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Endocrinology Vol. 138, No. 10 4147-4152
Copyright © 1997 by The Endocrine Society


ARTICLES

Endocrine Defects in Mice Carrying a Null Mutation for the Progesterone Receptor Gene1

Patrick E. Chappell, John P. Lydon, Orla M. Conneely, Bert W. O’ Malley and Jon E. Levine

Department of Neurobiology and Physiology (P.E.C., J.E.L.), Northwestern University, Evanston, Illinois 60208; and Department of Cell Biology and Center for Comparative Medicine (J.P.L., O.M.C., B.W.O.), Baylor College of Medicine, Houston, Texas 77030

Address all correspondence and requests for reprints to: Jon E. Levine, Ph.D., Department of Neurobiology and Physiology, Northwestern University, Evanston, Illinois 60208. E-mail: jlevine{at}nwu.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice carrying a null mutation of the progesterone receptor gene exhibit several reproductive abnormalities, including anovulation, attenuated lordotic behavior, uterine hyperplasia, and lack of mammary gland development. The hormonal correlates of these abnormalities are unknown, however, and were the focus of these studies. Serum samples from female wild-type (WT) and progesterone receptor knockout (PRKO) mice were obtained and analyzed by RIA for LH, FSH, PRL, estrogen (E2), and progesterone. Hypothalamic tissues were also processed for measurement of LHRH by RIA. Serum LH levels in PRKO mice were found to be elevated by approximately 2-fold over basal (metestrus) values in WT mice. By contrast, basal FSH levels were not different in PRKO and WT mice. Basal levels of E2 and progesterone in serum were likewise similar in the two groups, as were hypothalamic LHRH concentrations. Basal PRL levels were slightly higher in PRKO vs. WT mice. Ovariectomy of both groups of mice was accompanied by significant increases in both LH and FSH. At 5 days following ovariectomy, LH levels were elevated in both groups by 2-fold over PRKO basal and 4-fold over WT basal levels; however, by 10 days postovariectomy LH levels had continued to rise to a greater extent in PRKO mice than in WT animals. The FSH response to ovariectomy was greater for the PRKO mice at 5 days, but was no different from WT at 10 days. Of seven PRKO mice that were exposed to male odor, none exhibited preovulatory surges 3 days later, on the day of presumptive proestrus; this was in marked contrast with WT females, in which 100% exhibited robust LH surges. These results confirm the essential role of progesterone receptors in the regulation of hypothalamic and/or pituitary processes that govern gonadotropin secretion. The finding that basal LH levels are elevated in PRKO mice confirms that circulating progesterone normally conveys a significant portion of the total ovarian negative feedback control of the gonadotropin. That gonadotropin responses to ovariectomy are slightly enhanced in PRKO mice suggests that adrenal progesterone may contribute to the imposition of negative feedback control. The apparent inability of PRKO mice to respond to male odor suggests that anovulation in these mice may not be solely due to reproductive abnormalities within the ovary itself; rather, PRKO mice additionally harbor neuroendocrine defects that render them incapable of mounting normal preovulatory gonadotropin surges. It remains to be determined how the absence of PR in brain and pituitary of PRKO mice may produce this hormonal acyclicity and, conversely, how the presence of PR in brain and pituitary of WT mice may be obligatory in the generation of gonadotropin surges.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE STEROID hormones estrogen (E2) and progesterone play critical roles in maintenance of ovulatory cyclicity, mediating positive and negative feedback influences upon gonadotropin release in both the pituitary and the hypothalamus. Both hormones have also clearly been shown to contribute to negative feedback suppression of LH and FSH secretion, through regulation of hypothalamic LHRH neurosecretion (1), and/or modulation of pituitary responsiveness to the decapeptide. It has proven difficult, however, to clearly delineate the degree to which each hormone may exert negative feedback effects, and hence to characterize these actions during the normal ovulatory cycle.

