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在雌性去卵巢恒河猴中,下丘脑神经雌二醇在雌激素诱导的 LH 峰期中起必需作用。

Obligatory role of hypothalamic neuroestradiol during the estrogen-induced LH surge in female ovariectomized rhesus monkeys.

机构信息

Wisconsin National Primate Research Center, University of Wisconsin-Madison, Madison, WI 53715.

Wisconsin National Primate Research Center, University of Wisconsin-Madison, Madison, WI 53715;

出版信息

Proc Natl Acad Sci U S A. 2017 Dec 26;114(52):13804-13809. doi: 10.1073/pnas.1716097115. Epub 2017 Dec 11.

DOI:10.1073/pnas.1716097115
PMID:29229849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5748216/
Abstract

Negative and positive feedback effects of ovarian 17β-estradiol (E) regulating release of gonadotropin releasing hormone (GnRH) and luteinizing hormone (LH) are pivotal events in female reproductive function. While ovarian feedback on hypothalamo-pituitary function is a well-established concept, the present study shows that neuroestradiol, locally synthesized in the hypothalamus, is a part of estrogen's positive feedback loop. In experiment 1, E benzoate-induced LH surges in ovariectomized female monkeys were severely attenuated by systemic administration of the aromatase inhibitor, letrozole. Aromatase is the enzyme responsible for synthesis of E from androgens. In experiment 2, using microdialysis, GnRH and kisspeptin surges induced by E benzoate were similarly attenuated by infusion of letrozole into the median eminence of the hypothalamus. Therefore, neuroestradiol is an integral part of the hypothalamic engagement in response to elevated circulating E Collectively, we will need to modify the concept of estrogen's positive feedback mechanism.

摘要

卵巢 17β-雌二醇(E)对促性腺激素释放激素(GnRH)和黄体生成素(LH)释放的负反馈和正反馈效应是女性生殖功能的关键事件。虽然卵巢对下丘脑-垂体功能的反馈是一个既定的概念,但本研究表明,神经雌二醇是在大脑中局部合成的,是雌激素正反馈循环的一部分。在实验 1 中,全身性给予芳香化酶抑制剂来曲唑严重削弱了苯甲酸雌二醇诱导的去卵巢雌性猴子的 LH 激增。芳香化酶是负责将雄激素转化为 E 的酶。在实验 2 中,使用微透析技术,用来曲唑输注到下丘脑的正中隆起也同样削弱了由苯甲酸雌二醇诱导的 GnRH 和 kisspeptin 激增。因此,神经雌二醇是大脑对循环中 E 升高反应的一个组成部分。

综上所述,我们需要修改雌激素正反馈机制的概念。

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本文引用的文献

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Estradiol Upregulates Kisspeptin Expression in the Preoptic Area of both the Male and Female Rhesus Monkey (Macaca mulatta): Implications for the Hypothalamic Control of Ovulation in Highly Evolved Primates.雌二醇上调雄性和雌性恒河猴(猕猴)视前区的吻素表达:对高等灵长类动物下丘脑对排卵控制的启示。
Neuroendocrinology. 2017;105(1):77-89. doi: 10.1159/000448520. Epub 2016 Jul 25.
2
Letrozole, Gonadotropin, or Clomiphene for Unexplained Infertility.来曲唑、促性腺激素或克罗米芬用于不明原因的不孕症。
N Engl J Med. 2015 Sep 24;373(13):1230-40. doi: 10.1056/NEJMoa1414827.
3
Prolonged infusion of estradiol benzoate into the stalk median eminence stimulates release of GnRH and kisspeptin in ovariectomized female rhesus macaques.将苯甲酸雌二醇长时间注入去卵巢雌性恒河猴的视交叉上核中部隆起会刺激促性腺激素释放激素(GnRH)和亲吻素的释放。
Endocrinology. 2015 May;156(5):1804-14. doi: 10.1210/en.2014-1979. Epub 2015 Mar 3.
4
Oestrogen-induced activation of preoptic kisspeptin neurones may be involved in the luteinising hormone surge in male and female Japanese monkeys.雌激素诱导的视前区 kisspeptin 神经元激活可能参与雄性和雌性日本猕猴的促黄体生成素激增。
J Neuroendocrinol. 2014 Dec;26(12):909-17. doi: 10.1111/jne.12227.
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Letrozole versus clomiphene for infertility in the polycystic ovary syndrome.来曲唑与氯米酚治疗多囊卵巢综合征不孕的比较。
N Engl J Med. 2014 Jul 10;371(2):119-29. doi: 10.1056/NEJMoa1313517.
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Neuroestradiol in the hypothalamus contributes to the regulation of gonadotropin releasing hormone release.下丘脑神经雌二醇有助于调节促性腺激素释放激素的释放。
J Neurosci. 2013 Dec 4;33(49):19051-9. doi: 10.1523/JNEUROSCI.3878-13.2013.
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Role of the aromatase inhibitor letrozole in the management of uterine leiomyomas in premenopausal women.芳香酶抑制剂来曲唑在绝经前妇女子宫肌瘤治疗中的作用。
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Neuroestrogen, rapid action of estradiol, and GnRH neurons.神经雌激素、雌二醇的快速作用和 GnRH 神经元。
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Aromatase knockout mice show normal steroid-induced activation of gonadotrophin-releasing hormone neurones and luteinising hormone surges with a reduced population of kisspeptin neurones in the rostral hypothalamus.芳香酶敲除小鼠显示正常的类固醇诱导的促性腺激素释放激素神经元的激活和黄体生成素激增,同时在视前下丘脑吻肽神经元的数量减少。
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Synaptocrine signaling: steroid synthesis and action at the synapse.突触分泌信号:突触处的类固醇合成和作用。
Endocr Rev. 2011 Aug;32(4):532-49. doi: 10.1210/er.2011-0004. Epub 2011 May 26.