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Biology of Reproduction 63, 968-976 (2000)
© 2000 Society for the Study of Reproduction, Inc.


Minireview

Hypothalamic Alterations and Reproductive Aging in Female Rats: Evidence of Altered Luteinizing Hormone-Releasing Hormone Neuronal Function1

Beverly S. Rubin2,a

a Department of Anatomy and Cellular Biology, Tufts Medical School, Boston, Massachusetts 02111


    ABSTRACT
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
Prior to the age-related loss of regular estrous cycles, female rats exhibit an attenuated preovulatory LH surge, a sign that reproductive decline is imminent. Numerous studies have revealed an important role for the hypothalamus in aging of the reproductive axis in this species. Because LHRH represents the primary hypothalamic signal that regulates gonadotropin release, assessments of LHRH neuronal activity can provide a window into hypothalamic function during reproductive aging. Studies of the dynamic activity of LHRH neurons during times of enhanced secretion have revealed deficits in middle-aged females. Available data are consistent with a decline in LHRH synthesis, transport, and secretion in middle-aged females during times of increased demand for LHRH output. Moreover, the alterations noted in LHRH neuronal function could account, in part, for the attenuation and eventual loss of the preovulatory LH surge with age. Elements extrinsic to LHRH neurons undoubtedly contribute to the decline in the parameters of LHRH neuronal function observed in middle-aged females. Whether alterations intrinsic to LHRH neurons also play a role in the age-associated reduction in LHRH synthesis and secretion remains to be determined. Recent examinations of hormone profiles during the perimenopausal period suggest that a potential hypothalamic contribution to aging of the reproductive axis in women warrants further examination.

aging, GnRH, hypothalamus, LH, ovulation


    REGULAR ESTROUS CYCLES CEASE RELATIVELY EARLY IN THE LIFE SPAN OF FEMALE RATS
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
Age-associated deficits are detected in the hypothalamic-pituitary-ovarian axis of many female mammals prior to the time that the effects of aging are evident in other systems. The age-related reproductive decline has been particularly well characterized in female rodents [13], including rats that will be the focus of this minireview. Female rats cease exhibiting regular estrous cycles at approximately 9–12 mo of age, with the loss of estrous cyclicity occurring earlier in nulliparous relative to multiparous and primiparous females [4]. As female rats age, regular 4- to 5-day estrous cycles gradually transition to irregular estrous cycles that typically include elongated cycles interspersed with normal cycles [2, 5]. The elongated cycles are most often characterized by extended periods of vaginal cornification, suggesting periods of sustained estrogen secretion and delayed ovulation. Eventually, animals enter into a chronic anovulatory state that in many rat strains is characterized by persistent vaginal cornification, often referred to as persistent estrus. The ovaries of persistent estrous animals contain follicles in various stages of development and no corpora lutea because spontaneous ovulation has ceased [4, 5].

Prior to the age-related loss of regular estrous cycles, middle-aged (this term is generally used to refer to animals between 8 and 14 mo of age) female rats exhibit an attenuation and, in many cases, a delay of the preovulatory LH surge [68]. Following ovariectomy, the hypersecretion of LH and the steroid-induced LH surge are also diminished in middle-aged relative to young females [9], further documenting an age-associated decrease in circulating LH titers at times of enhanced LH secretion. Alterations in circulating ovarian steroid levels have also been observed in regularly cycling middle-aged female rats [6]; most significant may be the age-related elevation in estradiol levels. This exposure to increased levels of estradiol over successive estrous cycles may gradually decrease neuroendocrine responsiveness to the positive feedback effects of estradiol on LH secretion [1, 4, 5]. As middle-aged females enter into prolonged periods of vaginal cornification and eventually cease exhibiting spontaneous ovulation, circulating progesterone levels remain low. The resulting increase in the estradiol:progesterone ratio may further contribute to deterioration of hypothalamic-pituitary-ovarian axis function [1, 10].


    THE HYPOTHALAMUS IS AN IMPORTANT SITE OF DEFICIT FOR REPRODUCTIVE AGING
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
Age-related alterations at all levels of the reproductive axis have been documented and undoubtedly contribute to the cascade of events that lead to reproductive decline in female rats. Much debate has centered on the relative contributions of age-associated changes at the ovary and at the hypothalamic-pituitary levels to the loss of fertility. Due to the intimate inter-relationships and interactions that exist between the various levels of the reproductive axis, these distinctions are not easily delineated. Alterations in ovarian activity can influence hypothalamic function, hypothalamic-pituitary changes can impact the ovary, and hypothalamic alterations can influence pituitary function.

