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Department of Cell Biology, Physiology, and Immunology (J.M.C., V.M.N., R.F.-F., J.R., E.V., E.A., L.P., M.T.-S.), University of Córdoba, 14004 Córdoba; and Departments of Physiology (R.N., S.T., M.J.V., C.D.), and Medicine (F.F.C.), University of Santiago de Compostela, 15705 Santiago de Compostela, Spain
Address all correspondence and requests for reprints to: Manuel Tena-Sempere, Physiology Section, Department of Cell Biology, Physiology, and Immunology, Faculty of Medicine, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. E-mail: fi1tesem{at}uco.es.
| Abstract |
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60%) and to elicit gonadotropin and estrogen responses in a model of undernutrition. In summary, our data are the first to show an interaction between energy status and the hypothalamic KiSS-1 system, which may constitute a target for disruption (and eventual therapeutic intervention) of pubertal development in conditions of negative energy balance. | Introduction |
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The master position of hypothalamic GnRH in the hierarchy of signals controlling the gonadotropic axis makes it the target of multiple regulators of central and peripheral origin, and a wide array of excitatory and inhibitory circuits governing GnRH secretion have been identified over the last decades (3, 4, 5). In this context, an unsuspected key role for the KiSS-1/G protein-coupled receptor 54 (GPR54) system in the central control of the GnRH-gonadotropin axis has recently arisen on the basis of genetic and pharmacological studies (10). KiSS-1 was originally identified as a metastasis suppressor gene encoding a number of structurally related peptides, generated by the differential proteolytic processing of a common precursor, globally termed kisspeptins (11, 12, 13). The biological actions of kisspeptins are conducted through interaction with the previously orphan G protein-coupled receptor GPR54, also termed AXOR12 or hOT7T175 (11, 12, 13). A number of point mutations and deletions of the GPR54 gene were recently found in patients suffering idiopathic hypogonadotropic hypogonadism (14, 15, 16), a syndrome that was reproduced in mouse models carrying null mutations of the GPR54 gene (15). Thereafter, hypothalamic expression of KiSS-1 and GPR54 genes has been proven as developmentally (maximum at puberty) and hormonally (by sex steroids) regulated (17, 18, 19), and the ability of kisspeptins to potently elicit gonadotropin secretion has been simultaneously reported by different groups, including ours (17, 18, 19, 20, 21, 22, 23, 24, 25, 26). Moreover, direct stimulatory actions of kisspeptin upon hypothalamic GnRH neurons and/or GnRH release have been very recently documented (18, 19, 23), and mechanistic studies have suggested a relevant role of KiSS-1 signaling in puberty onset in rodent and primate species (19, 22). In fact, comparative meta-analyses with published data on the LH-releasing activity of other neuropeptides and neurotransmitters, such as glutamate and galanin-like peptide, evidence that the KiSS-1 system is likely the most potent elicitor of the GnRH-gonadotropin axis known so far (24, 25). Indeed, although evaluation of its potential interplay with other well known modulators of the reproductive system has been initiated only recently (24, 25), the KiSS-1 system has been already proposed as an essential gatekeeper for proper function of the gonadotropic axis (15, 19).
In the above scenario, we hypothesized that the mechanisms whereby conditions of negative energy balance hamper the functioning of reproductive axis may target directly the hypothalamic KiSS-1 system. To test this hypothesis, expression analyses of KiSS-1 and GPR54 genes at the hypothalamus were conducted, and reproductive responses to kisspeptin (in terms of hormone secretion and biomarkers of puberty onset) were monitored at puberty in models of severe undernutrition.
| Materials and Methods |
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Experimental designs
In experiment 1, the effects of conditions of negative energy balance on the expression of the KiSS-1 system at the hypothalamus were monitored in prepubertal animals. This stage of postnatal maturation was selected given the well known dependence of normal pubertal development on sufficient energy stores (3). Groups of male and female rats (30 d old; n = 1012 per group) were subjected to a period of 72 h of fasting (only access to tap water); age-matched rats fed ad libitum served as controls. At the end of the fasting period, the animals were killed by decapitation, and the hypothalamus was immediately dissected out, as described in detail elsewhere (17), by a horizontal cut of about 2 mm depth with the following limits: 1 mm anteriorly from the optic chiasm (to include the preoptic area), the posterior border of mamillary bodies, and the hypothalamic fissures. Hypothalamic samples were frozen in liquid nitrogen and stored at 80 C until processing for RNA analysis.
