Abstract
An emerging body of evidence supports the concept that the pituitary is a site for integration of multiple physiological and metabolic signals that inform and modulate endocrine pathways. Multiple endocrine mediators of energy balance and adiposity are known to impinge on the neuroendocrine axis regulating reproduction. Observations in humans show that obesity is correlated with decreased gonadotropin secretion, and studies have also suggested that pituitary sensitivity to stimulation by gonadotropin-releasing hormone (GnRH) is decreased in obese individuals. Free fatty acids are a potential mediator of adiposity and energy balance, but their impact as an endocrine modulator of pituitary function has not been closely examined. We evaluated the impact of free fatty acids on a pituitary gonadotrope cell line and in primary pituitary cultures of female mice. We show that increasing physiologically relevant doses of the monounsaturated ω-9 fatty acid oleate induces cellular stress and increases production of reactive oxygen species in a mouse gonadotrope cell line. In contrast, the unsaturated ω-3 α-linolenic and ω-6 linoleic fatty acids do not have this effect. Additionally, oleate can activate immediate-early gene expression independent of GnRH stimulation but has a negative impact on GnRH induction and expression of the gonadotropin subunit gene Lhb. Further, oleate suppresses gonadotropin secretion in response to pulsatile stimulation by GnRH. These results indicate that free fatty acids can directly alter gonadotropin gene expression and secretion in response to GnRH and may provide a link between energy sensing and reproduction.
Oleate induces oxidative stress and inhibits gene expression and secretion of the LH and FSH from female mouse pituitary, demonstrating a link between metabolic stress and reproductive control.
As mediators of energy balance and long-term energy stores, factors derived from or influenced by adipose are ideal candidates for reporters of energy balance. Adipose-associated changes in gonadotropin levels imply the presence of a sensing mechanism that reports energy status to the reproductive endocrine axis (1–9). Disorders of reproduction such as polycystic ovary syndrome (PCOS) and hypogonadotropic hypogonadism are associated with disorders of metabolism and obesity. However, not all metabolic signals associated with obesity explain the inverse relationship between adiposity and gonadotropin levels observed in men and women (1, 5, 10, 11).
In the pituitary, gonadotropin synthesis and release is a highly regulated process that involves coordinated gene expression and protein synthesis in conjunction with acute regulation of secretion (12). The gonadotropins luteinizing hormone (LH) and follicle-stimulating hormone (FSH) are related heterodimeric glycoprotein hormones that share a common α-subunit encoded by Cga and are differentiated by their unique β-subunits encoded by Lhb and Fshb, respectively. LH secretion by gonadotropes is particularly sensitive to gonadotropin-releasing hormone (GnRH) stimulation and is regulated by pulse amplitude and/or frequency changes that are characteristic of the preovulatory surge (13). FSH secretion is less dependent on GnRH pulse regimen, although basal secretion is dependent on an active pulsatile stimulation of gonadotropes. Transcriptional regulation of the gonadotropin β-subunit genes is largely controlled by immediate-early transcription factors such as EGR1 for Lhb and AP1 for Fshb, although other factors such as NAB, SKIL, TGIF1, ICER, and β-catenin also play noteworthy roles (14–20). Activation of immediate-early genes by GnRH receptor signaling is dependent on mitogen-activated protein kinase (MAPK) signaling, particularly through MAPK1/3 [also extracellular signal-regulated kinase (ERK) 2/1], which also modulates the translational machinery to increase protein synthesis (12, 21, 22). Activation of MAPK1/3 by the GnRH receptor depends on reactive oxygen species (ROS) signaling intermediates produced by the reduced form of nicotinamide adenine dinucleotide phosphate oxidase/dual oxidase (NOX/DUOX) family of enzymes (23). Activation of MAPKs and, consequently, of immediate early and gonadotropin genes involves rapid activation and subsequent resolution of signaling cascades to maintain the capacity for interpretation of GnRH pulse patterns (24–30).
Free fatty acids (FFA) signal through both membrane receptors and metabolic intermediates, complicating interpretation of their action (31). Communication of energy balance between tissues and selection of glucose or FFA as fuel is controlled through processes initially outlined by Randle et al. (32) that rely on the antagonistic action of glucose and insulin toward FFA oxidation. FFA levels are elevated in obese women with PCOS, and these women exhibit the greatest adiposity-related suppression of LH (3, 4, 6). As a direct messenger of energy balance and a fuel source, lipids likely contribute to energy sensing by the hypothalamus (33). Increased adiposity contributes to circulating FFA and fatty acid (FA) flux, and this presents a number of mechanisms by which FFA can mediate the decline in gonadotropins noted in obese individuals. Direct mobilization of FFA into β-oxidative pathways inhibits glucose utilization and leads to generation of ROS, which, in excess, induces the unfolded protein response (UPR) (34). A consequence of UPR activation is reduced protein synthesis and transport through the endoplasmic reticulum (ER). Thus, secretory cells are particularly sensitive to UPR activation, and the inability to resolve UPR activation can lead to cell death.
