Endocrinology, doi:10.1210/en.2002-0041
Endocrinology Vol. 144, No. 7 3225-3236
Copyright © 2003 by The Endocrine Society
Central Orexin A Has Site-Specific Effects on Luteinizing Hormone Release in Female Rats
C. J. Small,
M.-L. Goubillon,
J. F. Murray,
A. Siddiqui,
S. E. Grimshaw,
H. Young,
V. Sivanesan,
T. Kalamatianos,
A. R. Kennedy,
C. W. Coen,
S. R. Bloom and
C. A. Wilson
Departments of Obstetrics and Gynecology/Physiology (J.F.M., A.S., H.Y., V.S., C.A.W.), St. Georges Hospital Medical School, London SW17 0RE, United Kingdom; Department of Metabolic Medicine (C.J.S., A.R.K., S.R.B.), Imperial College School of Medicine, Hammersmith Hospital, London W12 0NN, United Kingdom; and Center for Neuroscience Research (M.-L.G., S.E.G., T.K., C.W.C.), Kings College London, Guys Campus, London SE1 1UL, United Kingdom
Address all correspondence and requests for reprints to: Prof. C. A. Wilson, Department of Obstetrics and Gynecology/Physiology, St. Georges Hospital Medical School, Cranmer Terrace, London SW17 0RE, United Kingdom. E-mail: cwilson{at}sghms.ac.uk.
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Abstract
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Orexin A stimulates GnRH release from hypothalamic explants in vitro. The sites of action of orexin A in the regulation of LH release have been investigated in vivo in ovariectomized rats that were given vehicle or estradiol benzoate (EB), with or without an injection of progesterone 48 h later. Orexin A was administered intrahypothalamically under Saffan anesthesia, 50 h after the EB or vehicle; its effects on plasma LH levels were monitored in sequential blood samples. Orexin A (1.0 µg/side) injected into the rostral preoptic area (rPOA) at the level of the organum vasculosum of the lamina terminalis had a stimulatory effect on LH release in EB-treated ovariectomized rats. When orexin A was injected into the medial POA (mPOA) or the arcuate/median eminence, it had an inhibitory effect on the LH surge that occurs in ovariectomized rats primed with EB plus progesterone. Orexin A injected into the mPOA also reduced LH levels in ovariectomized rats untreated with ovarian steroids. Both the stimulatory and inhibitory effects of orexin A were antagonized by SB334867A, a selective orexin 1 receptor antagonist. Furthermore, when given alone into the rPOA, this antagonist attenuated the LH surge induced by EB plus progesterone. Thus, orexin appears to have a dual effect on LH release, being stimulatory in the rPOA and inhibitory in the mPOA or arcuate/median eminence. Both effects may be mediated, at least in part, by the orexin 1 receptor. Double label immunohistochemistry revealed close appositions between orexin A immunoreactive varicosities and a small proportion of GnRH cell bodies in the rPOA. It is suggested that the stimulatory effect of orexin A on LH release may involve direct actions on GnRH neurons.
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Introduction
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CURRENT EVIDENCE INDICATES that orexin cell bodies are located in the lateral hypothalamus, the medial zona incerta (ZI), and/or the region lying immediately ventral to the ZI (1, 2). Several reports indicate that the ZI is involved in the regulation of reproductive functions and that neurotransmitter systems (dopamine and melanin-concentrating hormone) originating in this area stimulate LH secretion (3, 4, 5). Because orexin neurons are also found in the vicinity of the ZI (1) and this peptide is known to alter LH release (6), we have performed further studies on its influence on LH focusing on its sites of action and the relevance of the steroid milieu.
There are two orexin peptides derived from prepro-orexin, designated as A and B and sharing 46% homology (7). Orexin A appears to be the more potent on physiological actions tested in vivo (6, 7, 8). This may be due to its greater resistance to degradation because orexin A possesses two interchain disulfide bonds, the B peptide being linear (7). Their effects are mediated by receptors, orexin 1 and 2. Orexin A has a similar affinity for both receptors, whereas orexin B has a higher affinity for the orexin 2 receptor subtype (7, 9). The receptors are widely distributed in the brain; within the hypothalamus, expression of orexin 1 receptors is greatest in the anterior hypothalamus and ventromedial nucleus, whereas orexin 2 receptors are expressed more strongly in the paraventricular nucleus, dorsomedial nucleus, arcuate (ARC) nucleus, and lateral hypothalamus. There is moderate expression of orexin 1 and 2 receptors in the rostral, medial, and lateral preoptic area (POA; Refs. 9 and 10). Orexin-immunoreactive (IR) fibers are present in the hypothalamus at the sites of orexin receptor mRNA expression (11, 12). Orexin neurons are found in high concentrations in hypothalamic areas considered to be important in the regulation of food intake, and intracerebroventricular (icv) administration of orexin A or B stimulates food intake (7, 8). However, after those initial investigations, orexins have been found to be involved in a variety of other actions. The orexin peptides have marked effects on arousal and sleep (13, 14) and are involved in the regulation of body temperature, the immune system, and stress responses (15). The orexins also have neuroendocrine effects, and they stimulate ACTH release, inhibit GH release, and have a dual effect on prolactin release (13, 16, 17). The effects of orexin on LH release appear to be complex. In ovariectomized rats exhibiting pulsatile release of LH, icv administration of orexin A or B inhibits LH mean levels and pulse frequency (6, 18, 19). Orexin A also inhibits GnRH-induced LH release from dispersed pituitary cells (20). In contrast, orexin A stimulates GnRH from rat hypothalamic explants of intact males and females in vitro (20). Furthermore, in ovarian steroid-treated ovariectomized or intact female rats, orexin A and B have been reported to stimulate LH release (6, 17); this may be of physiological importance because icv administration of an orexin antiserum inhibits the preovulatory LH surge in intact rats (17). A recent report indicates that orexin-IR fibers form close associations with GnRH neurons in sheep (21).