In experiment 2, the functionality of the KiSS-1 system, in terms of gonadotropic responses, was tested under conditions of severe energy deficit. To this end, the ability of kisspeptin-10 to centrally elicit LH secretion was assessed in prepubertal male and female rats (30 d old; n = 1012 per group) previously subjected to food deprivation for 72 h. A protocol of intracerebroventricular (icv) administration of 1 nmol kisspeptin-10 was carried out, as described elsewhere (17, 22, 24, 25). To allow delivery of kisspeptin into the lateral cerebral ventricle, the animals were implanted with icv cannulae lowered to a depth of 3 mm beneath the surface of the skull; the insert point was 1 mm posterior and 1.2 mm lateral to bregma. A dose of 1 nmol kisspeptin in 10 µl per rat was selected on the basis of our recent data on the ability of this dose to potently elicit LH secretion in rats fed ad libitum (17, 24). Trunk blood samples were collected upon decapitation at 15 min after kisspeptin injection. Animals injected with vehicle (NaCl 0.9%) served as controls.
In experiment 3, the central mechanisms for the effects of kisspeptin upon gonadotropin secretion in situations of negative energy balance were explored. To this end, the ability of kisspeptin-10 to elicit GnRH secretion was tested using a static incubation system and hypothalamic fragments from prepubertal female rats (n = 1012 hypothalamic samples per group) at two different prevailing metabolic states: feeding ad libitum and 72 h of fasting. Upon decapitation of the animals, hypothalamic fragments were excised following the tissue limits indicated in experiment 2 and placed into individual incubation chambers containing 250 µl of phenol red-free DMEM for 30 min of preincubation, using a Dubnoff incubator at 37 C with constant shaking (60 cycles/min), under an atmosphere of 95% O2/5% CO2. After this period, preincubation media were replaced by DMEM alone or medium containing increasing concentrations of kisspeptin-10 (1012, 1010, 108, and 106 M). Incubations were terminated after 30 min, when media were boiled to inactivate endogenous protease activity, and kept at 80 C until assayed for GnRH levels.
In experiment 4, the effects of kisspeptin upon food intake pattern were studied. To this end, groups of male rats (n = 8 per group) were implanted with icv cannulae, and daily intracerebral injection of 1 nmol kisspeptin was conducted at early light phase (0900 h) for 7 consecutive days. As control for the experimental procedure, an additional group of animals (n = 8) were icv injected with 1 nmol ghrelin, a proven orexigenic factor (9). To explore the impact of the prevailing energy status upon the effects of kisspeptin on food intake, the animals were initially allowed to have free access to chow during the first 4 d, and cumulative food intake was monitored at 1.5, 3, 6, 12, and 24 h after each kisspeptin injection. Thereafter, the animals were subjected to 12 h of fasting during the dark phase preceding kisspeptin injection for the last 3 d of treatment, and cumulative food intake was monitored at 1.5, 3, 6, and 12 h after injection.
Finally, in experiment 5, the effects of chronic central administration of kisspeptin-10 on puberty onset in immature female rats under severe undernutrition were monitored. A protocol of 30% restriction in daily food intake vs. age-matched control females (fed ad libitum) was initiated on d 23 postpartum. Daily icv administration of kisspeptin in the lateral cerebral ventricle was conducted between d 3037 postpartum in food-restricted females (n = 12), as described in detail elsewhere (22). The treatment regimen was set at a dose of 1 nmol KiSS-1 per animal in 10 µl, every 12 h. Pair-aged females (n = 10), at 30% food restriction, injected with vehicle served as controls. The animals were icv injected under conscious conditions after careful handling to avoid any stressful influence, in keeping with our previous references (22). In all experimental animals, body weight and vaginal opening were daily monitored. On the latter, detailed inspection was conducted in each animal to determine the date of complete canalization of the vagina. At the end of treatment (37 d postpartum), the animals were killed by decapitation, 60 min after the last injection of kisspeptin or vehicle, and trunk blood was collected. For determination of the normal date of vaginal opening in animals fed ad libitum, an additional group of females (n = 20), without food restriction and icv injected with vehicle, were maintained on daily inspection of canalization of the vagina up to d 37 postpartum.