FFA are also ligands for broadly expressed G-protein–coupled receptors (31, 35–37). GPR40 promotes secretion in pancreatic β-cells and induces calcium release from ER stores (38–40). This induces cell stress and contributes to UPR activation and translational inhibition. In contrast, the ω-3 FA receptor GPR120 is a key modulator of the macrophage inflammatory response and acts as an insulin sensitizer in obese mice (31). Thus, receptor-mediated FFA actions can have divergent affects, and individual cell responses are dependent on the receptor complement they express.
Biophysical effects of FFA are also relevant to cellular function. At high concentrations, FAs can disrupt membrane fluidity and induce apoptotic signaling (41). The saturated FFA palmitate can induce insulin resistance in cells through incorporation into ceramide, an active inhibitor of phosphatidylinositol-3 kinase (42). Further, ω-6 FA can also be shunted to inflammatory eicosanoid production and cause elevation of cellular inflammatory responses. FFA have a direct impact on gonadotropins in ruminant animals (43), and in rats, linoleic acid (LA) differentially stimulates and represses Lhb and Fshb expression, respectively, and inhibits SMAD signaling in the LβT2 gonadotrope cell line (44, 45). In cultured porcine pituitary, FFA inhibits GnRH-induced LH and growth hormone secretion (46). The FA receptors GPR40 and GPR120 have been identified in mouse LβT2 gonadotrope cells, which could influence cell signaling and gene expression through their activation by FFA (44). Finally, the Toll-like receptor (TLR) 2 and TLR4 can also be activated by FFA and present another signaling arm through which FFA can influence gonadotropin synthesis or secretion (47, 48). These signaling mechanisms can alter protein production or cellular signaling responses and suggest that one component of the body mass index (BMI)–associated decline in gonadotropin secretion may be related to the pituitary exposure to FFA.
Previous work has shown that activation of GnRH receptor signaling can lead to transient activation of the UPR (49). FFA are also known activators of the UPR, and it is possible that chronic UPR activation can lead to suppressed protein synthesis or possibly autophagy through unresolved activation of the ER-associated degradation pathway. The cellular response to ER stress is mediated through the action of a complex and broad transcriptional regulatory pathway largely controlled by the x-box binding protein XBP1 (50). A unique feature of Xbp1 gene expression is cytosolic splicing of a 26-bp intron by the ER-resident factor ERN1 during activation of the UPR. We have shown that translation of Lhb messenger RNA (mRNA) is inhibited by the UPR, and this correlates with induction of Xbp1 splicing (49). Therefore, Xbp1 splicing can serve as a proxy measurement of UPR activation, translational inhibition, and cellular stress.
To establish the possibility that FFA can suppress gonadotropins, we examined the impact of various FFA across physiological levels of exposure to identify a role in activation of the UPR, MAPK signaling, gonadotropin gene expression, or gonadotropin secretion. We report that, although FFA can independently activate immediate-early gene expression, secretion of LH is suppressed by exposure to physiological levels of the ω-9 monounsaturated FA oleate (OLA). This implicates the contribution of FFA to the BMI-associated decline in gonadotropin secretion.
Materials and Methods
LβT2 gonadotrope cell culture
The male mouse-derived LβT2 gonadotrope cell line (51) was maintained in high-glucose HEPES-buffered Dulbecco’s modified Eagle medium (DMEM) supplemented with penicillin/streptomycin and 10% fetal bovine serum (FBS). The cells were maintained at 37°C in a humidified atmosphere of 5% CO2. To test the potential impact of FFA on stress signaling in the pituitary gonadotrope, the LβT2 cells were pretreated with serum-free DMEM for 12 to 16 hours before FFA or hormone treatments.
Hormone and drug treatments
The LβT2 cells were plated at a density of 2 ×105 cells/cm2 in a six-well dish in high-glucose HEPES-buffered DMEM supplemented with penicillin/streptomycin and 10% FBS overnight for 24 to 30 hours before the medium was changed to serum-free DMEM medium and then incubated for an additional 12 to 16 hours. Cells were then pretreated with or without N-acetyl-L-cysteine (NAC; Sigma-Aldrich) for 30 minutes and then treated with indicated FAs at final concentrations as described in each figure (Sigma-Aldrich) for 3 hours with or without 10 nM GnRH in the final 30 minutes of treatment. Afterward, media was aspirated, the cells were washed with ice-cold phosphate-buffered saline, and then harvested for total RNA isolation or protein purification as described below.