Data from studies in women [11], rats [10, 12, 13], and mice [14] reveal a decline in follicle number in the ovary with age and suggest that this decline plays a role in reproductive aging. Clearly oocytes show evidence of aging [15]. Follicular development, follicular dynamics, and hormonal profiles also change with age in the rat ovary [16, 17], and these changes may influence or accelerate aging of the reproductive axis.

Age-related changes in pituitary function have also been demonstrated [1823]. In vitro studies have revealed a diminished response of perifused pituitaries [18] or dispersed pituitary cells [19] from middle-aged female rats to GnRH stimulation, and an age-related alteration in the protein synthesis-dependent phase of LH secretion in female mouse pituitaries [23]. An attenuation of pituitary gonadotropin subunit gene expression in middle-aged relative to young female rats has also been documented in conjunction with the LH surge and following ovariectomy [20, 21].

Whereas ovarian and pituitary alterations undoubtedly contribute to aging of the reproductive axis, data from numerous experimental paradigms suggest the primary importance of the hypothalamus to the age-related reproductive decline in female rats. Although studies in women demonstrate that menopause is associated with the exhaustion of primordial follicles in the ovary [24], studies in rats reveal that follicular exhaustion is not apparent at the time that regular estrous cycles are lost [12, 13]. Early transplant studies demonstrated that ovaries of aging acyclic rats could support estrous cyclicity when transplanted into young females [25, 26]. In contrast, aging acyclic females remained acyclic after receiving young ovary transplants, suggesting the importance of hypothalamic-pituitary deficits to the age-related disruption of estrous cycles. Data from subsequent transplant studies in mice [27] further characterized the role of the ovary and documented neuroendocrine contributions to aging of the hypothalamic-pituitary-ovarian axis. The temporary restoration of function to the reproductive axis of aging acyclic female rats by electrical stimulation of the hypothalamus or administration of centrally acting drugs provided compelling evidence of the importance of the hypothalamus to reproductive aging in this species [4, 28, 29].


    LHRH IS THE PREDOMINANT HYPOTHALAMIC SIGNAL THAT MODULATES GONADOTROPIN SECRETION
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
Luteinizing hormone-releasing hormone, also known as GnRH, is the predominant hypothalamic signal responsible for the modulation of synthesis and secretion of pituitary gonadotropins and is essential for steroidogenesis and follicular development in the ovary. The parameters of LHRH secretion at any given time reflect the balance of a complex array of excitatory and inhibitory influences originating in the hypothalamus and other regions of the brain and brainstem that influence activity within the population of LHRH neurons [30, 31]. Feedback loops involving the ovaries [32, 33], the pituitary [34], and LHRH itself [3537] are all involved in the complex regulation of these neurons. Of particular relevance to aging females is the exquisite orchestration of the myriad of signals required for induction of the LHRH/LH surge required for ovulation [38].

As discussed, deficits at the hypothalamic level are important to reproductive aging in female rats. Because LHRH represents the primary hypothalamic signal regulating pituitary gonadotropin secretion, assessments of LHRH neuronal activity in middle-aged females can provide a valuable window into hypothalamic function at the time of reproductive decline. The results of studies of LHRH activity in middle-aged females during times of enhanced LHRH secretion are reviewed below.


    THE POPULATION OF NEUROENDOCRINE LHRH NEURONS AND CONSIDERATIONS FOR AGING STUDIES
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
The diffuse organization of LHRH cell bodies across several brain nuclei including the preoptic area, septal nuclei and hypothalamus [39, 40] complicates the study of LHRH neuronal function in aging females. The dispersed localization of the estimated 1200–1600 neuroendocrine LHRH neurons may help to ensure reproductive success by maximizing the information these neurons receive from the internal and external environment. However, this diffuse organization impedes the use of many protocols suitable for examination of discretely localized peptidergic neurons. In addition to modulation at the level of LHRH cell bodies, influences exerted at LHRH terminals in the median eminence, the site of LHRH release, are also important for the regulation of LHRH secretion [41].

