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Seconda Università degli Studi di Napoli. Dipartimento di Scienze della Vita. SUNfert. Gn-RH and Gn-RH receptors. Fertility Center Cardito. Dr. Vincenzo Volpicelli. Hypothalamic anatomy. Hypothalamus is a pars of diencephalon Under thalamus Is floor of the third ventriculus.
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Seconda Università degli Studi di Napoli Dipartimento di Scienze della Vita SUNfert Gn-RH and Gn-RH receptors Fertility Center Cardito Dr. Vincenzo Volpicelli
Hypothalamic anatomy • Hypothalamus is a pars of diencephalon • Under thalamus • Is floor of the third ventriculus
Hypothalamic anatomy • Optic Chiasm • Mammillary bodies • Median eminence • Infundibulum
Neurotransductoreffects on Gn-RHrelease Legenda: b- END = b-endorfine; CRF = Corticotropin Releasing Factor; OT = Somatostatina; DA = Dopamina; GABA = Acido g-Amino-Butirrico; ACh = Acetilcolima; NPY = Neuropeptide Y; NA = Noradrenalina
leptine • Modulates NY • • Gn-RH secretion
medial eminence (ME) ventromedial nucleus (VM) arcuate nucleus (AR) Hypothalamic nuclei
Hormones of the hypothalamus • Corticotropin-releasing hormone (CRH) • Dopamine (DA) • Gonadotropin-releasing hormone (Gn-RH) • Growth hormone releasing hormone (GH-RH) • Somatostatin (ST) • Thyrotropin-releasing hormone (TRH) • Antidiuretic Hormone (ADH)
Gn-RH Human Luteinizing hormone-releasing hormone gene (LH-RH) is located on short arm of chromosome 8 (region 8p11.2 → p21) * • Gn-RH neurons are inside the medium-basal hypothalamus (arcuate nucleus and median eminence) • Lately scientists showed Gn-RH syntesis in pituitary gland too. Teresa L. Yang-Feng, Peter H. Seeburg and Uta Francke: Somatic Cell and Molecular GeneticsVolume 12, Number 1 / January, 1986
Gn-RH • Gn-RH is considered a neurohormone • produced in a specific neural cell and released at its neural terminal • A key area for production of Gn-RH1 is the preoptic area of the hypothalamus, that contains most of the Gn-RH1-secreting neurons. • Gn-RH1 is secreted in the hypophysial portal bloodstream at the median eminence • The portal blood carries the Gn-RH1 to the pituitary gland, which contains the gonadotrope cells, where Gn-RH1 activates its own receptor, gonadotropin-releasing hormone receptor (Gn-RH-R), located in the cell membrane
Gn-RH • Gn-RH neurons are closely connected with noradrenergic, dopaminergic, serotoninergic, oppioid ones.
Gn-RH frequency • Low frequency Gn-RH pulses lead to FSH release • high frequency Gn-RH pulses stimulate LH release
Gn-RH-r • Gn-RH-r is a member of the seven-transmembrane, G-protein coupled receptor (GPCR) family • It is expressed on the surface of pituitary gonadotrope cells* * as well as lymphocytes, breast, ovary, and prostate
Gn-RH-r Function • Following binding of Gn-RH activate a phosphatidylinositol (PtdIns)-calcium second messenger system. • Activation of GNRH-r ultimately causes the release of FSH and LH
Gn-RH • Gn-RH is considered a neurohormone • produced in a specific neural cell and released at its neural terminal • A key area for production of GN-RH1 is the preoptic area of the hypothalamus, that contains most of the GNRH1-secreting neurons. • GN-RH1 is secreted in the hypophysial portal bloodstream at the median eminence • The portal blood carries the GN-RH1 to the pituitary gland, which contains the gonadotrope cells, where GN-RH1 activates its own receptors, gonadotropin-releasing hormone receptors (GN-RH-R), located in the cell membrane
Gn-RH • Gn-RH neurons are closely connected with noradrenergic, dopaminergic, serotoninergic, oppioid ones.
Males/females Gn-RH secretion • in males, Gn-RH1 is secreted in pulses at a constant frequency • in females the frequency of the pulses varies during the menstrual cycle • there is a large surge of GNRH1 just before ovulation
Proteolysis is the directed degradation (digestion) of proteins by cellular enzymes called proteaseor by intramolecular digestion. Gn-RH is degraded by proteolysis within a few minutes Proteolysis
Control of FSH and LH • At the pituitary, Gn-RH1 stimulates the synthesis and secretion of FSH and LH • These processes are controlled by: • the size and frequency of Gn-RH1 pulses, • feedback from androgens and estrogens
Gn-RH-R Function • Following binding of Gn-RH activate a phosphatidylinositol(PtdIns)-calcium second messenger system. • Activation of Gn-RH-R ultimately causes the release of FSH and LH
receptors • Hormones and active metabolites bind to different types of receptors. Water-soluble molecules (i.e., insulin) cannot pass through the lipid membrane of a cell and thus rely on cell surface receptors to transmit messages to the interior of the cell. In contrast, lipid-soluble molecules (i.e., certain active metabolites) are able to diffuse through the lipid membrane to communicate messages directly to the nucleus
Gn-RH-R • Gn-RH-R is a member of the seven-transmembrane, G-protein coupled receptor (GPCR) family. • It is expressed on the surface of pituitary gonadotrope cells* * as well as lymphocytes, breast, ovary, and prostate.
