Luo Elena, Stephens Shannon B Z, Chaing Sharon, Munaganuru Nagambika, Kauffman Alexander S, Breen Kellie M
Department of Reproductive Medicine and Center for Reproductive Science and Medicine, University of California, San Diego, La Jolla, California 92093-0674.
Endocrinology. 2016 Mar;157(3):1187-99. doi: 10.1210/en.2015-1711. Epub 2015 Dec 23.
Stress elicits activation of the hypothalamic-pituitary-adrenal axis, which leads to enhanced circulating glucocorticoids, as well as impaired gonadotropin secretion and ovarian cyclicity. Here, we tested the hypothesis that elevated, stress-levels of glucocorticoids disrupt ovarian cyclicity by interfering with the preovulatory sequence of endocrine events necessary for the LH surge. Ovarian cyclicity was monitored in female mice implanted with a cholesterol or corticosterone (Cort) pellet. Cort, but not cholesterol, arrested cyclicity in diestrus. Subsequent studies focused on the mechanism whereby Cort stalled the preovulatory sequence by assessing responsiveness to the positive feedback estradiol signal. Ovariectomized mice were treated with an LH surge-inducing estradiol implant, as well as Cort or cholesterol, and assessed several days later for LH levels on the evening of the anticipated surge. All cholesterol females showed a clear LH surge. At the time of the anticipated surge, LH levels were undetectable in Cort-treated females. In situ hybridization analyses the anteroventral periventricular nucleus revealed that Cort robustly suppressed the percentage of Kiss1 cells coexpressing cfos, as well as reduced the number of Kiss1 cells and amount of Kiss1 mRNA per cell, compared with expression in control brains. In addition, Cort blunted pituitary expression of the genes encoding the GnRH receptor and LHβ, indicating inhibition of gonadotropes during the blockage of the LH surge. Collectively, our findings support the hypothesis that physiological stress-levels of Cort disrupts ovarian cyclicity, in part, through disruption of positive feedback mechanisms at both the hypothalamic and pituitary levels which are necessary for generation of the preovulatory LH surge.
应激会引发下丘脑 - 垂体 - 肾上腺轴的激活,这会导致循环糖皮质激素增加,同时促性腺激素分泌受损以及卵巢周期性变化受到影响。在此,我们检验了这样一个假设:糖皮质激素处于应激水平时升高,会通过干扰促黄体生成素(LH)峰所需的排卵前内分泌事件序列来破坏卵巢周期性变化。在植入胆固醇或皮质酮(Cort)丸剂的雌性小鼠中监测卵巢周期性变化。Cort而非胆固醇使小鼠在间情期停止了周期性变化。随后的研究聚焦于Cort使排卵前序列停滞的机制,通过评估对雌激素正反馈信号的反应性来进行研究。对去卵巢小鼠植入诱导LH峰的雌激素,同时给予Cort或胆固醇,几天后在预期LH峰出现的当晚评估LH水平。所有植入胆固醇的雌性小鼠都出现了明显的LH峰。在预期LH峰出现时,接受Cort处理的雌性小鼠的LH水平检测不到。原位杂交分析前腹侧室周核发现,与对照脑相比,Cort强烈抑制了共表达cfos的Kiss1细胞百分比,同时减少了Kiss1细胞数量以及每个细胞中Kiss1 mRNA的量。此外,Cort减弱了垂体中编码促性腺激素释放激素(GnRH)受体和LHβ的基因表达,表明在LH峰受阻期间对促性腺细胞有抑制作用。总体而言,我们的研究结果支持这样一个假设:生理应激水平的Cort破坏卵巢周期性变化,部分是通过破坏下丘脑和垂体水平的正反馈机制,而这些机制是产生排卵前LH峰所必需的。