RNA isolation and reverse transcription polymerase chain reaction
After hormone treatments, total RNA from LβT2 cells was isolated using TRIzol or TRIzol LS (Thermo Fisher Scientific). Complementary DNA was synthesized using qScript cDNA SuperMix per the manufacturer’s instructions (Quanta BioSciences). Reverse transcription polymerase chain reaction (RT-PCR) was performed using Xbp1 primers and AccuPower PCR PreMix kit containing Top DNA polymerase (Bioneer). PCR products were subjected to agarose gel electrophoresis in the presence of ethidium bromide. Primer sequences were designed against murine mRNA sequences as available through PubMed. The sequences of the primers used were as follows: Xbp1 forward, 5′-TCTGAAGAGCTTAGAGGTGC-3′ and Xbp1 reverse, 5′-TACGGGAGAAAACTCACG-3′.
Quantitative real-time PCR
For quantitative real-time PCR analysis of mRNA from LβT2 cells, quantitative PCR (qPCR) was carried out using the MyIQ Single-Color Real-Time Detection System (Bio-Rad). Quantitative real-time PCR was performed with KAPA SYBR Green PCR kit (Kapa Biosystems) supplemented with 200 nM transcript-specific primers. The cycling conditions used were those recommended by the reagent manufacturer. A melt curve was performed after each PCR run to ensure that a single product was amplified, and the sizes of the products were verified using agarose gel electrophoresis. At least three independent determinations of mRNA content were made, and the relative transcript levels were determined using the 2−ΔΔCT method with Gapdh as an endogenous control. Primer sequences were designed against murine mRNA sequences as available through PubMed. The primer sequences were as follows: Egr1 forward, 5′-ATTTTTCCTGAGCCCCAAAGC-3′ and Egr1 reverse, 5′-ATGGGAACCTGGAAACCACC-3′; c-fos forward, 5′-GGCAAAGTAGAGCAGCTATCTCCT-3′ and c-fos reverse, 5′-TCAGCTCCCTCCTCCGATTC-3′; Lhb forward, 5′-GCAACTCTGGCCGCAGAGAATG-3′ and Lhb reverse, 5′-CAGCTGAGGGCTACAGGAAAGG-3′; and Gapdh forward, 5′-TGCACCACCACCTGCTTAG-3′ and Gapdh reverse, 5′-GGATGCAGGGATGATGTTC-3′.
All experimental reactions were performed in triplicate. Duplicate reactions were performed for standard curve and reaction efficiency determination. The mass values for each transcript were extrapolated from the standard curve. The Pfaffl method (52) was used to calculate relative mass levels of qPCR products with respect to Gapdh as an internal control.
Transient transfection
For transient transfection assays, LβT2 cells were plated at a density of 2.75 × 105 cells/cm2 in HEPES-buffered DMEM supplemented with 10% FBS and incubated for 24 hours. Cells were then changed into serum-free HEPES-buffered DMEM and transfected with the previously described 1.8-kb rat Lhβ promoter–driven reporter plasmid pGL3-1.8 rLHβ-luc and the internal control pGL3-CMV-βGal reporter plasmids (21) using Fugene 6 (Promega) according to the manufacturer’s instructions. After incubation for 12 to 16 hours, cells were treated with vehicle or 500 µM OLA for 4 hours and either vehicle or 10 nM GnRH during the final 30 minutes of incubation. The cells were harvested with phosphate-buffered saline/0.1% Triton X-100, and lysates were assayed using the Luciferase Assay Kit (Promega) for luciferase and Galacto-Light Plus Kit (Thermo Fisher Scientific) for β-galactosidase activity, respectively. Luminescence was measured in a Veritas microplate luminometer (Turner BioSystems).
Western blotting
After hormone treatments, the cells were harvested and lysed in radioimmunoprecipitation assay/Nonidet P-40 buffer supplemented with protease and phosphatase inhibitors (Roche). For confirmation of the phosphorylation status of ERK, all samples were separated by sodium dodecyl sulfate polyacrylamide gel electrophoresis on 10% gels and transferred onto polyvinyl difluoride membranes (Millipore). Membranes were blocked in 5% bovine serum albumin (BSA; Vector Laboratories) for 1 hour at room temperature and incubated with anti–phospho-ERK (E-4) mouse monoclonal immunoglobulin G (IgG) 2a antibody [SC-7383; Santa Cruz Biotechnology; Research Resource Identifier (RRID): AB_627545] in 1:1000 dilution in 1% BSA/Tris-buffered saline with Tween 20 overnight at 4°C and then in a 1:2000 dilution of biotinylated secondary antibody (SC-2005; Santa Cruz Biotechnology; RRID: AB_631736) at room temperature for 2 hours. Blots were visualized by chemiluminescence using a 1:5000 dilution of horseradish peroxidase–conjugated avidin-biotin complex (Vector Laboratories) and imaged using a FluorChem Q (ProteinSimple) or PXi (Syngene) system. After imaging, blots were stripped in Restore Western Blot Stripping Buffer (Thermo Fisher Scientific) for 15 minutes and reblotted with anti-ERK1 (K-23) rabbit polyclonal antibody (SC-94; Santa Cruz Biotechnology; RRID: AB_2140110) in 1:1000 dilution in 1% BSA/Tris-buffered saline with Tween 20 at room temperature for 1 hour and then in 1:2000 dilution in biotinylated secondary antibody (SC-2004; Santa Cruz Biotechnology; RRID: AB_631746) at room temperature for 2 hours to control for loading. Quantification of MAPK1/3 phosphorylation was performed relative to total MAPK1/3 in the same lane for consistency. Quantitative densitometry was performed by using AlphaView Q (ProteinSimple) or GeneTools (Syngene) software. Data from at least three independent experiments were normalized to total MAPK1/3 and reported as fold change relative to the control.