In this report, the effect of orexin A on GnRH release was investigated in vitro using hypothalamic explants. Its effect on LH release was studied in vivo at three possible sites of action within the hypothalamus. These sites were the medial POA (mPOA), in the region of the sexually dimorphic nucleus (22) and have been implicated in the control of LH release (23); the rostral POA (rPOA) at the level of the organum vasculosum of the lamina terminalis (OVLT), where the GnRH neurons are concentrated; and the ARC/median eminence (ME), the region of GnRH nerve terminals (24). These are all areas innervated by orexin originating from the ZI and/or lateral hypothalamus (11, 12). We have confined our studies to orexin A because it has been found to be the more potent of the two peptides in various contexts (6, 7, 8).
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Materials and Methods
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Animals
Adult female Wistar rats bred at St. Georges Hospital Medical School were maintained in a fixed lighting schedule of 12-h light, 12-h dark (lights on at 0700 h). Ovariectomy was performed at least 2 wk before the experiments under halothane (fluorothane, Zeneca Ltd., Macclesfield, UK) and nitrous oxide anesthesia. All studies were conducted in compliance with the Home Office Guidance under the Animals (Scientific Procedures) Act 1986.
In vivo experiments
Hormone treatments.
Three hormonal models were used in these experiments: 1) ovariectomized rats untreated with estrogen and thus, in the absence of negative feedback, possessing high plasma levels of LH. This model is suitable for testing any putative inhibitory effects of orexin (n = 69 animals investigated in this model); 2) ovariectomized rats treated with estradiol benzoate (EB) at 10 µg/rat in 0.1 ml corn oil sc on d 1 at noon (5051 h before the central injection). The low levels of LH in this model, due to the negative feedback of estradiol, make it suitable for testing putative stimulatory effects on LH release (n = 136); and 3) ovariectomized rats treated with 10 µg EB followed by 0.5 mg progesterone in 0.1 ml corn oil sc on d 3 at noon (i.e. 48 h after EB); this treatment results in an LH surge approximately 4 h (range, 3.55 h) after the progesterone injection, an event that is potentially subject to blockade or attenuation (n = 140). The possible inhibitory effect of orexin in this model was noted by injecting orexin centrally approximately 2 h after the progesterone and thus approximately 2 h before the expected time of the LH surge. These experimental models are well established and have been previously used to investigate the role of melanin-concentrating hormone, dopamine, and 5-hydroxytryptamine (5HT) on LH release (4, 5, 25).
Peptide and antagonist treatments.
Orexin A was dissolved in saline and bilaterally injected intrahypothalamically at doses of 0.04, 0.2, or 1 µg/0.5 µl per side. Control rats received 0.5 µl saline bilaterally. The injections were administered stereotaxically under Saffan anesthesia (alphaxalone, 0.9%; alphadone acetate, 0.3%; National Veterinary Supplies, Stoke-on-Trent, UK) at 3 ml/kg ip. Although this anesthetic attenuates the steroid-induced LH surge, it permits investigation of the effect of agents on the occurrence of this surge (24). The injection sites were established according to stereotaxic coordinates (26). Thus, the rPOA at the level of the OVLT was 0.4 mm rostral to bregma, 0.5 mm lateral to midline, and 8.2 mm ventral to the surface of the cortex; the mPOA was 0.8 mm caudal to bregma, 0.5 mm lateral to midline, and 8.0 mm ventral to the surface of the cortex; the ARC/ME was 2.3 mm caudal to bregma, 0.4 mm lateral to midline, and 9.5 mm ventral to the surface of the cortex.
SB 334867-A, a selective orexin 1 receptor antagonist (pKB 7.27; Refs. 27 and 28), was dissolved in 10% encapsin plus 2% dimethoxysulfoxide (DMSO) and given intrahypothalamically at 0.5 µg or 2 µg/side either alone or together with the orexin A in a total volume of 0.5 µl. Controls received 0.5 µl of the encapsin/DMSO vehicle. SB 334867-A was also given by ip injection at 10 mg/kg/ml; this injection was delivered 2030 min before central administration of orexin A or saline (28).
Procedures.
