Abstract
The gonadotropin-releasing hormone (GnRH) is the master regulator of fertility and kisspeptin (KP) is a potent trigger of GnRH secretion from GnRH neurons. KP signals via KISS1R, a Gαq/11-coupled receptor, and mice bearing a global deletion of Kiss1r (Kiss1r−/−) or a GnRH neuron-specific deletion of Kiss1r (Kiss1rd/d) display hypogonadotropic hypogonadism and infertility. KISS1R also signals via β-arrestin, and in mice lacking β-arrestin-1 or -2, KP-triggered GnRH secretion is significantly diminished. Based on these findings, we hypothesized that ablation of Gαq/11 in GnRH neurons would diminish but not completely block KP-triggered GnRH secretion and that Gαq/11-independent GnRH secretion would be sufficient to maintain fertility. To test this, Gnaq (encodes Gαq) was selectively inactivated in the GnRH neurons of global Gna11 (encodes Gα11)-null mice by crossing Gnrh-Cre and Gnaqfl/fl;Gna11−/− mice. Experimental Gnaqfl/fl;Gna11−/−;Gnrh-Cre (Gnaqd/d) and control Gnaqfl/fl;Gna11−/− (Gnaqfl/fl) littermate mice were generated and subjected to reproductive profiling. This process revealed that testicular development and spermatogenesis, preputial separation, and anogenital distance in males and day of vaginal opening and of first estrus in females were significantly less affected in Gnaqd/d mice than in previously characterized Kiss1r−/− or Kiss1rd/d mice. Additionally, Gnaqd/d males were subfertile, and although Gnaqd/d females did not ovulate spontaneously, they responded efficiently to a single dose of gonadotropins. Finally, KP stimulation triggered a significant increase in gonadotropins and testosterone levels in Gnaqd/d mice. We therefore conclude that the milder reproductive phenotypes and maintained responsiveness to KP and gonadotropins reflect Gαq/11-independent GnRH secretion and activation of the neuroendocrine-reproductive axis in Gnaqd/d mice.
SIGNIFICANCE STATEMENT The gonadotropin-releasing hormone (GnRH) is the master regulator of fertility. Over the last decade, several studies have established that the KISS1 receptor, KISS1R, is a potent trigger of GnRH secretion and inactivation of KISS1R on the GnRH neuron results in infertility. While KISS1R is best understood as a Gαq/11-coupled receptor, we previously demonstrated that it could couple to and signal via non-Gαq/11-coupled pathways. The present study confirms these findings and, more importantly, while it establishes Gαq/11-coupled signaling as a major conduit of GnRH secretion, it also uncovers a significant role for non-Gαq/11-coupled signaling in potentiating reproductive development and function. This study further suggests that by augmenting signaling via these pathways, GnRH secretion can be enhanced to treat some forms of infertility.
Keywords: β-arrestin, GnRH, GnRH secretion, Gq, KISS1R, kisspeptin
Introduction
The gonadotropin-releasing hormone (GnRH) is the master regulator of fertility. A large number of extrinsic and intrinsic signals acting through afferent systems converge upon GnRH neurons to regulate GnRH secretion. To receive and transmit these signals intracellularly, GnRH neurons express several receptors, of which the GPCRs represent a major class (Todman et al., 2005). Mice bearing a global deletion of the G-protein-coupled kisspeptin (KP) receptor, Kiss1r, or a GnRH neuron-specific deletion of Kiss1r display hypogonadotropic hypogonadism and are infertile, recapitulating phenotypes observed in human patients bearing KISS1R-inactivating mutations (Funes et al., 2003; Seminara et al., 2003; de Roux et al., 2003; Lapatto et al., 2007; Kirilov et al., 2013; Novaira et al., 2014). Together, these findings reveal that the GnRH neuronal-based kisspeptin/KISS1R signaling system is a potent trigger of GnRH secretion and thereby a major regulator of fertility.
Kiss1r was initially reported to signal via Gαq/11 and thereby mediate GnRH secretion (Kotani et al., 2001; Muir et al., 2001; Ohtaki et al., 2001; Liu et al., 2008; Zhang et al., 2013). However, members of our group demonstrated that KISS1R also signals via β-arrestin (Pampillo et al., 2009; Szereszewski et al., 2010) and more recently reported that in mice lacking β-arrestin-1 or -2, KP54-triggered GnRH secretion was significantly diminished, as assessed indirectly by measuring serum gonadotropin levels (Ahow et al., 2014). Thus, we concluded that in the mouse, Kiss1r uses both Gαq/11-dependent and -independent pathways (such as β-arrestin-1 or -2) to regulate GnRH secretion. These results are not surprising as we continue to better appreciate and understand the diversity and redundancy in signaling mechanisms in all cell types throughout the body. It is not known whether Kiss1r signals via Gαq/11-dependent and -independent pathways in all Kiss1r-expressing GnRH neurons, or whether there are specific subpopulations of neurons in which a given pathway predominates. Nevertheless, based on our recent observations (Ahow et al., 2014), we hypothesize that in mice, loss of Gαq/11 signaling in the GnRH neuron would significantly diminish GnRH secretion but not block it completely, and that Gαq/11-independent GnRH secretion would be sufficient to maintain fertility.
To test this hypothesis, Gnaq (encodes Gαq) was selectively inactivated in GnRH neurons of Gna11 (encodes Gα11)-null mice by crossing Gnrh-Cre and Gnaqfl/fl;Gna11−/− mice to each other (Offermanns et al., 1998, Yoon et al., 2005). Gαq shares 88% amino acid identity with Gα11 (Strathmann and Simon, 1990), and although the Gnaq−/− mouse displays phenotypic defects, suggesting that Gα11 partially compensates for Gαq (Offermanns, 1997a,b), the Gna11−/− mouse is phenotypically normal, suggesting that Gαq compensates for Gα11 (Offermanns et al., 1998). Consistent with these observations, the Gnaqfl/fl;Gna11−/− mouse is phenotypically normal (Wettschureck et al., 2001). The well characterized Gnrh-Cre line is also phenotypically normal and efficiently targets hypothalamic GnRH neurons without disrupting gene expression in the pituitary, ovary, and testes (Yoon et al., 2005; Wintermantel et al., 2006; Kirilov et al., 2013). Recently, this line was used to inactivate GnRH neuron-specific Kiss1r, thereby generating mice that displayed hypogonadotropic hypogonadism and infertility (Kirilov et al., 2013).
