“Gonadotropin-releasing hormone”的意思、由来-开放百科全书

Gonadotropin-releasing hormone (GnRH) is a releasing hormone responsible for the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the anterior pituitary. GnRH is a tropic peptide hormone synthesized and released from GnRH neurons within the hypothalamus. The peptide belongs to gonadotropin-releasing hormone family. It constitutes the initial step in the hypothalamic–pituitary–gonadal axis.

Structure

The identity^[1] of GnRH was clarified by the 1977 Nobel Laureates Roger Guillemin and Andrew V. Schally:^[2]

As is standard for peptide representation, the sequence is given from amino terminus to carboxyl terminus; also standard is omission of the designation of chirality, with assumption that all amino acids are in their L- form. The abbreviations appearing are to standard proteinogenic amino acids, except for pyroGlu, which refers to pyroglutamic acid, a derivative of glutamic acid. The NH2 at the carboxyl terminus indicates that rather than terminating as a free carboxylate, it terminates as a carboxamide.

Synthesis

The gene, GNRH1, for the GnRH precursor is located on chromosome 8. In mammals, the linear decapeptide end-product is synthesized from an 89-amino acid preprohormone in the preoptic anterior hypothalamus. It is the target of various regulatory mechanisms of the hypothalamic–pituitary–gonadal axis, such as being inhibited by increased estrogen levels in the body.

Function

GnRH is secreted in the hypophysial portal bloodstream at the median eminence.^[3] The portal blood carries the GnRH to the pituitary gland, which contains the gonadotrope cells, where GnRH activates its own receptor, gonadotropin-releasing hormone receptor (GnRHR), a seven-transmembrane G-protein-coupled receptor that stimulates the beta isoform of Phosphoinositide phospholipase C, which goes on to mobilize calcium and protein kinase C. This results in the activation of proteins involved in the synthesis and secretion of the gonadotropins LH and FSH. GnRH is degraded by proteolysis within a few minutes.

GnRH activity is very low during childhood, and is activated at puberty or adolescence. During the reproductive years, pulse activity is critical for successful reproductive function as controlled by feedback loops. However, once a pregnancy is established, GnRH activity is not required. Pulsatile activity can be disrupted by hypothalamic-pituitary disease, either dysfunction (i.e., hypothalamic suppression) or organic lesions (trauma, tumor). Elevated prolactin levels decrease GnRH activity. In contrast, hyperinsulinemia increases pulse activity leading to disorderly LH and FSH activity, as seen in polycystic ovary syndrome (PCOS). GnRH formation is congenitally absent in Kallmann syndrome.

Control of FSH and LH

At the pituitary, GnRH stimulates the synthesis and secretion of the gonadotropins, follicle-stimulating hormone (FSH), and luteinizing hormone (LH).^[4] These processes are controlled by the size and frequency of GnRH pulses, as well as by feedback from androgens and estrogens. Low-frequency GnRH pulses are required for FSH release, whereas high-frequency GnRH pulses stimulate LH pulses in a one-to-one manner.^[3]

There are differences in GnRH secretion between females and males. In males, GnRH is secreted in pulses at a constant frequency; however, in females, the frequency of the pulses varies during the menstrual cycle, and there is a large surge of GnRH just before ovulation.^[4]

GnRH secretion is pulsatile in all vertebrates,^[5] and is necessary for correct reproductive function. Thus, a single hormone, GnRH1, controls a complex process of follicular growth, ovulation, and corpus luteum maintenance in the female, and spermatogenesis in the male.

Neurohormone

GnRH is considered a neurohormone, a hormone produced in a specific neural cell and released at its neural terminal. A key area for production of GnRH is the preoptic area of the hypothalamus, which contains most of the GnRH-secreting neurons. GnRH neurons originate in the nose and migrate into the brain, where they are scattered throughout the medial septum and hypothalamus and connected by very long >1-millimeter-long dendrites. These bundle together so they receive shared synaptic input, a process that allows them to synchronize their GnRH release.^[6]

The GnRH neurons are regulated by many different afferent neurons, using several different transmitters (including norepinephrine, GABA, glutamate). For instance, dopamine appears to stimulate LH release (through GnRH) in estrogen-progesterone-primed females; dopamine may inhibit LH release in ovariectomized females.^[7] Kisspeptin appears to be an important regulator of GnRH release.^[8] GnRH release can also be regulated by estrogen. It has been reported that there are kisspeptin-producing neurons that also express estrogen receptor alpha.^[9]

Other organs

GnRH is found in organs outside of the hypothalamus and pituitary, and its role in other life processes is poorly understood. For instance, there is likely to be a role for GnRH1 in the placenta and in the gonads. GnRH and GnRH receptors are also found in cancers of the breast, ovary, prostate, and endometrium.^[10]

Effects of behavior

GnRH production/release is one of the few confirmed examples of behavior influencing hormones, rather than the other way around.{{citation needed|date=December 2013}} Cichlid fish that become socially dominant in turn experience an upregulation of GnRH secretion whereas cichlid fish that are socially subordinate have a down regulation of GnRH secretion.^[11] Besides secretion, the social environment as well as their behavior affects the size of GnRH neurons. Specifically, males that are more territorial have larger GnRH neurons than males that are less territorial. Differences are also seen in females, with brooding females having smaller GnRH neurons than either spawning or control females.^[12] These examples suggest that GnRH is a socially regulated hormone.

