Abstract
The adipokine, leptin (LEP), is a hormonal gateway, signaling energy stores to appetite-regulatory neurons, permitting reproduction when stores are sufficient. Dual-labeling for LEP receptors (LEPRs) and gonadotropins or GH revealed a 2-fold increase in LEPR during proestrus, some of which was seen in LH gonadotropes. We therefore investigated LEPR functions in gonadotropes with Cre-LoxP technology, deleting the signaling domain of the LEPR (Lepr-exon 17) with Cre-recombinase driven by the rat LH-β promoter (Lhβ-cre). Selectivity of the deletion was validated by organ genotyping and lack of LEPR and responses to LEP by mutant gonadotropes. The mutation had no impact on growth, body weight, the timing of puberty, or pregnancy. Mutant females took 36% longer to produce their first litter and had 50% fewer pups/litter. When the broad impact of the loss of gonadotrope LEPR on all pituitary hormones was studied, mutant diestrous females had reduced serum levels of LH (40%), FSH (70%), and GH (54%) and mRNA levels of Fshβ (59%) and inhibin/activin β A and β B (25%). Mutant males had reduced serum levels of GH (74%), TSH (31%), and prolactin (69%) and mRNA levels of Gh (31%), Ghrhr (30%), Fshβ (22%), and glycoprotein α-subunit (Cga) (22%). Serum levels of LEP and ACTH and mRNA levels of Gnrhr were unchanged. However, binding to GnRH receptors was reduced in LEPR-null LH or FSH gonadotropes by 82% or 89%, respectively, in females (P < .0001) and 27% or 53%, respectively, in males (P < .03). This correlated with reductions in GnRH receptor protein immunolabeling, suggesting that LEP's actions may be posttranscriptional. Collectively, these studies highlight the importance of LEP to gonadotropes with GnRH-binding sites and activin as potential targets. LEP may modulate population growth, adjusting the number of offspring to the availability of food supplies.
Leptin (LEP) is an adipocyte hormone that regulates appetite and signals levels of adiposity and nutritional status (1–7). Lep is also a critical signal for sufficient nutritional status leading to the optimal functioning of the hypothalamic-pituitary-gonadal axis. Humans deficient in LEP receptors (LEPRs) (8) or LEP (9, 10) are hypogonadal and infertile. In adult humans, low gonadotropin levels and functional hypothalamic amenorrhea occur when a relative energy deficit (from weight loss, excessive exercise, or eating disorders) disrupts the pituitary-gonadal axis (11–18).
LEP levels may rise normally to support reproductive events, including a preovulatory rise in serum LEP in women (19, 20), a proestrous LEP rise in rodents (21–25), and synchronous nocturnal LEP and LH pulses in women (26) and sheep (27). However, researchers have not yet fully identified functions for LEP in all of the LEP target cells. The importance of circulating LEP to the kisspeptin-neurokinin-dynorphin neuronal circuitry, which regulates GnRH neurons, is well established (28, 29). McMinn et al (30) used selective Cre-loxP technology to show that deletion of both alleles of the Lepr-exon 17 gene in neurons results in infertility, thus supporting LEP's role in the regulation of GnRH secretion (28, 29, 31, 32).
With respect to the pituitary, the significance of LEP to gonadotropes is less clear. Gonadotropes have been reported to respond to LEP (33–42), with changes in secretion of gonadotropins (22, 43–49). However, direct interactions between LEP and gonadotropes have been questioned because of early reports that gonadotropes lacked LEPRs (36, 37).
There is compelling systemic evidence for LEP's stimulatory effects on gonadotropes. Lep- or Lepr-deficient mice have reduced gonadotrope and somatotrope functions (6, 7, 41, 50) and are infertile. The fertility of LEP-deficient ob/ob mice is completely restored by exogenous LEP (51). LEP also restores LH secretion in fasted mice, rats, and monkeys (2, 4, 25, 27, 52–56). LEP therapy normalizes reproductive hormone levels in a LEP-deficient prepubertal child (57), as well as in adult men (58) and in women with functional amenorrhea (17, 18). In vitro evidence for LEP regulation of gonadotropes showed that LEP regulates gonadotropes via the nitric oxide pathway (49, 59). Our laboratory reported that the reduction in LH and FSH stores in gonadotropes after a 24-hour fast was restored by 100-pg/mL LEP (60).
