Endocrinology Vol. 141, No. 5 1772-1779
Copyright © 2000 by The Endocrine Society
The Role of Neuropeptide Y in the Progesterone-Induced Luteinizing Hormone-Releasing Hormone Surge in Vivo in Ovariectomized Female Rhesus Monkeys1
Masaharu Mizuno,
Marla Gearing2 and
Ei Terasawa
Wisconsin Regional Primate Research Center (M.M., M.G., E.T.) and
Department of Pediatrics (E.T.), University of Wisconsin, Madison,
Wisconsin 53715-1299
Address all correspondence and requests for reprints to: Ei Terasawa, Ph.D., Wisconsin Regional Primate Research Center, 1223 Capitol Court, Madison, Wisconsin 53715-1299. E-mail: terasawa{at}primate.wisc.edu
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Abstract
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Progesterone induces a LHRH surge in estrogen-primed ovariectomized
rhesus monkeys, with a concomitant increase in the pulse frequency of
neuropeptide Y (NPY) release. However, the role for NPY in the positive
feedback action of progesterone on LHRH release in primates is unknown.
The present study examines the effect of an antisense
oligodeoxynucleotide for NPY messenger RNA (AS NPY) on the
progesterone-induced LHRH surge in vivo using push-pull
perfusion. The AS NPY was directly infused into the stalk-median
eminence (S-ME), whereas perfusates were collected for assessment of
LHRH release. For a control, a scrambled oligodeoxynucleotide was
infused. The results indicate that 1) the scrambled
oligodeoxynucleotide did not interfere with the progesterone-induced
LHRH surge, 2) whereas AS NPY blocked the progesterone-induced increase
in LHRH release, and 3) no LHRH surges were induced by oil as a control
for progesterone, but the AS NPY also reduced LHRH release in oil
controls. These data suggest that 1) AS NPY infusion into the S-ME
results in reduction in LHRH release; and 2) NPY release in the S-ME is
important for the positive feedback effects of progesterone on LHRH
release in estrogen-primed ovariectomized monkeys.
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Introduction
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IN PRIMATES, as in other species, an
increase in serum estradiol precedes the preovulatory LH surge (1).
However, the first detectable increase in progesterone occurs after the
initial increase in midcycle LH release, and a significant increase in
progesterone has been observed several hours before the LH peak (2, 3),
indicating that in primates estrogen induces preovulatory LH release,
whereas progesterone facilitates or augments it. In fact, we have shown
that progesterone injection after a small dose of estrogen in
ovariectomized (OVX) monkeys results in a LH surge with a short latency
(69 h) and a short duration (12 h) (4, 5, 6, 7, 8, 9) and that this surge is a
direct consequence of an increase in LHRH release induced by
progesterone (9).
It has been shown in rats and rabbits that neuropeptide Y (NPY) in the
hypothalamus plays an important role in the modulation of pulsatile
LHRH release and the preovulatory LH surge (10, 11). In primates as
well, we have reported that infusion of NPY in the stalk-median
eminence (S-ME) stimulates LHRH release (12), whereas infusion of an
NPY antibody or antisense oligodeoxynucleotide for NPY messenger RNA
(mRNA; AS NPY) into the S-ME suppresses LHRH pulses (13, 14), and NPY
pulses precede LHRH pulses in OVX monkeys as well as during the
progesterone-induced LH surge (9, 13). Moreover, the pulse frequency of
NPY pulses increases along with an increase in the LHRH pulse frequency
when progesterone induces a LHRH surge in estrogen-treated OVX monkeys
(9), suggesting that NPY neurons may mediate positive feedback effects
of progesterone in primates. Nonetheless, it is unclear whether NPY
neurons play an obligatory or a permissive role in the control of
steroid-induced LHRH release in primates. As little information on the
mechanism of the preovulatory LHRH surge in primates is available, and
there are distinct species differences in neuroendocrine
characteristics between primates and rodents (6, 15), it is important
to study the triggering mechanism of the steroid-induced LHRH surge in
nonhuman primates. Therefore, the present study investigates the
effects of an antisense oligodeoxynucleotide for NPY mRNA (AS NPY) on
progesterone-induced LHRH release in estrogen-primed OVX female rhesus
monkeys. This study expands upon our previous work demonstrating that
AS NPY infusion suppresses both NPY and LHRH pulses in OVX female
monkeys (14).
