Kisspeptin-neuron control of LH pulsatility and ovulation
Open accessAbstract
Feedback from oestradiol (E2) plays a critical role in the regulation of major events in the physiological menstrual cycle including the release of gonadotrophins to stimulate follicular growth, and the mid-cycle luteinising hormone (LH) surge that leads to ovulation. E2 predominantly exerts its action via oestrogen receptor-alpha (ERα), however, as gonadotrophin releasing hormone (GnRH) neurons lack ERα, E2-feedback is posited to be indirectly mediated via upstream neurons. Kisspeptin (KP) is a neuropeptide expressed in hypothalamic KP-neurons that control GnRH secretion and plays a key role in the central mechanism regulating the hypothalamic-pituitary-gonadal (HPG) axis. In the rodent arcuate (ARC) nucleus, KP is co-expressed with Neurokinin B and Dynorphin; and thus, these neurons are termed ‘Kisspeptin-Neurokinin B-Dynorphin’ (KNDy) neurons. ARC KP-neurons function as the ‘GnRH pulse generator’ to regulate GnRH pulsatility, as well as mediating negative feedback from E2. A second KP neuronal population is present in the rostral periventricular area of the third ventricle (RP3V), which includes anteroventral periventricular (AVPV) nucleus and preoptic area neurons. These RP3V KP-neurons mediate positive feedback to induce the mid-cycle luteinising hormone (LH) surge and subsequent ovulation. Here, we describe the role of KP-neurons in these two regions in mediating this differential feedback from oestrogens. We conclude by considering reproductive diseases for which exploitation of these mechanisms could yield future therapies.
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Male rodents have lower kisspeptin neurons in the rostral periventricular area of the third ventricle, possibly explaining male inability to mount the estrogen-induced LH surge.
“Male rodents have lower kisspeptin neurons in the rostral periventricular area of the third ventricle, possibly explaining male inability to mount the estrogen-induced LH surge [99].”
From Fibromyalgia pathogenesis explained by a neuroendocrine multistable model (2024) · cites this paper as [99]
The section “Kisspeptin neurons in RP3V induce an LH surge to trigger ovulation” (page unavailable) says RP3V kisspeptin neurons mediate the estrogen-induced LH surge in rodents. It does not say that male rodents have fewer RP3V kisspeptin neurons or that this explains an inability to mount the surge; searches for male–female differences and male LH surges found no such passage. (LLM, conf=0.83)
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- Authors
- Stevenson, H., Bartram, S., Charalambides, M. M., Murthy, S., Petitt, T., Pradeep, A., Vineall, O., Abaraonye, I., Lancaster, A., Koysombat, K., Patel, B., & Abbara, A.
- Affiliations
- Imperial College London (GB)
- Corresponding author
- Abbara, Ali
- Venue
- Frontiers in Endocrinology
- Publisher
- Frontiers Media SA
- Published
- 2022-11-21
- Volume
- 13
- Pages
- 951938-951938
- ISSN
- 1664-2392 (ISSN-L)
- PMC
- PMC9721495
- OpenAlex
- W4309544083
- Cited by
- 48
- References
- 81
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 19 · 2023: 7
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Endocrinology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Spiral (Imperial College London) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research (CS-2018, ACF‐2021‐21‐001, CS-2018-18-ST2-002)
- Medical Research Council (CS-2018-18-ST2-002, MR/W024144/1)
- NIHR Imperial Biomedical Research Centre
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- kisspeptin, ovulation, estrogen receptor alpha, GnRH neurons, hypothalamic-pituitary-gonadal axis, anteroventral periventricular nucleus, preoptic area, luteinizing hormone surge, reproductive disorders
- MeSH terms
- Dynorphins, Luteinizing Hormone, Gonadotropin-Releasing Hormone, Neurons, Neurokinin B, Kisspeptins
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