Materials and Methods
Materials.
KP54 (#SCP0186, human metastin 68–121), and Antide (catalog #A8802, GnRH antagonist) were purchased from Sigma. G-Protein Antagonist-2A (catalog #371780) was purchased from EMD Millipore. Unless stated, all other biochemical reagents were acquired from Sigma, Fisher Scientific, and VWR Scientific.
Animal husbandry and genotyping.
Animal studies were approved by the University of Western Ontario Animal Care Committee according to guidelines established by the Canadian Council on Animal Care or by the Harvard Medical Area Standing Committee on the Use of Animals in Research and Teaching in the Harvard Medical School Center for Animal Resources and Comparative Medicine. The mice were maintained under a 12 h light/dark cycle and provided with standard rodent chow and water ad libitum.
Generation of Gnaqfl/fl;Gna11−/−;Gnrh-Cre (Gnaqd/d) experimental and Gnaqfl/fl;Gna11−/− (Gnaqfl/fl) littermate control mice.
The parental lines, Gnaqfl/fl;Gna11−/− (Offermanns et al., 1998Gnrh-Cre (Yoon et al., 2005) mice, were generated as previously described; the Gnrh-Cre line was a generous gift from Dr. Catherine Dulac (Harvard University, Boston, MA). Parental lines, both maintained on the C57BL/6J genetic background, were crossed to each other to generate Gnaqfl/+;Gna11−/−;Gnrh-Cre F1 mice that were backcrossed to the parental line, Gnaqfl/fl;Gna11−/−, to generate an F2-segregating population of Gnaqfl/fl;Gna11−/−;Gnrh-Cre (experimental genotype bearing a GnRH neuron-specific deletion of Gnaq in the background of full-body deletion of Gna11 and subsequently referred to as Gnaqd/d) and Gnaqfl/fl;Gna11−/− (control genotype subsequently referred to as Gnaqfl/fl).
Mouse genotyping was performed by four PCRs using the following primers (presented 5′-3′): Gnaq forward GCATGCGTGTCCTTTATGTGAG and Gnaq reverse AGCTTAGTCTGGTGACAGAAGC, which generate a 600 and/or 700 bp product corresponding to the wild-type (Gnaq+/+) and/or floxed allele (Gnaqfl/fl), respectively (Dettlaff-Swiercz et al., 2005); Gna11-WT forward AGCATGCTGTAAGACCGTAG (Dettlaff-Swiercz et al., 2005) and Gna11-WT reverse GCCCCTTGTACAGATGGCAG, which generate an 820 bp product corresponding to the WT allele for Gna11+/+; Gna11-KO forward CAGGGGTAGGTGATGATTGTGC and Gna11-WT reverse GACTAGTGAGACGTGCTACTTCC, which generate a 450 bp product corresponding to the deleted allele for Gna11−/− (Dettlaff-Swiercz et al., 2005); GnRH-Cre forward CTGGTGTAGCTGATGATCCG and GnRH-Cre reverse ATGGCTAATCGCCATCTTCC, which generate a 354 bp product corresponding to the Gnrh-Cre transgene (Druckenbrod and Epstein, 2005). When required to confirm the presence of GnRH neurons, reverse transcriptase (RT)-PCR was conducted to detect the expression of Gnrh. This was done using the following primers: Gnrh forward GCATTCTACTGCTGACTGTGTGTT and Gnrh reverse GTTCTGCCATTTGATCCACCT, which generate a 144 bp product (Luque et al., 2007). Cre expression was determined by RT-PCR using primers Cre forward GCATTACCGGTCGATGCAACGAGTGATGAG and Cre reverse GAGTGAACGAACCTGGTCGAAATCAGTGCG, which generate a 408 bp product (White et al., 2007).
Developmental characterization of Gnrh-Cre expression.
Although Cre expression was extensively characterized in the adult Gnrh-Cre mouse (Yoon et al., 2005; Wintermantel et al., 2006; Kirilov et al., 2013), our goal was to determine how early in development Cre was expressed. To do so, the Gnrh-Cre mouse was crossed to the ROSA26-loxP-stop-loxP-GFP reporter mouse (Mao et al., 2001). The ROSA26-loxP-stop-loxP-GFP reporter line (catalog #004077) was purchased from The Jackson Laboratory. The resulting progeny of genotype ROSA26-loxP-stop-loxP-GFP;Gnrh-Cre were killed at embryonic day 18 (E18) and postnatal day 7 (P7), P14, and P21. Mice were transcardially perfused with 4% paraformaldehyde (PFA), and brains were removed and postfixed for 3 h in 8% PFA, then infiltrated with 30% sucrose. Coronal sections, 30 μm thick, were cut on a Leica freezing microtome and blocked in 10% normal donkey serum for 1 h at room temperature and incubated overnight at 4°C in the rabbit anti-GnRH primary polyclonal antibody, HU60 (Urbanski et al., 1990). The primary antibody was used at a concentration of 1:1000. After this, tissue sections were washed in PBS and blocked in 10% normal donkey serum, then incubated at room temperature in secondary antibody for 2 h (Alexa Fluor 568, 1:2000 goat anti-rabbit; Life Technologies Inc.). Sections were subsequently stained with Hoechst (Life Technologies Inc.), 1:10,000 for 3 min, to detect nuclei and then washed in PBS and mounted on positively charged microscope slides and allowed to dry before being coverslipped with Immuno-Mount (Fisher Scientific). Sections were viewed and images captured using an Olympus Fluoview 1000 laser scanning confocal microscope. Colocalization studies were performed using multiple-excitation (405, 488, 559) and emission (bandpass 425–475, 500–545 nm and 575–675 nm for Hoechst, GFP, and Alexa Fluor 568, respectively) filter sets. Multicolor images were acquired in the sequential acquisition mode to avoid cross-excitation. Ten consecutive coronal sections per brain, spanning the rostral-caudal hypothalamic axis, were analyzed by confocal microscopy where neuronal soma were scored for green (GFP) and red (GnRH) signals.
Immunohistochemical analysis of GnRH neurons.
