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Endocrinology Vol. 138, No. 12 5366-5373
Copyright © 1997 by The Endocrine Society


ARTICLES

Food Availability Affects Neural Estrogen Receptor Immunoreactivity in Prepubertal Mice1

James N. Roemmich, Xia Li, Alan D. Rogol and Emilie F. Rissman

Department of Pediatric, Division of Endocrinology (J.N.R., A.D.R., E.F.R.), the Departments of Biology (X.L., E.F.R.) and Pharmacology (A.D.R.), and the Center for Biological Timing (A.D.R., E.F.R.), University of Virginia, Charlottesville, Virginia 22903

Address all correspondence and requests for reprints to: James N. Roemmich, Ph.D., Department of Pediatrics, Division of Endocrinology, University of Virginia Health Sciences Center, Box 386, Charlottesville, Virginia 22908. E-mail: jr5n{at}virginia.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
How underfeeding delays maturation of the central mechanisms affecting GnRH release at the onset of puberty, and why females are more sensitive to underfeeding than males are not well understood. We tested the hypothesis that the sexually dimorphic effects of underfeeding on GnRH release are mediated in part through the estrogen receptor (ER). We investigated the influence of underfeeding on the number of ER-immunoreactive (ER-ir) cells in the medial preoptic area (mPOA), ventromedial nucleus (VMN), and arcuate nucleus (ARH) of prepubertal CF-1 mice, neural areas known to influence GnRH release. In females, 7 days of underfeeding reduced detectable ER-ir cells in the mPOA and VMN, but not in the ARH. Also, we noted a direct relationship between the percent body weight change the last 24 h before perfusion and the numbers of ER-ir cells in the mPOA (r = 0.69; P = 0.0008) and VMN (r = 0.56; P = 0.01). In males, 17 days of underfeeding did not affect ER-ir cell numbers in any region. A subsequent investigation of the time course of alterations in ER immunoreactivity revealed that in female mice ER-ir cell numbers were reduced within 48 h of underfeeding in the mPOA, VMN, and ARH. ER-ir cell number was not changed in male mice. When female mice were underfed for 48 h and then refed, ER-ir cell numbers normalized by 24 h in the mPOA, VMN, and ARH. For the time-course experiments, the percent body weight change the last 24 h before perfusion and the number of ER-ir cells were related in the mPOA (r = 0.47; P < 0.001) and VMN (r = 0.49; P < 0.001), but not in the the ARH (r = 0.23; P < 0.12) in female mice, and in the mPOA (r = 0.66; P < 0.001), VMN (r = 0.33; P = 0.06), and ARH (r = 0.45; P = 0.007) in male mice. Thus, despite no significant change in ER-ir cell number in the male mice, there was a relationship between the percent body weight change during the last 24 h before perfusion and the number of ER-ir cells. We conclude that in male mice, correlation analyses between the percent body weight change before perfusion and ER-ir cell number may be a more sensitive marker of the metabolic condition at the time of perfusion. In female mice, underfeeding may stall puberty by reducing the number of ER-ir cells in brain areas important for signal transmission of GnRH release.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IN SEXUALLY mature animals, undernutrition interrupts ovulatory cycles by suppressing GnRH pulse generator activity (1, 2, 3) and reduces estrous behavior (4). Wade et al. (5) have proposed a working hypothesis from data in adult mammals where changes in metabolic fuel availability are either sensed in the viscera and transmitted to the hind brain via the vagus nerve or sensed centrally in the area postrema. The information is then relayed to the forebrain via a series of neural projections. Within the forebrain, the metabolic signals alter estrogen receptor-immunoreactive (ER-ir) cell number in the ventromedial nucleus (VMN) and medial preoptic area (mPOA) (4). However, it is not clear whether this model can be generalized to other mammals. Moreover, this model has not been extended to studies of nutritional regulation of puberty.

Undernutrition affects the immature animal by delaying growth and pubertal development (1, 6). However, it is not known whether undernutrition modifies ER-ir cell number in prepubertal animals in the same manner as it does in adult animals. Immature animals may respond to underfeeding differently from adults because the hypothalamic-pituitary-gonadal axis of immature animals is more sensitive to the negative feedback of sex steroids and because the ultrastructure of the medial basal hypothalamus and its neuronal circuits may not yet be fully mature (7).