ROS measurement
LβT2 cells plated on glass-bottom dishes (MatTek) coated with poly-D-lysine at a density of 2 × 105 cells/cm2 were treated with 500 μM FFA for 3 hours and then with 5 μM CellROX Green oxidative stress reagent (Life Technologies) and 1 μg/mL (∼1.6 μM) Hoechst 33342 (Thermo Fisher Scientific) for 15 minutes. Wide-field fluorescence images were obtained using a TE2000-U microscope (Nikon Instruments) equipped with an X-Cite 120PC collimated light source (Lumen Dynamics Group) and DAPI-1160A and either a GFP-3035B or FITC-5050A filter set (Semrock) using a CoolSNAP EZ monochrome camera (Photometrics). Living cell images were captured and analyzed using Nikon NIS-Elements BR software (Nikon Instruments). Fluorescence intensity measurements and object counting were obtained every 5 minutes through six experimental repeats and normalized to control vehicle-treated cells.
Primary pituitary culture
Pituitaries were dissected from 8- to 10-week-old cohoused C57/Bl6 female mice. Pituitaries were pooled, dispersed, and the cellular equivalent of five pituitaries were cultured on 1-mL bed volume of Cytodex 3 microcarrier beads (GE Healthcare) per treatment group, as previously described (23, 49). Cell suspensions cultured in 10 mL 10% FBS DMEM were changed to serum-free DMEM with antibiotics for 16 hours, resulting in 1% serum. Cultures were then loaded into perifusion columns and equilibrated for 40 minutes in serum-free DMEM alone or supplemented with 500 μM OLA at a flow rate of 200 μL/min. Subsequently, cells were pulsed for 2 minutes to achieve a 10 nM GnRH peak pulse concentration with a 58-minute interpulse interval for 4 hours. Perifusion culture and pulse methodology were described previously (16). Five-minute fractions of ∼1 mL were collected. LH and FSH levels were measured by a MILLIPLEX MAP Kit (Mouse Pituitary Magnetic Bead Panel, catalog no. MPTMAG-49K; EMD Millipore) following the manufacturer’s instructions. The Institutional Animal Care and Use Committee for the University of California, San Diego approved all animal procedures performed in this study.
Statistics and data analysis
All experiments were repeated at least three times independently, and reported values are presented as the means ± standard error of the mean. Statistical analysis was conducted using JMP software (SAS Institute) on raw or normalized values or values optimally Box-Cox transformed to correct for heteroscedasticity. Data were evaluated by Student t test or multifactor analysis of variance (ANOVA) as indicated and testing with the indicated post hoc comparison tests. A value of P < 0.05 was considered significant for all tests.
Results
To examine the potential activation of the UPR and cellular stress by FFA, we monitored the splicing of Xbp1 mRNA in the gonadotrope cell line LβT2 in response to exposure to a variety of FFA. This included the ω-6 FA LA and the ω-3 FA α-linolenic acid (ALA) as well as OLA. FFA can impact cell signaling through a number of mechanisms to induce the UPR, including activation of the FA G-protein–coupled receptor GP120 or the TLR TLR4, which are both expressed in the LβT2 cell line and pituitary (48, 53), or through mitochondrial oxidative phosphorylation. We examined the extent of Xbp1 mRNA splicing after exposure of LβT2 gonadotrope cells to 500 μM ALA, LA, and OLA for 3 hours (Fig. 1) either alone or in combination with exposure to 10 nM GnRH in the final 30 minutes. As shown in Fig. 1A and quantified in the histogram in Fig. 1B, incubation in serum-free medium alone, with LA, or with ALA induced Xbp1 splicing nor did they impact GnRH-mediated activation of Xbp1 splicing. In comparison, 500 μM OLA did induce Xbp1 splicing ∼40-fold, and this was further exaggerated by exposure to 10 nM GnRH in the final 30 minutes of treatment.