Mouse brains were collected and processed as previously described (Ahow et al., 2014) and cut into 50-μm-thick coronal sections. Sections were blocked in 5% normal goat serum for 1 h at 4°C and incubated over two nights at 4°C in primary anti-GnRH polyclonal antibody (EL14, 1:5000 dilution; Ellinwood et al., 1985). Next, sections were incubated for 2 h at room temperature in a biotin-conjugated donkey anti-rabbit secondary antibody (Jackson ImmunoResearch) that was used at 1:2500. Secondary antibody labeling was amplified using a Vectastain ABC Elite kit (Vector Laboratories), and polymerized reaction product was created using DAB/Ni as substrate, as previously described (Ahow et al., 2014). Mounted sections were viewed and images were captured using an Olympus BH2 microscope with an Insight QE digital camera with Spot Advanced Software. Coronal brain slices along the rostral-caudal axis were ordered and aligned relative to the organum vasculosum of the lamina terminalis (OVLT), and an investigator blind to genotype manually counted GnRH neuronal cell bodies using a 40× objective (Gill et al., 2008). The effect of genotype on the number and location of GnRH neurons was determined by two-way ANOVA as a repeated measure using SPSS software. Values are reported as mean ± SEM and p < 0.05 was considered statistically significant.
Pubertal onset, determination of first estrus, estrous staging, and fertility assessment.
Mice were genotyped and weaned by 3 weeks of age. For both females and males, body weight (grams) was recorded weekly. Females and males were also examined daily from 2 weeks of age until the day of vaginal opening and preputial separation, respectively. Preputial separation was assessed by applying gentle pressure to manually retract the prepuce (Gaytan et al., 1988). For males, anogenital distance (millimeters) was recorded every 3–7 d. First estrus and estrous staging (proestrus, estrus, or metestrus/diestrus) were based visually on the relative amounts of cornified epithelial, nucleated epithelial, and polymorphonuclear leukocytes present in vaginal smears (Caligioni, 2009). Smears were collected daily for 17 d between 8:00 and 10:00 A.M. in 8- to 11-week-old females and again for another 17 d in the same females at 13–16 weeks of age. The average number of times Gnaqd/d mice entered estrus during the two 17 d periods was compared with Gnaqfl/fl littermates using unpaired two-tailed t tests. All phenotyping experiments were done without concurrent knowledge of the genotype. To assess fertility, 7-week-old male and female Gnaqd/d mice were placed in a cage with a WT mouse of the opposite sex and proven fertile, and females were regularly observed for evidence of pregnancy over a period of 21 d.
Anatomical and histological analyses of reproductive organs.
All mice used were 8–16 weeks of age and previously untreated and unmated. Ovaries and uteri were taken from females in the metestrus stage since this stage is easily identified by vaginal cytology, and testes were taken from the males. Total body weight (grams), tissue appearance, and fresh weight of female reproductive tracts and male testes (milligrams) were noted. Tissues were fixed in 4% PFA-PBS overnight, then dehydrated in 70% ethanol for 24 h before paraffin embedding, sectioning (5 μm thick), and staining with hematoxylin and eosin. Ovarian and testicular sections were examined and photographed with an Aperio ScanScope XT in conjunction with ImageScope software.
KP54 and Antide (GnRH-antagonist) treatment studies.
To avoid interference by cycle-dependent leuteinizing hormone (LH) surges with kisspeptin-induced LH secretion, 7-week-old virgin Gnaqd/d and Gnaqfl/fl female mice were bilaterally ovariectomized (Ström et al., 2012). Ovariectomized females, 14 d postsurgery, and intact males 9 weeks of age were administered a single intraperitoneal injection of 100 μl of PBS (vehicle) or 100 nmol KP54/kg body weight in a final volume of 100 μl (Ahow et al., 2014). One hour later, mice were anesthetized by CO2 exposure and blood was collected by cardiac puncture. In a separate cohort of 9-week-old ovariectomized females and intact males, mice received two 100 μl subcutaneous injections of the GnRH antagonist, Antide (1.25 μg/g body weight dissolved in sterile saline). Antide was administered at 24 and 1 h before intraperitoneal injection of 100 μl of saline vehicle or 100 μl of 0.1 nmol KP54/g body weight (Ahow et al., 2014). Blood was collected by cardiac puncture 1 h after the final injection.
G-protein antagonist 2A treatment studies.
Experiments were conducted on intact adult Gnaqd/d males. G-protein antagonist 2A (GP-2A) and KP54 were administered centrally through intracerebroventricular injections into the lateral cerebral ventricle; the site of the injection was 1 mm posterior and 1.2 mm lateral to bregma. Mice were injected with KP54 (100 pmol/5 μl) or the Gαq inhibitor, GP-2A (5 nmol/5 μl), and blood was collected by retro-orbital bleeding 30 min after injection. For the GP-2A + KP54 group, mice were injected with GP-2A first, then with KP54 30 min later, and then blood was collected 30 min after KP54 injection.
Serum hormone assays.
In the KP54 and Antide treatment studies, in which blood was collected by cardiac puncture, blood was processed and serum was analyzed for follicle-stimulating hormone (FSH) and LH by the Endocrine Technology and Support Laboratory, Oregon National Primate Research Center (Beaverton, OR) as previously described (Pau et al., 1986; Ahow et al., 2014; Calder et al., 2014). The detection limits of the FSH and LH assays were 0.1–0.2 ng/ml. The intra- and interassay variations were <8 and 12%, respectively. In addition to FSH and LH, mouse serum testosterone was measured as described previously (Rasmussen et al., 1984). Briefly, samples were extracted in ether and analyzed by specific testosterone RIA using tritium-labeled testosterone as the trace and the Holly Hills Lot A-1 testosterone antibody. The sensitivity was 5 pg/tube and the intra- and interassay variations were <10% and 15%, respectively. Data were analyzed by Student's t test, where p < 0.05 was considered statistically significant. In the GP-2A and l-NAME studies, where blood was collected by retro-orbital bleeding, blood was processed and serum LH levels were measured using a Milliplex MAP immunoassay (Mouse Pituitary panel, Millipore) in the Luminex 200 (Singh et al., 2009; Martin et al., 2014; Navarro et al., 2015). The minimum detectable concentration for LH was 2.4 pg/ml. The intra-assay coefficient of variation was <8.78%. Data were analyzed by one-way ANOVA followed by a Tukey post hoc test where p < 0.05 was considered statistically significant.
Quantitative real-time RT-PCR studies.
