Beruflich Dokumente
Kultur Dokumente
M. SUSAN SMITH2’3
Department of Physiology,
University of Massachusetts Medical Center,
Worcester, Massachusetts 01605
ABSTRACT
The elevated levels of prolactin associated with lactation contribute significantly to the suppres-
sion of the postcastration increase in gonadotropin secretion during lactation. This study deter-
mines the effects of prolactin on pituitary responsiveness to LHRH in the rat. Blood samples were
collected before administration of LHRH (100 or 500 ng) and at 15, 30, 45, and 60 mm after
treatment with LHRFI. Administration of exogenous prolactin on Days 10 and 11 postpartum to
females nursing two pups had no effect on basal LH or FSH secretion Day 11 or on the LH or FSH
responses after LHRH administration. Whereas ovariectomy on Day 10 resulted in a significant
increase in LH secretion on Day 1 1, administration of exogenous prolactin to ovariectomized lacta-
ting females significantly decreased the postcastration rise in LH without having an effect on the
LH response to LHRH. The effect of endogenous prolactin secretion was studied on Day 10 post-
partum in females nursing eight pups by inhibiting suckling-induced prolactin with CB-154 for 24 h
before LHRH administration. The LH response after LHRH was similar in the presence or absence
of elevated levels of prolactin. However, if the pups were removed for 24 h before administration
of LHRH, both basal LH secretion and the response after LHRH increased to levels observed
during diestrus of the estrous cycle.
The effect of endogenous prolactin secretion on the postcastration rise in LH and FSH was
studied on Day 8 or 17 postpartum (5 days after ovariectomy) in females nursing eight pups. The
results showed that whereas suckling plus endogenous prolactin secretion almost completely
blocked any postcastration rise in LH or FSH, suppression of prolactin in the presence of suckling
led to a very large increase in LH and FSH. In spite of large differences in the basal rate of LH and
FSH secretion, LHRH-induced LH secretion was similar in the presence or absence of prolactin.
These results indicate that in intact lactating females, prolactin has no effect acutely to suppress
the basal rate of gonadotropin secretion or LHRH-induced gonadotropin secretion. In ovariecto-
mized lactating females, the elevated levels of prolactin associated with lactation suppress gonado-
tropin secretion but do not appear to be acting at the level of the pituitary to decrease responsive-
ness to LHRH, and therefore must be acting at the level of the hypothalamus.
967
968 SMITH
has been demonstrated in the hyperprolactine- tin secretion as described previously (Smith, 1978a).
mic animals (Muralidhar et a!., 1977; Winters Females were treated daily at 0900 h with 0.5 mg
CB-154 s.c., a regimen that completely inhibited
and Loriaux, 1978). These results suggest that
milk secretion in lactating females. To maintain nor-
the elevated levels of prolactin during lactation mal pup growth and a vigorous suckling stimulus,
may be acting at the level of the pituitary to litters were exchanged between control and CB-154-
suppress gonadotropin secretion. Generally, the treated females every 12 h.
lactating rat responds to exogenous LHRH in a LH, FSH, and prolactin concentrations in the
serum were determined using the NIAMDD RIA kits.
manner similar to that of diestrous animals
The limit of detection of the LH assay was 10 ng/ml
(Lu et a!., 1976a; Steger and Peluso, 1978; in terms of the NIAMDD-rat LH-RP-1 standard. The
Smith, 1 978b). However, pituitaries of lactating limit of detection of the FSH assay was 50 ng/mI
rats have a greatly decreased ability to sustain (NIAMD-rat FSH-RP-1) and of the prolactin assay was
3.5 ng/ml (NIAMDD-rat prolactin-RP-1). Statistical
LH release as evidenced by the decreased dura-
analyses of differences between means were deter-
tion of the response to LHRH(Lu eta!., 1976a; mined by analysis of variance or Student’s t test.
Smith, 1978b). Signifiance was assessed at the 0.05 level.