The first objective of the present study was to determine whether gonadotropes express LEPR proteins and whether LEPR protein levels vary with the stage of the estrous cycle. After discovering that females have a 2-fold increase in LEPR during proestrus and estrus, we used Cre-LoxP technology to delete the Janus kinase-binding site of LEPR (exon 17) selectively in gonadotropes. This report validates the selectivity of the deletion and its broad impact on pituitary hormone mRNA, protein, and serum levels. We confirm that females are more sensitive to the loss of LEPR in gonadotropes with respect to reproduction, because they show a longer time to first pregnancy and reduced litter size. LEPR is less important for reproduction in mutant male gonadotropes, which show deficits that point to gonadotropes as metabolic sensors and paracrine regulators. Finally, we will report a reduction in 2 molecular targets for LEP-GnRH-binding sites (in male and female mutants) and activin mRNA (in female mutants). The data showing reduced GnRH receptor (GnRHR) proteins but not mRNA suggest a possible posttranscriptional pathway for LEP in the regulation of GnRHR.
Materials and Methods
Animal care and use
The Institutional Animal Care and Use Committee approved all animal care protocols. The early phases of the study, designed to detect LEPRs in gonadotropes, were done in male and cycling female Sprague-Dawley rats. Once this study transitioned to transgenic mice, the same detection protocols for LEPR were applied to control mice (FVB/NJ). Stages of the estrous cycle were detected by vaginal smears, as reported previously (61). Females were used after they exhibited 2 normal estrous cycles.
Male and female rats were housed 3/cage and acclimated for 10 days after receipt (Harlan Sprague-Dawley). They were exposed to a 12-hour light, 12-hour dark cycle, given food and water ad libitum, and fed the standard rodent chow (Rodent diet 8640; Harlan). Male and female mice were bred in house. After weaning, experimental and control mice were housed 4–5 mice/cage and fed Teklad 8640 diet (crude protein, 22%; crude fat, 5%; crude fiber, 4.5%; Harlan).
Production of the Lepr deletion mutant mouse model
Mice bearing 2 floxed alleles of Lepr (Lepr-exon 17loxP/loxP) were obtained from Dr Streamson Chua (30, 62). They were bred to mice bearing the Cre-recombinase gene driven by the bLH-β promoter (bLhβ-cre) (63), developed by Dr Sally Camper. The F1 generation of mice were hybrids of FVB/C57B/6 strains. Breeding was slow and sporadic, even among control mice bearing no Cre recombinase. Therefore, the bLhβ-cre transgene was moved to the more prolific FVB.129P2-Pde6b+ Tyrc-ch/AntJ background (FVB.129) through 4 generations to take advantage of the known higher breeding success in the FVB strain. The 129P2 variant of this FVB strain was used to avoid the confounding influence of retinal degeneration in adult FVB/NJ mice.
To produce the homozygous mutants, mice bearing 1 floxed allele of Lepr and LHβ-cre were backcrossed to mice bearing Lepr-exon 17loxP/loxP. The Cre recombinase was passed through the female line, because it was reported to be expressed in the testes (63). At weaning, tail snips were taken for genotyping with primers for Cre-recombinase or Lepr-exon 17loxP/loxP as in previous studies (64). Also, as previously described, (64), we took snips from 16 different organs, for organ genotyping to detect any extrapituitary Cre recombinase activity in mutants.
Collection of animals, pituitaries, and sera for immunoassay
Mice were anesthetized with isoflurane and then decapitated when fully unconscious. Trunk blood was collected and serum stored for assays of levels of LEP and LH, FSH, GH, TSH, prolactin (PRL), and ACTH. Pituitary hormones were assayed using the Luminex LX200 xPONENT 3.1 (Luminex Corp) with Millipore MAP Multiplex Mouse Pituitary hormone kits (Millipore Corp) (65). LEP levels were assayed by enzyme immunoassays (R&D Systems), as in previous reports (60).
Studies of growth and reproductive capacity
Mice were weaned at 21 days and weighed and measured (tail to nose) weekly. They were evaluated for signs of puberty, as described in our recent report of somatotrope-Lepr-exon 17-null mutants (64). After puberty, vaginal smears determined progression through the estrous cycle (61). To detect any changes in reproductive capacity, we set up breeding cages with deletion mutant males and/or females. The breeding study recorded the time to first pregnancy, time between litters, number of pups/litter, and survival of pups in each litter. The data were compared with those from 3 breeding cages containing control FVB.129P mice, which had delivered during the same season. At least 3 litters/cage were monitored. Unless otherwise noted, all mice in this study were 3–5 months of age.