We have demonstrated that OLA induces mitochondrial ROS production in LβT2 gonadotropes (54). However, FFA can affect cell signaling through a number of mechanisms to induce the UPR, including activation of the FA G-protein–coupled receptor GP120 or the TLR TLR4, which are both expressed in the LβT2 cell line and pituitary, or through mitochondrial oxidative phosphorylation. This can be differentiated by testing the ability of the metabolic-resistant analog methyl oleate (mOLA). mOLA is capable of GP120 activation and can induce the UPR through downstream receptor signaling cascades but does not participate in β-oxidative metabolism. To examine the potential for induction of stress by either OLA or mOLA across physiological concentrations of FFA, we conducted dose-response tests of treatment-induced Xbp1 splicing across concentrations of 30 to 1000 μM. LβT2 cells incubated overnight in serum-free medium were treated with increasing doses of OLA for 3 hours with additional treatment with vehicle or 10 nM GnRH for the final 30 minutes. Afterward, mRNA was harvested, Xbp1 splicing was determined as shown in Fig. 2A, and relative splicing of Xbp1 in multiple experiments was quantified and summarized in the chart in Fig. 2C. Splicing was detected at physiological concentrations from 300 μM to 1000 μM with a half-maximal effect occurring at ∼580 μM. Overall activation of Xbp1 splicing induced by OLA was about twice that induced by 10 nM GnRH for 30 minutes, the maximal stimulation observed with GnRH induction of the UPR. These results indicate that OLA can induce cellular stress at high physiological concentrations as indicated by induction of the UPR and Xbp1 splicing. Treatment with mOLA did not induce Xbp1 splicing, suggesting that Xbp1 splicing could be induced through incomplete oxidative phosphorylation and metabolism of OLA rather than through activation of extracellular FA receptors.
The potential interaction of GnRH and oleate induction of Xbp1 splicing is of interest due to the long-term impact that chronic UPR activation may have on protein synthesis and gene expression. Unresolved Xbp1 activation can lead to autophagy (55), and it is possible that mild, chronic activation can lead to decreased protein synthesis or secretion of gonadotropins due to reduced endoplasmic reticulum function. Examination of the oleate dose response in the presence and absence of 10 nM GnRH was conducted to evaluate whether GnRH and OLA are independent or interactive stimulants of Xbp1 splicing and, by inference, of UPR activation. As above, LβT2 cells were treated with increasing doses of OLA for 3 hours with an additional treatment with vehicle or 10 nM GnRH for the final 30 minutes. Afterward, mRNA was harvested, Xbp1 splicing was determined as shown in Fig. 2B, and relative splicing of Xbp1 in multiple experiments was quantified and summarized in Fig. 2C. At the highest dose of 1000 μM, OLA induced 72.49 ± 6.88% Xbp1 splicing compared with GnRH alone at 34.96 ± 2.10%. At maximal doses of OLA, cotreatment with GnRH did not induce further splicing, indicating that splicing and, by inference, activation of the UPR is maximally stimulated. Overall levels were elevated compared with OLA and GnRH alone, and a significant interaction between OLA and GnRH was determined by two-factor ANOVA with interaction (P < 0.05).
GnRH targets MAPK signaling cascades regulating transcription and translation factors that promote gonadotropin subunit gene expression and protein synthesis. In LβT2 cells, MAPK1/3 is robustly and transiently activated by GnRH (24). To examine the integrity of MAPK signaling in response to GnRH stimulation, LβT2 cells were incubated overnight in serum-free medium and treated with increasing doses of OLA alone or with the addition of 10 nM GnRH in the last 30 minutes of incubation. Cells were harvested, protein was subjected to western blotting and quantitative chemiluminescent imaging as shown in Fig. 3A, and multiple experiments are summarized in the histogram in Fig. 3B as the ratio of phosphorylated to total MAPK1/3 detected. OLA treatment led to a substantial suppression of baseline MAPK1/3 activity at the 300-μM and 1000-μM doses. Overall phosphorylation of MAPK1/3 was not significantly changed in the presence of OLA in comparison with GnRH treatment alone, except at the highest 1000-μM dose, in which it was completely abolished. Activation of MAPK1/3 by GnRH requires enzymatically derived ROS (23). In contrast, FFA metabolism results in mitochondrial ROS production (54). It is possible that MAPK1/3 may be activated by ROS from either source. We examined the potential for a common linkage to MAPK1/3 activation via ROS by examining the MAPK1/3 activation in response to GnRH and OLA exposure alone or in the presence of the ROS scavenger NAC. Preincubation of LβT2 cells with NAC limits both GnRH- and OLA-induced MAPK1/3 activation (Fig. 3C and 3D), showing that MAPK1/3 and downstream targets can be linked by ROS, and there is a potential for signaling interaction.