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Materials and Methods
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Animals
Twenty-nine female rhesus monkeys (Macaca mulatta),
ranging from 6.618.3 yr of age and weighing 5.39.7 kg, were used in
this study. All monkeys were ovariectomized 4 months to 2.5 yr before
the experiment. The animals were housed under conditions described
previously (7, 16) and provided a standard diet of Purina monkey chow
(Ralston Purina Co., St. Louis, MO) supplemented with
fresh fruit. Water was available ad libitum. The protocol
for this study was reviewed and approved by the animal care and use
committee, University of Wisconsin, and all experiments were performed
under the guidelines established by the NIH and USDA.
Steroid treatments and blood sampling
The steroid treatment protocol used was similar to that reported
previously (6, 7). A 4-cm SILASTIC brand capsule (Dow Corning Corp., Midland, MI) containing 17ß-estradiol
(E2) was implanted sc 14 days before sc injection
of 30 µg estradiol benzoate (EB). Twenty-four hours after EB
treatment, progesterone (2.5 mg in 0.25 ml corn oil) or oil (0.25 ml
corn oil or sesame oil), as a control for progesterone, was injected
sc. Serum samples (1.0 ml) were collected through indwelling saphenous
catheters at time points relative to progesterone (or oil) injection
(-3, 0, 3, 6, 9, and 12 h) for evaluation of LH levels.
Push-pull perfusion
At least 8 weeks before push-pull perfusion experiments began, a
cranial pedestal was implanted under halothane anesthesia (16, 17). The
method for push-pull perfusion of the S-ME in conscious monkeys was
similar to that previously described (16). Briefly, a concentric
cannula with double lumens was stereotaxically inserted into the S-ME
of anesthetized monkeys 3 days before the start of the perfusion
experiments. The placement of the tip of the cannula was confined to an
area 1.0 mm posterior and ventral to the tip of the infundibular recess
and laterally within 1.0 mm of the midline. On the third day after
cannula insertion, modified Krebs-Ringer phosphate buffer solution
(artificial cerebrospinal fluid) with bacitracin (4 U/ml;
Sigma, St. Louis, MO) was infused into the S-ME through
the push cannula at a rate of 23 µl/min using a peristaltic pump
(Minipulse 3, Gilson, Inc., Middleton, WI). Perfusate was collected (on
ice) from the pull cannula at 10-min intervals using an identically
calibrated pump. Each perfusate sample was aliquoted into two vials
(150 µl for LHRH and 75 µl for other neuromodulators) before
storage at -70 C.
Experimental design
Exp 1. To determine the effects of progesterone on LHRH
release and LH release, push-pull perfusion at 10-min intervals and
blood samplings at 3-h intervals were conducted simultaneously. Twelve
female OVX monkeys that had been implanted with
E2 capsules 2 weeks before the experiment and
injected with 30 µg EB 24 h before the experiment were used.
After 4 h of control perfusion, 2.5 mg progesterone in corn oil or
corn oil alone were injected sc, and perfusate collection was continued
until 12 h after progesterone or oil injection. The time of
progesterone or oil injection was designated time zero. All 12 monkeys
received progesterone injection (n = 12), whereas 11 of the 12
monkeys received oil injection (n = 11) in random order in
successive experiments. LHRH in perfusates, but not NPY, was measured
in this experiment.
Exp 2. To determine whether suppression of NPY release
alters the progesterone-induced LHRH surge in conscious OVX rhesus
monkeys, we infused an antisense oligodeoxynucleotide for NPY mRNA (AS
NPY) into the S-ME using a push cannula, whereas perfusate samples were
collected through a pull cannula, as described previously (14). The AS
NPY (5'-CCA GTC GCT TGT TAC CTA GC-3') is a 20-base oligonucleotide
corresponding to the N-terminus of human NPY immediately downstream
from the initiation codon (GenBank accession no. M.15789), as described
previously (14). An oligonucleotide (5'-CTC CGC TTC AGT ACG CTA GT-3')
containing the same bases in scrambled sequence (SC NPY) was used as a
control. Both AS NPY and SC NPY were synthesized at the Biotechnology
Center, University of Wisconsin (Madison, WI). We examined the
specificity of the AS NPY and SC NPY using the GenBank Primate Database
(FASTA Program, Genetics Computer Group, Madison, WI) as
described previously (14). The AS NPY and SC NPY were then desalted and
resuspended in artificial cerebrospinal fluid under sterile conditions.