All rats were anesthetized with Saffan (see above) and placed on a heated electric pad to maintain body temperature (25). A blood sample (0.2 ml) was taken from the tail vein just before the intrahypothalamic treatment, 5051 h after the EB priming; this means that in groups treated with EB plus progesterone, the intrahypothalamic injection was given 23 h after the progesterone and thus approximately 12 h before the expected LH surge. The rats were kept on the heated pad thereafter, and blood samples were taken at 10-min intervals for 1 h after the intrahypothalamic treatment in the EB-primed rats and at 30-min intervals for 3 h post injection in the EB plus progesterone-treated groups, to cover the expected period of the LH surge. Anesthesia was maintained throughout the period. There did not appear to be any interaction between the anesthetic effect of Saffan and the arousal effect of orexin, because the depth and duration of anesthesia was similar in the saline- and orexin-treated animals.
At the end of the sampling period, the rats were decapitated, and the brains were removed and fixed in 10% formal saline for histological assessment of the injection sites. The blood samples were centrifuged at 2000 x g, and the plasma was stored at −20 C pending RIA.
In an independent experiment, ovariectomized rats not treated with ovarian steroids were fitted with a permanent bilateral cannula in the mPOA (29). After a recovery period of 1 wk, the animals were anesthetized with ketamine at a dose (100 mg/kg ip) that does not affect the pulsatile release of LH (30). Blood samples were taken from the tail vein (as described above) at 5-min intervals. Sampling took place for 110 min before and 110 min after administration of either saline (0.5 µl/side) or orexin A (1.0 µg/side) into the mPOA.
Histological examination of the brains.
Serial sections of 60 µm were cut from the fixed brains over the area of the needle tract using a freezing sledge microtome and stained with thionine blue. The lowest point of the tract was taken as the site of injection. Results were not included when the bilateral injections were outside the desired area (number of bilateral injections made inside the rPOA, 101; outside the rPOA, 36; inside the mPOA, 125; outside the mPOA, 17; inside the ARC, 27; outside the ARC, 9).
RIA for LH.
Plasma samples of 20 µl were assayed in duplicate using reagents kindly supplied by the National Hormone and Pituitary Program (Baltimore, MD). The standard was NIDDK-LH-RP3, and the antibody was NIDDK-anti-rLH-S10. The inter- and intraassay coefficients of variation were 8.0 and 9.0%, respectively, and the sensitivity was 25 pg/tube (2.5 µg/ml). Detection of LH pulses was established by use of the algorithm ULTRA (31).
In vitro experiments
Effect of orexin on GnRH release from hypothalamic explants.
A static incubation system was used as previously described (20). Groups of ovariectomized rats, either left untreated or primed 48 h before with 10 µg EB, were decapitated, and their brains were removed. The brain was mounted with the ventral surface uppermost and placed in a vibrating microtome (Microfield Scientific Ltd., Dartmouth, UK). A 1.7-mm slice was taken from the base of the brain, and the hypothalamus block was dissected and incubated in individual tubes (Sarstedt, Leicester, UK) containing 1 ml of artificial cerebrospinal fluid (aCSF; 20 mM NaHCO3, 126 mM NaCl, 0.09 mM Na2HPO4, 6 mM KCl, 1.4 mM CaC12, 0.09 mM MgSO4, 5 mM glucose, 0.18 mg/ml ascorbic acid, and 100 µg/ml aprotinin), equilibrated with 95% O2 and 5% CO2. These hypothalamic explants contain multiple hypothalamic nuclei, including the ARC, dorsomedial, periventricular, and paraventricular nuclei, lateral hypothalamic area, and the whole POA. The tubes were placed in a water bath maintained at 37 C. After an initial 2-h equilibration period, the hypothalami were incubated for 45 min in 500 µl aCSF (basal period) before being challenged for 45 min with orexin A (1, 10, 100, or 1000 nM) in 500 µl aCSF. Finally, the viability of the tissue was verified by a 45-min exposure to 56 mM KCl. Isotonicity was maintained by substituting K+ for Na+. At the end of each period, the aCSF was removed and frozen at −20 C until measurement of GnRH by RIA as previously described (32). In the first experiment (Fig. 1A
), 14 hypothalamic explants were harvested from ovariectomized animals that had not been treated with EB; after the preincubation period, each of the 14 explants was exposed to a 45-min basal period, a 45-min period of orexin A 1000 nM, and finally a 45-min potassium period (56 mM). In the second part of this experiment (Fig. 1B
), 14 hypothalamic explants were harvested from ovariectomized animals that had been primed with EB and then treated as described above. Both parts of experiment 1 were performed on the same day. The second experiment was designed to investigate the dose response of the effect of orexin on GnRH release from hypothalamic explants. Hypothalamic explants (n = 64) were harvested from ovariectomized animals that had been primed with EB. After the preincubation period, all of the 64 explants were exposed to a 45-min basal period. In the second 45-min incubation period, 14 explants were exposed to orexin A 1 nM, 10 explants were exposed to orexin A 10 nM, 17 explants were exposed to orexin A 100 nM, and 23 explants were exposed to orexin A 1000 nM. In a final incubation period, all 64 were exposed to 56 mM potassium. All 64 explants received only one dose of orexin A. Experiment 2 was spread over 3 d due to the number of explants investigated. All of the orexin doses were studied on each of the days. Explants were considered viable if the release of GnRH in the potassium period was greater than that in the basal period. The n values quoted above represent the explants that were considered viable. In both experiments, some explants were excluded as nonviable (i.e. the potassium GnRH release was less than the basal period); this was approximately 10% in both experiments. The stated P value represents the difference between the basal incubation period and the orexin A period (paired t test).