Also uncertain are the specific mechanisms involved in the induction of GnRH pulse generator activity and the onset of puberty. The increase in GnRH activity is thought to be due to a maturing of the neural systems governing the GnRH pulse generator (7, 8). Underfeeding delays the pubertal onset of LH and, by inference, GnRH pulsatility and/or release (1, 6, 9). Thus, understanding the influence of underfeeding on the neural components of the GnRH pulse generator may help elucidate the mechanisms involved in pulse generator function and maturation. Furthermore, describing the site-specific changes in ER immunoreactivity during underfeeding and refeeding will help identify those brain regions important for controlling pulse generator maturation and pubertal progression (4). Thus, we investigated whether the responses to underfeeding in the prepubertal mouse are due to changes in ER-ir cell numbers in brain areas known to regulate GnRH.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mouse colony
Mice (CF-1) were purchased from Charles River Laboratories (Wilmington, MA). Breeder pairs were housed together, and starting at 14 days of age, offspring were allowed ad libitum access to coarsely ground lab chow (Purina lab chow 5008, Ralston-Purina, St. Louis, MO). The animals were weaned at 16 days and housed individually in clear polyethylene cages. The mouse room was maintained at a temperature of 22 C with a photoperiod of 16 h of light, 8 h of darkness (lights off at 0200 h Eastern Standard Time). This investigation was approved by the University of Virginia animal welfare committee.

Underfeeding
For all three experiments, weanling mice were underfed by giving them only enough ground food so that their body weight was held at or below their weanling body weight for the prescribed number of days. For the females this was 0.45–0.75 g food; males received between 0.65–0.95 g food. Food consumption was measured by allowing animals to eat from feeders designed to prevent food from being hoarded, scattered, or contaminated with feces and bedding. The underfed animals were fed at 0900 h each day and perfused before feeding on the last day.

Immunocytochemistry
Animals were deeply anesthetized with sodium pentobarbital and perfused through the left ventricle with 0.9% heparin-saline followed by modified Zamboni’s fixative. Brains were removed and cryoprotected overnight in 20% sucrose in 0.1 M sodium phosphate buffer at 4 C and then quickly frozen. Serial coronal sections (30 µm) were collected on a freezing cryostat into four wells containing antifreeze. Sections were stored at 4 C until used for immunocytochemical analysis. Equal numbers of brains from the treatment conditions were developed to reduce interrun or development-related variability. One quarter of the sections from each brain were rinsed and then incubated for 48 h at 4 C in primary antiserum. ER-ir cells were detected with the rat monoclonal antiserum H222 (provided by Abbott Laboratories, North Chicago, IL; working dilution, 1:1000). Incubation in the primary was followed by rinsing in Tris-buffered saline (pH 7.6) and a 60-min incubation at room temperature in biotinylated donkey antirat IgG (Vector Laboratories, Inc., Burlingame, CA; working dilution, 1:500). Then another series of rinses and 1-h incubation in avidin-biotin-peroxidase complex (ABC; Vector Elite Kit, Vector Laboratories; dilution, 1:1000) was performed. To increase cell permeability, during the preincubation Triton X was added to the carrier solution for the primary and secondary antibodies and to the ABC. To enhance staining intensity, the reaction was double bridged by placing the tissue back into the biotinylated donkey antirat IgG for 1 h and rinsing for 30 min in Tris-buffered saline, followed by a 45-min incubation in fresh ABC. Immunoreactivity was visualized with diaminobenzadine and nickel to produce a purple staining of the nucleus. The tissue sections were developed in diaminobenzadine for 5–15 min (median, 10 min).