These studies were designed to determine
the site of action of PRL in the suppression of
RESULTS
gonadotropin secretion during lactation by
examining the effects of prolactin on pituitary
Effect of CB-154 on
responsiveness to LHRH. The effects of prolac-
LH Release During the Estrous Cycle
tin on the magnitude and duration of the
response to LHRH were studied in cycling fe- To determine whether the regimen of CB-
males and in intact or ovariectomized females 154 treatment, itself, had an effect on LH
nursing two or eight pups. secretion, animals were treated with 0.5 mg CB-
154 s.c. during estrus and diestrus-1. The ef-
MATERIALS AND METHODS fects of exogenous prolactin on LH secretion
were also determined in animals treated with
Female rats (CD strain, Charles River Labs., Wil-
0.75 mg ovine prolactin twice daily during
mington, MA) were housed under a 12 h diurnal light
cycle (lights on 0600 h). Vaginal smears were ob- estrus and diestrus-1. Pituitary responsiveness
tained 6 days per week, and only those animals show- to 500 ng LHRH was assessed during diestrus-2.
ing two consecutive 4 day estrous cycles were used in The results in Fig. 1 show that CB-154 had no
experiments requiring cycling animals. Pregnant fe-
effect on either basal LH secretion, as deter-
males were placed in maternity cages 2 days before
expected parturition. The day after parturition was mined by 0 mm plasma LH concentrations, or
designated Day 1 postpartum, and litter sizes were ad- on LH release after LHRH stimulation. Plasma
justed to 2 to 8 pups on Day 2 postpartum. Lactating prolactin concentrations averaged <10 ng/ml
females were ovariectomized under ether anesthesia
in the CB-154-treated females compared with
via a midventral abdominal laparotomy.
To determine pituitary responsiveness to synthetic
LHRH, animals were anesthesized with ether between
0900 and 1100 h and an aortic catheter was inserted.
All animals were allowed to recover at least 1 h and
.-. nESTRUS-2
lactating females were returned to their litters. The .---I DESTRUS-2+PRL
females were then injected i.p. with sodium pentobar- 200 DIESTRIJS-2 .ce-154
+4 +4 *1 +1 +1 +4
Pituitary Responsiveness to N - P. - -
E
The effect of ovariectomy (Day 10 post-
>4
partum) on basal LH secretion and pituitary
0. 0
C
responsiveness to LHRH on Day 11 is shown in
Fig. 2. LH concentrations (ng/ml) were elevated ‘0*. N 0’ * ‘0
*1.5 NN N”.5
0
significantly at 0 mm in the ovariectomized ‘‘ + + + +
0 ‘00 N* ,-‘,-, 0’
0
animals (63.4 ± 4.8) compared with intact ani- ,,‘.
mals (27.6 ± 4.6). Prolactin treatment begin- N * N N N
O 0
ning at the time of ovariectomy significantly x C
0
reduced the postcastration rise in LH to 44.6 ±
- >4
3.4. However, in spite of the suppressed post-
1. 55 0
castration response, pituitary responsiveness to
LHRH was not affected by prolactin; ovariec- “6
tomy produced a similar augmentation in LH V 00 00 00 , 0 >5
secretion in both groups of animals when corn- 0 0 0 0 0 0 0
- In VS #{149}.5
In - ,- . 00
0.
pared with intact controls.
- ‘‘ - - . ‘000
The data in Fig. 3 show the LH response to . . . >4 . >-. v n ‘.5
0. v ‘5 * N N
500 ng of LHRH during Day 10 postpartum in _ : : .
O . 0 ‘6
females nursing eight pups. In control animals, .E
LH increased from 10 ng/ml at 0 mm to reach ‘ E u.
4-
0 0 O
during Day 10 postpartum is compared with i- c u o. 0. U 0.
970 SMITH
100
[OV(0)] . LHRH was administered 5 days later
on Day 8. Rat prolactin concentrations (ng/ml)
in the various groups at 0 mm were as follows:
50
intact (8), 189.7 ± 34.7; OV(8), 147.6 ± 29.7;
1 I I I I OV(8) + CB-154, 5.4 ± 1.2; OV(0), 36.4 ± 7.4.
0
0 5 30 45 60 LH concentrations at 0 mm are shown in Fig.