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FIG. 1. The effects of orexin A (1000 nM) on the release of GnRH from hypothalamic explants harvested from ovariectomized rats without estrogen treatment (A; n = 14) or ovariectomized rats treated with 10 µg EB (OB) 48 h before the in vitro experiment (B; n = 14). Only the results obtained from explants that responded positively to 56 mM K+ are included. Comparison of basal GnRH and concentrations observed after exposure to orexin A. ***, P < 0.001 (paired t test).
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RIA for GnRH.
GnRH levels in the aCSF were measured using reagents and methods kindly provided by H. M. Fraser (Medical Research Center Reproductive Biology Unit, Edinburgh, Scotland, UK; Ref. 32).
Immunohistochemistry
Double immunohistochemistry for orexin A and GnRH was performed on free-floating sections using a polyclonal rabbit antiserum (OXA11-S, 1:2000; Autogen Bioclear, Wiltshire, UK) and a GnRH mouse monoclonal antibody (A4E1, 1:3000; Dr. D. W. Silversides, University of Saskatchewan, Saskatoon, Canada). Twelve days after ovariectomy, adult female Wistar rats (n = 4) were perfused via the transcardiac route with 4% paraformaldehyde under pentobarbital anesthesia. Vibratome sections (30 µm) were pretreated at room temperature (RT) with 0.1% Triton X-100 in PBS (20 min), 0.5% hydrogen peroxide in PBS (10 min), and 2% normal donkey serum (25 min); after thorough washing, they were incubated with the primary antibodies (40 h at 4 C). The sections were then placed in biotinylated goat antirabbit Ig (Vector Laboratories, Peterborough, UK; 1:1000, 60 min at RT), followed by the Vectastain streptavidin-biotin-peroxidase complex (Vector Laboratories; 1:3000, 60 min at RT); the signal for orexin A was then amplified using the biotinylated-tyramide technique (TSA Biotin System, NEN Life Science Products, Boston, MA; 1:1000, 30 min at RT). Sections were then processed for either brightfield or fluorescence microscopy.
Double-label brightfield immunoreactivity was revealed using nickel-enhanced diaminobenzidine for orexin A and diaminobenzidine alone for GnRH. Double-label immunofluorescence was obtained with fluorescein isothiocyanate-Avidin (Vector Laboratories, 1:400) for orexin A and with Rhodamine Red X conjugated donkey antimouse IgG (Jackson ImmunoResearch Laboratories, West Grove, PA; 1:400) for GnRH (overnight incubation at 4 C).
The relationship between orexin A-IR fibers and GnRH perikarya was evaluated in hypothalamic sections extending from the diagonal band of Broca to the region of the suprachiasmatic nucleus. At least nine sections were analyzed for each animal. In brightfield microscopy, GnRH-IR cell bodies (brown) were considered to be in close proximity to an orexin A-IR fiber if black IR varicosities or fibers were observed to be adjacent to the GnRH perikarya in the same plane of focus using a x40 objective. Immunofluorescent staining of GnRH (red) and orexin A (green) was visualized by switching between red and green filters. GnRH cells in close proximity with orexin A fibers were subsequently examined by confocal microscopy (Bio-Rad MRC-600 Laser Scanning Confocal System, Bio-Rad Laboratories, Hercules, CA) using an inverted microscope (x60 oil objective).
Statistical analysis
The Students t test was used for comparisons between two groups, and the paired t test was used for comparisons from the same hypothalamic explants. Comparisons between more than two groups were assessed by ANOVA, followed by the multiple comparison Gabriels test for unequal group numbers. When sequential concentrations were measured, the area under the curve (AUC; nanograms per milliliter per 40 min) was calculated and used for comparisons. This is considered a more stringent method of comparison over a time course because it includes all of the results (33).
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Results
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The effect of orexin A on in vitro release of GnRH from hypothalamic explants
Orexin A (1000 nM) stimulated the release of GnRH from hypothalamic explants harvested from ovariectomized rats either left untreated or primed with 10 µg EB 48 h before the experiment (Fig. 1
). Application of a range of concentrations of orexin A (1, 10, 100, and 1000 nM) in the latter model revealed that only the highest concentration (1000 nM) had a significant effect on GnRH release (Fig. 2
).

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FIG. 2. The effects of graded concentrations of orexin A on the release of GnRH from hypothalamic explants harvested from ovariectomized rats treated with 10 µg EB 48 h before the in vitro experiment. Orexin A was applied at 1, 10, 100, or 1000 nM. In the figure, the basal concentration is expressed as 100 percent. The values noted after orexin A or 56 mM K+ have been normalized against the basal value of the same explant. Only results obtained from explants that responded positively to 56 mM K+ are included. Comparison of basal GnRH and concentrations observed after exposure to orexin A. **, P < 0.005 (paired t test).