Gene expression was determined in total RNA prepared from the entire hypothalamus, pituitary, ovary, and testes. Freshly harvested tissues were collected in RNAlater (Life Technologies Inc.) and RNA was isolated using the Qiagen RNeasy mini kit according to the manufacturer's instructions. RNA concentration was determined by optical density (260/280 nm) on an ND-1000 spectrophotometer (NanoDrop). RNA (1.0 μg) was reverse-transcribed using SuperScript II (Invitrogen). Reactions were performed according to the manufacturer's protocol using random hexamer primers (GE Healthcare). Quantitative real-time PCR was performed in duplicate for each sample, for a total of three independent times, using IQ SYBR Green Master Mix (Bio-Rad Laboratories). To determine PCR efficiency, a tenfold serial dilution of cDNA was performed as described previously (Wong and Medrano, 2005). Gene expression was normalized to Actb expression and presented as relative expression using the Pfaffl method (Pfaffl, 2001). Expression of the following genes was quantified using the following primers (presented 5′-3′). Kiss1: Kiss1 forward, AGCTGCTGCTTCTCCTCTGT, and Kiss1 reverse, AGGCTTGCTCTCTGCATACC, which generate a 140 bp product; Kiss1r forward, GCCACAGACGTCACTTTCCTAC, and Kiss1r reverse, CGGGAACACAGTCACATACCA, which generate a 186 bp product; Gnrh1: Gnrh1 forward, CCTGGGGGAAAGAGAAACACT, and Gnrh1 reverse, TCACAAGCCTCAGGGTCAATG, which generate a 246 bp product; Gnrhr1: Gnrhr1 forward, GCTCTCAAGGATGAAGGTGCTT, and Gnrhr1 reverse, CCAGGCTAATCACCACCATCAT, which generate a 197 bp product; Fshb: Fshb forward, AGAGAAGGAAGAGTGCCGTTTCTG, and Fshb reverse, ACATACTTTCTGGGTATTGGGCCG, which generate a 118 bp product; and Lhb: Lhb forward, TGTCCTAGCATGGTCCGAGT, and Lhb reverse, AGGAAAGGAGACTATGGGGTCTA, which generate a 138 bp product.
Superovulation of female Gnaqd/d mice and isolation and characterization of preimplantation embryos.
Female Gnaqd/d mice, 6–8 weeks old, were administered 7.5 IU pregnant mare serum gonadotrophin (Folligon; Intervet), i.p., followed 48 h later by 7.5 IU human chorionic gonadotropin (hCG; Chorulon; Intervet), i.p. Immediately after the hCG injection, mice were mated to WT males of proven fertility. Day of mating is defined as D0. Only females that showed a copulatory plug (evidence of successful mating) on the morning of D1 were studied further. Preimplantation embryos were collected on D4 from the uterus for characterizing preimplantation embryonic development (Calder et al., 2014). Embryos were flushed from the reproductive tract using M2 medium (Sigma).
Results
Generation of Gnaqfl/fl;Gna11−/−;Gnrh-Cre (Gnaqd/d) experimental and Gnaqfl/fl;Gna11−/− (Gnaqfl/fl) littermate control mice
To determine the role of Gαq/11 signaling in regulating reproductive maturation at the level of the GnRH neuron, Gnaq was selectively inactivated in the GnRH neurons of Gna11-null mice by mating the Gnrh-Cre and Gnaqfl/fl;Gna11−/− mouse to each other (Fig. 1A). Neither parental line shows any evidence of reproductive abnormalities compared with control littermates (Offermanns et al., 1998; Yoon et al., 2005). Although the Gnrh-Cre adult mouse was extensively characterized (Yoon et al., 2005; Wintermantel et al., 2006; Kirilov et al., 2013), our goal in the current study was to determine how early in development Cre was expressed. To do so, the Gnrh-Cre mouse was crossed to the ROSA26-loxP-stop-loxP-GFP reporter mouse (Mao et al., 2001) and the number of GnRH neurons (Fig. 1B,E) that expressed GFP in the E18 and P7, P14, and P21 hypothalamus was quantified (Fig. 1C,D,F,G; only representative E18 hypothalamus is shown). Results indicate that at all ages recombination of the stop codon occurred in >98% of all detectable GnRH neurons, a value consistent with that reported by others (Yoon et al., 2005; Wintermantel et al., 2006; Kirilov et al., 2013). In addition to observing Cre recombinase activity in GnRH neurons localized to the periventricular zone of the rostral hypothalamus, activity was also observed in the lateral septum (LS; (Fig. 1C,D). Cre activity in the LS was previously described by others in the GnRH-Cre mouse line used in this study (Yoon et al., 2005; Kirilov et al., 2013), as well as in at least one other independently generated line (Wolfe et al., 2008). These authors described the presence of a group of neurons in the LS that express Cre but not GnRH. It was reported that the LS is a site where GnRH is expressed transiently in the early postnatal period in the mouse brain (Skynner et al., 1999; Kirilov et al., 2013).
Next, Cre expression was assessed along the hypothalamic–pituitary–gonadal (HPG) axis of female and male mice, and results revealed that Cre expression was restricted to the hypothalamus and not detected in the pituitary and gonads of experimental Gnaqd/d mice (Fig. 1F,G). Overall, these results suggest that since Cre is expressed early in development, Gnaqd/d mice can be used to study the effect of an absence of Gαq/11 signaling on reproductive maturation; furthermore, since Cre expression was restricted to GnRH neurons, any observed reproductive phenotypes would be the result of a loss of Gαq/11 signaling in the GnRH neurons only.
To assess the functional effects of loss of Gαq/11 signaling on GnRH secretion, it was important to first determine whether inactivation of Gnaq affected the size and distribution of the hypothalamic GnRH neuronal population in the anterior hypothalamus. Therefore, the number and location of the adult GnRH cell population were analyzed by comparing 8-week-old Gnaqd/d to Gnaqfl/fl male littermates. Representative coronal images from sections at the level of the OVLT are shown (Fig. 1H,I). The mean number of GnRH-immunoreactive neurons in each section was plotted as a histogram [Gnaqd/d (n = 4) and Gnaqfl/fl littermates (n = 4); Fig. 1J]. As expected, the highest number of GnRH-immunoreactive neurons was generally found at or near the OVLT, with fewer cells in sections rostral and caudal to the OVLT (Gill et al., 2008; Fig. 1J). Genotype (KO vs WT) had no significant effect on the total GnRH-immunoreactive cell counts (p = 0.5033, F(16,102) = 0.9619; Fig. 1K). Furthermore, an analysis of the number of GnRH neuronal fibers that project to the median eminence was found to be similar between Gnaqd/d and Gnaqfl/fl littermates.
