Week 3 Flashcards
(67 cards)
What are the key receptors affecting the onset of puberty?
Kisspeptin/GPR54
NeurokininB
PROKR2
What is puberty?
The period when the endocrine and gametogenic functions of the gonads have first developed to the point where reproduction becomes possible
Puberty in females is defined as the age at which they first express oestrus with ovulation
This leads to a transformation of the infertile juvenile to the potentially fertile adult
Puberty = a state of transition
What are some factors affecting the timing of puberty?
- Photoperiod/Season
- Nutrition/Growth rate
- Genetics
- Social cues
What is photoperiod?
A clear change in the day length
How does photoperiod affect puberty? Use lambs as an example.
Spring born lambs ovulated for the first time in Autumn, age 26-35 weeks
Autumn born lambs ovulated for the first time in Autumn age 48-50 weeks
Autumn born lambs kept in reverse photoperiod (light conditions in barns maintained as if spring) ovulated for the first time in summer, aged 33-37 weeks
How does body mass affect puberty?
Age of menarche has decreased over the last hundred years
The mean body weight at menarche has remained steady at 47kg
Suggestion is that a critical body weight has to be attained prior to the activation of the H-P-G axis
Moderately obese girls experience earlier menarche than thin girls, malnutrition is associated with delayed menarche
What are the steps of female puberty?
Anteroventral periventricular nucleus
Kiss1 and Kiss1R
(Other neutral inputs e.g. GAPA (-), glutamate (+)
Arcuate nucleus
KNDy neurons, KISS1, NKB, Dyn
Hypothalamus
GnRH
Pituitary
LH/FSH
Ovaries
AMH, Inhibin –> Ovulationg
Growth spurt (direct action on growth plates. Indirect action: activation of GH)
Secondary female sexual characteristics
OESTROGEN
Positive feedback to Anteroventral periventricular nucleus
Negative feedbakc to arcuate nucleus
Positive/Negative feedback to Pituitary gland
What are the steps of male puberty?
Anteroventral periventricular nucleus
Kiss1 and Kiss1R
(Other neutral inputs e.g. GAPA (-), glutamate (+)
Arcuate nucleus
KNDy neurons, KISS1, NKB, Dyn
Hypothalamus
GnRH
Pituitary
LH/FSH
Testes
AMH, Inhibin B –> Spermatogenesis
Growth spurt (direct action on growth plates. Indirect action: activation of GH)
Secondary male sexual characteristics
TESTOSTERONE
Negative feedback to anteroventral periventricular nucleus, arcuate nucleus and Pituitary
What do we know about clinical heterogeneity in GnRH deficiency?
If they have anosmia: Kallmann syndrome
Normal sense of smell: nIHH
No puberty/Partial puberty
Associated phenotypes:
- Cryptorchidism/microphallus
- Synkinesia
- Hearing loss
- Renal agenesis
- Cleft lip/palate
- Obesity
- Adrenal insufficiency
Male preponderance 5:1
What is IHH?
Classifically defined by a failure to go through puberty and subsequent infertility.
Patients are undervirilised with small genitalia. However, the majority of IHH patients lack any evidence of puberty.
Spontaneous partial puberty occurred in 25% of the cases. Moreover, there is a high percentage of DP among family members with IHH
IHH can occur with anosmia (Kallmann’s syndrome (KS)) or normal olfaction (normosmic IHH (nIHH)).
What are the mechanisms of GnRH stimulation?
- Development and migration
- Homeostasis and GnRH secretion
- Gonadotrophin stimulation
Olfactory placode and GnRH neuron precursors
–>
Olfactory axons
–>
Cribriform plate
–>
Olfactory bulb
–>
Olfactory tract
–>
GnRH neuron
–>
Pituitary
How is the GnRH neuron regulated?
The KNDy neurons
Kisspeptin/NKB/Dyn (KNDy) neurons in the ARC form a neural circuit
NKB/NK3 signalling plays the role of accelerator, whereas Dyn/KOR signalling serves as a brake on activation of kisspeptin/NKB/Dyn neurons
Reciprocal actions of NKB-NK3 and Dyn/KOR signalling generates rhythmic oscillation of neural activity in KNDy neurons
This induces pulsatile kisspeptin release at the ME and hence pulsatile GnRH release into the portal circulation
Thus, ARC kisspeptin/NKB/Dyn neurons would act as the GnRH pulse generator through the coordinated interaction between three peptides
What are the two sources of kisspeptin?