The positive feedback actions of E2 are regarded as the key hormonal signals that precipitate preovulatory gonadotropin surges in virtually all female mammals. In rodents (2), and possibly in primates as well (3), progesterone receptor (PR) activation also appears to be important in the generation of spontaneous preovulatory surges. PRs, induced by increasing levels of ovarian E2 (4, 5), are abundant in pituitary and defined regions of the hypothalamus, including the arcuate nucleus, the medial preoptic nucleus, and other periventricular regions (6, 7, 8). In E2-primed ovariectomized rats, activation of these PRs by progesterone on proestrus results in augmented and temporally advanced LH surges, more closely resembling peak LH levels found in intact females (9, 10). It has been suggested that ovarian (10, 11, 12) and/or adrenal (11) progesterone secretions just before the spontaneous preovulatory LH surge may normally exert these actions during the ovulatory cycle. Indeed, blockade of progesterone synthesis on the late morning of proestrus has been shown to attenuate gonadotropin surges (13), and blockade of PR by the type II antagonist RU486 given to intact female rats on the morning of proestrus prevents the LH surge that would normally occur in the afternoon (14, 15, 16).

It is not clear, however, if PRs are important only for mediating progesterone’s amplifying actions or if they are even more critically involved in the central mechanisms that drive the surge-generating process itself. Recent evidence suggests that PRs may subserve cellular regulatory functions in the unliganded state (17, 18, 19), and we have recently proposed that this ligand-independent activation of PR may occur as a critically important step in the initiation of LHRH surges (20, 21). In vivo observations in this laboratory and others have revealed that rats lacking both ovarian and adrenal progesterone exhibit LH surges when primed with E2 alone, whereas rats under the same conditions do not surge when administered RU486 (20, 22). If PR activation is indeed a key step in the initiation of preovulatory surges, then one would predict that in the absence of endogenous PRs animals would not exhibit spontaneous preovulatory gonadotropin surges.

Mice homozygous for PR deletions [PR knockout (PRKO)], developed at Baylor College of Medicine using gene-targeting techniques, have become very useful models for elucidating what role this steroid hormone receptor plays in normal reproductive function (23). This mouse model has already been useful in determining PR involvement in rodent sexual receptivity and behavior (23). It has been recently demonstrated that PRKO female mice exhibit greatly attenuated lordosis quotients in response to sexually active wild-type (WT) male mice, as well as to induction by intracerebroventricular application of dopamine (19). PRKO females are unable to ovulate, and therefore are infertile. Additional studies revealed that, even in the presence of exogenous gonadotropins PMSG and human chorionic gonadotropin (hCG), mature preovulatory follicles present in the ovary failed to rupture. These receptor mutants seem to have no deficiency in follicular development but instead are unable to effectively recognize ovulatory signals. These mice also possess other abnormalities, such as hypersensitive uterine responsiveness to steroids and lack of responsiveness to decidual stimulation. Since hCG shares a high degree of homology with LH, it would seem that PR activation is necessary in the ovary to transduce the ovulatory signal, and that PRKO mice are insensitive to the actions of LH, were that signal present. It is not known whether anovulation in these animals is additionally due to impairment of the neuroendocrine axis and disruption of the PR-mediated processes in brain and pituitary that mediate gonadotropin surge generation.

These experiments were conducted to characterize the endocrine status of PRKO mice, so as to better understand the role(s) that PRs may play in reproductive hormone cycles in female rodents. Hormone levels were measured under basal and presumed stimulated conditions to assess the degree to which PR ablation may impact both the negative and positive feedback regulation of gonadotropin secretions and the spontaneous, ovulatory cyclicity of reproductive hormones.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Basal and stimulated hormone measurements
Female WT and PR knockout (PRKO) mice, with a C57BL/6/129SvEv hybrid background, were housed five to a cage. WT and PRKO mice were housed in separate cages at 68–71 F and fed mouse chow and water ad libitum.

In two groups of mice (10 WT, 10 PRKO) vaginal smears were monitored daily for 12 weeks. Only three of 10 WT mice displayed a relatively consistent 5-day cycle. Remaining WT mice displayed both 4- and 5-day cycles in an unpredictable fashion. Regularly cycling mice were killed on the evening of putative proestrus. None of the PRKO mice displayed regular cycles and instead exhibited smears consisting of an unvarying mixture of leukocytes, nucleated cells, and cornified cells. Three days after exposure to mature male mouse bedding, three WT and seven transgenic mice were killed via cardiac puncture. Animals were killed at 1900 h, coincident with lights out, as this time is typical for observation of LH surge peaks in mice. Previous experiments (24) indicate that the ascending phase of the LH surge in intact, pheremonally induced mice occurs between 1700–1800 h and the LH peak occurs at approximately 1900–2000 h, with levels returning to baseline around 2100–2200 h.