Adding to the complexity of the examination of LHRH neuronal activity in aging females is the functional heterogeneity of the population of LHRH neurons [42, 43]. Specific subgroups of LHRH neurons may be particularly important for triggering the preovulatory LH surge, whereas others may not be essential for or may not be involved in LH surge induction. Examples of the heterogeneity of the population of LHRH neurons are revealed by the demonstration that subsets of the population of LHRH neurons and not the entire population 1) receive direct projections from the suprachiasmatic nucleus (SCN) [44, 45] 2) colocalize immediate early genes in their nuclei in conjunction with an LH surge [4648]; 3) colocalize the peptide galanin [4951]; and 4) express detectable levels of N-methyl-D-aspartate (NMDA) R1 receptors [52]. Failure to consider the functional heterogeneity of the population of LHRH neurons may mask age-related changes within specific subgroups important for LH surge induction [53, 54], and these subgroups may be most affected in middle-aged females. Moreover, recent evidence suggests that small changes within the population of LHRH neurons or subgroups of the population may be sufficient to power the LH surge [55].


    ASSESSMENTS OF LHRH NEURONAL FUNCTION
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
There are several factors of potential significance when considering a role for altered LHRH neuronal function in the loss of estrous cyclicity with age. First, LHRH release is pulsatile and the precise parameters of pulsatile LHRH release modulate synthesis and secretion of pituitary gonadotropins. In general, slowing of pulsatile LHRH release favors FSH and increased LHRH pulse generation favors LH synthesis and secretion [56, 57]. Pulsatile LHRH release directly influences the sensitivity of the pituitary to LHRH by modulating the density of pituitary LHRH receptors [58, 59]. Despite the importance of the precise parameters of pulsatile LHRH release to reproductive fertility, the nature of the LHRH pulse generator is not yet understood. Recordings of hypothalamic multiunit activity in monkeys suggest the existence of a hypothalamic signal generator that directs pulsatile release of LHRH [60, 61]. In addition, there is mounting evidence that LHRH pulse generation may be intrinsic to LHRH neurons. Immortalized LHRH neurons release LHRH in a pulsatile manner [62, 63] as do cultured fetal rat hypothalamic cells [64] and enzymatically dispersed rat hypothalamic explants [65]. Moreover, LHRH neurons present in olfactory placode explants from embryonic rhesus monkeys exhibit pulsatile LHRH release [66] with a pulse frequency similar to that measured in adult monkeys in vivo [31]. These data have led to the hypothesis that LHRH neurons may possess an endogenous pulse-generating mechanism that is in turn modulated by neuronal and non-neuronal inputs [31, 67].

Also potentially relevant to the study of aging females is evidence suggesting that LHRH neurons possess the potential for high biosynthetic capacity [55] that may be obligatory for generation of the preovulatory LH surge. Data from hypothalamic explant studies [68] have demonstrated that LHRH neurons exhibit a high level of LHRH mRNA turnover. Other studies in rodents reveal that LHRH neurons express a high copy number of LHRH mRNA [55]. A high percentage of LHRH RNA exists as primary transcripts in the nucleus [69, 70], suggesting a high level of transcriptional activity in these neurons. Furthermore LHRH neurons can reportedly maintain a high rate of peptide synthesis [55]. The normally high levels of gene transcription in LHRH neurons may be further increased in conjunction with the preovulatory [71] and steroid-induced LH surges [72] when synthesis and secretion of LHRH are greatly enhanced. As discussed previously, immediate early gene expression [4648] and galanin gene expression [4951] are also induced within a subset of the population of LHRH neurons in conjunction with the LH surge.

Alterations in several parameters of LHRH neuronal function have been documented in middle-aged relative to young females in conjunction with the spontaneous LH surge on proestrus and the steroid-induced LH surge [7379]. Both are times of heightened LHRH neuronal activity. In contrast, examination of the population of LHRH neurons during more static times with regard to LHRH activity failed to reveal significant age-related differences [80], indicating that age-associated differences in LHRH neuronal function are most pronounced during times of increased demand on the population LHRH neurons.

LHRH Output in Middle-Aged Females

Assessments of in vivo LHRH output in young and middle-aged females in conjunction with a steroid-induced LH surge [75] using push-pull perfusion protocols [81] revealed an age-related decrease in LHRH secretion. The number of LHRH pulses detected in effluents from middle-aged females during the perfusion period was decreased relative to young females, indicative of an age-associated decrease in LHRH pulse generation. The decrease in mean LHRH output and in LHRH pulse frequency suggests that the attenuated LH surge observed in middle-aged females may reflect diminished LHRH release (see Fig. 1).