Next to GnRH neuron
Preoptic area kisspeptin neuron
- LH increases to a peak after some hours
Arcuate kisspeptin neuron
- Consistent pulsatile LH release
How are kisspeptin and puberty linked?
GABA, Glutamate and other going to GnRH neuron
Activation by NKB?
Arcuate kisspeptin neuron
Slight increase in GnRH from arcuate kisspeptin neuron at birth.
Suppression of arcuate kisspeptin neuron as a juvenile. Possibly from dynorphin?
Peripubertal small peaks of GnRH from arcuate kisspeptin neuron
Pubertal large peak of GnRH from preoptic area kisspeptin neuron. Gives a big bolus where puberty kicks off
(This surge is necessary for a male songbird to start to sing (mating call))
Arcuate kisspeptin neuron maintains the small peaks of GnRH
What do we know about a KISS1R mutation?
KISS1R mutation (Leu148Ser) is associated with IHH
What is central precocious puberty?
Early maturation of the HPG axis
Development of secondary sexual characteristics before the age of 8 years in girls and 9 years in boys
Female predominance, and 90% of cases in girls are considered idiopathic
Prevalence of familial central precocious puberty of over 25% suggests genetic basis
What happens to the R386P KISS1R activating mutation associated with Central precocious puberty?
It undergoes a reduced rate of desensitisation in vitro
Increase in GnRH
–>
Increase in PIP2, IP and Ca
–>
Increase in GnRH
With R386P there is an increase in IP accumulation compared to WT
Potential PKC phosphorylation site?
What do we know about Desensitisation and trafficking of the prototypical GPCR?
- Activation and signalling
- Phosphorylation and desensitisation
GRK, Arrestin - Targeting to CCP and internalisation
Clathrin, AP-2, PIP2/PIP3
Dileucine and tyrosine motifs
ARF, GEF, GAP, PI3K, p38 MAPK
Persistent signalling
- Sorting (or signalling)
Phosphorylation
Ubiquitination
Vps proteins
Rab GTPases
5a. Degradation
Ubiquitination
SNX1
GASP
or
G protein coupled signalling
5b. Recycling
PDZ-domain ligand
NSF
NHERF/EBP50
Desensitisation
Regulation of G protein–coupled receptor (GPCR) trafficking by G protein–coupled receptor kinases (GRKs) and arrestins. Agonist binding to GPCRs leads to receptor activation, G protein coupling, and signal transduction (step 1). GRKs then phosphorylate the agonist-activated GPCR on intracellular domains, initiating arrestin recruitment. Arrestin binding to the receptor inhibits G protein coupling and terminates signaling, a process termed desensitization (step 2). Receptor/arrestin complexes are then targeted to clathrin-coated pits, where arrestin forms a multicomponent complex with clathrin, adapter protein-2 (AP-2), and phosphoinositides, resulting in receptor internalization (step 3). Internalized GPCRs are sorted (step 4) to either degradation (step 5a) or recycling (step 5b) compartments.
What do we know about NK3R?
Receptor
Loads of mutations associated
TACR3 and TAC3 mutations in familial hypogonadotropic hypogonadism reveal a key role for Neurokinin B in the central control of reproduction
What are KNDy neurons?
Neurons expressing Kisspeptin, Neurokinin B and Dynorphin
What is NKB?
A regulator of Kisspeptin/GnRH/Gonadotropins
NKB acts in an autocrine manner
Binds to the same neuron
Prolonged production of kisspeptin = precocious puberty
What are NKB and GnIH?
Novel regulators of gonadotropin in man
Kisspeptin (kiss) released from kisspeptin neurons within the hypothalamus is known to control the secretion of GnRH from GnRH neurons through interaction with its cognate receptor (KissR/GPR54)
Secretion of GnRH from these neurons then leads to secretion of gonadotropins (LH/FSH) from pituitary gonadotropes
NKB is colocalised in Kisspeptin neurons and is postulated to be a novel regulator of GnRH secretion either through direct interaction with GnRH neurons or through autocrine interactions with kisspeptin neurons
GnIH is a potent inhibitor of GnRH stimulation of gonadotropin secretion from cultured gonadotropes but may also operate by inhibiting the activity of GnRH neurons
What are Prokr1 and Prokr2?
Receptors that belong to the g-protein coupled receptor family
What is seen in a prokr2 deficient mouse (Prokr2-/-)?
Hypoplastic olfactory bulbs
GnRH deficiency
GnRH production not there as the olfactory bulb is faulty
GnRH deficiency = small gonads etc
Hypogonadotropic hypogonadism