weighted 743 g, whereas in another clone (No. 9, 55 kg), the heart weighed only 291 g. Regardless, the smallest heart was present in the smallest calf (Table 1). Severe heart defects were common. Calves that died soon after birth usually had two or more malformations, whereas those that survived longer had less severe cardiac problems. There was a wide range of alterations of the heart structure and the great vessels, approximately in 60% of the calves. In addition to previously reported malformations, there were hematic cysts in the tricuspid and mitral valves in all calves (Fig. 2E,3E); histologically these were pseudo-cystic spaces filled with blood (Fig. 2F). Persistence of the foramen ovale (Figs. 2G,3F) and defects of the ventricular septum, as well as patent ductus arteriosus (Fig. 2H), were also detected.

The weight of the livers differed more than the other organs, with 420% variation among individuals without a clear association to body weight or survival rate (except that the smallest liver was in the smallest calf; Table 1). Most livers were yellowish, indicating degeneration, with mild to moderate hepatic congestion (more pronounced in those that survived longer), dilation of blood vessels, and areas of periportal necrosis (Fig. 5A,B). Peri-hepatic lymphadenomegaly was present in all calves (Fig. 5C). The kidneys seemed to be largely unaffected. However, in clones that survived longer, progressive congestion (Fig. 5D) and tubular degeneration were present, indicating circulatory insufficiencies. Most calves had enlarged lymph nodes, whereas some had a hypoplastic thymus (Fig. 5E). In one calf, the thymic parenchyma and the separation between the cortical and medullary areas was absent and Hassall’s corpuscles were not developed (Fig. 5F), indicating incomplete thymic maturation.

Figure 5. Details regarding internal organs of cloned bovine fetuses.

(A): Overview of the liver with congestion in clone No. 13 that survive 3 d; note the yellowish color and irregular capsule (arrow). (B): Histology of the liver showing centrolobular fibrosis (F), bile cysts (arrow) and bile ducts (Dc). (C): Lymph node with severe edema, enlarged hillus (HI) including enlarged lymphatic vessels (Lv), and lymph nodes (Ln). (D): Kidney (K) with mild congestion. (E): Immunohistochemistry for CD3 showing detection of T-lymphocytes (arrow) in the lymph nodes. (F): Thymus (Thy) immature with only a few Hassal corpuscles.


In the present study, bovine clones that survived until the neonatal period differed quantitatively and qualitatively from their in vivo-derived counterparts. Alterations affected several internal organs (including heart, lung and liver) and were likely associated with vascular disorders initiated during the early intrauterine phase. In that regard, the use of invasive ART, namely cloning by nuclear transfer, caused epigenetic modifications, resulting in disrupted organogenesis and posnatal problems, including vascular disorders, in cattle [45].

Cloned calves had a large range of body weights that were not clearly related to weight of internal organs or survival time. Nearly all calves were larger than normal or had outright gigantism [25,33]. In that regard, the calf that weighed approximately 62 kg at birth was larger than the maximum of 58.6 kg previously reported [25]. Also, we had one extremely lightweight individual (13 kg), much less than the 44 kg given as a minimal expected birth weight [25]. Based on the very small fetus with severe, but probably not lethal pathological features, we inferred that dwarfism may be an occasional effect of cloning. The dwarf fetus had a severe cardiac malformation, whereas such problems were not related to gigantism. Pathological data on other cloned animals including sheep, swine and mice [3537,46] were consisted with the present findings in cloned bovine fetuses. For instance, cloned lambs suffered from the large offspring syndrome [47]; detailed analyses detected major cardiovascular, pulmonary, hepatic, and renal abnormalities, in addition to musculoskeletal issues.