Cell counting
The numbers of detectable ER-ir cells in representative brain sections were counted. The areas examined were the mPOA, VMN, and arcuate nucleus (ARH). All counts for a specific area were completed by the same person, who was blind to the experimental condition of the material. Detectable ER-ir cells were counted unilaterally in all three brain areas. A single representative section was counted for each area. The mPOA ER-ir cells were counted in the anterior portion of the mPOA at first appearance of the crossed anterior commissure and anterior to the merging of the lateral ventricles. The atlas coordinates were Bregma 0.02 and -5 mm from the skull (10) (Fig. 1Go). The VMN and ARH were counted where the optic tract projected superiorly and posterior to the formation of the infundibulum. This corresponded to atlas coordinates Bregma -1.58 and -5.5 mm (10) (Fig. 2Go). An Olympus light microscope equipped with a video camera (Olympus Corp., Lake Purchase, NY) connected to a personal computer and color monitor were used for cell counting. Images were projected onto a monitor, and using Mocha computer analysis software (Jandel Scientific, San Rafael, CA), each immunoreactive cell was marked on the screen.



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Figure 1. Line drawing of the location of the mPOA. LV, Lateral ventricle; D3V, dorsal third ventricle; AC, anterior commissure; OX, optic chiasm.

 


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Figure 2. Line drawing of location of ARH and VMN. DM, Dorsal medial hypothalamus; 3V, third ventricle; OPT, optic tract.

 
Statistics
One-way ANOVA was used to test group differences within each gender for numbers of detectable ER-ir cells. Differences between the groups were determined using the Newman-Keuls post-hoc test. Two-way ANOVA (gender by feeding) was not performed due to the disconnected design of Exp 2. Female, but not male, mice were fed ad libitum for 24 h in Exp 2. Pearson product moment correlations were used to test the strength of the relationship between the percent body weight loss and ER-ir cell number. All tests were based on two-tailed tests of significance.

Procedures
Exp 1: long term underfeeding. The purpose of this experiment was to investigate whether underfeeding female and male mice could alter the neural development of detectable ER-ir cells compared with that in ad libitum fed counterparts who were killed at the very end of the prepubertal state. Weanling male and female CF-1 mice were each randomly assigned to one of three groups. Weanling mice (nine males and seven females) were killed at 16 days. The female and male mice in the control groups were allowed to eat ad libitum for 7 and 17 days, respectively, and then killed. Underfed male mice (n = 9) and female mice (n = 7) were given only enough food (for 17 and 7 days, respectively) to maintain their weanling body weights. The feeding treatment of the male mice continued for a longer time than that of the female mice because male mice begin puberty at an older age. Food consumption and body weights were recorded daily.

Exp 2: time course of changes in ER immunoreactivity with underfeeding. The purpose of this experiment was to determine how quickly detectable ER-ir cell numbers are altered in response to underfeeding. Weanling male and female CF-1 mice were each randomly assigned to groups. One group was killed at weaning (day 16; seven males and eight females). The control groups were allowed to eat ad libitum for 24 h (five females) or 48 h (five males and nine females) and then were killed. Other groups of mice were underfed for 24 h (seven males and eight females) or 48 h (seven males and nine females) and killed. Data from a pilot study demonstrated that underfeeding prepubertal male mice for 24 h did not reduce ER-ir cell numbers. Thus, ad libitum fed males were not studied at 24 h. Food consumption and body weights were recorded daily.

Exp 3: time course of changes in ER immunoreactivity with refeeding. The purpose of this experiment was to investigate how quickly refeeding could increase detectable ER-ir cell numbers in males and females that had been underfed for 48 h. Weanling CF-1 mice were randomly assigned to groups. The mice in control groups were allowed to eat ad libitum for 72 h (six males and five females) or 96 h (four of each sex) and then killed. The underfed-refed groups were underfed for 48 h and then refed for 24 h (three males and eight females) or 48 h (three males and five females). Food consumption and body weights were recorded daily.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Exp 1: long term underfeeding
Underfeeding female mice for 7 days reduced detectable ER-ir cell numbers in the mPOA (P < 0.005) and VMN (P < 0.005) compared with those in females killed the day of weaning and control animals fed ad libitum for 7 days (Figs. 3Go and 4Go). The detectable ER-ir cell number in the ARH was unchanged in the underfed females. Underfeeding had little effect on the detectable ER-ir cell number of the males (Fig. 3Go). In females, there was a significant relationship (Fig. 5Go) between the percent body weight change the last 24 h before perfusion and the ER-ir cell number in both the mPOA (r = 0.69; P < 0.005) and VMN (r = 0.56; P = 0.01). Relationships between the percent body weight change 24 h before perfusion and ER-ir cell number of male mice were not significant (data not shown).