LHRH levels in perfusates were measured by RIA. NPY levels were not
measured in this experiment.
Exp 3. To determine whether the effects of AS NPY on LHRH
release in the progesterone-treated group differ from those in the
oil-treated group, AS NPY was infused into the S-ME of animals that
received oil injection. We did not examine the effects of SC NPY on
LHRH release in animals treated with oil, because SC NPY did not cause
any significant effect on LHRH release in a previous study (14). LHRH
and NPY levels in perfusates were measured by RIAs.
Exp 2 and 3 were conducted concurrently on 17 OVX monkeys, in which
E2 capsules were implanted 2 weeks before and EB
was injected 24 h before the initiation of the experiment. After
2 h of control perfusion, AS NPY or SC NPY at 10 µM
was continuously infused for 10 h, followed by an additional
4 h of control perfusion. Progesterone in corn oil or corn oil
alone was injected sc 2 h after the initiation of infusion of AS
NPY or SC NPY, and the time point at which progesterone or oil
injection was designated time zero. Eleven of the 17 monkeys were used
for progesterone with AS NPY (n = 11), 12 of the 17 monkeys were
used for progesterone with SC NPY (n = 12), and 5 of the 17
monkeys were used for oil with AS NPY (n = 5). Eleven of the 17
monkeys were assigned to 2 different treatments, and none of animals
was tested twice with the same treatment.
Hormone assays
LHRH concentrations in the perfusate fractions were measured by
RIA, using anti-LHRH serum (R1245), as described previously (17). A
150-µl aliquot of perfusate was used for the LHRH assay. The
sensitivity of the LHRH assay was 0.05 pg/tube at 95% binding. The
intra- and interassay coefficients of variation were 7.9% and 10.1%,
respectively.
NPY concentrations in the perfusate fractions were measured by RIA,
using anti-NPY serum, provided by Dr. K. Chihara, Kobe University
(Kobe, Japan) (18). This assay was modified from a previously reported
assay (19). A 75-µl aliquot of perfusate was used for NPY assay. The
sensitivity of the NPY assay was 0.7 pg/tube at 95% binding, and the
intra- and interassay coefficients of variation were 10.8% and 13.3%,
respectively.
LH concentrations in serum samples were measured in duplicate (100
µl) by RIA as described previously (7), using anti-LH serum (R13,
pool D), provided by Dr. G. Niswender. The reference standard used was
WDP-x811720, provided by the NICHHD. The sensitivity of the assay was
2.0 ng/tube at 90% binding. The intra- and interassay coefficients of
variation were 4.2% and 5.9%, respectively.
Pulse analysis
LHRH pulses in Exp I were analyzed using the Pulsar algorithm
(20). Pulses of LHRH were depicted using parameters identical to those
previously reported, i.e. cut-off criteria for
G1, G2,
G3, G4, and
G5 were 3.8, 2.6, 1.9, 1.6, and 1.2, respectively
(7, 17).
Statistical analysis
Exp 1. To determine changes in mean LHRH release, pulse
amplitude, and interpulse intervals during the progesterone-induced LH
surge, the results from the six 2-h periods after progesterone or oil
injection were compared with those from the two 2-h periods before
injection using two-way ANOVA with repeated measures in which the
variables were treatments and time. Post-hoc analysis of
changes occurring during specific time periods after progesterone
treatment was conducted using the Student-Newman-Keuls multiple range
test. Effects of progesterone on LH release were similarly examined by
two-way ANOVA followed by post-hoc analysis using the
Student-Newman-Keuls multiple range test.