Consistent with former studies [25,28,32,33], vascular disorders were common and had severe consequences. It was noteworthy that clones with a very short life span had multiple, severe alterations of the heart. Clones that died soon after birth had right ventricular dilatation with bilateral thickening of the ventricular wall, an increased diameter of the pulmonary artery and a patent ductus arteriosus [25]. Furthermore, Garry et al. [32] necropsied a newborn with a round and dilated heart. In addition, in the present study, a persistent foramen ovale and hematic cysts in the atrioventricular valves were common. We concluded that the affected individuals likely died due to circulatory system disorders. Furthermore, alterations in other internal organs seemed to be functionally related to vascular problems and hypertrophic cardiomyopathy. There are apparently no previous reports of biometric data relating size of cloned animals nor internal organs at the necropsy. In our results, there was a 442% variation in heart weight, in association with malformations that have apparently not been previously described. In cloned mice that had early death, although no clinical data were reported, there were consistently signs of cardiovascular alterations at necropsy, resembling congestive heart failure with hepatic and pulmonary consequences [36]. Other organs like the thymus had huge variations, and hemo-lymphatic alterations were described (e.g. thymus hypoplasia) [29]. This developmental problem, which can cause immune system insufficiency in adulthood, has also been described in adult cattle [30].

Our data supported former reports of pulmonary hypertension, lesions, edema and pleural effusions [25,28,32], in addition to capillary congestion of the alveolar septa and pulmonary thrombosis causing hemodynamic disturbances. These alterations likely inhibited complete alveolar expansion and explained the pulmonary insufficiency that contributed to the low postnatal survival rate of cloned calves [11,12,14,25,28,32,33]. Hepatic congestion, lymphadenomegaly and thymic hypoplasia may also be associated with heart and vascular diseases, especially the hypertrophy of the left ventricle that affects venous return from the abdominal organs. Related problems, such as hypoplasia of the thymus, have been reported [29].

Finally, alterations associated with the vascular system were evident in the intrauterine phase. In that regard, morphology of the heart, lungs and liver were altered in bovine embryos and fetuses derived from NT pregnancies, compared to pregnancies derived from other techniques [24]. Also, the placenta has been reported to have an unusual structure and vasculature, including high numbers of microplacentomes with dilated vessel architecture and loose fetomaternal contact in most areas, in addition to extensive areas of extravasated blood and edema [20,22,23], which likely reduced the efficiency of placental system. Placentomegalomy and increased diameter of umbilical vessels [22,34] may represent compensating mechanisms, which would be associated with fetal malformations, e.g. gigantisms of the fetal liver. However, in the present study, the developing vasculature in the chorioallantoic membrane was usually normal. In sum, we inferred that epigenetic modifications caused by the cloning process most likely caused vascular developmental disturbances (starting during early gestation) that affected differentiation and function of the placenta, as well as various internal organs. Some authors have related vascular and heart defects to hyper-expression of various genes, e.g. VEGF, BMP4, PCAF, FGF10, and Xist [49]. Indeed, VEGF expression differed between placentas of cloned versus non-cloned bovines calves at term [45]. Finally, the present results provided the rationale to determine expression of genes related to vascular development. Finally, that research on farm and laboratory animals has identified severe alterations associated with cloning procedures; future applications of such techniques in human beings are clearly not warranted.


Although there was developmental pathology in a variety of organs in cloned cattle, we inferred that they had a common source in disturbances of the vascular system that occurred during early pregnancy. Perhaps, vascular developmental problems resulted as the primary or key alterations due to epigenetic modifications caused by cloning.


This research was supported by grants from FAPESP and CNPq (Process number: 05/60606-3 and 477740/2008-1, respectively) and NETCEM. In addition, Dr. Andrea Mess received support from CAPES (Process: 335/2013). We warmly thank Prof. John Kastelic (University of Calgary) for editorial assistance.

Author Contributions

Conceived and designed the experiments: PCM FVM MAM. Performed the experiments: MLA FVM. Analyzed the data: PCM CRS POF AMM. Contributed reagents/materials/analysis tools: FVM MAM. Wrote the paper: PCM POF AMM MAM.