Pituitary cell dispersion and cytochemical protocols
The cell dispersion, culture, and LEP stimulation protocols were as described in previous studies (64). Immunocytochemical labeling for the long form of the LEPRr (LEPRb), for the phosphorylated signal transducer and activator of transcription 3 (pSTAT3), or for all pituitary hormones was done with antisera, controls, and protocols described previously (64). Table 1 includes all antibodies used in this study. We also immunolabeled cultured pituitary cells with antisera directed against amino acids 577–594 in the extracellular domain of LEPR, which is found in all isoforms of LEPR (Novus Biologicals, Inc). The immunoabsorption controls are reported in Figure 1.
Table 1.
Peptide/Protein Target | Antigen Sequence (If Known) | Name of Antibody | Manufacturer, Catalog Number, and/or Name of Individual Providing the Antibody | Species Raised in, Monoclonal or Polyclonal | Dilution Used |
---|---|---|---|---|---|
LEPR | Amino acids 577–594 | LEPR-extracellular domain | Novus Biologicals, Inc | Rabbit, polyclonal | 1:10 000 |
LEPRb | OBR13S | Alpha Diagnostics Int Services | Rabbit, polyclonal | 1:10 000 | |
GH | Rat GH | A. F. Parlow, Hormone Distribution Program | Rabbit, polyclonal | 1:200 000 | |
LH-β | β-Subunit | Bovine LH-β | J. G. Pierce | Rabbit, polyclonal | 1:200 000 |
LH-β | β-Subunit | Human LH-β | A. F. Parlow, Hormone Distribution Program | Rabbit, polyclonal | 1:5000 |
FSH-β | β-Subunit | Human FSH-β | A. F. Parlow, Hormone Distribution Program | Rabbit, polyclonal | 1:5 000 |
ACTH | 17-39 ACTH | Anti-17-39 ACTH | Produced in laboratory | Rabbit, polyclonal | 1:40 000 |
PRL | Anti-rPRL | A. F. Parlow, Hormone Distribution Program | Rabbit, polyclonal | 1:10 000 | |
TSH | β-Subunit | Anti-rTSH-β | A. F. Parlow, Hormone Distribution Program | Rabbit, polyclonal | 1:30 000 |
GnRHR | Amino acids 1–328 | Anti-GnRHR (Fl-328) | sc-13944; Santa Cruz Biotechnology, Inc | Rabbit, polyclonal | 1:300 |
Anti-pSTAT3 | Anti-pSTAT3 | Cell Signaling | Rabbit, polyclonal | 1:10 000 |
We detected biotinylated analogs of D-Lys6-GnRH (Bio-GnRH) in cultures grown for 24 hours, as described previously (66, 67). After a 24-hour incubation, cells were stimulated with 1nM–3nM Bio-GnRH for 10 minutes, fixed in glutaraldehyde; the biotin was detected by avidin-biotin peroxidase complexes (66, 67), and cells were dual-labeled for LH or FSH (67). Immunolabeling for GnRHRs used rabbit polyclonal anti-GnRHR (FL-328) at a 1:300 dilution, as recommended by the supplier (sc-13944; Santa Cruz Biotechnology, Inc). The epitope corresponds to amino acids 1–328, which represents the entire sequence of GnRHR. Cells were dual-labeled for LH, FSH, and GH, as described previously (64).
quantitative polymerase chain reaction (qPCR) assays for pituitary mRNA levels
Pituitary RNA was isolated using the Maxwell 16 LEV simplyRNA Tissue kit (AS1280; Promega). For quantitative reverse transcriptase polymerase chain reaction, cDNA samples and primers were added to Power SYBR Green PCR Master Mix (4367659; Applied Biosystems) and all reactions performed with the QuantStudio 12K Flex system (Applied Biosystems, Life Technologies) with the following protocol in 3 stages. Incubation/denaturation stage: 50°C for 2 minutes and 95°C for 10 minutes; PCR amplification stage (40 cycles): 95°C for 15 seconds, 55°C for 15 seconds, and 72°C for 1 second; and melt curve stage: 95°C for 15 seconds, 60°C for 1 second, and 95°C for 15 seconds. Samples were normalized to cyclophilin expression, and relative expression values were determined by the QuantStudio 12K Flex Software version 1.0 using the delta delta cycle threshold“ method. Supplemental Table 1 includes all qPCR primer sets for the following gene products: Cyclophilin, Fshβ, Lhβ, Gnrhr, proopiomelanocortin (Pomc), Gh, Ghrhr, glycoprotein hormone α-subunit (Cga), Prl, Tshβ, inhibin α-subunit (Ina), inhibin/activinβ-A subunit (Inhba), and Inhbb.