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Figure 3. Effect of underfeeding on the number of ER-ir cells in the mPOA, VMN, and ARH of prepubertal male and female mice in Exp 1. The male mice were held at their weanling body weight for 17 days, and the female mice were held at their weanling body weight for 7 days. Cell counts are for unilateral counts in representative sections. Values with the same letters indicate P <= 0.05.

 


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Figure 4. Photomicrograph of the ER-ir cells in a coronal section of the POA of a prepubertal female mouse who had been on an ad libitum feeding schedule for 7 days in Exp 1 (top panel), underfed for 2 days in Exp 2 (middle panel), and underfed for 2 days, then refed for 2 days, in Exp 3 (bottom panel). Scale bar in bottom panel = 0.05 mm.

 


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Figure 5. Relationships between the percent body weight change the last 24 h before perfusion and the ER-ir cell number in the mPOA, VMN, and ARH of female mice in Exp 1 who were allowed to eat ad libitum or held at their weanling body weight for 7 days. Note the different scale for the abscissa.

 
Exp 2: time course of changes in ER immunoreactivity with underfeeding
Underfeeding for 48 h reduced (P < 0.005) the number of detectable ER-ir cells in the mPOA, VMN (P < 0.01), and ARH (P < 0.01) of the female mice (Fig. 6Go). The detectable ER-ir cell number in the male mice was not significantly changed in the mPOA (P = 0.10), VMN (P = 0.50), or ARH (P = 0.32).



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Figure 6. Effect of underfeeding for 24 or 48 h on the number of ER-ir cells in the mPOA, VMN, and ARH of prepubertal male and female mice in Exp 2. Cell counts are for unilateral counts in representative sections. Values with the same letters indicate P <= 0.05.

 
Exp 3: time course of changes in ER immunoreactivity with refeeding
When female mice were underfed for 48 h and then refed, detectable ER-ir cell numbers were normalized within 24 h in the mPOA, VMN, and ARH (Fig. 7Go). The P values for the change in detectable ER-ir cell number of the male mice for the mPOA, VMN, and ARH were 0.49, 0.16, and 0.06, respectively.



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Figure 7. Effect of underfeeding for 48 h and then ad libitum refeeding for 24 or 48 h on the number of ER-ir cells in the mPOA, VMN, and ARH of prepubertal male and female mice in Exp 3. Cell counts are for unilateral counts in representative sections.

 
When combining the data from Exp 2 and 3, the percent body weight change the last 24 h before perfusion and the number of ER-ir cells were significantly related in the mPOA (r = 0.47; P < 0.001) and VMN (r = 0.49; P < 0.001), but not in the the ARH (r = 0.23; P = 0.12) in female mice (Fig. 8Go) and in the mPOA (r = 0.66; P < 0.001), VMN (r = 0.33; P = 0.06), and ARH (r = 0.45, P < 0.01) of male mice (Fig. 9Go).



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Figure 8. Relationships between the percent body weight change the last 24 h before perfusion and the ER-ir cell number in the mPOA and VMN of female mice in Exp 2 and 3 who were killed at weaning, ad libitum fed for 24 or 48 h, or underfed for 48 h, then ad libitum refed for 24 or 48 h. Note the different scales for the abscissa.

 


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Figure 9. Relationships between the percent body weight change the last 24 h before perfusion and the ER-ir cell number in the mPOA and VMN of male mice in Exp 2 and 3 who were killed at weaning, ad libitum fed for 48 h, or underfed for 48 h, then ad libitum refed for 24 or 48 h. Note the different scales for the abscissa.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results show that ER immunoreactivity-containing neurons in the mPOA, VMN, and ARH can respond to changes in nutritional status within 24–48 h. The ER-ir cells in prepubertal male mice were much less responsive to alterations in metabolic fuels than those in female mice. The data suggest that underfeeding female mice may stall puberty in part by reducing the production or increasing the degradation of ER protein in the hypothalamus.