Exp 2 and 3. To determine whether the progesterone-induced
LHRH surge was blocked by AS NPY, 2 h means of LHRH release after
the AS or SC NPY treatments were compared with 2 h means of LHRH
before the treatments using two-way ANOVA, followed by the
Student-Newman-Keuls post-hoc analysis. Similarly, to
examine whether AS NPY effects with the progesterone treatment differ
from those with the oil treatment, the 2 h means of LHRH release
after AS NPY in the progesterone and oil treatment groups were compared
with the 2 h means before AS NPY using two-way ANOVA followed by
the same post-hoc analysis. The effects of AS NPY on NPY
release in the oil-treated group were similarly examined using one-way
ANOVA.
The statistical analysis was conducted using raw values, and
significance was attained at P < 0.05. For graphic
presentation, mean LHRH and mean NPY levels were expressed with
normalized data, i.e. mean LHRH release and mean NPY release
during a 2-h period before the injection of progesterone or oil (Exp 1)
or the initiation of AS NPY or SC NPY infusion (Exp 2 and 3) were
designated 100% in each animal, and the remaining data were calculated
accordingly.
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Results
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Effects of progesterone on LH release and pulsatile LHRH
release
Progesterone injection 24 h after EB injection resulted in a
LH surge with an increase in LHRH release (Fig. 1
). The pulse frequency and/or pulse
amplitude of LHRH pulses started to increase approximately 3 h
after progesterone. A higher frequency of LHRH release continued,
whereas a large pulse amplitude was not sustained in most cases (Fig. 1
). In contrast, oil injection did not alter LH release or LHRH release
(Fig. 1
).

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Figure 1. An example of the effects of progesterone (A) or
oil (B) on pulsatile LHRH release in the S-ME (solid
circles) and LH release (open circles) in OVX
monkeys. Progesterone (2.5 mg) or oil was injected sc at time zero in
animals treated with EB (30 µg) 24 h earlier.
Arrows indicate LHRH pulses, detected using Pulsar.
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Group data indicated that the LH increase induced by progesterone was
significantly (P < 0.001) larger than that in the oil
control (Fig. 2D
). Post-hoc
analysis indicated that mean LH levels after progesterone were
significantly higher than those before progesterone and the
corresponding mean LH levels in the oil control (P <
0.01 to 0.05).

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Figure 2. Effects of progesterone (hatched
bars; n = 12) or oil (open bars; n =
11) on mean LHRH release (A), pulse amplitude (B), and interpulse
interval (C). Effects of progesterone (solid circles;
n = 12) or oil (open circles; n = 11) on LH
release in the same animals are shown in D. *, P <
0.05; **, P < 0.01 (vs. data before
progesterone). a, P < 0.05; aa,
P < 0.01 (vs. corresponding data in
oil control).
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Overall, mean LHRH release and pulse amplitude in the
progesterone-treated group were significantly higher than those in the
oil control group (P < 0.05 for both; Fig. 2
, A and
B). Post-hoc analysis indicated that mean LHRH levels and
mean pulse amplitude during the 412 h after progesterone were
significantly larger than those before progesterone and the
corresponding LHRH means in the control group (P <
0.05). Similarly, the overall mean of the interpulse interval after
progesterone was significantly shorter than that in the oil control
(P < 0.05; Fig. 2C
), and mean interpulse intervals
during the 210 h after progesterone were significantly shorter than
that before progesterone or the corresponding means in the oil
control.
Effects of AS NPY on progesterone-induced LHRH release
Progesterone induced a robust LHRH increase in animals infused
with SC NPY (Fig. 3
, A and B; overall
significance, P < 0.05). Although the first LHRH
increase was observed between 24 h in 7 of 12 animals in this group,
post-hoc analysis indicated that the LHRH increase did not
reach statistical significance until 46 h after progesterone
injection, and the LHRH peak occurred at 68 h (P <
0.01). The progesterone-induced LHRH increase lasted for at least
12 h after progesterone injection (P < 0.05),
when the experiment was terminated.