Mice were anesthetized with methoxyflurane (Metofane, Pitman-Moore, Inc., Washington Crossing, NJ), and an incision was made with sharp scissors, exposing the peritoneum just below the xiphoid process. The rib cage was bisected and spread, and the diaphragm cut. A 21 g needle was inserted into the right ventricle of the heart, and blood was withdrawn in quantities ranging from 500 µl to 1 ml. Brains, pituitaries, kidneys, and adrenals were removed from mice and fresh frozen on dry ice. Blood was centrifuged and plasma was assayed for LH, FSH, E2, progesterone, and PRL via RIA.

Remaining intact mice (wild-type, n = 66; PRKO, n = 57) were killed between 1000 h-1400 h to determine basal levels of the above hormones. All mice were killed via cardiac puncture, and organs were harvested as described.

Effects of ovariectomy (OVX)
Ten WT and 10 PRKO mice were ovariectomized under Metofane anesthesia. Five days post-OVX, five mice in each genotype were killed via cardiac puncture. The same sacrifice procedure was repeated at 10 days post-OVX for the remaining mice.

Hypothalamic LHRH content
Ten WT and 10 PRKO mice were killed at 1200 h on metestrus, and their brains were fresh frozen on dry ice. Other WT (n = 10) and PRKO (n = 8) mice were killed at 5 and 10 days after OVX, and their brains were also fresh frozen. Mediobasal hypothalami were dissected, weighed, and homogenized in 0.1 N HCl. After centrifugation, supernatants were extracted with 3 vol methanol, lyophilized, and stored for LHRH RIA.

RIA
LH and FSH standards, RP-3 and RP-2, respectively, were generously provided by NIDDK. Intraassay coefficient of variance (CV) of LH was 8.5%. Assay CV of FSH was 4.1%. PRL standards and antibodies were generously provided by Dr. A. F. Parlow at the Pituitary Hormones and Antisera Center. Assay CV for PRL was 23%. Progesterone was assayed with the Immuchem Prog 125I kit (ICN Pharmaceuticals, Costa Mesa, CA). The Intraassay CV for progesterone was 3.5%. E2 was assayed using the KE2D1 kit (Diagnostic Products Corp., Los Angeles, CA), and the intraassay CV for E2 was 9.8%.

Statistical analysis
LH, FSH, E2, progesterone, and PRL means and SEs were calculated within each genotypic group and compared by Student’s t test to determine significant differences in all experiments. Two-way ANOVA was used to assess the effect of OVX and duration post-OVX upon both genotypic groups. Mean LHRH content levels were calculated and normalized to wet weight of mediobasal hypothalami, and genotypic groups were compared using Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Basal hormone levels
As seen in Fig. 1AGo, PRKO mice exhibited significantly elevated (P < 0.05) basal LH levels (0.97 ± 0.19 ng/ml; n = 44) in comparison to their WT counterparts (0.46 ± 0.10 ng/ml; n = 52). Basal FSH levels, however, as shown in Fig. 1BGo, were unchanged in PRKO mice (6.13 ± 0.89 ng/ml; n = 42) as compared with WT (5.98 ± 0.26 ng/ml; n = 54). PRL levels (Fig. 1CGo) were slightly elevated (P < 0.05) in PRKOs (69.59 ± 7.27 ng/ml; n = 22) as compared with WT (45.45 ± 6.94 ng/ml; n = 30). Comparison of E2 levels between WT mice and PRKOs (Fig. 2AGo) showed no significant difference (WT: 45.0 ± 30.58 pg/ml, n = 16; PRKO: 67.1 ± 32.52 pg/ml, n = 21), possibly due to a high degree of variability in both groups. Progesterone levels (Fig. 2BGo) did not differ significantly between the two groups (WT: 46.97 ± 7.34 ng/ml, n = 21; PRKO: 39.52 ± 5.88 ng/ml, n = 27).