In the female mice, responses of ER immunoreactivity to underfeeding varied in different brain areas. When underfed for 7 days, detectable ER immunoreactivity was reduced in the mPOA and VMN, but not in the ARH. Underfeeding for 48 h reduced detectable ER-ir cell number in all three neural locations. In the female mouse, there appears to be a transient reduction in ARH ER-ir cells, followed by a rebound during long term underfeeding. The purpose of such a transition is unknown. However, the ARH, mPOA, and VMN consist of many cells that contain both ER and neuropeptides involved in regulating feeding behavior and control of the GnRH pulse generator (11). Perhaps the transient change is related to development of one or more of these neurotransmitter systems. Future investigations should use double staining techniques to determine whether underfeeding selectively reduces ER immunoreactivity in specific populations of neurons that coexpress such neurotransmitters.

The VMN is an important site for estrogen-mediated effects on estrous behavior, and restriction of metabolic fuels reduces detectable ER immunoreactivity in the VMN (4, 12). The present study demonstrates that the VMN is sensitive to alterations in metabolic fuels before sexual maturity and the onset of estrous behavior.

Estrogen also acts within the mPOA to facilitate estrous behavior (4, 13) and gonadotropin release (14). The reduction in ER-ir cell number in the mPOA of the prepubertal female mice is opposite to the effect in adult Syrian hamsters, in which underfeeding increases detectable ER-ir cells (4). The increase in detectable ER immunoreactivity in underfed adult hamsters may increase the positive feedback effects of estradiol so that when food becomes available, an enhanced LH secretion quickly normalizes the estrous cycle (15). However, the purpose of the reduction in ER immunoreactivity in the prepubertal mouse is unknown. Underfeeding impairs the hypothalamic release of GnRH, but not the assayable pool of brain GnRH (16). Thus, one possibility is a reduction in estrogen-stimulated neuropeptide synthesis and secretion. For instance, reductions in ER-ir cell number in dopamine-containing cells may diminish dopamine-stimulated GnRH release during the peripubertal period. We have found that underfeeding for 7 days reduces the total number of cells that coexpress ER immunoreactivity and tyrosine hydroxylase immunoreactivity by 57% in female mice (17). Whether ER-ir cell number is altered in other neurotransmitter-containing neurons requires further investigation.

In addition, although estrogen levels may be low in prepubescent mice, it does not mean that estrogen is biologically nonfunctional. Estrogen levels are probably low due to an exquisitely sensitive feedback between the gonad and the hypothalamus via estrogen and its receptor. Estrogen may cause the production and release of various neuropeptides involved in the organization and maturation of the GnRH pulse generator. A reduction in ER number may reduce this maturational effect and stall puberty.

Another important neural center for the control of GnRH pulsatility is the paraventricular nucleus (PVN). Investigations in rats (18, 19) have shown that estrogen feedback at the PVN is required to reduce LH pulsatility during fasting. In adult hamsters, food restriction increases detectable ER immunoreactivity in the posterior parvocellular PVN (20). However, in our study, ER-ir staining in the PVN of both ad libitum and underfed animals was either absent or very faint, sometimes barely distinguishable from background. The, ER-ir staining in other neural areas (e.g. ARH) within the same section was always robust and readily visible. Thus, we are confident that the weak ER-ir signal in the PVN was not caused by our methodology. The lack of detectable ER immunoreactivity in the PVN suggests that the central processing of metabolic information may differ in the prepubertal mouse.

The antibody used to stain for ER immunoreactivity in the present study (H222) is affected by estradiol concentrations, such that when the ER is bound to its ligand, H222 does not bind to the ER (21). However, in our underfed prepubertal animals, estradiol concentrations would be very low. Also, the results of a reduction in ER immunoreactivity in food-restricted animals is opposite what would be expected if estradiol levels influenced the detectable ER-ir cell number.

Differences in the effects of underfeeding on the number of detectable ER-ir cells between the present and previous studies may be related not only to species and maturational differences of the animal models, but also to differences in the feeding paradigm. Previous investigations have studied nutritionally induced changes in detectable neural ER-ir cell number by food deprivation (4, 5, 18) or chemical blockade of carbohydrate and fat metabolism (4, 5). We have demonstrated that chronic and acute underfeeding (not food deprivation) also produces alterations in detectable neural ER-ir cell number. Underfeeding is probably a more common situation in rodents in the wild as well as in the human. In addition, food deprivation does not induce neurogastric signals that independently modulate LH secretion in adult rats (22) and monkeys (23).