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The effect of orexin A on LH release in ovariectomized rats primed with EB alone.
Bilateral administration of orexin A (1 µg;
0.25 nmol) into the rPOA at the level of the OVLT significantly raised plasma LH levels over a 30-min period, resulting in a significantly greater AUC (040 min) after orexin A administration compared with the AUC over the same period after saline (AUC ± SEM, saline, 215 ± 28; orexin, 314 ± 32; P < 0.01; Fig. 3A
). The lower doses of 0.2 and 0.04 µg were ineffective in the rPOA. When orexin A was injected into the mPOA, it had a transient stimulatory effect on LH release that was only significant at 10 min for 1 µg orexin A and at 10 and 20 min for 0.2 µg orexin A. However, the rise seen after either dose into the mPOA was not significant when calculated as AUC over 040 min (AUC ± SEM, saline, 153.5 ± 23; orexin 1 µg, 216 ± 32.4; orexin 0.2 µg, 232 ± 34.8; Fig. 3B
). Orexin A (1 µg) had no effect when injected into the ARC/ME area (Fig. 3C
). Figure 4
shows the sites of injections of orexin A or saline in this experiment.

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FIG. 3. The effect of orexin A administered bilaterally into the rPOA, mPOA, or ARC/ME on LH release in ovariectomized rats primed with EB alone. Ovariectomized rats treated with 10 µg EB were injected bilaterally with orexin A (0.04, 0.2, or 1 µg/side) into rPOA at the level of the OVLT (A), mPOA (B), or ARC/ME (C; 1 µg/side only). A, Plasma LH (ng/ml ± SE) concentration after orexin A (1 µg/side) compared with saline at 10 min (*, P < 0.05); 20 min (***, P < 0.005); and 30 min (*, P < 0.05) [ANOVA (df 3,32); 10 min, f = 4.25; 20 min, f = 6.00; 30 min, f = 3.40 and Gabriels test]. Comparison of AUC 040 min ± SEM after 1 µg/side orexin A vs. saline [P < 0.01; ANOVA (df 3,32); f = 4.59 and Gabriels test]. B, Orexin A 0.2 and 1 µg/side stimulated LH levels compared with saline at 10 min and 0.2 µg also stimulated at 20 min (**, P < 0.01) [ANOVA (df 3,35); 10 min, f = 7.12; 20 min, f = 5.72 and Gabriels test]. The AUC 040 min after orexin A was not significantly different from that after saline [ANOVA (df 3,35) f = 3.01 and Gabriels test]. C, Orexin A 1 µg/side had no significant effect on LH levels (Students t test).
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FIG. 4. Anatomical localization of injection sites for the results presented in Fig. 3 . A, Sites of injections into the rPOA at the level of the OVLT: , considered inside the area; , considered outside the area. Other outside injections (n = 14) were seen more caudally at the level of the appearance of the anterior commissure. LPO, Lateral preoptic area; MPO, medial preoptic area; MEPO, median preoptic nucleus; AVP, anteroventral preoptic nucleus; AVPV, anteroventral periventricular nucleus; OV, vascular organ of the lamina terminalis; och, optic chiasm; NDB, nucleus of the diagonal band; V3, third ventricle. B, Sites of injections into the mPOA: , considered inside the area; , considered outside the area. Other outside injections (n = 2) were more caudal at the level of the first appearance of the paraventricular nucleus. PVpo, Preoptic periventricular nucleus; MPN, medial preoptic nucleus; MPNc, central part of MPN; MPNm, medial part of MPN; AHNa, anterior part of anterior hypothalamic nucleus; opt, optic tract. C, Sites of injections into the ARC: , considered inside the area; , considered outside the area. V3, Third ventricle; ArcM, medial ARC; ArcL, lateral ARC; VMH, ventromedial hypothalamic nucleus; VMHdm, dorsomedial part of the VMH; VMHc, central part of the VMH; VMHvl, ventrolateral part of the VMH; SOr, retrochiasmatic part of the supraoptic nucleus. [Pictures adapted from Swanson LW, 1992, Brain Maps: Structure of the Rat Brain (52 )].
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Effect of orexin A on LH release in ovariectomized rats primed with EB plus progesterone
In ovariectomized rats treated with EB followed by progesterone, a rise in LH occurs between 3.5 and 5 h after the progesterone, and the timing of the peak tends to be variable in the individual rats. For this reason, the results shown in Table 1
are presented as the difference between the LH concentration 2 h after the progesterone (immediately before the central injection) and the highest concentration observed after the central injection (peak postinjection concentration). Thus, the surge observed when saline was injected into the rPOA, mPOA, or ARC/ME was +6.0 ± 0.9, +6.8 ± 1.2, or +10.6 ± 1.8 ng/ml ± SEM, respectively (Table 1
). When 1 µg orexin A per side was injected into the rPOA, it failed to alter the surge, but when injected into the mPOA, it significantly reduced the expected rise in LH (+2.1 ± 0.4 ng/ml); a comparable effect was achieved with 0.2 µg/side (+1.8 ± 0.6 ng/ml; P < 0.001) in the mPOA. The surge was also attenuated when 1 µg orexin A per side was injected into the ARC/ME (+3.1 ± 0.9ng/ml; P < 0.001; Table 1
).