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FIG. 1. Measurements of in vivo LHRH output in the medial basal hypothalamus and serum LH levels on the day of a steroid-induced LH surge in ovariectomized young and middle-aged females. At the time of ovariectomy, the young females were 3–4 mo old and the middle-aged females were 10–12 mo old. As depicted, the overall mean levels of LHRH output were significantly lower in middle-aged relative to young females, and the mean number of LHRH pulses detected during the period of perfusion was also diminished in middle-aged females. It is likely that the decline in LHRH release contributed to the attenuated peak levels of serum LH that were measured in conjunction with the LH surge in middle-aged relative to young females. Adapted from Rubin and Bridges [75]; *P < 0.05; ***P < 0.001

Indirect evidence of an age-related decline in pulsatile LHRH release has also been observed in ovariectomized females [82]. Serum LH measurements in middle-aged and young ovariectomized females provided evidence of changing pulse generator function with age. The changes were most pronounced in middle-aged females that were not cycling regularly prior to ovariectomy; however, middle-aged females that were regularly cycling prior to ovariectomy also exhibited longer intervals between LH pulses and a decrease in LH pulse amplitude relative to young females. These data indicate that altered LHRH pulse generation preceded the loss of estrous cyclicity. The altered pattern of pulsatile LH release in middle-aged females was presumed to reflect changes in LHRH pulse generator activity that was postulated to play a role in the age-related transition to acyclicity.

Pituitary Data Provide Indirect Evidence of Altered LHRH Secretion with Age

Other indirect evidence consistent with diminished LHRH output in middle-aged females may be gleaned from studies of gonadotropin subunit and LHRH receptor gene expression in the pituitary that are known to be regulated by pulsatile LHRH release [5659]. The decline in pituitary LHRH receptor mRNA levels in middle-aged females on the day of a steroid-induced LH surge [83] and in maximal LHRH binding capacity on the morning of proestrus [84] are consistent with an age-related decline in pulsatile LHRH release. Decreased LHRH receptor density would diminish pituitary sensitivity to LHRH that could, in turn, contribute to the attenuation of the LH surge. Several studies have revealed decreased pituitary responsiveness to LHRH administration in middle-aged females [18, 20, 82, 85]. Decreased gonadotropin subunit gene expression has also been noted in the pituitaries of middle-aged females in conjunction with the preovulatory [20] and steroid-induced LH surge [83] and during the rise in circulating LH levels following ovariectomy [21].

Although levels of LHRH receptor and gonadotropin subunit gene expression in the pituitary are consistent with altered patterns of LHRH secretion, the potential contribution of intrinsic deficits at the pituitary level must be acknowledged. As discussed, pituitary deficits have been reported with age in rodents [18, 19, 23], and the relative contributions of intrinsic pituitary deficits and altered parameters of LHRH output in these studies are not easily resolved.

Patterns of LHRH Immunoreactivity Differ in Young and Middle-Aged Females on Proestrus

Immunocytochemical studies have demonstrated dynamic changes in the detectability of LHRH cell bodies prior to and after the preovulatory LH surge on proestrus in young but not middle-aged females [76]. The dynamic changes and the age-related deficits were most pronounced in specific regions of the population of LHRH neurons. Computer-assisted image analysis of the levels of LHRH immunoreactivity in terminal regions in the median eminence also revealed age-related differences [86]. A pattern of immunoreactivity consistent with accumulation of LHRH in the median eminence prior to the start of the LH surge and depletion of LHRH after the peak of the LH surge was observed in young females but was not apparent in middle-aged females. Measurements of LHRH levels in median eminence extracts have also demonstrated the failure of middle-aged females to accumulate LHRH in the median eminence prior to the LH surge on proestrus [7].

The dynamic changes in LHRH immunoreactivity observed in young females are consistent with 1) the transport of LHRH from cell bodies to terminals and the accumulation of LHRH in the median eminence prior to the start of the LH surge, 2) the depletion of LHRH stores in the median eminence during the LH surge, and 3) new synthesis of LHRH after the peak of the LH surge. Therefore, the available data suggest increased LHRH neuronal activity in young but not middle-aged females in conjunction with the preovulatory LH surge.