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Figure 1. Plasma LH levels (panel A) and FSH levels (panel B) for both WT and PRKO mice under both basal conditions and conditions permissive for the induction of ovulation (surge conditions). Basal plasma LH was significantly higher (a, P < 0.05; n = 44) in PRKO mice than in WT (n = 52); WT surge LH levels were significantly higher than WT basal (b, P < 0.0001; n = 6), PRKO basal (c, P < 0.0001), and PRKO surge levels (d, P < 0.0001; n = 7). There was no significant difference in basal FSH levels between WT (n = 54) and PRKO (n = 42). WT FSH surge levels (n = 8) were significantly higher than WT basal (P < 0.05), PRKO basal (P < 0.05), and PRKO surge levels (P < 0.05; n = 8). Panel C, Basal plasma PRL levels were significantly elevated (P < 0.05) in PRKO mice (n = 22) in comparison with WT (n = 25).

 


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Figure 2. Plasma E2 (panel A) and progesterone (panel B) levels for both WT and PRKO mice under basal conditions. There was no significant difference in either steroid hormone between WT (E2, n = 16; P4, n = 21) and PRKO (E2, n = 21; P4, n = 27) mice.

 
Effect of OVX
At 5 and 10 days post-OVX, both WT (5 day: 1.93 ± 0.13 ng/ml; 10 day: 2.48 ± 0.43 ng/ml) and PRKO (5 day: 1.93 ± 0.56 ng/ml; 10 day: 4.49 ± 1.13 ng/ml) mice exhibited significantly elevated LH levels as compared with intact mice in both groups, yet there was no significant difference in LH levels between the two OVX groups at 5 days (Fig. 3AGo). PRKO mice killed 10 days post-OVX, however, exhibited a further and significant elevation in basal LH (4.49 ± 1.14 ng/ml; P < 0.0001), in comparison to 10 day post-OVX WT mice (2.48 ± 0.43 ng/ml; P < 0.05). FSH levels (Fig. 3BGo) in both 5 day and 10 day OVX mice were elevated in comparison to those measured in intact mice (P < 0.01) and significantly different between genotypic groups at 5 days but not at 10 days: 5 day OVX PRKO (41.56 ± 7.15 ng/ml);, 10 day OVX PRKO (31.05 ± 1.25 ng/ml); 5 day OVX WT (25.96 ± 1.07 ng/ml); and 10 day OVX WT (31.38 ± 1.13 ng/ml).



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Figure 3. Plasma LH (panel A) and FSH (panel B) levels for both WT and PRKO mice under basal conditions, as well as 5- and 10-day post-OVX. A, Basal plasma LH was significantly higher (a, P < 0.05) in PRKO (n = 9) mice than in WT (n = 9). Two-way ANOVA revealed a significant effect of OVX at both 5 and 10 days in both WT (b, P < 0.0002; n = 5) and PRKO mice (c, P < 0.0002; n = 5). PRKO LH levels were elevated at 10 days, but not 5 days post-OVX in comparison to WT (d, P < 0.05). B, There was no difference in basal FSH levels between WT and PRKO mice. Two-way ANOVA revealed a significant effect of OVX at both time points in both WT (a, P < 0.0001; n = 5) and PRKO mice (b, P < 0.0001; n = 5). At 5 days post-OVX, FSH levels in PRKO mice were significantly elevated (c, P < 0.03) in comparison to WT. There was no difference in FSH levels between the two genotypes at 10 days post-OVX.

 
Peak gonadotropin surge levels
Regardless of exposure to male bedding, PRKO mice did not exhibit an LH surge (1.52 ± 0.44 ng/ml; n = 7), while WT mice exhibited LH surge peak levels of 11.21 ± 2.32 ng/ml; n = 6 (Fig. 1AGo). Mean FSH levels of WT mice under surging conditions (8.73 ± 1.852; n = 3) were significantly higher than those of both WT and PRKO mice under basal conditions, as well as PRKO mice under surging conditions (4.66 ± 0.53 ng/ml; n = 8) (Fig. 1BGo).

