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This version published online on July 3, 2003
Endocrinology, doi:10.1210/en.2003-0457
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Submitted on April 11, 2003
Accepted on June 27, 2003

GnRH secretion from hypothalamic neurons: stimulation by insulin and potentiation by leptin

Rémy Burcelin1, Bernard Thorens1, Micheline Glauser1, Rolf C. Gaillard1, and François P. Pralong1*

1 Institute of Pharmacology and Toxicology, Lausanne Medical School, and Division of Endocrinology and Diabetology, University Hospital, Lausanne, Switzerland.

* To whom correspondence should be addressed. E-mail: Francois.Pralong{at}chuv.hospvd.ch.

Insulin and leptin are peripheral metabolic factors signaling the body needs in energy to the central nervous system. Since energy homeostasis and reproductive function are closely related phenomena, we investigated the respective roles played by insulin and leptin in the hypothalamic control of gonadotropin-releasing hormone (GnRH) secretion. We observed that increasing circulating insulin levels by performing hyperinsulinemic clamp studies in male mice was associated with a significant rise in LH secretion. This effect of insulin is likely mediated at the hypothalamic level, as it was also found to stimulate the secretion and the expression of GnRH by hypothalamic neurons in culture. Leptin was found to potentiate the effect of insulin on GnRH secretion in vitro, but was devoid of any effect on its own. These data represent the first evidence of direct insulin sensing by hypothalamic neurons involved in activating the neuroendocrine gonadotrope axis. They also demonstrate that these neurons can integrate different hormonal signals to modulate net hypothalamic GnRH output. We propose that such integration is an essential mechanism for the adaptation of reproductive function to changes in the metabolic status of an individual.


Key words: Hypothalamus • GnRH • insulin • leptin







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