LHRH/Fos Colocalization Suggests an Age-Related Decline in Activated LHRH Neurons

Fos expression has been noted within LHRH neurons in conjunction with the spontaneous or steroid-induced LH surge [46, 48]. Although the role of Fos within LHRH neurons is not known, the presence of Fos protein in the nucleus of LHRH neurons is presumed to provide one index of LHRH neuronal activation. Comparisons of Fos induction in LHRH neurons of young and middle-aged regularly cycling females on the day of proestrus (see Fig. 2) revealed a diminished level of colocalization within middle-aged relative to young females [73, 77, 78]. The age-related differences were pronounced in specific regions of the population [78]. Studies of ovariectomized, steroid-primed females confirmed that the age-related deficit was not due to potential differences in circulating steroid levels [77]. The decline in LHRH/Fos colocalization indicates that a decreased percentage of LHRH neurons are activated in middle-aged relative to young females in conjunction with an LH surge. This decline in the number of activated LHRH neurons could contribute to the attenuation and eventual loss of the preovulatory LH surge in aging female rats. Reduced colocalization of another immediate early gene, cJun, within LHRH neurons in middle-aged females on proestrus [73], provides an additional marker of age-related change within the population of LHRH neurons.



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FIG. 2. A coronal view of three-dimensional reconstructions of the population of LHRH neurons in the brains of young (3–4 mo old [A]) and middle-aged (9–11 mo old [B]) female rats during the early ascending phase of the LH surge on proestrus. Each reconstruction represents a compilation of data from every fourth 50-µm section through the brain of four different animals. Black triangles represent the location of the single-labeled LHRH neurons, and the white triangles represent LHRH neurons that contain Fos protein in the nucleus. As depicted, a lower percentage of LHRH neurons exhibit Fos induction in middle-aged relative to young females, indicating decreased activation of the population of LHRH neurons at this time. Overall cell counts revealed that approximately 10% of all LHRH neurons in the brains of middle-aged and approximately 28% of all LHRH neurons in the brains of young females exhibited Fos induction at this time point. The majority of double-labeled LHRH neurons were located in the center of the population, which is well represented in this single coronal view of the reconstruction. A lower percentage of LHRH neurons in rostral, caudal, or lateral aspects of the population colocalized Fos protein. Adapted from Rubin et al. [78]

LHRH Gene Expression Is Diminished in Middle-Aged Females

As discussed previously, dynamic changes in LHRH mRNA levels have been noted within the population of LHRH neurons in conjunction with the preovulatory LH surge on proestrus [53, 71, 87, 88] and with the steroid-induced LH surge [54, 72] and may reflect changes in LHRH gene transcription [53, 72]. Assessments of LHRH mRNA levels by in situ hybridization revealed age-related differences on the day of a steroid-induced LH surge [79]. Dynamic changes in the number of LHRH mRNA-positive cells were observed over time in the preoptic area of young but not middle-aged females. Moreover, the number of LHRH mRNA positive neurons was significantly lower in middle-aged relative to young females at the start of the LH surge. Detailed analysis of LHRH mRNA-positive cells in sections through the rostral preoptic area revealed an age-related decrease in LHRH mRNA levels per cell and per region. Decreased LHRH mRNA levels could limit the level of new LHRH biosynthesis that might be important for generation of the LH surge. Decreased LHRH mRNA levels have also been observed in aging male rats [89, 90].

Deficits Extrinsic to LHRH Neurons Contribute to Altered LHRH Neuronal Function

The data reviewed provide evidence of compromised LHRH neuronal function in middle-aged relative to young females during times of increased LHRH output. The suboptimal levels of LHRH activity reported may be expected to contribute to attenuation and eventual loss of the preovulatory LH surge. The cause of the progressive age-related decline in LHRH neuronal function remains inadequately defined. As mentioned, the regulation of LHRH neuronal function is complex and many putative modulators of LHRH synthesis and secretion have been identified [30, 31]. It is clear that the induction of the LH surge requires increased excitatory signals, restraint of inhibitory signals, and appropriate input from the SCN [38].