Hypothalamic LHRH content
When hypothalamic homogenates were assayed and normalized to wet weight, there was no significant difference in hypothalamic LHRH content between metestrus WT (83.49 ± 19.12 pg/mg; n = 10) and PRKO (107.50 ± 27.24 pg/mg; n = 10) mice. There was also no significant difference in hypothalamic LHRH content between metestrus mice of either genotype and OVX WT mice at 5 days (65.13 ± 14.89 pg/mg; n = 5) or 10 days (88.80 ± 14.53 pg/mg; n = 5) and PRKO mice at 5 days (74.13 ± 22.99 pg/mg; n = 3) or 10 days (87.13 ± 12.23 pg/mg; n = 5) (Fig. 4Go).



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Figure 4. LHRH levels assayed from mediobasal hypothalami homogenates of WT and PRKO mice taken during metestrus, as well as at 5 and 10 days post-OVX. There was no significant difference in LHRH content between metestrus WT (n = 10) and PRKO (n = 10) mice. There was also no significant difference in content between WT (n = 5) and PRKO (n = 3) at 5 days post-OVX, and there was no difference between WT (n = 5) and PRKO (n = 5) at 10 days post-OVX. No effect of OVX was seen on LHRH content levels, in comparison to metestrus, at either 5 or 10 days after the procedure.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have analyzed several reproductive hormonal characteristics of PRKO mice and found endocrine abnormalities associated with the absence of PR expression in these animals. The PRKO mice exhibited no discernible gonadotropin surges, a lack of estrous cyclicity as evidenced by examination of vaginal cytology, elevated basal LH and PRL levels, and a slightly exaggerated LH response to OVX. These results implicate the PR as a key component of the neuroendocrine mechanisms governing normal ovulatory cyclicity and homeostatic feedback regulation of gonadotropin secretion.

The most striking characteristic of PRKO mice was found to be an absence of preovulatory LH and FSH surges on the late afternoon/early evening of proestrus. Placement of naive PRKO females proximal to male mouse odor failed to evoke surges on the ensuing presumptive proestrus, as normally occurs in WT animals (24). Examination of vaginal cytology also revealed that PRKO mice exposed to male odor do not progress through the estrous cycle in comparison to WT. Instead, PRKO mice exhibit an unvarying vaginal cytology that consists of a mixture of leukocytes, nucleated epithelial cells, and some squamous epithelial cells.

The absence of LH surges is an additional factor contributing to the infertility and anovulation previously demonstrated in PRKO mice (23). Ovarian PRs are clearly required for ovulation to occur in response to gonadotropins, as demonstrated by the lack of an ovulatory response to hCG in PRKO mice (23). However, PRKO mice also appear to be deficient in the ability to generate the gonadotropin signal for the initiation of ovulation. PR could therefore be necessary at multiple levels to ensure reproductive competency. Ovariectomized WT mice, under the proper conditions of E2 priming, can exhibit surge levels that are slightly attenuated in comparison to those found in intact mice (24). It remains to be seen whether an LH surge can be induced in PRKO mice with sufficient E2 priming, but preliminary results in this laboratory suggest that they cannot. This would be consistent with the proposed model of positive feedback in which increasing E2 has a permissive effect upon hypothalamic neuronal systems that are responsible for LHRH surge generation, and that this permissive action is mediated via PR (25). Without hypothalamic PR present to transduce these neural signals, there could be no change in the amplitude of LHRH pulses to elicit a subsequent LH surge (25).

Basal LH levels were significantly higher in PRKO mice in comparison with WT. This elevation in basal LH can be ascribed to the absence of PR-mediated negative feedback upon both the hypothalamus (2) and the pituitary (1), thus leading to increased release of LH. Since hormone measurements are made from plasma collected at the time of death, it is presently unknown whether the evident rise in basal LH reflects an overall increase in LH release, or whether the amplitude or frequency of pulsatile LH secretion is specifically increased. Interestingly, basal FSH levels were not significantly altered in PRKO mice in comparison to WT. This differential effect on the gonadotropins could be due to varying degrees of direct progesterone negative feedback influences on the anterior pituitary. Alternately, elimination of PR-mediated negative feedback at the hypothalamus may lead to an increase in the frequency and/or amplitude of pulsatile LHRH release, and such a condition may elicit higher basal LH release but is still below a threshold of sensitivity to affect FSH release.