The rapid decline in activity at the highest OLA concentrations suggests that downstream targets of MAPK1/3 activation may also be limited in response to GnRH in the presence of elevated OLA exposure. The most prominent target of MAPK1/3 is the transcription of the immediate-early transcription factor Egr1, which is highly responsive to MAPK1/3 activation. EGR1 is a direct transcriptional regulator of the LH β-subunit gene Lhb. To determine any impact on Egr1 activation by OLA, we compared baseline and GnRH-induced Egr1 mRNA levels in the presence of 500 μM LA, ALA, OLA, and mOLA for 3 hours. Cells were harvested, RNA was subjected to real-time qPCR, and expression of Egr1 mRNA relative to untreated control cells was examined (Fig. 4). We observed that modest elevation of Egr1 mRNA occurs in response to OLA, consistent with modest activation of MAPK1/3 observed in Fig. 3. In the presence of GnRH, no notable differences are observed (Supplemental Fig. 1 (24.2MB, tif) ).
The correspondence between MAPK1/3 activation and induction of the immediate-early gene Egr1 mRNA by OLA in the absence of GnRH stimulation suggests a connection between MAPK1/3 activation and Egr1 gene expression. To determine if OLA alone can induce immediate-early gene expression in LβT2 gonadotropes, cells were exposed to increasing OLA concentrations and changes in Egr1, as well as c-Fos, a component of the AP1 transcription factor that directly regulates transcription of the FSH β-subunit gene Fshb were measured. OLA-induced change in Lhb gene expression was also examined, and results are shown in Fig. 5A–5C. Both Egr1 (Fig. 5A) and c-Fos (Fig. 5B) were significantly induced in a dose-dependent manner by 300 μM and 1000 μM OLA, but GnRH induction of Egr1 and c-Fos were suppressed by OLA. GnRH induction of Lhb mRNA in vivo is mild at ∼1.4-fold (56). In this study, a similar induction by 10 nM GnRH is also observed, but substantial impact of OLA was observed only at 1000 μM (Fig. 5C). Although mRNA levels are only mildly affected, OLA significantly inhibits GnRH activation of reporter gene expression under the control of the rat 1.8-kbp Lhb promoter (Fig. 5D). Coincubation of transfected cells with 500 μM OLA with 10 nM GnRH limits activation of the reporter gene in comparison with cells treated with GnRH alone. These results suggest that the limitation of Egr1 activation may result in limited activation of Lhb transcription by GnRH.
Unsaturated FAs can induce mitochondrial ROS production, and this is associated with altered cellular Ca2+ homeostasis, ultimately resulting in ER stress and activation of the UPR (57). Previous studies have shown that GnRH transiently induces the UPR and that GnRH signaling is dependent on ROS produced by the NOX/DUOX family of reduced form of nicotinamide adenine dinucleotide phosphate oxidases (23, 49). Our observations previously that OLA induces Xbp1 splicing suggest that this may occur in LβT2 gonadotrope cells. To confirm that OLA can induce ROS production in LβT2 cells, we monitored oxidative conversion of the fluorogenic dye CellROX in the presence of 300 μM OLA or vehicle. Cells incubated for 3 hours with OLA or vehicle were labeled with CellROX green and Hoechst 33342 and monitored over time for blue and green fluorescence using wide-field microscopy. Maximum green fluorescence in OLA was observed at 15 minutes after application, as shown in Fig. 6A. Densitometric analysis of fluorescence intensity was performed, and the summary of multiple trials is presented in Fig. 6B. Rapid fluorogenic conversion of CellROX in the presence of OLA in comparison with vehicle-treated cells is consistent with increased ROS production. The different sources of ROS from NOX/DUOX by GnRH (23) or mitochondrial stress may partly explain the disparity between GnRH- and OLA-induced activation of MAPK1/3 and immediate-early gene expression.