Statistics and power analyses
At least 5 animals were used for each test, and averages of in vitro tests were made with at least 3 repeats (n = 5–15). Cell counts and assay values were analyzed with Prism statistical software with ANOVA followed by Tukey or Bonferroni post hoc tests, as described previously (65). When 2 groups were compared, the Student's t test was run. A post hoc power analysis was done with pilot studies of gonadotrope Lepr-null male mutants. This allowed us to predict that a 50% reduction in serum FSH levels, from 90 ng/mL (controls) to 45 ng/mL (mutants) with an SD of 25 ng/mL, will have 81% statistical power with 5 replicates in a two-tailed, 0.05-level t test (see the following URL for the formula, http://www.dssresearch.com/KnowledgeCenter/toolkitcalculators/statisticalpowercalculators.aspx).
Results
Expression of LEPR by gonadotropes and somatotropes
The first objective of this study was to detect LEPR cytochemically in freshly dispersed, cultured pituitary cells during different reproductive states, with antisera directed against the extracellular LEPR domain. Figure 1A graphs the counts of LEPR target cells detected by this antibody, showing that 39%–50% of pituitary cells in male or metestrous or diestrous female rodents were immunolabeled. There was a significant increase (P < .001) in the percentages of immunolabeled cells in proestrous and estrous female mice Immunolabeling and specificity controls with cells are shown in Figure 1, B and C.
Most LEP-bearing cells store GH or gonadotropins as shown by dual-labeling (Figure 1D). LH cells with LEPR increase from diestrus to proestrus, indicating their contribution to the rise in LEPR-bearing cells. Neither GH cells nor FSH gonadotropes contribute to the overall increase in LEP target cells. Because 75%–90% of gonadotropes store both hormones, the percentages seen in this graph are not exactly additive. Also, the loss in gonadotropin stores during and after surge secretion prevents the detection of gonadotropes as target cells during proestrus and estrus.
The analyses show that most LH or FSH cells express LEPRs (Figure 1, E and F). The reduction in LH and FSH cells during estrus reflects secretion of stores during the proestrous LH surge or the estrous rise in FSH as described previously (68–70). Dual-labeling shows that labeling for LEPR is black and mostly at the cell periphery or in dark patches in the cell, labeling for pituitary hormones (Figure 1, G–J) is orange-amber.
Selectivity of Cre-recombinase excision in Lepr-exon 17-null deletion mutants
The findings for LEPR expression shown in Figure 1 fit well with the reported increases in serum LEP during the cycle (21–25) and suggested that females may be particularly dependent on gonadotrope LEPR for normal gonadotropin secretion. Cre-loxP technology was then used to selectively delete the signaling domain of LEPR in gonadotropes, and the model was validated as previously described (64).
The first validation step involved the use of organ genotyping to determine whether the pituitary was the sole tissue site of the selective excision of Lepr (Figure 2). Gels A and D show Cre-recombinase genotyping in female (or male) mouse pituitaries. Gels B and E show that all male and female mice expressed 2 alleles of floxed Lepr-exon 17 (249-bp band). Cre-positive mutant pituitaries also had a second 228-bp band indicating deletion of Lepr-exon 17 (LeprΔΔ). Gels in, C (females) and F (males), show the genotyping for Lepr in the remaining organs and no evidence of excised Lepr in females. The male shows LeprΔΔ in the testes (Figure 2F), in agreement with previous reports (63). For this reason, Cre-recombinase is passed down via the females in this line. Gels from tail snips from all offspring were scrutinized carefully for any evidence of extrapituitary Cre recombinase activity. Any evidence of a LeprΔΔ band would eliminate that pup from further study.
Cytochemical detection of selective loss of LEPR proteins in the pituitary
To determine whether the excision caused a significant reduction in LEPR protein levels, antisera raised against the cytoplasmic domain of LEPR were used in dual-labeling studies. It had been previously validated in studies of somatotrope-Lepr-exon 17-null mice (64). Figure 3A shows a significant overall decrease (P < .0001) in cells bearing LEPRb in mutant populations along with illustrations in Figure 3, B (control field) and C (mutant field). Dual-labeling showed the lack of LEPR immunolabeling in mutant gonadotropes (Figure 3, D–G). The mutants show significant 80% reductions (P < .0001) in LH and FSH cells with LEPRb, a slight, but significant 9% reduction in GH cells with LEPRb (P = .006), but no reductions in TSH, ACTH, or PRL cells with LEPRb (Figure 3H). Figure 3H also shows no changes in the percentages of any of the pituitary cell types in mutants.
Tests of gonadotrope responses to LEP, in vitro
To test for residual LEPR function in gonadotropes, we tested LEP's efficacy in stimulating gonadotropin stores and pSTAT3, in vitro. Littermate control mice responded to LEP by increasing numbers of gonadotropes storing LH (females P = .009; males P = .003) or FSH (females, P = .02; males, P = .005), responses that are similar to those reported for the rat (60). Mutant gonadotropes showed no significant responses to LEP (Figure 4, A–D).