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Figure 3. Effects of a scrambled oligodeoxynucleotide for
NPY mRNA (SC NPY) on the progesterone-induced LHRH surge. An individual
example (A) and the group mean (B) are shown. Progesterone was injected
at time zero, and 2 h before progesterone injection SC NPY
infusion was initiated through a push cannula, whereas perfusates were
collected continuously through a pull cannula. Note that SC NPY did not
alter the progesterone-induced LHRH surge. *, P < 0.05; **,
P < 0.01 [ vs. data before SC (within group)].
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In contrast, infusion of AS NPY clearly suppressed the
progesterone-induced LHRH release (Fig. 4
, A and B), compared with the results
from the SC NPY group. Overall significance between AS NPY and SC NPY
was P < 0.01. Mean LHRH levels after progesterone
injection in the AS NPY group did not significantly fluctuate over time
(P > 0.1). Post-hoc analysis indicated that
mean LHRH levels at 412 h after progesterone injection in the AS NPY
group were significantly lower than corresponding LHRH means in the SC
NPY group (P < 0.05).

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Figure 4. Effects of an antisense oligodeoxynucleotide for
NPY mRNA (AS NPY) on the progesterone-induced LHRH surge. An individual
example (A) and the group mean (B) are shown. Mean LHRH levels before
and after progesterone injection (time zero) are shown. Progesterone
was injected at time zero, and 2 h before progesterone injection
AS NPY infusion was initiated through a push cannula, whereas
perfusates were collected continuously through a pull cannula. Note
that AS NPY suppressed the progesterone-induced LHRH surge. a,
P < 0.05 vs. corresponding data
from SC (between groups).
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Comparison of the effects of AS NPY on LHRH release in the
progesterone- and oil-treated animals
AS NPY suppressed LHRH release in the oil-treated group (Fig. 5
; P < 0.01). Further,
the AS NPY-induced LHRH suppression tended to be more prominent in the
oil-treated group than that in the progesterone-treated group, although
statistical significance between the two treatment groups was not
attained (P = 0.08). Post-hoc analysis
indicated that mean LHRH levels after AS NPY in the oil-treated group
were significantly lower than those before AS NPY, except for the first
2 h (P < 0.05 to 0.001), but mean LHRH levels at
212 h after oil injection in the AS NPY group were not significantly
different from the corresponding LHRH means after progesterone
injection in the AS NPY group.

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Figure 5. Effects of AS NPY on LHRH release in oil-treated
monkeys (n = 5). An example (A) and mean LHRH levels (B) are
shown. Note that AS NPY suppressed mean LHRH release in oil-treated
animals. *, P < 0.05; **, P <
0.01; ***, P < 0.001 [vs. data
before AS (within group)].
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Effects of AS NPY on NPY release in estrogen-primed,
oil-treated animals
AS NPY infusion into the S-ME clearly suppressed NPY release
starting within the first 2 h (P < 0.05; Fig. 6
). Post-hoc analysis
indicated that mean NPY levels at all time points after the initiation
of AS NPY infusion were lower than those before infusion
(P < 0.050.001).

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Figure 6. Effects of AS NPY on NPY release in oil-treated
monkeys (n = 5). An example (A) and mean NPY levels (B) are shown.
Note that AS NPY suppressed mean NPY release in oil-treated animals. *,
P < 0.05; ***, P < 0.001
[vs. data before AS (within group)].
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Discussion
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The first experiment confirms our previous observation (9) that
progesterone induces a LHRH increase in estrogen-primed OVX monkeys. A
LH increase after progesterone was accompanied by a decrease in the
interpulse interval of LHRH release and increases in mean LHRH release
as well as pulse amplitude. Although we did not measure NPY in
perfusate samples in the present study, based on the findings in
previous studies that NPY pulses precede LHRH pulses and an increase in
the LHRH pulse frequency was accompanied by an increase in NPY pulse
frequency after progesterone (9), we speculated that prolonged
suppression of NPY release may alter the pattern of the
progesterone-induced LHRH surge. The results of the second experiment
indicate that AS NPY infusion indeed blocks the positive feedback
action of progesterone. In contrast, SC NPY infusion did not have any
significant effect on LHRH release. In fact, the pattern of mean LHRH
release with SC NPY was similar to that seen in the absence of
oligonucleotide infusion in the first experiment. The results of the
third experiment further indicate that AS NPY infusion lowered NPY
release in the S-ME, and that the effectiveness of AS NPY infusion in
oil-treated animals tended to be more persistent than that in the
progesterone-treated animals. Although we did not examine the effects
of SC NPY in oil-treated animals, in a previous study we found
that SC NPY does not alter the pulsatility of NPY release or LHRH
release in OVX unprimed monkeys (14).