Overall, these findings suggest that Gnaqd/d mice could be used to determine the role of Gαq/11 in regulating reproductive maturation and function at the level of the GnRH neuron. This was because Cre activity was detected in almost all GnRH neurons analyzed throughout early development; therefore, in young adult mice we expect that Gαq would have been depleted in essentially all GnRH neurons. Additionally, in Gnaqd/d mice the GnRH neuronal population was fundamentally “intact,” with detectable levels of GnRH in approximately the same number and distribution of immunoreactive neurons as in control mice.
Metabolic and reproductive profiling of Gnaqd/d mice
Total body weight is not affected in young pubertal Gnaqd/d mice
Since puberty in rodents is dependent on body weight (Frisch et al., 1985), the body weights of Gnaqd/d were determined by weighing mice frequently from P16 to P108 for females (Fig. 2A) and from P16 to P80 for males (Fig. 2B). For most of that time interval, which includes the peripubertal period, the loss of Gαq/11 had no significant effect on body weight in both sexes (p > 0.05). However, at P16, Gnaqfl/fl control female and male mice were significantly heavier (female: p = 0.036, t(33) = 2.186; male: p = 0.0093, t(25) = 2.82) than their Gnaqd/d littermates (Fig. 2A,B), whereas at P100 and P108, this finding was reversed for females: Gnaqd/d mice were significantly heavier (P100: p = 0.0153, t(11) = 2.87; P108: p = 0.0137, t(2.931) = 11) than their Gnaqfl/fl littermates (Fig. 2A). The weights of males were only recorded up to P80, and up to this point in time, both Gnaqd/d and Gnaqfl/fl mice weighed the same (Fig. 2B).
Weights of the female reproductive tract and male testes are reduced in pubertal Gnaqd/d mice
Both gross examination and measurements of the weights of female reproductive tracts, expressed as a percentage of their total body weights, revealed that the reproductive tracts from 8- to 11-week-old Gnaqd/d females are ∼67% smaller than those of littermate controls (p < 0.0001; Fig. 2C,D). Identical assessments revealed that testicular weights from unmated 8- to 11-week-old Gnaqd/d males were ∼42% smaller than those of littermate controls (p < 0.0001; Fig. 2C,D). Thus, although total body weight was not different between experimental Gnaqd/d and control Gnaqfl/fl littermates from weeks 8 (P56) to 11 (P77), both female and male reproductive structures were significantly reduced in mass (Fig. 2).
Pubertal onset is delayed in Gnaqd/d mice
Pubertal onset was assessed in females by vaginal opening [defined as complete canalization of the vagina, it is an event that occurs with increased estrogen secretion (Nelson et al., 1982; Herbison et al., 2008; Caligioni, 2009) and in males by preputial separation and anogenital distance [events that reflect androgen exposure (Pakarainen et al., 2005; Lapatto et al., 2007; Novaira et al., 2014)]. Results show that vaginal opening (p = 0.0027, t(23) = 3.368; Fig. 3A,B) and preputial separation (p < 0.0001, t(44) = 4.922; Fig. 3C,D) were both significantly delayed. The delay in vaginal opening and preputial separation was not attributable to differences in body weights since there was no difference in weights in this time period for both female and male mice (Fig. 2). Interestingly, whereas preputial separation was delayed in Gnaqd/d males, anogenital distance was not affected except at P16 (p = 0.0174, t(9) = 2.906; Fig. 3E), and this might reflect their higher body weight at P16 (Fig. 2B).
Gnaqd/d female mice exhibit delayed first estrus and irregular estrous cycles that are characterized by fewer estrus events
In addition to displaying delayed vaginal opening, first estrus was also significantly delayed in Gnaqd/d females (p = 0.02, t(23) = 2.5; Fig. 4A,B). Based on estrous staging, control Gnaqfl/fl females exhibited an average cycle length of 5.2 ± 0.2 d (n = 6; Fig. 4C), whereas Gnaqd/d females exhibited highly irregular cycles that precluded cycle length calculation (Fig. 4D). Instead, the average number of times mice of a given genotype entered estrus was determined, and this revealed that Gnaqd/d mice entered estrus significantly fewer times than did control Gnaqfl/fl littermates (p < 0.05) and that the average number of mice that did this was similar between both age groups (Fig. 4C–E).
Gnaqd/d female mice are anovulatory and therefore infertile
To determine whether the estrus to diestrus transitions (Fig. 4D) were ovulatory, unmated Gnaqd/d mice were killed and their ovaries were examined histologically. Follicles at the primary, secondary, and early to mid-antral stages of development were present in Gnaqd/d mice, but there was no evidence of late antral (preovulatory or Graafian) follicles or corpora lutea (CL; Fig. 5A). In striking contrast, the ovaries of unmated Gnaqfl/fl females contained follicles at all stages of development and a large number of CL were also detected (Fig. 5B). Therefore, we concluded that even though Gnaqd/d mice transitioned from diestrus to estrus and back again, these “cycles” were anovulatory. Consistent with this observation, Gnaqd/d females (n = 15) failed to become pregnant when housed with a WT male of proven fertility (Fig. 5C). This finding led to the histological analysis of the uteri of Gnaqd/d females (Fig. 5D,E), and these were found to contain visibly fewer uterine glands relative to Gnaqfl/fl female littermates (Fig. 5F,G), a finding no doubt further associated with their infertility.
Gnaqd/d male mice are subfertile and exhibit testicular phenotypes that vary from near normal to visibly mutant
In contrast to the Gnaqd/d females, when Gnaqd/d males (n = 15) were individually housed with a WT female of proven fertility, 60% of the pairings (9 of 15) resulted in successful pregnancies and live births (Fig. 5C). The testes of fertile and infertile Gnaqd/d males were subsequently analyzed histologically. Compared to fertile Gnaqfl/fl male littermates (Fig. 5H,I), fertile Gnaqd/d males displayed a similar number of seminiferous tubules, and although the tubules were not as tightly packed and evenly distributed as those seen in the central region of control testes, each tubule showed a well defined epithelium and clear evidence of a large number of developing sperm, based on the number of visible flagella (Fig. 5J,K). However, when compared with fertile Gnaqfl/fl and Gnaqd/d males (Fig. 5H–K), the testes of infertile Gnaqd/d male littermates exhibited less organized seminiferous tubules bearing few developing sperm, an observation again based on the number of visible flagella (Fig. 5L,M). These findings reveal that in Gnaqd/d males, testicular phenotypes ranged from almost normal to clearly mutant and these in turn gave rise to fertile and infertile Gnaqd/d males, respectively.