Littermate control mice also showed increased pSTAT3 in LH and FSH cells (ANOVA, P < .0001), which indicates the presence of an intact, functional Janus Kinase binding site. In contrast, mutant gonadotropes showed no increased pSTAT3 after LEP treatment (Figure 4, E and F). Dual-labeling in Figure 4, I–M, show labeling for pSTAT3 in dark spots (black) in the cytoplasm of control fields (Figure 4, I, J, and L) and orange labeling for FSH (Figure 4, I–K) or LH (Figure 4, L and M). Fields from mutants had only orange labeling for LH or FSH in the gonadotropes.
Studies of puberty, growth, weight gain, and reproductive capacity
Once the selectivity of the deletion was established, we began an analysis of the overall development of the mutants, focusing mainly on the development and function of the reproductive system. Studies of hundreds of mice over a 5-year period showed that deletion of Lepr-exon 17 in gonadotropes did not affect either the time of onset or the progression of puberty, nor did it significantly affect cyclicity. We also found no differences in testicular or uterine weights in the mutants. We weighed homozygous and heterozygous deletion mutants beginning at 21 days and at 3- to 4-day intervals for 7–9 months. Body weights (grams) were not different when homozygous or heterozygous mutants were compared with littermate controls. Weights ± SEM for males are: 4 months controls 39 ± 1.8 (n = 9), mutants 38.6 ± 1.9 (n = 22); 7 months controls 36 ± 1 (n = 8), mutants 37 ± 1 (n = 8); and 9 months controls 37.5 ± 1.9 (n = 5), mutants 38 ± 2 (n = 8). Weights for females are: 4 months controls 28.5 ± 0.9 (n = 6), mutants 29 ± 1.3 (n = 16); 7 months controls 27.6 ± 1.6 (n = 6), mutants 28.6 ± 1 (n = 14); and 9 months controls 26 ± 2 (n = 4); mutants 26 ± 1.5 (n = 4).
Cages containing a mutant female exhibited a 36% increase in time to first pregnancy (P = .04; n = 7) when compared with cages containing a mutant male (n = 4) (Figure 5A) or control male or female (P < .03) (data not shown). Mutant males produced litters consistently within the 21- to 22-day time range (Figure 5A). When pups were counted, litters from a mutant male had pup numbers as expected from the FVB/NJ background (n = 9, P = .01) (Figure 5B). However, litters from a mutant female had significantly lower numbers of pups (n = 12) compared with litters from control (n = 6, P = .004) or mutant male parents (n = 9; P = .02). Litters from 2 mutant parents were similar to those of the mutant female parent and significantly lower than those from control groups (n = 8, P = .01). Pup survival was greater than 98% for all groups. The deletion mutant females appeared to lactate normally; there was no difference in weight or length of weanlings from these litters.
Impact of loss of gonadotrope LEPR on females
We next determined the impact of loss of gonadotrope LEPR on expression of all pituitary hormones, GnRHR, GHRH receptor (GHRHR), and activin/inhibin subunits in females. Mutant diestrous females had a reduction in serum levels of LH (by 40%, P = .01) (Figure 6A), FSH (by 70%; P = .03) (Figure 6B), and GH (by 54%, P = .049) (Figure 6C) but no changes in serum LEP, TSH, PRL, or ACTH levels (Figure 6, D–G) or pituitary LEP-bearing cells (data not shown). Mutants had a significant reduction in mRNA levels of Fsh (by 54%, P = .01) but no changes in mRNA levels of Lh, Cga, or Gnrhr (Figure 6H), Gh or Ghrhr (Figure 6I), or Tsh, Prl, or Pomc (Figure 6J). However, both inhibin/activin β-subunit mRNA levels (A and B) were reduced by 25% (Figure 6K).
Impact of loss of gonadotrope LEPR on males
Mutant males showed no significant reductions in serum LH and FSH (Figure 7, A and B). However, there were reductions in levels of serum GH (by 74%, P = .016) (Figure 7C), PRL (by 69%, P = .017) (Figure 7D), and TSH (by 31%, P = .015) (Figure 7E) but no reductions in levels of serum LEP (Figure 7G) or pituitary LEP-bearing cells (data not shown). Mutant males showed reductions in mRNA levels of Fsh and Cga (by 22%, P = .02 and P = .01, respectively) (Figure 7H), Gh (by 30%, P = .02), and Ghrhr (by 36%, P = .03) (Figure 7I). There were no changes in mRNA levels for Lh or Gnrhr (Figure 7H), inhibin/activin subunits (Figure 7J), or Tsh, Pomc, and Prl (Figure 7K).