RNA analysis by semiquantitative RT-PCR
Total RNA was isolated from hypothalamic samples using the single-step, acid guanidinium thiocyanate-phenol-chloroform extraction method. Hypothalamic expression of KiSS-1 and GPR54 mRNAs was assessed by RT-PCR, optimized for semiquantitative detection, using previously defined primer pairs and conditions (17). As internal control for RT and reaction efficiency, amplification of a 240-bp fragment of S11 ribosomal protein mRNA was carried out in parallel in each sample (17). PCR consisted of a first denaturing cycle at 97 C for 5 min, followed by a variable number of cycles of amplification defined by denaturation at 96 C for 30 sec, annealing for 30 sec, and extension at 72 C for 1 min. A final extension cycle of 72 C for 15 min was included. Annealing temperature was adjusted for each target and primer pair: 62.5 C for KiSS-1, 63.5 C for GPR54, and 58 C for RP-S11 transcripts. In keeping with previous optimization tests (17), 32 and 24 PCR cycles were chosen for semiquantitative analysis of specific targets (KiSS-1 and GPR54) and RP-S11 internal control, respectively. Specificity of PCR products was confirmed by direct sequencing (Central Sequencing Service, University of Córdoba, Córdoba, Spain). Quantification of intensity of RT-PCR signals was carried out by densitometric scanning using an image analysis system (1-D Manager; TDI Ltd., Madrid, Spain), and values of the specific targets were normalized to those of internal controls to express arbitrary units of relative expression. In all assays, liquid controls and reactions without RT resulted in negative amplification.
RNA analysis by real-time RT-PCR
To verify changes in gene expression, real-time RT-PCR was performed in the experimental samples using the iCycler iQ Real-Time PCR detection system (Bio-Rad Laboratories, Hercules, CA). In detail, KiSS-1 and GPR54 mRNA levels were assayed in hypothalamic samples from prepubertal male and female rats subjected to 72 h of fasting and their respective controls fed ad libitum. General procedures for real-time RT-PCR were as previously described (17). The synthesized cDNAs were further amplified in triplicate by PCR using SYBR green I as fluorescent dye and 1x iQ Supermix containing 50 mM KCl, 20 mM Tris-HCl, 0.2 mM dNTPs, 3 mM Mg Cl2, and 2.5 U iTaq DNA polymerase (Bio-Rad), in a final volume of 25 µl. The PCR cycling conditions were as follows: initial denaturation and enzyme activation at 95 C for 5 min, followed by 40 cycles of denaturation at 95 C for 15 sec, annealing at 62.5 C (KiSS-1), 63.5 C (GPR54), or 58 C (RP-S11) for 15 sec, and extension at 72 C for 1 min. Calculation of relative expression levels of the target mRNAs was conducted based on the cycle threshold (CT) method (27). The CT for each sample was calculated using the iCycler iQ Real-Time PCR detection system software with an automatic fluorescence threshold (Rn) setting. Accordingly, fold expression of target mRNAs over reference values was calculated by the equation 2
CT, where
CT is determined by subtracting the corresponding RP-S11 CT value (internal control) from the specific CT of the target (KiSS-1 or GPR54), and 
CT is obtained by subtracting the
CT of each experimental sample from that of the reference sample (taken as reference value 100). No significant differences in CT values were observed for RP-S11 between the treatment groups.