The HPG axis of Gnaqd/d mice exhibits significant hormonal responses to KP54 administration
Members of our research group have reported that KISS1R signals via both Gαq/11- and β-arrestin-dependent (or Gαq/11-independent) mechanisms (Pampillo et al., 2009; Szereszewski et al., 2010). It was further demonstrated that in mice lacking β-arrestin-1 or -2, KP54-triggered GnRH secretion was significantly diminished, as assessed indirectly by measuring serum gonadotropin levels (Ahow et al., 2014). Thus, we hypothesized that in mice lacking Gαq/11 in their GnRH neurons (Gnaqd/d), KP54 would continue to stimulate significant GnRH secretion, through Gαq/11-independent mechanisms. This hypothesis was tested by quantifying serum hormone (FSH, LH, and testosterone) levels in KP54-stimulated versus saline-treated Gnaqd/d mice. All mice were 7-week-old virgins; females were ovariectomized, whereas males were used intact, and KP54 was administered intraperitoneally. First, we confirmed that KP54 (100 nmol KP54/kg body weight, 60 min) relative to saline would trigger a significant increase in hormone levels in Gnaqfl/fl littermate controls and found that it did (Fig. 6A–E). Next, we observed that in Gnaqd/d mice, KP54 also triggered a significant increase in hormone levels compared with saline treatment (Fig. 6A–E). These results support previous findings that Kiss1r can trigger GnRH secretion via Gαq/11-independent pathways.
KP54-stimulated gonadotropin secretion in Gnaqd/d mice requires GnRH-R activation
Since the mouse pituitary expresses Kiss1r (for review, see Ahow et al., 2014), we tested whether the small but significant increase in KP54-stimulated hormone levels in Gnaqd/d mice was independent of GnRH secretion and GnRH-R activation and, instead, the result of peripherally administered KP54 acting directly on gonadotrope-expressed Kiss1r. To do so, for both male Gnaqd/d experimental and Gnaqfl/fl control littermates we measured KP54-triggered FSH and LH secretion relative to saline treatment in the presence and absence of the GnRH-R antagonist, Antide, and determined what effect Antide had on KP54-stimulated gonadotropin secretion for a given genotype. As reported above, regardless of genotype (Gnaqfl/fl or Gnaqd/d), relative to saline treatment, KP54 (100 nmol KP54/kg body weight, 60 min) triggered a significant increase in hormone levels (Fig. 6C,D). However, this increase was fully blocked by Antide pretreatment (p > 0.05), not just in Gnaqfl/fl mice, but also in Gnaqd/d mice (Fig. 6C,D).
Together, these results (Fig. 6A–E) reveal that regardless of genotype, KP54-triggered gonadotropin secretion occurs entirely via GnRH-R and, therefore, KP54-stimulated hormone secretion in Gnaqd/d mice must occur through Kiss1r-coupled Gαq/11-independent GnRH secretion by GnRH neurons.
KP54-triggered LH secretion in Gnaqd/d mice is not the result of differential GnRH-cre activity among the population of GnRH neurons
Although we demonstrated that GnRH-Cre was active in >98% of all GnRH neurons as early as E18 (Fig. 1B–G), we considered the possibility that Gnaqfl/fl escaped recombination in a few GnRH neurons and that this might account for the milder reproductive phenotype seen in the adult Gnaqd/d mice. To test whether this was likely, LH secretion was measured in male Gnaqd/d mice (n = 7) that were pretreated centrally with a peptide that is reported to potently antagonize Gαq signaling (Folkers et al., 1984; Hunt et al., 1999; Zoudilova et al., 2007; Najafi, 2009; Winter et al., 2011). The underlying idea was that the centrally administered drug would target all GnRH neurons and thereby block Gαq signaling in any neurons in which Gnrh-Cre was not expressed or in which Cre was not active. As expected, the results showed that in Gnaqd/d mice, centrally administered KP54, triggered a significant increase in LH secretion over untreated (basal) mice (p = 0.0018; F(3,22) = 18.21; Fig. 6F). GP-2A had no measurable effect on basal LH secretion (p > 0.05) and was unable to significantly reduce KP54-stimulated LH secretion (p > 0.05; Fig. 6F). This leads us to conclude that KP54-triggered LH secretion observed in Gnaqd/d mice is not the result of Gαq signaling in the few neurons that lacked Cre activity.
Inactivation of Gnaq and Gna11 diminished but did not ablate Fshb and Lhb expression in the pituitary
To further understand the impact of Gnaq as well as Gna11 inactivation on gonadotropin levels, the expression of Kiss1, Kiss1r, Gnrh1, Gnrhr1, Fshb, and Lhb was assessed in Gnaqd/d male mice relative to WT males from the same parental strain (C57BL/6J). WT mice were used instead of Gnaqfl/fl littermate controls so that the effect of the combined inactivation of Gnaq and Gna11 on gene expression could be determined. Our results revealed that inactivation of Gnaq and Gna11 resulted in significantly increased hypothalamic Kiss1 expression (Fig. 7A). Pituitary Kiss1 expression was unaffected (Fig. 7A). Neither the inactivation of Gnaq and Gna11 nor the increased expression of Kiss1 had any effect on Kiss1r expression in the hypothalamus or pituitary (Fig. 7B). Like Kiss1, hypothalamic Gnrh1 expression was also significantly elevated in Gnaqd/d mice (Fig. 7C). This was not surprising based on previous studies that reported kisspeptin, likely via the transcription factor Otx-2, positively regulates Gnrh1 expression (Novaira et al., 2012). Gnrh1 expression was not detected in the pituitary of both Gnaqd/d and WT mice (Fig. 7C). Despite an increase in hypothalamic Gnrh1 expression, pituitary Gnrhr1 levels decreased (Fig. 7D). Hypothalamic Gnrhr1 expression was not detected in either Gnaqd/d or WT mice (Fig. 7D). Although Gnrhr1 expression is positively regulated by GnRH (Kaiser et al., 1997), higher Gnrh1 levels did not result in increased Gnrhr1 expression in the pituitary (Fig. 7C,D), and this was likely due to the reduction in GnRH secretion in Gnaqd/d mice. The combined reduction in GnRH secretion and Gnrhr1 levels would have resulted in diminished GnRH/GnRH-R signaling in the pituitary of Gnaqd/d mice and this would account for the significant reduction in pituitary Fshb and Lhb expression (Fig. 7E,F). Hypothalamic Fshb and Lhb expression was not detected in both Gnaqd/d and WT mice (Fig. 7E,F). Overall, as a result of the inactivation of Gnaq and Gna11 in the GnRH neuron, there was no evidence of unexpected and compensatory changes in gene expression that could account for the continued, though diminished, kisspeptin-dependent gonadotropin secretion observed in Gnaqd/d mice.
