Abstract
Clinical bottom line
 Heat stress appears to generally suppress innate immune function in both dry and lactating dairy cows. Immune effects that are decreased include cytokine production, proliferation of immune cells, migration of lymphocytes to the udder and cell viability. This may lead to an increase in the risk of clinical diseases such as mastitis and metritis. 
Highlights
Summary of the evidenceSample size: 15 cooled dry cows and 15 heat stressed cows. 5 from each group were induced Streptococcus uberis IMI at 5DIM
Very low cow numbers Measured over 0-36 hours post IMI for cytokines and to 40 weeks into lactation for physiology All cows were cooled after calving Insufficient power to conclude an effect on milk yield, any numerical effects seen are valid as the primiparous group were not included
Gene expression changes to heat above 35 C include:
Summary
Sample size: 15 cooled dry cows and 15 heat stressed cows. 5 from each group were induced Streptococcus uberis IMI at 5DIM. Sample size: 15 cooled dry cows and 15 heat stressed cows. 5 from each group were induced Streptococcus uberis IMI at 5DIM. Intervention details: THI in non-cooled conditions was 77.9-78.3. Water sprinklers and shade in this group. Outcome studied: Rectal temperature, respiratory rate, milk yield and composition, blood parameters: Immune response genes (TLR2, IL1-β, IL6, IL8, IL10, and TNFα)
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