Impact of loss of gonadotrope LEPR on GnRH-binding sites
Counts of gonadotropes dual-labeled for biotinylated GnRH and LH or FSH showed that 90% of LH cells and 92% of FSH cells bound this analog in control males. In contrast, cells from control females taken during the morning of diestrus showed lower levels of binding (70% of LH cells and 82% of FSH cells), which is similar to our previous studies of the rat, in which we showed that GnRH-binding sites in the female rise during the afternoon of diestrus to reach a peak on the morning of proestrus (71, 72). Figure 8, A and C, shows that diestrous mutant females exhibit a severe reduction in GnRH binding to only 13% of LH cells and 9.8% of FSH cells. In contrast, mutant males show a less severe reduction in GnRH binding to 43% of LH cells (Figure 8A) and 68% of FSH cells (Figure 8C). Figure 8, E and F, illustrates the black label for Bio-GnRH and orange label for LH in control (Figure 8E) females and the loss of Bio-GnRH labeling in mutant (Figure 8F) females.
To determine whether the reduced binding reflected lower expression of GnRHR proteins, we immunolabeled for GnRHR and LH or FSH. Counts of labeled cells showed that labeling for GnRHR was reduced overall by 48% in females (from 20 ± 1 to 10.5 ± 1% of pituitary cells) and 53% in males (from 17 ± 0.8 to 8 ± 0.6% of pituitary cells) (ANOVA, Tukey's, P < .0001). Dual-labeling for GnRHR and LH or FSH showed that 80%–90% of gonadotropes show GnRHR labeling in control males and females. Diestrous females express more cells with GnRHR immunoreactivity than with GnRHR-binding sites (compare Figure 8, A–D).
In mutants, the percentages of LH cells with GnRHR labeling were reduced by 70% in males or 79% in females (ANOVA, Tukey's, P < .0001) (Figure 8B). Similarly, the percentages of FSH cells with GnRHR immunolabeling were reduced by 77% in mutant females and 82% in mutant males (ANOVA, Tukey's, P < .0001) (Figure 8D). Mutant somatotropes, which normally express GnRHR in 20% of their population (72, 73), showed no changes in GnRHR immunoreactivity (data not shown). Dual-labeling in control fields is illustrated in Figure 8, G (LH) or I (FSH), showing black label for GnRHR and orange label for LH or FSH. Figure 8, H and J, shows mutant fields where only orange label for LH or FSH is evident.
Discussion
This study is the first in a series that will characterize the impact of the loss of gonadotrope LEPR. This first study validated the model and determined whether the loss of LEPR had a broad impact on pituitary cell functions and reproductive competence. The broader view of pituitary function served secondary objectives, including proof for the selectivity of the loss of LEPR and the importance of gonadotropes as paracrine regulators. The discoveries presented in this study will form the basis for future studies that focus on basic mechanisms behind LEP actions on gonadotropes as well as the impact of the selective loss of LEPR on the reproductive cycle.
The development of the model itself was justified by the striking 2-fold increases in LEPR in proestrus and estrus, indicating that LEP may optimize gonadotrope function during the proestrous LH surge or the estrous rise in FSH. The timing of the increase in LEPR matches the midcycle serum LEP rise (21–25), thus supporting this hypothesis. This plasticity in LEPR expression in the female also suggests that females may be more dependent on LEP stimulation for gonadotrope and reproductive function than the males, a hypothesis that was indeed strengthened by the model.
Validation of the selectivity of the deletion of LEPR
Organ genotyping detected pituitary and testicular expression of Cre-recombinase by a second LeprΔΔ band indicating excised Lepr (Figure 3), which was expected, based on previous studies of this line (63). We did not detect extrapituitary Cre-recombinase expression in ovaries of female mice, and therefore, offspring came from cages in which the female carried the Cre-recombinase. We have not yet been able to identify the source of the extrapituitary Cre-recombinase seen in a subset of pups from most litters.
Dual-labeling for LEPR and all pituitary hormones showed that only cells known to produce LH (72–74) had significant losses in LEPR. Another discovery was that loss of LEPR did not affect hormone stores or percentages of any of the pituitary cell types (including LH and FSH cells), suggesting that LEP is not involved in differentiation of these cells, or their translation and storage of protein hormones.
Finally, our tests of gonadotrope responses to LEP showed no residual functional LEPR. These tests took advantage of 2 known LEP regulatory functions based on our previous studies of gonadotropes: the stimulation of LH and FSH stores (60) and the activation of the Janus Kinase STAT pathway, producing pSTAT3 (64).
