I REGULATION of ARCUATE NUCLEUS KISSPEPTIN/NEUROKININ B and GONADOTROPIN-RELEASING HORMONE DURING NEGATIVE ENERGY BALANCE By

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I REGULATION of ARCUATE NUCLEUS KISSPEPTIN/NEUROKININ B and GONADOTROPIN-RELEASING HORMONE DURING NEGATIVE ENERGY BALANCE By REGULATION OF ARCUATE NUCLEUS KISSPEPTIN/NEUROKININ B AND GONADOTROPIN-RELEASING HORMONE DURING NEGATIVE ENERGY BALANCE By Cadence True A DISSERTATION Presented to the Division of Neuroscience and Oregon Health & Science University School of Medicine in partial fulfillment of the requirement of the degree of Doctor of Philosophy August 2012 i Table of Contents Chapter 1 - INTRODUCTION 1 1. Integration of metabolic and reproductive function 2 2. The hypothalamic-pituitary-gonadal axis 4 3. Kisspeptin as a critical signal for GnRH regulation 7 3.1 Arcuate nucleus Kiss1 cells coexpress Neurokinin B and Dynorphin 10 3.2 Regulation of the Kiss1 populations by estradiol 12 3.3 Kiss1 in negative energy balance 16 4. Metabolic signals of negative energy balance 17 4.1 Insulin 18 4.2 Leptin 20 4.2 Hypothalamic neuropeptides involved in regulating energy homeostasis and reproduction 24 5. Animal models of negative energy balance 28 5.1 Lactation as a model of negative energy balance 30 5.2 Undernutrition models of negative energy balance 35 6. The requirement of estradiol for negative energy balance-induced GnRH inhibition 37 7. Statement of purpose 40 AIMS OF THE THESIS AND APPROACH 41 Chapter 2 - Characterisation of Arcuate Nucleus Kisspeptin/Neurokinin B Neuronal Projections and Regulation during Lactation in the Rat 43 ABSTRACT 44 INTRODUCTION 45 MATERIALS AND METHODS 47 RESULTS 54 DISCUSSION 58 CHAPTER 3 -Leptin is not the critical signal for kisspeptin or luteinizing hormone restoration during exit from negative energy balance 72 ABSTRACT 73 INTRODUCTION 74 MATERIALS AND METHODS 76 RESULTS 82 DISCUSSION 86 Chapter 4- The role of cocaine- and amphetamine-regulated transcript in metabolically-driven GnRH inhibition 103 ABSTRACT 104 INTRODUCTION 105 MATERIALS AND METHODS 107 RESULTS 111 DISCUSSION 114 ii Chapter 5- DISCUSSION 129 1. Beyond leptin: emerging candidates for the integration of metabolic and reproductive function 130 1.2 Negative energy balance-induced acyclicity and hypoleptinemia 132 1.3 Inhibition of kisspeptin as a central mechanism of GnRH inhibition 134 1.4 Regulation of neurokinin B and dynorphin as a central mechanism of GnRH inhibition 135 1.5 Gonadotropin-inhibitory hormone 137 1.6 Alarin 139 1.7 Brainstem glucose-sensing populations 140 1.8. Adiponectin 144 1.9 The hypothalamic-pituitary-adrenal axis 145 2. Discrepancies in studies investigating Kiss1 projections 149 2.1 Dual-label immunohistochemistry for projection mapping 149 2.2 Kiss1 regulation of GnRH at the median eminence 152 3. Interpreting incongruity between protein and mRNA levels 153 4. Similarities between Kiss1 and CART populations for GnRH regulation 154 4.1. Kiss1 and CART involvement in estradiol-mediated GnRH inhibition during CR 158 5. Conclusions 159 REFERENCES 166 iii Figures Figure 1: Colocalisation of Kiss1 and NKB in the ARH. .......................................................................................... 65 Figure 2. Kiss1 and NKB fiber distribution in the ME. ........................................................................................... 66 Figure 3. NKB immunoreactivity in the ARH and ME using NiDAB secondary detection. ...................................... 67 Figure 4. Computer assisted line drawings of Kiss1/NKB-ir rostral fiber projections from the ARH. ..................... 68 Figure 5. Colocalized Kiss1/NKB-ir fibers at the level of the PVa, AVPV and NDB. ................................................ 69 Figure 6. ARH Kiss1 and NKB immunohistochemistry during diestrus and lactation............................................. 70 Figure 7. Kiss1 peptide and mRNA in the AVPV during diestrus and lactation. ..................................................... 71 Figure 1. Body composition and serum leptin and LH levels in response to 40% CR. ............................................ 94 Figure 2. Hypothalamic mRNA expression in response to 40% CR. ....................................................................... 95 Figure 3. Body composition and serum leptin and LH levels in response to 50% CR. ............................................ 96 Figure 4. Hypothalamic mRNA expression in response to 50% CR. ....................................................................... 97 Figure 5. Changes in body weight, serum leptin, serum LH, and ARH Kiss1 mRNA levels in response to the 48- hour fast. ..................................................................................................................................................... 98 Figure 6. pSTAT3 and Kiss1 immunohistochemistry following acute pharmacological leptin administration. ...... 