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TABLE 1. The effect of orexin A on LH release when administered into the rPOA, mPOA, or ARC/ME of ovariectomized rats treated with EB plus progesterone
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Effect of orexin A on LH release in ovariectomized rats untreated with ovarian steroids
In an initial experiment (Fig. 5
), LH concentrations were measured in samples collected at 10-min intervals from ovariectomized rats without estrogen treatment; intrahypothalamic administration of 1 µg orexin A per side had a slight stimulatory effect on LH levels in these animals when injected into the rPOA, although the AUC was not significantly altered (AUC ± SEM, saline, 305.5 ± 30.7; orexin, 248.5 ± 37.3). However, the same treatment into the mPOA significantly reduced LH concentrations over a 40-min period (AUC ± SEM, saline, 327.0 ± 57.1; orexin, 204.1 ± 20.9; P < 0.05). An additional experiment was performed on untreated ovariectomized rats bearing permanent bilateral cannulae in the mPOA. LH levels in blood samples collected at 5-min intervals revealed the pulsatile pattern of LH release (Fig. 6
). Saline administration into the mPOA did not alter LH pulse frequency; in contrast, injection of orexin A at this site led to a small but significant reduction in this parameter (P < 0.05; Table 2
). There were no significant changes in LH pulse amplitude.

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FIG. 5. The effect of orexin A on LH release after administration into the rPOA (A) or the mPOA (B) in untreated ovariectomized rats. Comparison of levels of LH (ng/ml ± SE) after injection of saline and orexin A in the rPOA at the level of the OVLT indicates slightly higher levels after orexin A, which was significant at 20 min (**, P < 0.02), although comparison of the AUC 040 min was not significant (AUC ± SEM, saline, 305.5 ± 45.8; orexin A, 248.5 ± 37.3). The LH levels after orexin in the mPOA were lower than in the mPOA-saline controls; this was significant at 30 min (**, P < 0.02), and the AUC was also significantly lower; P < 0.05 (Students t test); (AUC ± SEM, saline, 327 ± 57.1; orexin A, 204.1 ± 20.9).
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FIG. 6. The effect of saline or orexin A on pulsatile release of LH after administration into the mPOA of ovariectomized rats untreated with ovarian steroids. Bilateral injections via permanent cannulae of saline (0.5 µl/side) or orexin A (1 µg/side) into the mPOA. Representative profiles of the pattern of release of LH in plasma are shown.
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TABLE 2. The effect of orexin A on pulsatile LH release after administration into the mPOA in ovariectomized rats untreated with ovarian steroids
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Effect of the selective orexin receptor 1 antagonist, SB 334867-A, on the stimulatory and inhibitory actions of orexin
Administration of 1 µg orexin A per side into the rPOA of ovariectomized rats treated with EB alone resulted in a significant rise in plasma LH levels (Fig. 3A
). This stimulatory effect of orexin A on LH release was blocked when SB 334867-A, the orexin receptor 1 antagonist, was injected at 10 mg/kg ip 2030 min before the peptide (AUC ± SEM, saline, 215 ± 28; orexin A, 314 ± 32; orexin A plus antagonist, 188 ± 28; P < 0.05; Fig. 7
). LH levels measured after SB 334867-A given before saline in the rPOA were not different from levels observed after saline alone (AUC ± SEM, saline alone, 215 ± 28; saline plus antagonist, 184 ± 20). This indicates that SB 334867-A has no inherent effect in this model.

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FIG. 7. The effect of SB 334867-A (orexin 1 antagonist) on the stimulatory effect of orexin A in the rPOA on LH release in ovariectomized rats primed with EB alone. Saline (0.5 µl/side) or orexin A (1 µg/side) was injected bilaterally into the rPOA at the level of OVLT. SB 334867-A (antagonist; (10 mg/kg ip) was given 2030 min before the central injection. Plasma LH (ng/ml ± SE) after orexin A was significantly higher than after saline at 10 min (*, P < 0.05), 20 min (***, P < 0.0002), and 30 min (*, P < 0.05), and was significantly reduced by SB 334867-A at 20 min (+++, P < 0.0002), 30 min (+, P < 0.05), and 40 min (+, P < 0.05). [ANOVA (df 2,33); 20 min, f = 11.51; 30 min, f = 5.16; 40 min, f = 4.05.] AUC 040 min ± SEM after orexin A alone was significantly higher than saline (*, P < 0.05) and significantly reduced by SB 334867-A (+, P < 0.05). [ANOVA (df 2,33); f = 4.65 and Gabriels test.] (AUC ± SEM, saline, 215 ± 28; orexin A, 314 ± 32; orexin A plus antagonist, 188 ± 28).