Medical uses

Natural GnRH was previously prescribed as gonadorelin hydrochloride (Factrel)^[13] and gonadorelin diacetate tetrahydrate (Cystorelin)^[14] for use in treating human diseases. Modifications of the decapeptide structure of GnRH to increase half life have led to GnRH1 analog medications that either stimulate (GnRH1 agonists) or suppress (GnRH antagonists) the gonadotropins. These synthetic analogs have replaced the natural hormone in clinical use.

Its analogue leuprorelin is used for continuous infusion, to treat breast cancer, endometriosis, prostate cancer, and following research in the 1980s by researchers, including Dr. Florence Comite of Yale University, it was used to treat precocious puberty.^[15]^[16]

Animal sexual behavior

GnRH activity influences a variety of sexual behaviors. Increased levels of GnRH facilitate sexual displays and behavior in females. GnRH injections enhance copulation solicitation (a type of courtship display) in white-crowned sparrows.^[17] In mammals, GnRH injections facilitate sexual behavior of female display behaviors as shown with the musk shrew’s (Suncus murinus) reduced latency in displaying rump presents and tail wagging towards males.^[18]

An elevation of GnRH raises males’ testosterone capacity beyond a male's natural testosterone level. Injections of GnRH in male birds immediately after an aggressive territorial encounter results in higher testosterone levels than what is observed naturally during an aggressive territorial encounter.^[19]

A compromised GnRH system has aversive effects on reproductive physiology and maternal behavior. In comparison to female mice with a normal GnRH system, female mice with a 30% decrease in GnRH neurons are poor caregivers to their offspring. These mice are more likely to leave their pups scattered rather than grouped together, and will take significantly longer to retrieve their pups.^[20]

Veterinary use

The natural hormone is also used in veterinary medicine as a treatment for cattle with cystic ovarian disease. The synthetic analogue deslorelin is used in veterinary reproductive control through a sustained-release implant.

Other names

As with many hormones, GnRH has been called by various names in the medical literature over the decades since its existence was first inferred. They are as follows:

See also

References

1. ^{{cite journal|last1=Kochman|first1=K. | name-list-format = vanc | title = Evolution of gonadotropin-releasing hormone (GnRH) structure and its receptor | journal = Journal of Animal and Feed Sciences | date = 2012 | volume = 21 | issue = 1 | page = 6 | url = http://www.cabdirect.org/abstracts/20123164798.html }}
2. ^{{cite web|title=The Nobel Prize in Physiology or Medicine 1977|url=https://www.nobelprize.org/nobel_prizes/medicine/laureates/1977/|website=www.nobelprize.org|publisher=Nobel Media AB 2014|accessdate=24 June 2016}}
3. ^{{cite journal | vauthors = Jayes FC, Britt JH, Esbenshade KL | title = Role of gonadotropin-releasing hormone pulse frequency in differential regulation of gonadotropins in the gilt | journal = Biology of Reproduction | volume = 56 | issue = 4 | pages = 1012–9 | date = April 1997 | pmid = 9096885 | doi = 10.1095/biolreprod56.4.1012 | url = http://www.biolreprod.org/content/56/4/1012.full.pdf | deadurl = yes | archiveurl = https://web.archive.org/web/20150923190449/http://www.biolreprod.org/content/56/4/1012.full.pdf | archivedate = 2015-09-23 | df = }}
4. ^{{cite journal | vauthors = Ehlers K, Halvorson L | title = Gonadotropin-releasing Hormone (GnRH) and the GnRH Receptor (GnRHR) | url = http://www.glowm.com/section_view/item/284/recordset/18975/value/284 | journal = The Global Library of Women's Medicine | access-date = 5 November 2014 | doi = 10.3843/GLOWM.10285 | date = 2013 }}
5. ^{{cite journal | vauthors = Tsutsumi R, Webster NJ | title = GnRH pulsatility, the pituitary response and reproductive dysfunction | journal = Endocrine Journal | volume = 56 | issue = 6 | pages = 729–37 | date = 17 July 2009 | pmid = 19609045 | pmc = 4307809 | doi = 10.1507/endocrj.K09E-185 }}
6. ^¹{{cite journal | vauthors = Campbell RE, Gaidamaka G, Han SK, Herbison AE | title = Dendro-dendritic bundling and shared synapses between gonadotropin-releasing hormone neurons | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 106 | issue = 26 | pages = 10835–40 | date = June 2009 | pmid = 19541658 | pmc = 2705602 | doi = 10.1073/pnas.0903463106 }}
7. ^¹{{cite book | author = Brown RM | authorlink = | editor = | others = | title = An introduction to Neuroendocrinology | edition = | publisher = Cambridge University Press | location = Cambridge, UK | year = 1994 | origyear = | pages = | quote = | isbn = 978-0-521-42665-7 | oclc = | doi = | url = | accessdate = }}
8. ^{{cite journal | vauthors = Dungan HM, Clifton DK, Steiner RA | title = Minireview: kisspeptin neurons as central processors in the regulation of gonadotropin-releasing hormone secretion | journal = Endocrinology | volume = 147 | issue = 3 | pages = 1154–8 | date = March 2006 | pmid = 16373418 | doi = 10.1210/en.2005-1282 }}
9. ^{{cite journal | vauthors = Franceschini I, Lomet D, Cateau M, Delsol G, Tillet Y, Caraty A | title = Kisspeptin immunoreactive cells of the ovine preoptic area and arcuate nucleus co-express estrogen receptor alpha | journal = Neuroscience Letters | volume = 401 | issue = 3 | pages = 225–30 | date = July 2006 | pmid = 16621281 | doi = 10.1016/j.neulet.2006.03.039 }}
10. ^{{cite journal | vauthors = Schally AV | title = Luteinizing hormone-releasing hormone analogs: their impact on the control of tumorigenesis | journal = Peptides | volume = 20 | issue = 10 | pages = 1247–62 | year = 1999 | pmid = 10573298 | doi = 10.1016/S0196-9781(99)00130-8 }}
11. ^{{cite journal | vauthors = Chee SS, Espinoza WA, Iwaniuk AN, Pakan JM, Gutiérrez-Ibáñez C, Wylie DR, Hurd PL | title = Social status, breeding state, and GnRH soma size in convict cichlids (Cryptoheros nigrofasciatus) | journal = Behavioural Brain Research | volume = 237 | issue = | pages = 318–24 | date = January 2013 | pmid = 23000535 | doi = 10.1016/j.bbr.2012.09.023 }}
12. ^{{cite journal | vauthors = White SA, Nguyen T, Fernald RD | title = Social regulation of gonadotropin-releasing hormone | journal = The Journal of Experimental Biology | volume = 205 | issue = Pt 17 | pages = 2567–81 | date = September 2002 | pmid = 12151363 | doi = | url = http://jeb.biologists.org/content/205/17/2567.full.pdf }}
13. ^Drugs.com Factrel: {{Drugs.com|CDI|Factrel}}
14. ^Drugs.com Cystorelin: {{Drugs.com|pro|Cystorelin}}
15. ^{{cite journal | vauthors = Comite F, Cutler GB, Rivier J, Vale WW, Loriaux DL, Crowley WF | title = Short-term treatment of idiopathic precocious puberty with a long-acting analogue of luteinizing hormone-releasing hormone. A preliminary report | journal = The New England Journal of Medicine | volume = 305 | issue = 26 | pages = 1546–50 | date = December 1981 | pmid = 6458765 | doi = 10.1056/NEJM198112243052602 }}
16. ^{{cite journal | vauthors = Sonis WA, Comite F, Pescovitz OH, Hench K, Rahn CW, Cutler GB, Loriaux DL, Klein RP | title = Biobehavioral aspects of precocious puberty | journal = Journal of the American Academy of Child Psychiatry | volume = 25 | issue = 5 | pages = 674–9 | date = September 1986 | pmid = 3760417 | doi = 10.1016/S0002-7138(09)60293-4 }}
17. ^{{cite journal | vauthors = Maney DL, Richardson RD, Wingfield JC | title = Central administration of chicken gonadotropin-releasing hormone-II enhances courtship behavior in a female sparrow | journal = Hormones and Behavior | volume = 32 | issue = 1 | pages = 11–8 | date = August 1997 | pmid = 9344687 | doi = 10.1006/hbeh.1997.1399 }}
18. ^{{cite journal | vauthors = Schiml PA, Rissman EF | title = Effects of gonadotropin-releasing hormones, corticotropin-releasing hormone, and vasopressin on female sexual behavior | journal = Hormones and Behavior | volume = 37 | issue = 3 | pages = 212–20 | date = May 2000 | pmid = 10868484 | doi = 10.1006/hbeh.2000.1575 }}
19. ^{{cite journal | vauthors = DeVries MS, Winters CP, Jawor JM | title = Testosterone elevation and response to gonadotropin-releasing hormone challenge by male northern cardinals (Cardinalis cardinalis) following aggressive behavior | journal = Hormones and Behavior | volume = 62 | issue = 1 | pages = 99–105 | date = June 2012 | pmid = 22613708 | doi = 10.1016/j.yhbeh.2012.05.008 }}
20. ^{{cite journal | vauthors = Brooks LR, Le CD, Chung WC, Tsai PS | title = Maternal behavior in transgenic mice with reduced fibroblast growth factor receptor function in gonadotropin-releasing hormone neurons | journal = Behavioral and Brain Functions | volume = 8 | issue = | pages = 47 | year = 2012 | pmid = 22950531 | pmc = 3503805 | doi = 10.1186/1744-9081-8-47 }}