Alterations in putative excitatory influences on LHRH secretion have been documented in middle-aged animals and could contribute to alterations in LHRH synthesis and secretion with age. For example, the lower levels of norepinephrine turnover [91], neuropeptide Y gene expression and secretion [92], or nitric oxide synthase gene expression [93] observed in middle-aged relative to young females may contribute to the age-related decrease in LHRH neuronal function in conjunction with LH surge induction. A diminished responsiveness to signals excitatory to LHRH release has also been reported in middle-aged females. Following stimulation with various excitatory amino acid agonists, significantly less LHRH was released from hypothalamic fragments of regularly cycling middle-aged relative to young proestrous females [94]. The release data coupled with measurements of an age-related decline in NMDA R1 receptor levels suggest that decreased responsiveness to excitatory amino acids may contribute to the decline in LHRH neuronal function with age. On a more general level, positive feedback effects of estrogen on LHRH/LH release may be impaired due to age-related alterations in estrogen receptor dynamics [95, 96].

Other potentially significant age-related alterations extrinsic to LHRH neurons include changes in the function of the SCN, which is important for the LH surge in rodents [97, 98]. The SCN may indirectly influence LHRH neurons via projections to interneurons that in turn project to LHRH neurons and by regulating rhythms of hypothalamic neurotransmitters and neuropeptides important for LH surge induction [99]. Age-related changes in neurotransmitter and neuropeptide rhythms have been documented in the SCN [100], and an age-related decrease in Fos induction in response to light has also been observed [101]. It is likely that these age-related changes may affect the integrity of SCN function and therefore potentially interfere with events important for the induction of the LH surge. Particularly intriguing are the direct projections from the SCN that reportedly contact LHRH neurons [44, 45]. More specifically, vasoactive intestinal peptide (VIP)-synthesizing neurons in the SCN project to a subset of LHRH neurons that may be important for triggering the LH surge [102]. Data from a study that interfered with the synthesis of VIP in the SCN [103] are consistent with a role for VIP in LH surge induction. Therefore the age-related alteration in rhythmic expression of VIP mRNA observed in the SCN of female rats [104] could be expected to impact negatively the LHRH/LH surge.

Do Alterations Intrinsic to LHRH Neurons Play a Role in Reproductive Decline?

Whereas alterations extrinsic to LHRH neurons may be sufficient to explain the age-related changes in LHRH neuronal function, the possibility that age-related alterations intrinsic to LHRH neurons contribute to the decline in LHRH/LH release has been relatively unexplored. Because LHRH pulsatility may be intrinsic to LHRH neurons [31, 67], it is conceivable that pulsatile LHRH release may slow with aging. As mentioned, there is some evidence of slowing of LHRH pulse generation with age in rats [75, 82].

Another consideration with regard to the involvement of alterations intrinsic to LHRH neurons in reproductive aging is their potential for high biosynthetic capacity that may be mandatory for generation of the preovulatory LH surge [55]. As mentioned previously, LHRH neurons exhibit a high copy number of LHRH mRNA [55], rapid turnover of LHRH mRNA [68], high levels of LHRH primary transcript [69, 70], and are capable of maintaining a high rate of peptide synthesis [55]. Moreoever, there is evidence of increased gene expression within LHRH neurons in conjunction with the LH surge [46, 4851, 53, 71, 72, 79, 87, 88]. High levels of cellular activity are associated with increased energy requirements. Is it possible that aging LHRH neurons can no longer maintain adequate energy reserves to accommodate the increased activity associated with induction of the preovulatory LH surge? Metabolic challenges such as caloric restriction and restriction of glucose availability are known to disrupt estrous cyclicity and supress pulsatile LH release in many species [105109], and the ability of LHRH or LHRH secretagogues to restore circulating LH levels indicates neuroendocrine involvement in the LH suppression [105, 108110]. The inhibition of cellular glucose oxidation by intracranial administration of 2-deoxy-D-glucose (2DG) attenuated the steroid-induced LH surge in young ovariectomized female rats [111]. Moreover, the treatment significantly decreased the number of LHRH neurons that expressed Fos protein, suggesting that the inhibition of cellular glucose oxidation was correlated with alterations in the activation of LHRH neurons. Although the effects of 2DG administration in the study were clearly not restricted to LHRH neurons [111], it is interesting to note that the response of young females to the inhibition of glucose utilization resembles the attenuation of the LH surge and the diminished LHRH/Fos colocalization observed in middle-aged female rats [73, 77, 78].

To date there is no evidence of significant loss of LHRH neurons at the time that estrous cyclicity is disrupted. However, the number of detectable LHRH neurons is reportedly decreased by old age in rats and mice [112, 113]. Is it possible that the loss of specific LHRH neurons critical for triggering the LH surge contributes to the attenuation and eventual loss of the preovulatory LH surge with age?