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When orexin A was injected into the mPOA of ovariectomized rats primed with EB followed by progesterone, it attenuated the expected rise in LH (Table 1
). Administration of SB 334867-A either peripherally (10 mg/kg ip) or intrahypothalamically (0.5 µg/side in the mPOA) reversed this inhibitory effect (Table 3
). In contrast, administration of SB 334867-A alone (2 µg/side) into the rPOA significantly attenuated the expected LH surge in rats treated with EB plus progesterone (Table 4
).
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TABLE 3. The effect of SB 334867-A (orexin 1 antagonist) on the inhibitory effect of orexin A in the mPOA on the LH surge in ovariectomized rats primed with EB plus progesterone
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TABLE 4. The effect of SB 334867-A (orexin 1 antagonist) in the rPOA on the LH surge induced in ovariectomized rats primed with EB plus progesterone
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Immunohistochemical localization of GnRH and orexin A
GnRH cell bodies were found predominantly in the rPOA (Fig. 8
), with relatively few present more caudally in the mPOA. Sites of orexin A-IR fibers included the rPOA and mPOA. Double immunohistochemistry for GnRH and orexin A, using both brightfield and fluorescence techniques, revealed fibers and varicosities IR for orexin A in close apposition to approximately 10% of GnRH neurons (Fig. 8
).

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FIG. 8. Apposition of GnRH neurons and orexin A varicosities in the rPOA. AC, Visualization by brightfield microscopy of GnRH (brown) and orexin A (black) immunoreactivity around the preoptic recess of the third ventricle of the rat. The boxed areas in A are shown at higher magnification in B and C. D and E, Visualization by confocal microscopy of GnRH (red) and orexin A (green) immunoreactivity. D, A 6-µm-thick optical slice. E, A higher magnification image of the GnRH neuron shown in D, presented as a 1-µm-thick optical slice. Arrows indicate the presence of orexin A varicosities in close apposition to a GnRH neuron.
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Discussion
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In this report we have shown that orexin A stimulates GnRH release from hypothalamic explants in vitro, and that in vivo it has a dual effect on LH release. Orexin A enhances LH levels after injection into the rPOA at the level of the OVLT and inhibits LH release when injected more caudally into the mPOA or ARC/ME. The stimulatory effect was noted in ovariectomized rats in which LH levels were suppressed by prior treatment with EB alone. The inhibitory effect was observed when LH levels were raised, as seen in ovariectomized rats either untreated with estrogen or primed with EB followed by progesterone.
A number of other neurotransmitters have dual effects on LH release that appear to be steroid dependent, all of them exhibiting a stimulatory effect in the presence of gonadal steroids and either no effect (galanin) or an inhibitory effect in the absence of these steroids (34). Prime examples are norepinephrine (NE), neuropeptide Y (NPY), neurotensin, angiotensin II, and 5HT (34, 35). In the case of the first two examples, a mechanism has been suggested; in the absence of estrogen or when its levels are low, it has been postulated that NE stimulates a GABAergic system in the mPOA that then exerts a direct inhibitory effect on GnRH neurons (36). In similar models, it is hypothesized that NPY stimulates the release of the proopiomelanocortin derivative ß-endorphin in the ARC/ME area, from which site the latter inhibits GnRH release (37). In the presence of ovarian steroids administered in a sequence that induces an LH surge, these actions of NE and NPY disappear, presumably unmasking their stimulatory effects (36, 37). Pu et al. (6) have suggested that the dual effect of the orexins is also dependent on the presence or absence of gonadal steroids. However, in our in vivo experiments both stimulatory and inhibitory effects of orexin A are noted in the presence of these steroids; furthermore, in vitro, we have shown stimulatory effects in both the absence and presence of estrogen. As suggested by Herbison (38), it may be the ongoing activational state of the GnRH neurons that dictates their response to a neurotransmitter. We therefore suggest that these steroids have an indirect influence on the response to orexin A dependent on whether they are exerting positive or negative feedback on the GnRH system.
We have found that the dual effects of orexin appear to be site-dependent, and again there are several other examples of neurotransmitters that also have dual effects according to site. For instance, the dopaminergic tubero-infundibular tract originating in the ARC with terminals in the ME exerts an inhibitory effect on LH release (39, 40), whereas the dopaminergic incertohypothalamic tract with terminals in the ZI and POA is stimulatory (3, 4, 41, 42). Similarly, the serotonergic tract originating in the median raphe and innervating the mediobasal hypothalamus is inhibitory (43), whereas the serotonergic tract from the dorsal raphe passing to the POA is stimulatory (44, 45), albeit only in the presence of steroids (35). The dual effect of orexin noted here and by others (5, 14, 19) indicates that this peptide joins the ranks of many other neurotransmitters in modulating GnRH activity bidirectionally.