The deletion of LEPR in gonadotropes impacted fertility in the female
When we examined the consequences of the loss of LEP signals to gonadotropes and the reproductive system, we found no impact on growth, weight gain, the timing of puberty, or on the overall capacity to produce pups. However, the formal breeding study showed a delayed time to first litter (by 36%) in cages with mutant females. Also, mutant females had reduced numbers of pups (compared with other females of the same strain), indicating that they are subfertile. We detected no impairment of fertility in males.
Lower GnRH-binding sites and activin/inhibin β-subunits contributed to subfertility in females
Diestrous females showed lower serum gonadotropins and GH, which could contribute to their subfertility. The absence of changes in percentages of LH, FSH, or GH cells suggests no role for gonadotrope LEPR on hormone stores. Our tests of regulators for these cells led to the discovery of 2 important gene products that could explain the lower gonadotropins and the subfertility. The most striking is the severe reduction in binding sites for biotinylated GnRH. In addition, females showed significant reductions in mRNA levels for inhibin/activin β-subunits A and B. These subunits dimerize to form activin, which is an important autocrine/paracrine regulator for FSH (75–78). The fact that inhibin α-subunit mRNA levels are unchanged suggests that the deficiency may lie in the production of activin. A significant reduction in activin mRNA correlates well with lower levels of FSH, GnRH-binding sites, and GH secretion, because we have shown that activin stimulates GnRH-binding sites by gonadotropes and somatotropes (79).
The fact that GnRH-binding sites are low in diestrous mutants is important, because there is a well-established normal cyclic increase in GnRHR expression during diestrus reaching a peak on the morning of proestrus and which is needed for the LH surge (71, 72). This rise parallels the rise in LEPR (Figure 1) and the rise in serum LEP (21–25). It is preceded by a midcycle rise in pituitary LEP, which is mainly in GH cells (80). Thus, the lowered GnRH binding resulting from the deletion of LEPR indicates that LEP from either paracrine or endocrine sources may be needed to facilitate the production and/or trafficking of GnRHR to the surface.
This validation study of mutant diestrous females is a snapshot in time of the events that may be ongoing during the estrous cycle. A complete study of GnRH binding and activin expression throughout the cycle will be needed to determine the impact of loss of LEPR on the reproductive cycle. In addition, future studies are needed to determine whether GnRHR and activin are direct targets. With respect to GnRHR, is interesting to note that the deficiency appears to be in GnRHR protein expression and not in GnRHR mRNA, suggesting that LEP's actions on this target molecule may be posttranscriptional. This finding suggests a potential novel mechanism behind LEP actions on gonadotropes, which will also be explored in future studies.
These findings have translational relevance, because therapeutic approaches for infertility (clomiphene) rely on active, functional GnRHRs. This might explain why overweight and obese women, which are LEP resistant, have poor responses to fertility treatments like clomiphene (81–83). A study of obese pubertal girls reported that hyperleptinemia correlated inversely with responses to exogenous GnRH, which was detected by reduced serum levels of LH and FSH when the girls were given GnRH (84). Thus, if normal GnRHR expression depends on LEP, females that are LEP deficient or LEP resistant may not be able to respond as well to infertility treatments.
Finally, in mutant females, the reduced serum GH was not correlated with reductions in stores of GH in the somatotropes, or Gh or Ghrhr mRNA levels. Further studies of GHRH protein levels may detect deficiencies that would explain the reduced serum levels. Also, it is important to note that, because GH is considered a cogonadotropin, which stimulates the development of preantral follicles (73), the lower serum GH might have contributed to the lower number of pups from mutant females.
Loss of LEPR in male gonadotropes impacts the pituitary specific positive transcription factor-1 (Pit-1 line of cells
The findings in the male correlate well with the fact that the male mutants remain fully fertile. The reduction in GnRH-binding sites is much less severe than that in the mutant females. Gonadotropes have been reported to have spare receptors, and the actual number of GnRHRs is considered a weak determinant of the amount of LH that is secreted (85, 86). In fact, only 20% of the GnRHRs need to be occupied for LH secretion (86). Thus, the male gonadotropes appear to have sufficient GnRHR for responses needed in reproduction. There is a slight but significant reduction in Fsh and Cga mRNA levels, with no apparent impact on protein stores or secretion. The trend towards reduced serum LH and FSH did not reach significance, even when we increased the n to 16–19 mice.