A single dose of exogenous gonadotropins rescued follicular maturation and ovulation failure in Gnaqd/d mice
As reported earlier, whereas the ovaries of unmated Gnaqfl/fl females displayed several CL, the ovaries from unmated Gnaqd/d females did not; furthermore, follicular development stalled at the early to mid-antral stage of maturation (Fig. 5A,B). Thus, the ovaries of Gnaqd/d females appeared to be defective in late-stage follicular maturation and ovulation. Consistent with this, FSH (p < 0.001) and LH (p < 0.01) levels were also very low in ovariectomized saline-treated (nonstimulated) Gnaqd/d females compared with ovariectomized saline-treated Gnaqfl/fl females (Fig. 6A,B). To determine whether follicular maturation and ovulation could be rescued, Gnaqd/d female mice (n = 4) were superovulated and mated to WT males of proven fertility (D0). On the morning of D4, mice were killed and their uteri were excised and flushed to collect preimplantation embryos. Results showed that in all females examined, there was successful ovulation, based on the large number of CL detected in the ovaries and oocytes and embryos recovered from the uterine horns (Fig. 8). Despite successful ovulation, in only two of the four females were preimplantation embryos detected (Fig. 8A–D). In the other two females a large number of unfertilized oocytes (n = 13, 23) were detected (Fig. 8E–H).
Discussion
The GnRH neuron-specific Kiss1r-null mice (Kiss1rd/d) and whole-body Kiss1r-null mouse (Kiss1r−/−) exhibit hypogonadotropic hypogonadism and infertility and are unresponsive to a kisspeptin challenge (Seminara et al., 2003; Lapatto et al., 2007; Kirilov et al., 2013; Novaira et al., 2014). Here we report that inactivation of Gαq/11 in the GnRH neuron affects reproductive maturation, but less so than in Kiss1rd/d and Kiss1r−/− mice. Thus, we conclude that in the absence of Kiss1r, KP-dependent GnRH secretion cannot occur; however, if Kiss1r is present and Gαq and Gα11 are absent, Kiss1r will couple to Gαq/11-independent pathways in the GnRH neuron to mediate KP-dependent GnRH secretion. This will be addressed further later in the discussion.
In Kiss1r−/− (129S1/SvImJ genetic background) and Gnaqd/d (C57BL/6J genetic background) mice, although the reduction in weights of the female reproductive tract was similar between the Kiss1r−/− (Lapatto et al., 2007) and Gnaqd/d (present data) female mice, the reduction in testicular weight in the Kiss1r−/− (Lapatto et al., 2007) and Kiss1rd/d (mixed CD1/129S1/SvImJ/C57BL/6J genetic background; Novaira et al., 2014) mice was approximately twice that of the Gnaqd/d mice. This suggests that the testes of Gnaqd/d mice are much less affected by Gαq/11 inactivation at the level of the GnRH neuron than the testes of the whole-body Kiss1r−/− mice or GnRH neuron-specific Kiss1rd/d mice.
When other markers of reproductive maturation were assessed, vaginal opening in Kiss1r−/− and Kiss1rd/d females was more greatly delayed compared with Gnaqd/d females (Lapatto et al., 2007; Novaira et al., 2014). In Kiss1rd/d females (C57BL/6J genetic background; Kirilov et al., 2013) vaginal opening was not observed at all. Regarding preputial separation, although this was not measured in Kiss1r−/− males (Lapatto et al., 2007), it was detected in some Kiss1rd/d males and was delayed by ∼9 d (Novaira et al., 2014); for Gnaqd/d it was detected in all males and delayed by ∼5 d. As for anogenital distance, it was reduced in Kiss1r−/− males (Lapatto et al., 2007), whereas differences were generally not observed in Gnaqd/d males. Overall, the results reveal that reproductive maturation is less severely affected in Gnaqd/d mice compared with Kiss1r−/− and Kiss1rd/d mice.
Whereas Kiss1rd/d females (Kirilov et al., 2013; Novaira et al., 2014) were not observed to enter estrus, Kiss1r−/− females (129S1/SvImJ genetic background) first exhibited estrus at a median age of ∼38 weeks, but transitions into and out of estrus were not associated with ovulation (Chan et al., 2009). Gnaqd/d females entered estrus as early as 6 weeks. Transitions into and out of estrus were also not associated with ovulation. Therefore, compared with Kiss1r−/− and Kiss1rd/d mice, disruption and age of onset of estrous cycles in Gnaqd/d mice is less severe, an observation that is consistent with previously discussed indicators of reproductive maturation.
When the seminiferous tubules of Kiss1r−/− and Kiss1rd/d males were examined, several phenotypes were described. For Kiss1r−/− males, varying degrees of spermatogenesis were observed, ranging from arrested to full development (Lapatto et al., 2007; Chan et al., 2009). For Kiss1rd/d males, spermatozoa were either not detected (Kirilov et al., 2013) or detected at reduced numbers (Novaira et al., 2014). Like Kiss1r−/− males, Gnaqd/d males also displayed varying degrees of spermatogenesis. In fertility experiments, Lapatto et al. (2007) reported that when Kiss1r−/− males were housed with WT females of proven fertility, there were no pregnancies. This is not surprising given that these males did not show preputial separation. In similar studies (Kirilov et al., 2013; Novaira et al., 2014), others have reported that when Kiss1rd/d males that showed preputial separation were housed with WT females of proven fertility, there were still no pregnancies. For Gnaqd/d males, pairings involving males with preputial separation resulted in successful pregnancies and live birth. This again reveals that the reproductive phenotype is less severe in Gnaqd/d mice.
