Department of Internal Medicine, Division of Hypothalamic Research, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9077, USA.
J Clin Invest. 2011 Jan;121(1):355-68. doi: 10.1172/JCI45106. Epub 2010 Dec 22.
Studies in humans and rodents indicate that a minimum amount of stored energy is required for normal pubertal development. The adipocyte-derived hormone leptin is a key metabolic signal to the neuroendocrine reproductive axis. Humans and mice lacking leptin or the leptin receptor (LepR) (ob/ob and db/db mice, respectively) are infertile and fail to enter puberty. Leptin administration to leptin-deficient subjects and ob/ob mice induces puberty and restores fertility, but the exact site or sites of leptin action are unclear. Here, we found that genetic deletion of LepR selectively from hypothalamic Kiss1 neurons in mice had no effect on puberty or fertility, indicating that direct leptin signaling in Kiss1 neurons is not required for these processes. However, bilateral lesions of the ventral premammillary nucleus (PMV) of ob/ob mice blunted the ability of exogenous leptin to induce sexual maturation. Moreover, unilateral reexpression of endogenous LepR in PMV neurons was sufficient to induce puberty and improve fertility in female LepR-null mice. This LepR reexpression also normalized the increased hypothalamic GnRH content characteristic of leptin-signaling deficiency. These data suggest that the PMV is a key site for leptin's permissive action at the onset of puberty and support the hypothesis that the multiple actions of leptin to control metabolism and reproduction are anatomically dissociated.
研究表明,人类和啮齿动物的青春期发育需要一定量的储存能量。脂肪细胞衍生的激素瘦素是神经内分泌生殖轴的关键代谢信号。缺乏瘦素或瘦素受体(LepR)的人类和小鼠(分别为 ob/ob 和 db/db 小鼠)不育,无法进入青春期。给瘦素缺乏症患者和 ob/ob 小鼠施用瘦素可诱导青春期并恢复生育能力,但瘦素作用的确切部位尚不清楚。在这里,我们发现,选择性敲除小鼠下丘脑 Kiss1 神经元中的 LepR 对青春期或生育能力没有影响,这表明 Kiss1 神经元中的直接瘦素信号对于这些过程不是必需的。然而,ob/ob 小鼠腹侧前乳突核(PMV)的双侧损伤削弱了外源性瘦素诱导性成熟的能力。此外,单侧重新表达 PMV 神经元中的内源性 LepR 足以诱导雌性 LepR 缺失小鼠的青春期并提高生育能力。这种 LepR 再表达还使瘦素信号不足特征性的下丘脑 GnRH 含量恢复正常。这些数据表明 PMV 是瘦素在青春期开始时发挥许可作用的关键部位,并支持瘦素控制代谢和生殖的多种作用在解剖上是分离的假说。