An increase in LH levels following OVX was observed in PRKO as well as in WT mice. This suggests that ovarian negative feedback in mice is disproportionately E2-dependent, although progesterone negative feedback still provides a measurable contributing influence. Also, LH levels continued to rise between 5 and 10 days post-OVX in PRKO mice, whereas there was no elevation in LH levels of WT mice within this time period. This further increase observed in PRKO mice could be due to the elimination of extra-ovarian, PR-dependent negative feedback that may operate in the absence of circulating ovarian E2, preventing the basal LH rise seen with OVX from increasing further. In rats, some contribution of adrenal progesterone to negative feedback suppression of gonadotropin secretion has been suggested (26). FSH levels in both PRKO and WT mice were considerably elevated at 5 days post-OVX, reflecting the earlier post-OVX rise in FSH vs. LH typically observed in females (27). The significantly greater increase in FSH in PRKO mice also could be attributed to the removal of extraovarian, PR-mediated negative feedback, in addition to the elimination of the influence of inhibin; however, it is presently unclear why this differential rise is transient and returns to comparable WT levels at 10 days.

Levels of E2 and progesterone in PRKO mice were not significantly different from those measured in WT mice. One would expect levels of progesterone to be elevated as an LH-mediated, compensatory response to lack of PR. However, lack of any functional corpora lutea in PRKO mice could explain an attenuation in a possible rise in circulating progesterone (23). It may also be possible that responsiveness of the ovaries to gonadotropin stimulation may be diminished in PRKO mice, reaching an equilibrium at which the excess of LH may not evoke supraphysiological progesterone secretion.

PRL levels were significantly elevated in PRKO mice, an effect that could be ascribable to many factors. Progesterone has been shown to inhibit E2-stimulated PRL release from the pituitary, as well as to suppress E2-induced increases in pituitary PRL mRNA (28, 29, 30). Intracerebroventricular administration of RU486 to hysterectomized pigs was shown to dramatically increase PRL release, possibly due to removal of PR-mediated inhibition of PRL (31). This is not consistent with observations in primates, however, where progesterone seems to increase PRL secretion following E2-priming (32).

Since it is yet unknown whether PR deletion could have any effects on development of brain regions involved in reproduction, we examined LHRH concentrations in homogenates of mediobasal hypothalami of intact, metestrus mice, as well as that of ovariectomized mice, and observed no significant differences in levels between the two genotypes at metestrus or any significant effect of OVX on LHRH content between genotypes. In rats, both the positive (33) and negative feedback (1) actions of progesterone are likely exerted in part via alterations in hypothalamic LHRH release. Thus, the absence of functional PR in hypothalamic neurons governing LHRH release might have been expected to produce some measurable alteration in LHRH neurosecretory activity. The lack of any discernible difference in LHRH concentrations in PRKO mice, however, may simply reflect the dissociation between LHRH release rate and the steady state concentration of LHRH in tissue. Pending development of methods to monitor LHRH release in mice, the impact of PR deletion on LHRH release patterns remains to be clarified.

Our analysis of the reproductive endocrinology of PRKO mice reveals several underlying defects in neuroendocrine function in these animals. Of most obvious significance are defects in both the positive and negative feedback regulation of gonadotropin secretion. Our observations implicate the PR in the central, neuro-integrative processes that lead to the generation of preovulatory gonadotropin surges, in agreement with the findings of previous experiments that demonstrated the importance of progesterone and its receptor within the hypothalamus (12, 13, 14, 15), as well as in the homeostatic suppression of gonadotropin secretion in the basal secretory state. Characterization of PR involvement in these feedback processes, however, will require further analysis using steroid replacement methodologies in PRKO animals to complement the results of the current study.


    Acknowledgments
 
The authors wish to thank Brigitte Mann and Stephanie Kluge for their expert technical assistance with hormone measurements.


    Footnotes
 
1 This work was supported in part by NIH Grants RO1-HD-20677 and P30-HD-28048. Back

Received March 7, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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