Gonadotropes are metabolic sensors, receiving direct signals from serum glucose, for example (87, 88). They also produce paracrine factors that may regulate other cell types (89, 90). The loss of LEPR in male gonadotropes shows a potential paracrine impact on the cells most involved in metabolic regulation: TSH, GH, and PRL cells. Because hormone storage in these cells is not deficient, the low serum levels in the mutants suggest a deficiency in 1 or more regulators that may come from gonadotropes. A recent comprehensive review by Denef (89) reported over 100 regulatory compounds in pituitary cells and identified 22 produced by gonadotropes. Among these peptides are known regulators for somatotropes, thyrotropes, and lactotropes. A number of studies have reported severe reductions in PRL cell functions in animals in which gonadotropes are ablated, thus further supporting the lactotrope dependency on gonadotropes (89–94).
These 3 cell types have in common the fact that they all share the transcription factor, Pit-1, as a regulator, especially during early development (95–98). Pit-1 also regulates the expression of GHRHR mRNA (99), which is reduced in the mutant males and could cause the reduction in serum GH in these mutants. Thus, at this point, the impact of LEPR on gonadotropes in the male appears to focus on the gonadotropes' role as metabolic sensors and paracrine regulators of cells of the Pit-1 lineage. Future studies will be needed to identify the paracrine regulators that are also dependent on LEP. The heteogeneity in gonadotropes correlates well with previous studies of this dynamic population (100).
Summary
To summarize, this study of mice, in which the signaling domain of LEPR was deleted selectively in gonadotropes, showed that LEP signals to gonadotropes are not needed for the maintenance of optimal numbers of gonadotropes. The female gonadotrope-LEPR-null model shows clearly the importance of the rise in LEPR during proestrus as the deletion of LEPR in gonadotropes reduces GnRH-binding sites and activin mRNA. This reduction correlates well with the lowered serum FSH and LH and ultimately with delays in pregnancy and reduced numbers of pups/litter.
It is clear from these studies of the male LEPR-null gonadotrope model that LEPRs are not needed for normal fertility. Rather, this model may highlight the male gonadotrope's role as a metabolic sensor and paracrine regulator. The male mutant model will thus elucidate LEP molecular targets that may serve as paracrine regulators of the Pit-1 line of cells.
The model revealed translationally relevant information when it identified GnRH-binding sites as potential LEP targets. Infertility treatments that use clomiphene rely on responses to GnRH. These treatments may be compromised in cases of LEP resistance (obesity) or deficiency (anorexia nervosa). The findings might explain why overweight and obese women, who are LEP resistant, have poor responses to clomiphene (81–83).
The permissive regulatory function for LEP in females could reflect its role as a metabolic signal, to promote adaptation of the reproductive system to available energy supplies. Because LEP declines during nutritional deprivation, this loss of signal is detected by gonadotropes, and the females will adapt by producing fewer offspring. Thus, LEP may serve as a gateway that optimizes reproductive outcomes to fit the environment. This might benefit a population faced with food shortages, without preventing reproduction altogether.
Acknowledgments
We thank Dr Sally Camper (University of Michigan) for the generous gift of the mice bearing Cre-recombinase driven by the bLhβ promoter and Dr Streamson Chua (Albert Einstein College of Medicine) for the generous gift of mice bearing Lepr-exon 17loxP/loxP. We also thank Dr A. Parlow and the National Institute of Health Hormone Pituitary Distribution program for the antisera to GH, FSH, and LH. A portion of this study was presented at 95th Annual Meeting of The Endocrine Society, June 15–18, 2013, San Francisco, CA, during oral session (OR04-4), and another portion was presented at the 16th Annual Meeting of the International Congress of Endocrinologists, June 21–24, 2014, Chicago, IL in a poster session.
This work was supported by bridging funds from the University of Arkansas for Medical Sciences Research Council and by National Institute of Health Grants R03 HD059066 and 1R01HD059056 (to G.V.C.). Core facilities were funded by the National Institute of Health National Center for Research Resources Grant P20 RR020146 and the National Institue of Health Grant P30 NS047546 at University of Arkansas for Medical Sciences.
Disclosure Summary: The authors have nothing to disclose.
Footnotes
- Bio-GnRH
- biotinylated analogs of D-Lys6-GnRH
- Cga
- glycoprotein hormone α-subunit
- GHRHR
- GHRH receptor
- GnRHR
- GnRH receptor
- LEP
- leptin
- LEPR
- LEP receptor
- Pit-1
- pituitary specific positive transcription factor-1
- Pomc
- proopiomelanocortin
- PRL
- prolactin
- pSTAT3
- phosphorylated signal transducer and activator of transcription 3
- qPCR
- quantitative polymerase chain reaction.
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