In this report, the stimulatory effect of orexin A was more apparent in the rPOA than in the mPOA. A sustained elevation of LH levels was obtained with administration into the rPOA, whereas only a transient rise occurred with treatment in the mPOA. The stimulatory action of orexin may involve direct effects on GnRH cell bodies; this is supported by our observation of orexin A varicosities in close apposition to GnRH neurons in the rPOA using confocal microscopy. Double label immunohistochemistry at the electron microscopic level would be required to demonstrate synaptic associations. Nevertheless, on the basis of confocal microscopy a similar association between these two systems has been recently reported in sheep (21). It should, however, be noted that the percentage of GnRH neurons found with orexin A IR varicosities in close apposition was smaller in rats (
10%) than in sheep (30%).
In contrast, orexin A exhibited an inhibitory effect on LH release after injection into the mPOA in two experimental conditions in which LH levels are relatively high, namely the ovariectomized rat without exogenous ovarian steroids and the ovariectomized rat primed with estrogen followed by progesterone and consequently generating an LH surge. In the latter model, orexin A also exerted an inhibitory effect when administered in the ARC/ME.
Others have shown an inhibitory effect of icv orexins on pulsatile release of LH in untreated ovariectomized rats (6, 18). This inhibitory effect on pulsatile release was enhanced in the presence of very low concentrations of estradiol (19). Orexin A may act to inhibit GnRH release from nerve terminals in the ME, or it may exert indirect effects in both the mPOA and ARC/ME via other systems that inhibit GnRH release. Just as described above for other neurotransmitters, candidates for mediating these inhibitory effects of orexin A might include ß-endorphin or
-aminobutyric acid. Orexin nerve terminals have been found to impinge on these systems and alter their release (46, 47). van den Pol et al. (47) have claimed that approximately one third of hypothalamic neurons express orexin receptors and reported the presence of orexin axon terminals throughout the hypothalamus. These observations suggest that orexin may influence activity in many hypothalamic systems; for example, the orexin effect on ACTH and prolactin release appears to be mediated via NPY (48, 49) and its effect on grooming behavior via 5HT (50). ß-Endorphin may mediate the inhibitory effect of orexin A on LH release, because naloxone has been shown to antagonize this effect (51).
Previous reports have shown that the orexins can stimulate GnRH release from hypothalamic explants taken from intact males and proestrous female rats (20). We have now shown that orexin A is effective in stimulating GnRH release from hypothalamic explants harvested from ovariectomized rats with or without estrogen priming. This appears to be inconsistent with the inhibitory effects we find in vivo in the absence of estrogen. The basis for this apparent discrepancy remains to be determined; thus far, no site has been found in vivo at which orexin treatment results in increased LH release in the absence of estrogen treatment.
Orexin 1 receptors are expressed in the three areas investigated in the present study, namely, the rPOA, mPOA, and ARC (9, 10). Both the stimulatory and inhibitory effects of exogenous orexin A appear to be mediated, at least in part, by this receptor subtype, because the selective orexin 1 antagonist, SB 334867-A (26, 27), prevents the orexin actions in the relevant models. Administration of this antagonist into the rPOA of ovariectomized rats primed with estrogen plus progesterone attenuated the expected LH surge. This result suggests that the antagonist may block the stimulatory effect of endogenous orexin and is consistent with the discovery that central administration of orexin antiserum inhibits the LH surge in proestrous rats (17).
In summary, orexin A has a stimulatory effect on GnRH neurons in vitro and increases LH release in vivo when administered into the rPOA. Double label immunohistochemistry for GnRH and orexin A, analyzed by confocal microscopy, reveals close appositions between orexin A IR varicosities and a small proportion of GnRH cell bodies. This suggests that the stimulatory effect on LH release of orexin A within the rPOA may involve direct actions on GnRH neurons. The stimulation of LH release by orexin A at this site can be blocked by the orexin 1 receptor antagonist, SB 334867-A; this also blocks the inhibitory effects of orexin A observed in the mPOA and ARC/ME. These inhibitory effects may be mediated by neurotransmitter systems located in or near the mPOA and/or ARC. The present findings extend our understanding of the role of orexin in the regulation of LH release.
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Acknowledgments
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We are grateful to Dr. R. Porter (GlaxoSmithKline, Harlow, Essex, UK) for the gifts of orexin A and SB 334867-A. We are also grateful for support from the Wellcome Trust (to J.F.M., C.W.C., and C.A.W.), the Biotechnology and Biological Sciences Research Council (to M.-L.G. and T.K.), and the Thomas Guy Charitable Foundation (to S.E.G.).
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Footnotes
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A.R.K. is funded by a GlaxoSmithKline/Medical Research Council (MRC) case student award. C.J.S. and S.R.B. are funded by a MRC program grant. A.S. was a recipient of a travel fellowship funded by the Aga Khan University.
Abbreviations: aCSF, Artificial cerebrospinal fluid; ARC, arcuate; AUC, area under the curve; DMSO, dimethoxysulfoxide; EB, estradiol benzoate; 5HT, 5-hydroxytryptamine; icv, intracerebroventricular; IR, immunoreactive; ME, median eminence; mPOA, medial POA; NE, norepinephrine; NPY, neuropeptide Y; OVLT, organum vasculosum of the lamina terminalis; POA, preoptic area; rPOA, rostral POA; RT, room temperature; ZI, zona incerta.
Received November 14, 2002.
Accepted for publication March 25, 2003.
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