Hormone measurement by specific RIAs
Serum LH and FSH levels were determined in a volume of 2550 µl using a double-antibody method and RIA kits kindly supplied by the NIH (Dr. A. F. Parlow, National Institute of Diabetes and Digestive and Kidney Diseases National Hormone and Peptide Program, Torrance, CA). Rat LH-I-9 and FSH-I-9 were labeled with 125I by the chloramine-T method, and the hormone concentrations were expressed using the reference preparation LH-RP-3 and FSH-RP2 as standards. Intra- and interassay coefficients of variation were less than 8 and 10% for LH, and 6 and 9% for FSH, respectively. The sensitivity of the assay was 5 pg/tube for LH and 20 pg/tube for FSH. In addition, in selected serum samples (experiment 5), serum estradiol levels were determined using a commercial kit from MP Biomedicals (Costa Mesa, CA), following the instructions of the manufacturer. The sensitivity of the assay was 0.5 pg/tube, and the intraassay coefficient of variation was less than 5%. Finally, GnRH levels in incubation media (experiment 3) were assayed using a commercial RIA kit (Peninsula Laboratories, San Carlos, CA), following the instructions of the manufacturer. The sensitivity of the assay was 1 pg/tube. For each hormone, all the samples were measured in the same assay.
Presentation of data and statistics
Hormonal determinations (LH, FSH, and estradiol in serum and GnRH in incubation medium) were conducted in duplicate, with a minimal total number of 10 samples per group. Semiquantitative RT-PCR analyses were carried out in duplicate from at least four independent RNA samples of each experimental group. Quantitative RNA and hormonal data are presented as mean ± SEM. Results were analyzed for statistically significant differences using Students t test or ANOVA followed by Student-Newman-Keuls multiple range test (SigmaStat 2.0, Jandel Corp., San Rafael, CA). P
0.05 was considered significant. When appropriate (see experiment 3), the mean effective dose (ED50), defined as the dose of KiSS-1 peptide able to induce 50% of the maximal response, was determined by nonlinear regression (SigmaStat 2.0).
| Results |
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9.7-fold increase over vehicle-injected animals) and males (mean response,
9.0-fold increase over vehicle-injected animals). In fasted animals, the ability of similar doses (1 nmol/rat icv) of kisspeptin-10 to elicit LH secretion in vivo was preserved. Moreover, the effectiveness of kisspeptin in terms of induction of LH secretion was notably enhanced, as estimated by the absolute LH levels reached at 15 min after injection of the peptide (significantly higher in fasted animals than in controls) as well as by the relative fold increase in serum LH concentrations induced by kisspeptin over control levels in fasted animals injected with vehicle (females,
62.5-fold increase; males,
53.5-fold increase) (Fig. 2
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2.6-fold increase over control values (Fig. 3
0.01) in basal release of GnRH in vitro. However, the ability of kisspeptin-10 to dose-dependently elicit GnRH secretion was preserved after food deprivation. Moreover, in this model, the sensitivity to kisspeptin in terms of induction of GnRH secretion was significantly enhanced, as estimated by the lower NOEL (1012 M) and predicted ED50 value (
1010 M). In addition, maximal relative responses to kisspeptin over corresponding control values (
4.0-fold) were increased in fasted animals (Fig. 3
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0.01), in keeping with previous references (9).
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60%), with a mean body weight of 67.6 ± 1.0 g. As additional indices of rescue of pubertal activation of the reproductive axis, serum LH and estradiol levels were significantly increased in every single food-restricted female rat after repeated icv injection of kisspeptin (Fig. 5
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| Discussion |
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The experimental data presented herein evidence that situations of negative energy balance induce a decrease in the hypothalamic expression of kisspeptin, as suggested by the significant reduction in the relative levels of KiSS-1 mRNA observed in prepubertal male and female rats under short-term fasting. Considering its physiological role in the control of GnRH neurons, it is reasonable to predict that reduced KiSS-1 signaling might operate as a major contributing factor for the reproductive failure (i.e. hypogonadotropic hypogonadism) induced by food deprivation. Additional evidence for alterations in the KiSS-1 system in situations of energy deficit comes from the observation of increased GPR54 mRNA levels at the hypothalamus in fasted animals. A tempting explanation for such a paradoxical finding is that a primary decrease in ligand (KiSS-1) expression might bring about a compensatory increase in the expression of its putative receptor (GPR54), inducing a state of sensitization to the effects of kisspeptin. Indeed, this is apparently the case, as evidenced by our in vivo and in vitro data in short-term fasting. Thus, LH responses to kisspeptin in vivo were preserved, and even enhanced, in food-deprived animals, suggesting that replacement of endogenous KiSS-1 levels is sufficient to fully activate the GnRH-LH axis despite adverse metabolic conditions. Likewise, the sensitivity to kisspeptin in terms of induction of GnRH secretion in vitro was significantly enhanced (as evidenced by lower mean and minimal effective doses), and its maximal responses increased, in fasted animals. On the former, it has to be noted that 1010 M kisspeptin was able to elicit GnRH release in vitro in underfed animals but not in those fed ad libitum, which support the contention that the sensitivity to kisspeptin is significantly increased in situations of negative energy balance. Interestingly, in our setting, basal release of GnRH was significantly reduced (
2.0-fold) by previous short-term fasting. Such a decrease, however, was fully reversed by incubation of hypothalamic fragments from fasted animals in the presence of 1010 M kisspeptin (see Fig. 3
). This suggests that the physiological level of hypothalamic kisspeptin may range between 10 and 100 pM and that its replacement in conditions of negative energy balance is apparently sufficient to restore normal GnRH release.