In the study by Lapatto et al. (2007) using Kiss1r−/− mice, kisspeptin stimulation (non-gonadectomized mice, 50 nmol KP10, i.p., 30 min) failed to trigger changes in basal gonadotropin levels. In the study by Novaira et al. (2014) using Kiss1rd/d mice, kisspeptin stimulation (non-gonadectomized mice, 1 nmol KP10, i.p., 10 min) also failed to elicit FSH and LH responses. For Gnaqd/d mice, however, kisspeptin stimulation (non-gonadectomized males and ovariectomized females, 100 nmol KP54/kg body weight or 2 nmol/20 g mouse, i.p., 60 min) triggered a significant increase in gonadotropin and testosterone levels. Furthermore, the Gαq inhibitor, GP-2A, was unable to block the KP54-triggered increase in LH in Gnaqd/d males (non-gonadectomized males, 100 pmol/5 μl, i.c.v., 30 min). Although the three studies cannot be compared directly to each other due to differences in experimental protocols, there is sufficient evidence to suggest that Gnaqd/d mice exhibit Kiss1r-coupled Gαq/11-independent signaling and that this underlies the kisspeptin-dependent gonadotropin and testosterone responsiveness not seen in Kiss1r−/− and Kiss1rd/d mice.
Based on the efficiency of Gnrh-Cre-mediated GFP expression in the ROSA26-loxP-stop-loxP-GFP reporter line, the observation that the Gαq inhibitor, GP-2A, could not significantly block KP54-triggered LH secretion in Gnaqd/d mice and the absence of compensatory changes in gene expression within the neuroendocrine axis of Gnaqd/d mice, we conclude that the milder reproductive phenotypes observed in Gnaqd/d mice must reflect Gαq/11-independent signaling at the level of the GnRH neuron. It is interesting to note that in their recent study, Kirilov et al. (2013) used the identical Gnrh-Cre line (Yoon et al., 2005) used in this study, and the conditional inactivation of Kiss1r triggered severe hypogonadal phenotypes; in striking contrast, milder phenotypes were observed in the Gnaqd/d mice. Together, not only do these findings strengthen the conclusion that Cre activity was efficient and widespread among the GnRH neuronal population, but, again, the milder reproductive phenotypes observed in Gnaqd/d mice must reflect Gαq/11-independent GnRH secretion and activation of the neuroendocrine-reproductive axis. Furthermore, since ablation of Gαq/11 in GnRH neurons would eliminate Gαq/11-mediated signaling by all Gαq/11-coupled receptors, including those involved in stimulating GnRH secretion in response to other hormones and neuropeptides (Todman et al., 2005), Gnaqd/d mice might be expected to exhibit even more severe phenotypes than Kiss1rd/d mice. However, this was not observed, making the less severe phenotypes all the more supportive of Gαq/11-independent signaling.
Overall, our data strongly suggest that in the absence of Gαq/11 in GnRH neurons, Kiss1r remains signaling competent. We first considered that this occurs via other G-proteins. However, it was reported that Kiss1r does not signal via Gαs and Gαi/o (Kotani et al., 2001; Muir et al., 2001) and among the remaining Gαq family members [Gα14 and Gα15 (mouse)/16 (human)], whereas Kiss1r can signal via Gα15/16 (Kotani et al., 2001; Wacker et al., 2008), it does not appear to do so via Gα14 (A. Babwah, unpublished observations). Furthermore, given that Gα14 and Gα15 are not expressed in the mouse hypothalamus (for review, see Millar and Babwah, 2015), it is unlikely that Kiss1r signals via other G-proteins in the wild-type mouse. It is possible, though, that loss of Gαq/11 in GnRH neurons triggers compensatory signaling, for example, by upregulating Gα15/16 expression, by coupling Kiss1r to both G-protein and non-G-protein pathways that Kiss1r would not normally couple to under normal conditions such that these pathways become more physiologically relevant in the absence of Gαq/11 signaling or even through the activation of Kiss1r in non-GnRH neuronal cells such as the preoptic nNOS neuronal population (Hanchate et al., 2012). However, given the scattered distribution of GnRH neurons in the hypothalamus, the technical difficulty in isolating pure populations of GnRH neurons and the lack of robust antibodies against Gαq family members, we could not confidently address that possibility through the analysis of either mRNA or protein expression.
We have also considered that part of the KP-dependent GnRH/LH secretion observed in the conditional Gnaqd/d mice might still be occurring via Gαq/11, but through the preoptic nNOS neuronal population, which is morphologically associated with kisspeptin fibers and express Kiss1r (Hanchate et al., 2012). This population of neurons has been demonstrated to regulate both tonic pulsatile and KP-dependent surge release of GnRH/LH in the female mouse (Hanchate et al., 2012). It is likely that if the nNOS neuronal population accounts for all or part of the observed KP-stimulated GnRH/LH secretion in the Gnaqd/d mice, it might be a female-specific phenomenon since Navarro et al. (2005) reported that in male rats, pharmacological inhibition of nNOS failed to alter basal or KP-triggered LH release. Although failure to observe signaling via the nNOS neuronal population might reflect sex differences in KP-stimulated LH release (Jayasena et al., 2011), the underlying reason might be more complex since Novaira et al. (2014) did not observe KP-dependent LH release in both male and female mice bearing a conditional deletion of Kiss1r in their GnRH neurons.
In conclusion, the persistent responsiveness to KP54 suggests that kisspeptin signals through Gαq/11-independent pathways at the level of the GnRH neuron and that such signaling is physiologically relevant since some males can achieve fertility without intervention and females, while infertile, respond efficiently to exogenous gonadotropins and can subsequently undergo spontaneous pregnancy.
Footnotes
The authors were supported by grants from the Natural Sciences and Engineering Research Council of Canada (NSERC) RGPIN/327334-2011 (A.V.B.); the Canadian Institutes of Health Reserach (CIHR) MOP107972 (M.B.); CIHR New Investigator's Award and the Early Researcher Award (ERA) from the Ministry of Research and Innovation, Ontario, Canada (A.V.B., M.B.); National Institutes of Health Grant OD-011092 (H.F.U.); National Institute of Child Health and Human Development (NICHD) Grant K99HD071970 and the Charles H. Hood Foundation Award for Child's Health (V.M.N.); and the Eunice Kennedy Shriver National Institute of Child Health and Human Development through cooperative agreement U54 HD028138 as part of the Specialized Cooperative Centers Program in Reproduction and Infertility Research grants from the National Institutes of Health and NICHD Grant R01 HD019938 (U.B.K.).
The authors declare no competing financial interests.
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