In humans, elevated BMI is associated with decreased gonadotropin output, and some studies have suggested that in obese men and women, the pituitary exhibits reduced sensitivity to GnRH challenge (5, 8, 44, 58). Many metabolic and endocrine factors can contribute to decreased sensitivity. Our in vitro studies previously indicate that although MAPK1/3 activation was reduced in the presence of mid to high physiological doses of OLA, immediate-early gene expression was activated. To determine the impact of elevated OLA exposure on gonadotropin secretion, we examined the secretory response of primary pituitary cultures of 8- to 10-week-old female mice to pulsatile GnRH stimulation alone or in the presence of OLA. Using cell perifusion culture (16), we exposed primary pituitary cultures to vehicle or 300 μM oleate while administering hourly 10-nM peak GnRH pulses. Perifusion culture media fractions were collected every 5 minutes over the course of the incubation and assayed for LH and FSH content. Resultant LH levels are charted in Fig. 7A, and a summary of fold change in peak LH relative to the baseline in each of four independent experiments is shown in the histogram in Fig. 7B. Over the course of a 4-hour perfusion, vehicle-treated cultures experienced a mild but nonsignificant decline in LH secretion. In comparison, perifusion cultures exposed to 300 μM OLA exhibited a reduced initial secretion of LH into the perifusate, and this continued to decline significantly throughout the time course, experiencing an ∼50% reduction in LH secretion by the fourth pulse. Interestingly, although LH secretion declined with OLA exposure, FSH secretion in those same cultures was maintained in the presence of OLA, although some decline in baseline level was evident (Fig. 7C and charted in Fig. 7D). However, the overall FSH excursion from baseline level was reduced significantly in the presence of OLA. It is of interest that, unlike peak LH secretion, which declined throughout the incubation, peak FSH secretion remained consistent. Taken together, these results suggest that some loss of GnRH sensitivity occurs, but that LH secretion is more dramatically affected and that chronic exposure to even moderate OLA levels reduces gonadotropin secretion.
Discussion
Observations of the age-independent relationship between body weight and menarche led to the development of the critical fat hypothesis, which has been further refined to state that an optimal level of body fat is required for initiation and maintenance of the ovulatory cycle. Movement below or above this level, ∼22%, alternately inhibits or permits normal cycling. Although this hypothesis generated considerable debate since its proposal, the elucidation of adipose and neuroendocrine mechanisms regulating the onset of puberty and modulating reproduction during adulthood coupled with improved measurement and understanding of various fat depots have led to the general acceptance of the hypothesis. Mechanisms thought to contribute to the regulation of the reproductive endocrine axis include leptin stimulation of the GnRH neurons of the hypothalamus and pituitary that would contribute to increased activity of the reproductive endocrine axis as adiposity and leptin levels increase or increased sex steroid synthesis in adipose or other alternative sites that prime the neuroendocrine reproductive axis. However, as adiposity increases beyond the optimum, suppression of the reproductive endocrine axis occurs, and fertility is reduced. Reduction of circulating gonadotropins is observed both in normal women and women with PCOS as adiposity increases (5, 9, 10), and suppression of gonadotropin secretion in response to GnRH challenge is observed in models of acute hyperinsulinemia or lipid infusion in both men and women (10, 59), suggesting that adipose-derived signals are not entirely necessary for the observed decline in neuroendocrine function. Our observations reported in this study suggest that the direct mobilization of FFAs into β-oxidative pathways in gonadotropes may contribute to the decline in GnRH sensitivity and reduced gonadotropin secretion through ROS production and activation of the UPR. Thus, the pituitary can serve as an independent sensor of metabolic status or energy balance and contribute to obesity-associated hypogonadism.
The regulation of reproduction is necessarily tied to energy sensing. The critical fat hypothesis is based on observations made under conditions of negative energy balance or low BMI. Some data suggest that FFA have a direct impact on gonadotropes in ruminant animals (43, 46). The role of FFA in energy sensing and suppression of the reproductive neuroendocrine axis is plausible under both conditions of negative and positive energy balance. Under negative balance, lipid stores are mobilized as fuel, and FFA may be an indicator of reduced caloric intake, conditions under which gestation is less desired. Under balanced conditions, lipid mobilization is reduced, and gonadotropes may be free to operate unrestrained. Under conditions of positive or extreme positive balance such as is present with high BMI or metabolic derangement, confounding signals of elevated FFA, hyperglycemia, and insulin resistance are present. The mutually antagonistic relationship between glucose and FFA for use as fuel and consequent inefficient β-oxidation of FFA may lead to elevated mitochondrial ROS production and activation of the UPR. Excess ROS can have the additional impact of gonadotrope desensitization due to the prominent role of transient ROS production in activation of the GnRH receptor signaling cascade via NOX/DUOX (23). Chronic activation or elevated negative feedback induced by oxidative stress may contribute to desensitization of GnRH signaling cascades, and reduced protein synthesis can be attributed to activation of the UPR. It is notable that, unlike Fshb mRNA, Lhb mRNA is acutely sensitive to translational inhibition by activation of the UPR (49, 60). Consistent with that observation, we report in this study that in primary pituitary, cultures in perifusion with OLA exhibit progressively reduced LH secretion in response to pulsatile GnRH stimulation, but FSH secretion is decreased but consistent. The mild increase of gonadotropin subunit transcription induced by OLA may not be sufficient to overcome the translational block imposed by UPR activation.