The results of this and previous (14) studies suggest that infusion of
AS NPY into the S-ME consistently suppresses both NPY and LHRH in
rhesus monkeys. The infused AS NPY was presumably taken into NPY
neurons in the S-ME and retrogradely transported from neuroterminals to
the cell body, where AS NPY interferes with NPY synthesis, resulting in
a reduction of NPY release and, subsequently, LHRH release. A study
from this laboratory (17) further indicates that the diameter of
diffusion in the S-ME with push-pull perfusion is approximately 700
µm. Thus, the NPY neuroterminals affected by AS NPY infusion are in a
relatively small area within the S-ME. Alterations of LH pulses (21),
steroid-induced LH surges (22), and food intake behavior (23) after
treatment with AS NPY in the hypothalamus have been reported in
rats.
It has been extensively shown that NPY is a major modulator for
pulsatile LHRH release. NPY infusion directly into the S-ME in
vivo stimulates LHRH pulses (12, 13, 24, 25), whereas infusion of
an antibody to NPY or an AS NPY into the ME suppresses LHRH pulses in
rats, rabbits, and monkeys (13, 14, 21, 22, 26). Further, NPY
stimulates LHRH release in ME fragments of rats (27, 28, 29). As NPY was
directly infused into the S-ME in our studies (12, 24), where abundant
LHRH neuroterminals, but only a few LHRH cell bodies, are present in
primates (30, 31), and as the rat ME does not contain LHRH cell bodies
(32), the stimulatory action of NPY appears to occur at the level of
LHRH neuroterminals. In fact, a recent study using confocal microscopy
with double labeled immunofluorescence has demonstrated colocalization
of NPY Y1 receptors on LHRH neuroterminals (33).
However, LHRH cell bodies may also be involved in the stimulatory
action of NPY, as NPY results in LHRH release in GT-1 cells in a
dose-responsive manner (34), which is strikingly similar to that
observed in the monkey S-ME in vivo (12, 24). Cell bodies of
LHRH neurons are innervated by NPY neurons in rats and sheep (35, 36),
but not in monkeys (37). Although there are several reports indicating
that ventricular infusion of NPY suppresses LHRH/LH release (26, 38, 39), NPY infused into the ventricular system may diffuse elsewhere into
the brain, resulting in inhibitory effects on LHRH release through
interneurons. Nonetheless, a direct inhibitory role of NPY in LHRH
release cannot be excluded, because NPY mRNA, measured by ribonuclease
protection assay, decreased at the onset of puberty in castrated male
monkeys concomitant with an increase in LHRH mRNA (40, 41). NPY is
inhibitory to hippocampal and suprachiasmatic neurons via presynaptic
or postsynaptic receptors (42, 43, 44, 45), and studies in NPY knockout mice
indicate that NPY is an endogenous antiepileptic agent through
presynaptic inhibition of glutamate neurons (46).
NPY neurons are profoundly involved in the preovulatory LHRH surge or
steroid-induced LHRH surge in rats (10, 11, 47). Expression of NPY
mRNA, the tissue content of NPY in the ME, and NPY release from the ME
increase before or coincident with the preovulatory and steroid-induced
LH surges (48, 49, 50), whereas treatment with NPY antiserum or AS NPY
suppresses the preovulatory or steroid-induced LH surge (22, 51).
Further, the stimulatory effect of NPY on LHRH release is greatly
enhanced by estrogen (24, 28, 52), suggesting the role of NPY in the
positive feedback action of steroids. The previous studies in rats
demonstrating that NPY neurons in the arcuate nucleus contain estrogen
receptors (10, 53, 54) and that NPY neurons innervate LHRH cell bodies
in the preoptic area (33, 35, 36), further suggest that NPY neurons are
important for mediating the steroid action on the LHRH neuronal system.