  1. 1. Kohda T (2013) Effects of embryonic manipulation and epigenetics. J Hum Genet 58:416–20. pmid:23739123
  2. 2. Koot YE, Macklon NS (2013) Embryo implantation: biology, evaluation, and enhancement. Curr Opin Obstet Gynecol 25:274–279. pmid:23787799
  3. 3. Shufaro Y, Laufer N (2013) Epigenetic concerns in assisted reproduction: update and critical review of the current literature. Fertil Steril 99:605–606. pmid:23714435
  4. 4. Melo EO, Canavessi AM, Franco MM, Rumpf R (2007) Animal transgenesis: state of the art and applications. J Appl Genet 48: 47–61. pmid:17272861
  5. 5. López-Saucedo J, Paramio-Nieto MT, Fierro R, Piña-Aguilar RE (2012) Intracytoplasmic sperm injection (ICSI) in small ruminants. Anim Reprod Sci 133:129–138. pmid:22871330
  6. 6. Woelders H, Windig J, Hiemstra SJ (2012) How developments in cryobiology, reproductive technologies and conservation genomics could shape gene banking strategies for (farm) animals. Reprod Domest Anim 47 Suppl4: 264–73. pmid:22827380
  7. 7. Eroglu A, Layman LC (2012) Role of ART in imprinting disorders. Semin Reprod Med 30:92–104. pmid:22549709
  8. 8. Vulliemoz NR, McVeigh E, Kurinczuk J (2012) In vitro fertilization: perinatal risks and early childhood outcomes. Hum Fertil 15:62–68. pmid:22607538
  9. 9. Meirelles FV, Birgel EH, Perecin F, Bertolini M, Traldi AS, et al. (2010) Delivery of cloned offspring: experience in Zebu cattle (Bos indicus). Reprod Fertil Dev 22:88–97. pmid:20003849
  10. 10. Watanabe S (2013) Effect of calf death loss on cloned cattle herd derived from somatic cell nuclear transfer: Clones with congenital defects would be removed by the death loss. Anim Sci J 84:631–638. pmid:23829575
  11. 11. Edwards JL, Schrick FN, Mccracken MD, Van Amstel SR, Hopkins FM, et al. (2003) Cloning adult farm animals: a review of the possibilities and problems associated with somatic cell nuclear transfer. Am J Reprod Immunol 50:113–123. pmid:12846674
  12. 12. Reichenbach HD, Arnold GJ, Bauersachs S, Beier HM (2003) Morte embrionária na TE: redução através da melhor compreensão dos mecanismos da comunicação materno-embrionária? O Embrião 17: 3–6.
  13. 13. Sangalli JR, De Bem TH, Perecin F, Chiaratti MR, de Oliveira LJ, et al. (2012) Treatment of nuclear-donor cells or cloned zygotes with chromatin-modifying agents increases histone acetylation but does not improve full-term development of cloned cattle. Cell Reprogram 14: 235–247. pmid:22468998
  14. 14. Panarace M, Agüero JI, Garrote M, Jauregui G, Segovia A, et al. (2007) How healthy are clones and their progeny: 5 years of field experience. Theriogenology 67:142–151. pmid:17067665
  15. 15. De Bem TH, Chiaratti MR, Rochetti R, Bressan FF, Sangalli JR, et al. (2011) Viable calves produced by somatic cell nuclear transfer using meiotic-blocked oocytes. Cell Reprogram 13: 419–429. pmid:21740268
  16. 16. Constant F, Guillomot M, Heyman Y, Vignon X, Laigre P, et al. (2006) Large offspring or large placenta syndrome? Morphometric analysis of late gestation bovine placentomes from somatic nuclear transfer pregnancies complicated by hydrallantois. Biol Reprod 75:122–30. pmid:16571872
  17. 17. Huang Y, Ouyang H, Yu H, Lai L, Pang D, et al. (2013) Efficiency of porcine somatic cell nuclear transfer—a retrospective study of factors related to embryo recipient and embryos transferred. Biol Open 2:1223–1228. pmid:24244859