It is of interest that OLA did not similarly compromise FSH secretion in this perifusion model system. FSH secretion occurs through both regulated and unregulated pathways, whereas LH secretion occurs through a highly regulated pathway, and partitioning is tied to protein structural motifs (61, 62). An alternative explanation of the selective impact of OLA on LH secretion via reduced protein synthesis is that FFA or ROS alters components of the secretory pathway that are distinct between these mechanisms. It can be suggested that the role of FSH maintenance of follicular reserve, oocyte selection, and maturation is distinct from the role of LH in precipitating ovulation and is not dependent on energy balance to the extent of LH. However, there are key differences between rodents and humans in response to FFA. In mice, diet-induced obesity is associated with a decline in FSH in males and suppression of the proestrus LH and FSH surges in females, and there is an inflammatory response-like role of TLRs in mediating changes in gene expression (48). In humans, FSH does not appear to be subject to BMI-associated decline, although increased inflammatory markers are characteristic of elevated adiposity. Adipose-derived endocrine molecules such as leptin and adiponectin and inflammatory signals such as tumor necrosis factor-α and interleukin-6 may act individually or in concert to mediate the observed suppression of gonadotropin secretion, but to date, this has not been demonstrated, and their known impact on the reproductive neuroendocrine axis is not consistent with the observed inhibition. Our results presented in this study show that, independent of these factors, FFA alone can mediate the observed effect of progressively reduced LH secretion in response to repeated GnRH stimulation.
In summary, we demonstrate that the monounsaturated long-chain FA OLA can invoke the UPR in gonadotropes, increase ROS production, and suppress GnRH-induced secretion of gonadotropins. We hypothesize that this contributes to the decline in gonadotropins and decreased LH secretion in response to GnRH associated with increased adiposity. We also suggest that lipid sensing in gonadotropes independently monitors energy balance and can contribute to the overall control of fertility through modulation of reproductive hormone synthesis and secretion.
Appendix.
Peptide/Protein Target | Antigen Sequence (if Known) | Name of Antibody | Manufacturer, Catalog No., RRID | Species Raised in; Monoclonal or Polyclonal | Dilution Used |
---|---|---|---|---|---|
Phospho-MAPK1/3 | p-ERK (E-4) | Santa Cruz Biotechnology, sc-7383, RRID: AB_627545 | Mouse; monoclonal | 1:1000 | |
Total MAPK1/3 | ERK1 | Santa Cruz Biotechnology, sc-94, RRID: AB_2140110 | Rabbit; polyclonal | 1:1000 | |
Goat anti-mouse IgG-HRP | Goat anti-mouse IgG-HRP | Santa Cruz Biotechnology, sc-2005, RRID: AB_631736 | Goat; polyclonal | 1:2000 | |
Goat anti-rabbit IgG-HRP | Goat anti-rabbit IgG-HRP | Santa Cruz Biotechnology, sc-2004, RRID: AB_631746 | Goat; polyclonal | 1:2000 |
Abbreviation: HRP, horseradish peroxidase.
Acknowledgments
We thank Tae-Shin Kim and Terri Stoner for helpful discussions and comments.
Financial Support: This work was supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development Grants R01 HD037568, R01 HD082567, and P50 HD012303 (to M.A.L.). E.F.M. and D.T.J. were supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development Grant T32 HD007203. D.T.J. was supported by a fellowship from the National Academy of Sciences and the Ford Foundation. T.T. was supported by the Uehara Memorial Foundation Postdoctoral Fellowship.
Acknowledgments
Disclosure Summary: The authors have nothing to disclose.
Footnotes
- ALA
- α-linolenic acid
- ANOVA
- analysis of variance
- BMI
- body mass index
- DMEM
- Dulbecco’s modified Eagle medium
- DUOX
- dual oxidase
- ER
- endoplasmic reticulum
- ERK
- extracellular signal-regulated kinase
- FA
- fatty acid
- FBS
- fetal bovine serum
- FFA
- free fatty acids
- FSH
- follicle-stimulating hormone
- GnRH
- gonadotropin-releasing hormone
- IgG
- immunoglobulin G
- LA
- linoleic acid
- LH
- luteinizing hormone
- MAPK
- mitogen-activated protein kinase
- mOLA
- methyl oleate
- mRNA
- messenger RNA
- NAC
- N-acetyl-l-cysteine
- NOX
- nicotinamide adenine dinucleotide phosphate oxidase
- OLA
- ω-9 monounsaturated fatty acid oleate
- PCOS
- polycystic ovary syndrome
- qPCR
- quantitative polymerase chain reaction
- ROS
- reactive oxygen species
- RRID
- Research Resource Identifier
- RT-PCR
- reverse transcription polymerase chain reaction
- TLR
- Toll-like receptor
- UPR
- unfolded protein response.
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