99 Supplemental Figure 1. ARH pSTAT3 immunohistochemistry in fasted animals following leptin minipump implantation. ............................................................................................................................................. 100 Supplemental Figure 2. Daily changes in body weight and food intake during 40% CR. ..................................... 101 Supplemental Figure 3. ARH feeding neuropeptide mRNA levels in response to 40% and 50% CR. ................... 102 Figure 1. Arcuate nucleus CART protein and mRNA levels during caloric restriction (CR). A) Confocal photomicrograph of immunohistochemistry for CART protein (Phoenix antibody, H-003-62) in the arcuate nucleus (ARH, location denoted by dotted line) in ab libitum fed and 50% CR animals (100 µM scale bar provided). Quantification of ARH CART cell numbers is provided in the bar graph. B) Dark field silver grain photomicrograph of in situ hybridization for 35S-CART mRNA probe. Quantification of ARH CART mRNA integrated intensities provided in the histogram. Sample group size is given within eachnhistogram. 3V abbreviation for third ventricle. ................................................................................................................ 120 Figure 2. Dorsomedial hypothalamus CART protein and mRNA levels during caloric restriction (CR). A) Confocal photomicrograph of immunohistochemistry for CART protein in the dorsomedial hypothalamus (DMH, location denoted by dotted line) in ab libitum fed and 50% CR animals (100 µM scale bar provided). Quantification of DMH CART cell numbers is provided in the bar graph. B) Dark field silver grain photomicrograph of in situ hybridization for 35S-CART mRNA probe. Quantification of DMH CART mRNA integrated intensities provided in the histogram. Sample group size is given within each histogram. 3V abbreviation for third ventricle. ................................................................................................................ 121 Figure 3. Anteroventral periventricular nucleus CART protein and mRNA levels during caloric restriction (CR). A) Confocal photomicrograph of immunohistochemistry for CART protein in the AVPV (location denoted by dotted line) in ab libitum fed and 50% CR animals (100 µM scale bar provided). Quantification of AVPV CART cell numbers is provided in the bar graph. B) Dark field silver grain photomicrograph of in situ hybridization for 35S-CART mRNA probe. Quantification of AVPV CART mRNA integrated intensities provided in the histogram. Sample group size is given within each histogram. Abbreviations 3V, third ventricle and OC, optic chiasm. ................................................................................................................. 122 Figure 4. Arcuate nucleus CART protein and mRNA levels during lactation. ....................................................... 123 Figure 5. Dorsomedial hypothalamus nucleus CART protein and mRNA levels during lactation. ........................ 124 Figure 6. Anteroventral periventricular nucleus CART protein and mRNA levels during lactation. A) Confocal photomicrograph of immunohistochemistry for CART protein in the AVPV (location denoted by dotted line) during virgin control and lactation conditions (100 µM scale bar provided). Quantification of AVPV CART cell numbers is provided in the bar graph. B) Dark field silver grain photomicrograph of in situ iv hybridization for 35S-CART mRNA probe. Quantification of AVPV CART mRNA integrated intensities provided in the histogram. Sample group size is given within each histogram. 3V abbreviation for third ventricle. ................................................................................................................................................... 125 Figure 7. Distribution of CART and Kiss1 cells in the periventricular region and AVPV during lactation. Photomicrographs of immunohistochemistry for CART-ir (green) and Kiss1-ir (red) in the rostral............. 126 Figure 8. CART close appositions onto GnRH cells near the AVPV and ARH and AVPV Kiss1 cells. Photomicrograph of triple-label immunohistochemistry for CART (green), α-MSH (blue) and either GnRH ........................... 127 Figure 9. Working model of the role of CART and Kiss1 for negative energy balance-induced GnRH inhibition. CART populations (green) in the ARH and AVPV nucleus are inhibited (red downward arrow) ................. 128 Figure 1. Close appositions of brainstem catecholamine fibers on arcuate nucleus (ARH) NKB and AVPV Kiss1cells. .................................................................................................................................................. 164 Figure 2. Proposed schematic of negative energy balance-induced changes in reproductive and metabolic circuits contributing to GnRH inhibition. ..............................................................................................................
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