  18. 18. Rodrigues-Alvarez L, Manriquez J, Velasquez A, Castro FO (2013) Constitutive expression of the embryonic stem cell marker OCT4 in bovine somatic donor cells influences blastocysts rate and quality after nucleus transfer. In Vitro Cell Dev Biol Anim 49:657–667. pmid:23846396
  19. 19. Shen CJ, Lin CC, Shen PC, Cheng WTK, Chen HL, et al. (2013) Imprinted Genes and Satellite Loci Are Differentially Methylated in Bovine Somatic Cell Nuclear Transfer Clones. Cellular Reprogramming 5: 413–424. pmid:23961768
  20. 20. Bertolini M, Anderson GB (2002) The placenta as a contributor to production of large calves. Theriogenology 57:181–187. pmid:11775968
  21. 21. Constant F, Camous S, Chavatte-Palmer P, Heyman Y, de Sousa N, et al. (2011) Altered secretion of pregnancy-associated glycoproteins during gestation in bovine somatic clones. Theriogenology 76:1006–1021. pmid:21798586
  22. 22. Miglino MA, Pereira FT, Visintin JA, Garcia JM, Meirelles FV, et al. (2007) Placentation in cloned cattle: structure and microvascular architecture. Theriogenology 68:604–17. pmid:17568663
  23. 23. Chavatte-Palmer P, Camous S, Jammes H, Le Cleac’h N, Guillomot M, et al. (2012) Review: Placental perturbations induce the developmental abnormalities often observed in bovine somatic cell nuclear transfer. Placenta 33 Suppl:S99–S104. pmid:22000472
  24. 24. Alberto ML, Meirelles FV, Perecin F, Ambrósio CE, Favaron PO, et al. (2013) Development of bovine embryos derived from reproductive techniques. Reprod Fertil Dev 25:907–17. pmid:22953743
  25. 25. Hill JR, Rousell AJ, Cibelli JB, Edwards JF, Hooper NL, et al. (1999) Clinical and pathologic features of cloned transgenic calves and fetus (13 case studies). Theriogenology 51: 1451–1465. pmid:10729073
  26. 26. Hill JR, Burghardt RC, Jones K, Long CR, Looney CR, et al. (2000) Evidence for placental abnormality as the major cause of mortality in first-trimester somatic cell cloned bovine fetuses. Biol Reprod 63:1787–1794. pmid:11090450
  27. 27. Panarace M, Agüero JI, Garrote M, Jauregui G, Segovia A, et al. (2007) How healthy are clones and their progeny: 5 years of field experience. Theriogenology 67:142–151. pmid:17067665
  28. 28. Brisville AC, Fecteau G, Boysen S, Dorval P, Buczinski S, et al. (2011) Respiratory disease in neonatal cloned calves. J Vet Intern Med 25:373–9. pmid:21352375
  29. 29. Renard J, Chastant S, Chesne P, Richard C, Marchal J, et al. (1999) Lymphoid hypoplasia and somatic cloning. Lancet 353:1489–1491. pmid:10232316
  30. 30. Tanaka S, Miyazawa K, Watanabe K, Ohwada S, Aso H, et al. (2006) Comparison of T cell subsets between somatic cloned and normal cow. Am J Reprod Immunol 55:28–35. pmid:16364009
  31. 31. Wilson JM, Williams JD, Bondioli KR, Looney CR, Westhusin ME, et al. (1995) Comparison of birth and growth characteristics of bovine calves produced by nuclear transfer (cloning), embryo transfer and natural mating. Anim Reprod Sci 38:73–83. .
  32. 32. Garry FB, Adams R, McCann JP, Odde KG (1996) Postnatal characteristics of calves produced by nuclear transfer cloning. Theriogenology 45:141–152. .
  33. 33. Young LE, Sinclair KD, Wilmut I (1998) Large offspring syndrome in cattle and sheep. J Reprod Fertil 3:155–163. pmid:9829550