Gn-RH biochemistry • a decapeptide (10 amino acids) in mammals. • This chain is represented by: pyroGlu-His-Tyr-Ser-Gly-Leu-Arg-Pro-Gly-NH2 • previously called LH-RH The identity of GN-RH1 was clarified by the 1977 Nobel Laureates Roger Guillemin and Andrew V. Schally
Gn-RH • Gn-RH is considered a neurohormone • produced in a specific neural cell and released at its neural terminal. • A key area for production of Gn-RH1 is the preoptic area of the hypothalamus, that contains most of the Gn-RH1-secreting neurons. • Gn-RH1 is secreted in the hypophysial portal bloodstream at the median eminence. • The portal blood carries the Gn-RH1 to the pituitary gland, which contains the gonadotrope cells, where Gn-RH1 activates its own receptor (Gn-RH-R), located in the cell membrane.
Gn-RH neural junctions • Gn-RH neurons are closely connected with: • noradrenergic, • dopaminergic, • serotoninergic, • oppioid ones.
Gn-Receptors • Upon binding Hormone externally to the membrane, a transduction of the signal takes place that activates the G protein • that is bound to the receptor internally
Gn-Receptors • With Hormone attached, the receptor shifts conformation • mechanically activates the G protein, which detaches from the receptor and activates the cAMP system.
G Protein System Alfred G. Gilman and Martin Rodbell received the 1994 Nobel Prize in Medicine and Physiology for the discovery of the G Protein System
Gn-RH-R Function • Following binding of Gn-RH activate a phosphatidylinositol (PtdIns)-calcium second messenger system. • Activation of Gn-RH-R ultimately causes the release of FSH and LH
Gonadotropin-releasing hormone receptor • Gn-RH-R is a member of the seven-transmembrane, G-protein coupled receptor (GPCR) family. • It is expressed on the surface of pituitary gonadotrope cells* * as well as lymphocytes, breast, ovary, and prostate.
The seven transmembrane α-helix structure of a G protein-coupled receptor
hormone receptor* • I° messenger: hormone • Hormone + Receptor • G-Protein activation: • Adhesion H-R complex • Scission H-R complex • Subunit a production * A protein on the surface of a cell to which a specific hormone binds
hormone receptors • a subunit activates • intracellular effectors (enzymes) • adenyl-ciclases cAMP • guanil-cyclase cGMP • phospholipase DAG*, IP3* • ionic ducts (K+ , Ca++) (II° messenger) *Diacilglicerolo, Inositolo trifosfato
PO4 by cAMP-dependent PKA • II° messenger activates Protein kinasi (PKA) • activates Phosphorylation (PO4) of: • citoplasmatic protein • nuclear transcription factors (cAMP Responsive Element Binding Protein, CREB).
DNA transcription CREB modulates transcription of genes interacting directely with specific DNA string
Control of FSH and LH • At the pituitary, Gn-RH1 stimulates the synthesis and secretion of FSH and LH • These processes are controlled by: • the size and frequency of GN-RH1 pulses • feedback from androgens and estrogens • Gn-receptors wholeness
Control of FSH and LH • Low frequency Gn-RH pulses lead to FSH release • high frequency Gn-RH pulses stimulate LH release
Gn-RH secretion males/females • in males, GN-RH1 is secreted in pulses at a constant frequency • in females the frequency of the pulses varies during the menstrual cycle • there is a large surge of GN-RH1 just before ovulation
Proteolysis is the directed degradation (digestion) of proteins by cellular enzymes called proteaseor by intramolecular digestion. Gn-RH is degraded by proteolysis within a few minutes Gn-RH proteolysis
Gn-RH-a • A gonadotropin-releasing hormone agonist (GnRH agonist) is a synthetic peptide modeled after the hypothalamic neurohormone GnRH that interacts with the gonadotropin-releasing hormone receptor to elicit its biologic response, the release of the pituitary hormones FSH and LH
Gn-RH-a Triptorelin is an agonist with only a single substitution at position 6.
Gn-RH-a administration mode • These medications can be administered • intranasally, • by injection, • or by implant. • Injectables have been formulated for daily, monthly, and quarterly use; and implants can last from 1 to 3 months.
Gn-RH-a Downregulation • after their initial stimulating action – termed a “flare” effect -, eventually caused a paradoxical and sustained drop in gonadotropin secretion. • This second effect was termed “downregulation” and can be observed after about 10 days. • While this phase is reversible it can be maintained with further GnRH agonist use for a long time.
Gn-RH-a Downregulation • refers to the decrease in the number of receptor sites. • This can be accomplished by metabolizing bound LH-R sites. • The bound LCGR complex is brought by lateral migration to a “coated pit” where such units are concentrated and then stabilized by a framework of clathrins. • A pinched-off coated pit is internalized and degraded by lysosomes. Proteins may be metabolized or the receptor can be recycled. Use of long-acting agonists will downregulate the receptor population.
Gn-RH-a Desensitization • The LH-Rs become desensitized when exposed to LH for some time. • A key reaction of this downregulation is the phosphorylation of the intracellular receptor domain by protein kinases • This process uncouples Gs protein from the LH-R • Another way to desensitize is to uncouple the regulatory and catalytic units of the cAMP system.
Gn-RH antagonist • GnRH antagonists are also derivates of the natural GnRH decapeptide with multiple amino acid substitutions • A gonadotropin-releasing hormone antagonist (GnRH antagonist) is an analogue that blocks the GnRH receptor resulting in an immediate drop in gonadotropin (FSH, LH) secretion • The Gn-RH antagonist is primarily used in IVF treatments to block premature surge of LH