Assumably, the molecular basis for the observed changes in the expression and function of the KiSS-1 system in fasting conditions is yet to be elucidated, but in principle, different signals with proven actions in the joint control of energy balance and reproduction might be involved. Among others, the adipocyte hormone leptin has been identified as a pivotal peripheral factor for signaling the amount of body energy stores to the hypothalamic centers governing reproduction. However, the ultimate mechanisms whereby leptin conducts this relevant function are still a matter of debate, and direct or indirect effects of leptin upon GnRH neurons have been proposed (8). Interestingly, leptin has been involved in the control of the hypothalamic expression of galanin-like peptide (GALP), another potent elicitor of GnRH-LH secretion, and a sensitization phenomenon, analogous to that reported herein for KiSS-1, has been recently described for the LH-releasing effects of GALP in conditions of leptin insufficiency (29). Indeed, hyperresponsiveness to a number of elicitors of the hypothalamic-pituitary-gonadal axis is apparently detected in conditions of negative energy balance and/or hypoleptinemia, a phenomenon where the potential contribution of altered KiSS-1 functions (as a relevant downstream regulator of the GnRH system) merits further investigation. Nonetheless, whether similar mechanisms underlie the reported sensitization to kisspeptin and GALP is yet to be determined. In fact, our preliminary observations evidence that, in contrast to GALP, KiSS-1 mRNA levels at the hypothalamus are not significantly modified in conditions of leptin deficiency (i.e. ob/ob mouse) (our unpublished data), suggesting that leptin is not an essential regulator of KiSS-1 gene expression at the hypothalamus. Alternatively, leptin modulation of the KiSS-1 system may take place at a posttranscriptional step, and/or additional neuroendocrine integrators might be involved. The latter possibility is presently under investigation at our laboratory.
Expression of KiSS-1 and GPR54 mRNAs, as well as metastin-like immunoreactivity, has been detected in several hypothalamic areas involved in feeding regulation (21, 30, 31), including the arcuate nucleus. This area has been highlighted as a major center for the integrated regulation of food intake, where neuropeptide Y (NPY)/Agouti-related peptide (orexigenic) and proopiomelanocortin/cocaine- and amphetamine-regulated transcript (anorexigenic) neurons reciprocally operate under the regulation of peripheral factors, such as leptin (29 and references therein). Our present results document, however, that central injection of kisspeptin is not able to significantly alter the pattern of food intake, either in rats fed ad libitum or subjected to previous 12 h of fasting. In good agreement, intracerebral administration of kisspeptin, at a dose effective to maximally elicit LH secretion, failed to change hypothalamic expression levels of NPY, Agouti-related peptide, proopiomelanocortin, and cocaine- and amphetamine-regulated transcript mRNAs (our unpublished data). Altogether, our current results demonstrate that, although body energy stores impact the expression and function of the KiSS-1 system at the hypothalamus, kisspeptin is not provided with specific regulatory actions upon feeding. In fact, during conduction of this study, this contention was further supported by an independent study (23). This finding is contrast with other well-known regulators of food intake and the reproductive axis, such as leptin, NPY, orexin, GALP, and likely ghrelin, for which direct, independent actions in the control of feeding and reproductive axis have been reported (9, 29, 32, 33), and strengthens the role of the KiSS-1 system as a selective downstream regulatory signal essential for the proper function of the GnRH-LH axis.