During the first experiment, several underfed females inadvertently given a small excess of food gained body weight during the last days of the underfeeding protocol. These females had ER-ir cell numbers similar to those of ad libitum fed animals (data not shown). Thus, we initiated studies of the time course of the underfeeding- and refeeding-induced alterations in ER immunoreactivity. Alterations in metabolic fuel availability induced changes in ER immunoreactivity within 24–48 h. In addition, in 7 of 11 underfed mice that were refed for 24 h, the refeeding increased detectable ER-ir cell numbers before their body weights recovered to normal. These data suggest that the availability of metabolic fuels, not body weight or body fat stores, is influencing ER immunoreactivity in prepubertal female mice.

Our study is also unique because nutritional alterations in the ER-ir cell number of males was investigated. Although the number of detectable ER-ir cells was not significantly affected by underfeeding in the male, there was a trend for a reduction in the short term experiments. However, the percent body weight change the last 24 h before perfusion was directly related to the number of detectable ER-ir cells during short term underfeeding. Thus, changes in the detectable ER-ir cell number in male mice may be subtle, and correlation analyses may be a more sensitive way of assessing the metabolic milieu at the time of perfusion. However, correlation analyses between the percent body weight loss and detectable ER-ir cell numbers in the ARH were not significant for the males after long term underfeeding or in the females after short or long term underfeeding, suggesting that ER immunoreactivity in the ARH may be less sensitive to the magnitude of weight loss.

Interestingly, detectable ER-ir cell number in the mPOA and VMN of the males were also not related to the body weight loss the last 24 h before perfusion in the first study when mice were chronically held at their weanling body weight. These results suggest that detectable ER-ir cell number may be slightly and transiently altered by underfeeding in the prepubertal male, but eventually normalized. Conversely, detectable ER-ir cell number in females was directly related to the percent body weight loss in both the short term (2 day) and long term (7 day) experiments.

One evolutionary hypothesis for the sexual dimorphism in the detectable ER-ir cell number response to underfeeding is that the GnRH pulse generator of an adult female mouse is more sensitive to food availability than that of an adult male mouse because the female must commit energy reserves to the pre- and postnatal development of the offspring (6). A logical extension of this hypothesis is that underfeeding may block puberty in the female mouse so that the undernourished animal does not attain a reproductively mature state. In both mature and juvenile female mice, quick neural responses to alterations in fuel availability allow the animals to adjust to the existing environmental conditions. For the weanling male mouse, the ability to continue to undergo pubertal development despite suboptimal food resources is essential because of the length of time (60 days) necessary to produce mature sperm. In the wild, the male mouse will often encounter a combination of short life expectancy and the requirement of finding a territory in the face of low food availability. If pubertal and spermatic development are halted until the male located a suitable territory with adequate nourishment, the reproductive rate could be very low (6). However, this evolutionary hypothesis is not universal. For instance, the hypothalamic-pituitary axis of the male rhesus monkey is very sensitive to food deprivation (24).

In conclusion, reduced nutritional status (metabolic fuel availability) generally reduces detectable ER-ir cell numbers in the mPOA, VMN, and ARH of prepubertal female mice. Each of these neural areas has been implicated in controlling the onset of GnRH pulse generator activity (11). In the female, detectable ER-ir cell numbers respond to changes in fuel availability within 24–48 h. Changes in detectable ER-ir cell number probably represent an attempt to change neural sensitivity to sex steroids. Future research should determine in which populations of cells ER-ir cell numbers are being reduced, as this will help determine which neuropeptides may be involved in the control of GnRH release and the triggering of puberty. In contrast, food restriction has little effect on detectable ER-ir cell numbers in male mice. The dimorphic response of neural ER immunoreactivity to underfeeding supports the hypothesis that there is an evolutionary adaptation that allows males to continue sexual maturation despite inadequate metabolic fuels because of the time required to produce mature sperm (6).


    Acknowledgments
 
The authors are indebted to Nafeh Fananapazir and Wendy Siemen for their technical assistance.


    Footnotes
 
1 This work was supported in part by the University of Virginia Center for Biological Timing, NIH Grants MH-01349 and NS-35429, and the Genentech Foundation for Growth and Development. Back

Received May 8, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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