    DO HYPOTHALAMIC ALTERATIONS CONTRIBUTE TO MENOPAUSE?
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 
The regulation of estrous cycles and menstrual cycles differ in many ways, and different mechanisms are undoubtedly involved in the aging of the reproductive axis in women relative to the rat model. Whereas the hypothalamus is considered an important site of deficit for the age-associated reproductive decline in rats, the ovary has long been considered the primary site of the deficit leading to menopause. Clearly the depletion of the functional ovarian follicular reserve is the immediate cause of the hypoestrogenicity associated with menopause [114]. However, the pattern of follicle loss with age in women is provocative. There is evidence of an accelerated rate of follicular depletion beginning at approximately age 37 [11, 115], more than a decade before the average age of menopause.

Recent studies have revealed an altered gonadotropin profile in premenopausal women prior to detectable disturbances in menstrual cyclicity. Most universally observed are elevated FSH levels [114]. Some studies have provided evidence of altered parameters of LH release consistent with a slowing of LHRH pulse generation in premenopausal women [116] and a further slowing of LHRH pulse generation with advancing age [117]. In contrast to the hypoestrogenicity of menopause, the perimenopausal period is associated with intermittent elevated levels of estradiol and decreased levels of progesterone [114, 118], due primarily to an increased number of developing follicles in the ovaries and a decline in ovulatory cycles [114]. The currently emerging hormonal profile of the perimenopausal period resembles that described in female rats prior to the loss of estrous cyclicity including the increased estradiol:progesterone ratio characteristic of aging female rodents [1, 10] and the decrease in LHRH/LH pulse frequency [75, 82]. Although not previously discussed, increased FSH levels have also been reported in middle-aged cycling rats [119]. Therefore, although the cessation of menstrual cycles is associated with hypoestrogenicity and the cessation of estrous cycles in many rat strains is marked by constant moderate levels of circulating estradiol, the period preceding the cessation of regular estrous and/or menstrual cycles may have more similarities than previously thought.

Considerable interest has focused on the elevated FSH levels that have been hypothesized to hasten the depletion of the follicular reserve. Speculation about the increase in FSH levels in the presence of elevated estradiol levels has centered on a decline in inhibin B production by the ovary [114, 118, 120, 121]. Interestingly, increased FSH levels in rats were also associated with a decrease in inhibin levels [119]. It should be noted that the decrease in LHRH pulse generation inferred from LH measurements in premenopausal women [116] could potentially influence the ratio of circulating gonadotropin levels. As mentioned, studies in rats have revealed that slower LHRH pulse frequency favors FSH release over LH release, and there is evidence that a similar relationship may exist in humans and primates [56]. Therefore it seems plausible that altered parameters of LHRH pulse generation might contribute to increased FSH levels and to the increase in anovulatory menstrual cycles. Alternatively, increased estradiol levels during the perimenopausal period could alter hypothalamic sensitivity to the positive feedback effects of estradiol as described in rodent models [1, 4, 5]. This change could alter LHRH pulse generator activity and contribute to an increase in the number of anovulatory cycles. The possibility that hypothalamic alterations play a role in the events that lead to menopause has received some attention in recent studies of the perimenopausal period [114, 116, 118]. It is a topic that warrants further consideration if we are to understand more fully the complex interactions involved in the regulation of the reproductive axis and the age-related reproductive decline.


    FOOTNOTES
 
First decision: 14 February 2000.

1 Studies in the author's laboratory were supported by NIH grants AG 14974 and HD 19174. Back

2 Correspondence: Beverly S. Rubin, Department of Anatomy and Cellular Biology, Tufts Medical School, 136 Harrison Avenue, Boston, MA 02111. FAX: 617 636 6536; brubin{at}opal.tufts.edu Back

Accepted: April 4, 2000.

Received: January 13, 2000.


    REFERENCES
 TOP
 ABSTRACT
 REGULAR ESTROUS CYCLES CEASE...
 THE HYPOTHALAMUS IS AN...
 LHRH IS THE PREDOMINANT...
 THE POPULATION OF NEUROENDOCRINE...
 ASSESSMENTS OF LHRH NEURONAL...
 DO HYPOTHALAMIC ALTERATIONS...
 REFERENCES
 

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PNAS, June 20, 2001; (2001) 141215898.
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Proc. Natl. Acad. Sci. USAHome page
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Different modes of hippocampal plasticity in response to estrogen in young and aged female rats
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