In the present study we found that inhibition of NPY synthesis by its
antisense oligodeoxynucleotide blocks the progesterone-induced LHRH
surge in estrogen-primed OVX monkeys.
The NPY neuronal system may not be the only contributor to the positive
feedback effect of progesterone on LHRH release. The suppression of AS
NPY on LHRH release in oil-treated monkeys tended to be more persistent
than that in progesterone-treated monkeys, suggesting that progesterone
may have stimulated other neuronal systems, such as norepinephrine and
glutamate neurons, both of which reportedly contain estrogen receptors
(53, 55). Further, preliminary observations in our laboratory suggest
that both norepinephrine and glutamate levels increase during the
progesterone-induced LHRH surge (Terasawa, E., and L. Luchansky,
unpublished observation). The question of whether input from all of
these neuronal systems is equally important for the positive feedback
effects of ovarian steroids or whether one of them, perhaps NPY, plays
a key role in the preovulatory LH surge remains to be answered.
In primates, it has been shown that an increase in serum estradiol
precedes the preovulatory LH surge (1). However, a significant increase
in progesterone has been observed several hours before the LH peak (2, 3), and administration of the antiprogestin RU486 interferes with the
expected preovulatory gonadotropin surge and ovulation in women and
monkeys (56, 57). These reports indicate that in primates, estrogen
induces the preovulatory LH release, whereas progesterone facilitates
or augments it. As the increase in circulating progesterone during the
preovulatory phase originates from the primary follicle (58), full
maturation of the Graafian follicle appears to give a signal to the
hypothalamus to stimulate the release of LHRH, thereby setting the
timing of the LH surge to synchronize with ovulation (7).
In primates, the positive feedback effects of progesterone differ from
those of estrogen. The progesterone-induced LH surge (3, 5, 6, 7, 59)
occurs with constant peak latency (69 h) and a relatively short
duration (1618 h), whereas both the estrogen-induced and spontaneous
preovulatory LH surges (5, 60, 61) occur with a longer peak latency
(3648 h) and a longer duration (3648 h). Although the
progesterone-induced LH surge can be blocked with pentobarbital
anesthesia (5), the estrogen-induced LH surge cannot (15). Although the
difference with pentobarbital anesthesia could be explained by the fact
that the positive feedback effects of estrogen do not require the
presence of the hypothalamus (62), whereas the positive feedback
effects of progesterone do (63), an increase in LHRH output during the
estrogen-induced LH surge and preovulatory surge has been consistently
reported in monkeys (64, 65, 66, 67). Interestingly, similar differential
effects of progesterone and estrogen on the LH surge are observed in
OVX guinea pigs (68), i.e. the progesterone-induced LH surge
was completely blocked by pentobarbital anesthesia, whereas the
estrogen-induced LH surge was not blocked by either multiple injections
of pentobarbital or a single injection of phenobarbital, a long-acting
barbiturate. Because the circadian-dependent mechanism of estrogen
action remained in this case, estrogens action is not solely at the
pituitary level (68); thus, there is a significant difference in the
mechanisms of action of progesterone and estrogen (6). It is possible,
therefore, that different neuronal substrates may be involved in
estrogen and progesterone actions, and that our findings may not
represent the entire mechanism of the preovulatory LH surge.
In summary, understanding the positive feedback mechanism of steroid
hormones in primates is essential, as the preovulatory gonadotropin
surge is the central event in reproduction. In the present study we
have examined the role of NPY in the progesterone-induced LHRH surge.
Our results demonstrate that suppression of NPY release impairs the
progesterone-induced LHRH surge and further suggest that NPY appears to
play a pivotal role in the preovulatory gonadotropin surge.
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Footnotes
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1 This work (Publication 39022 from the Wisconsin Regional Primate
Research Center) was supported by NIH Grants HD-15433, HD-11533, and
RR-00167. 
2 Present address: Department of Pathology and Laboratory Medicine
Emory University, Atlanta, Georgia 30322. 
Received November 2, 1999.
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