Additional evidence for the pivotal involvement of the KiSS-1 system in the mechanisms whereby energy status controls activation of the reproductive axis at puberty is provided by our experiments involving chronic administration of kisspeptin in conditions of undernutrition. In our setting, a persistent decrease in daily food intake of 30% from controls was able to totally block normal pubertal development, as estimated by lack of vaginal opening and decreased serum gonadotropin levels. In this model, repeated administration of kisspeptin was sufficient to restore vaginal opening in a significant number (60%) of cases as well as to induce gonadotropin and estrogen secretion in every single animal tested. On the basis of present and previous data (18, 19, 23), this activational response is thought to be mediated by central stimulation of the GnRH system. Yet, in keeping with our previous results (24), such an effect did not involve increased hypothalamic expression of GnRH mRNA, nor was it associated with significant changes in the relative levels of GnRH receptor mRNA at the pituitary (our unpublished observations). The reasons for the lack of vaginal opening in a proportion of food-restricted females injected with kisspeptin remain to be solved, but subtle individual variations in the responses to subnutrition and/or kisspeptin administration cannot be excluded. Moreover, it is plausible that occurrence of vaginal opening might have taken place in the remaining kisspeptin-injected animals (which actually had significantly elevated LH and estradiol levels over vehicle-treated underfed females at d 37) if longer treatment protocols could have been implemented.
The relevance of the present observations is stressed by the fact that, although kisspeptin was able to rescue vaginal opening in a large percentage of food-restricted females, the very same treatment protocol (between d 30 and 37 postpartum) dramatically depressed serum LH levels and prevented normal occurrence of canalization of the vagina in more than 50% of normally fed female rats at puberty (manuscript in preparation), i.e. when full activation of the endogenous KiSS-1 system occurs (17). This illustrates the exquisite sensitivity of this system not only to down-regulation (as observed in food deprivation) but also to hyperactivation, where desensitization of the gonadotropic axis is likely taking place. Additional studies, involving repeated administration of kisspeptin at different stages of maturation, and testing of hypothalamic secretion and pituitary sensitivity to GnRH, are presently in progress in our laboratory to cover this relevant issue. Nonetheless, although ultimate occurrence of ovulation as definitive proof of complete puberty was not monitored in our experimental setting, in the context of the reported decrease in KiSS-1 expression in situations of negative energy balance, our present data (involving assessment of different end-points such as pituitary LH and FSH secretion, ovarian-derived estrogen levels, and vaginal opening as biomarker of estrogenic action) strongly suggest that restoration of endogenous KiSS-1 tone is sufficient to rescue (at least partially) defective pubertal activation of the reproductive axis in undernutrition. This is not only relevant from a mechanistic standpoint, but it may pose also interesting therapeutic implications, especially considering the extraordinarily potent gonadotropin-releasing activity of systemically delivered kisspeptins (24, 25).
In summary, we provide herein an integral analysis of the potential interaction of energy balance and the KiSS-1 system in the control of reproductive function, with special attention to the role of this novel signaling system in conveying the impact of (insufficient) body energy stores onto the gonadotropic axis at puberty. Our data demonstrate for the first time that, despite its lack of direct effects on feeding and related neuropeptide gene expression, food deprivation induces significant changes in the expression and function of the central (hypothalamic) KiSS-1 system, which may represent a previously uncharacterized target for disruption (and eventual therapeutic intervention) of pubertal development in conditions of negative energy balance.
| Acknowledgments |
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| Footnotes |
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First Published Online June 2, 2005
1 J.M.C. and V.M.N. equally contributed to this work and should be considered as joint first authors. ![]()
Abbreviations: CT, Cycle threshold; GALP, galanin-like peptide; GPR54, G protein-coupled receptor 54; icv, intracerebroventricular; NPY, neuropeptide Y.
Received March 21, 2005.
Accepted for publication May 23, 2005.
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