  34. 34. Wells DN, Forsyth JT, McMillan V, Oback B (2004) The health of somatic cell cloned cattle and their offspring. Cloning Stem Cells 6:101–110. pmid:15268783
  35. 35. Lai L, Kolber-Simonds D, Park KW, Cheong HT, Greenstein JL, et al. (2002) Production of alpha-1,3-galactosyltransferase knockout pigs by nuclear transfer cloning. Science 295:1089–1092. pmid:11778012
  36. 36. Ogonuki N, Inoue K, Yamamoto Y, Noguchi Y, Tanemura K, et al. (2002) Early death of mice cloned from somatic cells. Nat Genet 30: 253–254. pmid:11836501
  37. 37. Rhind SM, King TJ, Harkness LM, Bellamy C, Wallace W, et al. (2003) Cloned lambs—lessons from pathology. Nat Biotechnol 21:744–745. pmid:12833090
  38. 38. Baruselli PS, Marques MO, Carvalho NAT, Berber RCA, Valentim R, et al. (2003) Dinâmica folicular e taxa de prenhez em novilhas receptoras de embrião (Bos taurus indicus × Bos taurus taurus) tratadas com o protocolo ‘Ovsynch’ para inovulação em tempo fixo. Braz J Vet Res Anim Sci 40:96–106. .
  39. 39. Sá Filho MF, Torres-Júnior JRS, Penteado L, Gimenes LU, Ferreira RM, et al. (2010) Equine chorionic gonadotropin improves the efficacy of a progestin-based fixed-time artificial insemination protocol in Nelore (Bos indicus) heifers. Anim Reprod Sci 118:182–187. pmid:19939592
  40. 40. Pereira FT, Oliveira LJ, Barreto RS, Mess A, Perecin F, et al. (2013) Fetal-maternal interactions in the synepitheliochorial placenta using the eGFP cloned cattle model. PLoS One 8:e64399. pmid:23724045
  41. 41. Meirelles FV, Providelo FD, Merighe FD, Miranda MS, Traldi AS, et al. (2006) Challenges for commercial cloning: planning the future. Acta Sci Vet 34:235–242.
  42. 42. Birgel EH Junior, Meirelles FV, Komninou ER, Nunes MT, Pgliani FC, et al. (2011) Clinical disorders observed during the first 30 days of life of cloned Zebu calf. Acta Sci Vet 39:243–252.
  43. 43. Santos CR, Grandi F, Miglino MA, Meirelles FV, Maiorka PC (2010) Patologia de Neonatos Bovinos Originados por meio da Técnica de Transferência Nuclear de Células Soáticas—Clonados. Braz J Vet Res Anim Sci 45:447–453.
  44. 44. Beltrão-Braga P, Pignatari G, Maiorka PC, Oliveria NAJ, Lizier NF, et al. (2011) Feeder-free derivation of induced pluripotent stem cells from human immature dental pulp stem cells. Cell Transplantat 20:1707–1719. pmid:21457612
  45. 45. Campos DB, Papa PC, Marques JE, Garbelotti F, Fátima LA, et al. (2010) Somatic cell nuclear transfer is associated with altered expression of angiogenic factor systems in bovine placentomes at term. Genet Mol Res 9:309–323. pmid:20198587
  46. 46. Shimozawa N, Sotomaru Y, Eguchi N, Suzuki S, Hioki K, et al. (2006) Phenotypic abnormalities observed in aged cloned mice from embryonic stem cells after long-term maintenance. Reprod 132:435–441. pmid:16940284
  47. 47. Cibelli JB, Campbell KH, Seidel GE, West MD, Lanza RP (2002) The health profile of cloned animals. Nat Biotechnol 20:13–14. pmid:11753346
  48. 48. Wells DN, Misica PM, Day AM, Tervit HR (1997) Production of cloned lambs from an established embryonic cell line: a comparison between in vivo and in vitro mature cytoplasts. Biol Reprod 57:385–393. pmid:9241054
  49. 49. Li N, Wells DN, Peterson AJ, Lee RS (2005) Perturbations in the biochemical composition of fetal fluids are apparent in surviving bovine somatic cell nuclear transfer pregnancies in the first half of gestation. Biol Reprod 73:139–48. pmid:15788757