C
clined significantly in all suckled animals, even
I
if prolactin was inhibited. In contrast, if the -J
pups were removed for 24 h, the duration of
the LH response was maintained for 60 mm as
in the diestrous-2 females. Basal LH levels (0
mm) also increased significantly after removal
of the pups, from <10 ng/ml in control animals
to 24.2 ± 2.9 ng/ml, a value similar to basal LH 0 5 30 45 60
concentrations during diestrus. FSH secretion MINUTES AFTER LHRH
in these animals was not affected by any of the
FIG. 3. LH response to 500 ng of LHRH during
treatments nor by LHRH administration. Rat Day 10 postpartum. CB-154 (0.5 mg) was adminis-
prolactin concentrations were 289.6 ± 49.7 tered at 0900 h on Day 9 and Day 10. Ovine prolactin
(0.75 mg) was administered at 0900 and 1800 h on
ng/ml in the control animals, 7.4 ± 1.2 ng/mI in
Day 9 and at 0900 h on Day 10. Pups were removed
the CB-154-treated animals, 8.4 ± 2.4 ng/ml in
at 0900 h on Day 9 postpartum. Each group consisted
the CB-1 54 plus prolactin-treated animals, and of 5-7 animals. Points on the graph represent the
28.7 ± 4.2 ng/ml after the pups were removed. mean ± SEM.
SUPPRESSION OF GONADOTROPINS DURING LACTATION 971
OVARIEC1OMY,
These same experiments were repeated
DAY 3 POSTF*RTUM during late lactation when the suppressive ef-
ISO
fects of suckling were beginning to wane.
Groups of animals were ovariectomized on Day
25
12 and injected with LHRH on Day 17 post-
partum. Rat prolactin concentrations (ng/ml)
in the various groups at 0 mm were as follows:
00
E intact (8), 157.4 ± 24.3; OV(8), 101.4 ± 24.6;
C
I OV(8) + PRL, 74.3 ± 22.4; OV(8) + CB-154,
75 5.4 ± 1.2; OV(0), 24.3 ± 3.6. Based on the 0
I
-J
mm LH concentrations shown in Fig. 6, a
50 significant postcastration rise in LH was ob-
served on Day 17 [OV(8)l. Suppression of pro-
lactin secretion in the continued presence of
25
suckling led to a full postcastration response
[OV(8) + CB-1541, whereas administration of
on ___________________ -- - - exogenous prolactin completely prevented any
INTACT(8) OV(8) OV(8)
OV(0) rise in LH secretion [OV(8) + PRL]. However,
+ CB-154
the inverse relationship between prolactin and
DAY8 POSTPARTUM
LH secretion was not manifested in terms of
FIG. 4. LH concentrationsduring Day 8 postpar- pituitary responsiveness to LHRH. As seen in
tum at 0 mm.
Ovariectomy was performed on Day 3 Fig. 7, the magnitude of the response to 500 ng
postpartum and pups were removed lOV(0)I. CB-154
(0.5 mg) was administered at 0900 h daily from Days of LHRH at 15 mm was similar in all groups of
3-8. Litters were exchanged every 12 h between ovariectomized females regardless of the rate of
OV(8) and OV(8) + CB-154 groups to ensure a vigor- LH release at 0 mm. Whereas the presence or
ous suckling stimulus. Each bar represents the mean of
absence of prolactin appeared to have no effect
7 animals and the line on top of the bar represents the
SEM. on the peak LH concentrations at 15 mm, the
presence of prolactin did affect the duration
of the response to LHRH. In the OV(8) +
[OV(8) + CB-154] even though the rate of .-- -.. OV, 8PUPS
0- OV. BPUPS,C8-154
basal LH secretion at 0 mm was affected. The -#{176}
InN 0’..en
(25
0’ N In 0
N * N 0’ OVARIECTOMY,
0 +1 +1 +1 +1
‘0 O’...,NP. (00 DAYI2 POSTPARTUM
55 0’. ‘Oen
00 * 0’ N
- N’0- E
0’
75
I
-j
000’
N 554040 INTACT(S) OV(8) OV(8) (8) OVID)
In +1 +1 +1 +1 *PRL +CB-154
* InNNm
In*enO DAY 7 POSTPARTUM
P. * - P.
55 en
0
FIG. 6. LH concentrations during Day 17 postpar-
C tum at 0 mm. Ovariectomy was performed on Day 12
‘5
0.
postpartum and pups were removed [OV(0)I. CB-154
0 or prolactin was administered once or twice daily,
0.
00
respectively, from Days 12-17. Each bar represents
>4
‘5
the mean of 5-7 animals. (See Fig. 4 for additional
0 E details.)
en 55’0..
C
‘0’0 55 N
0
C
0 +1 +1 +1 +1
en
0 x r-0enI
5 * 55 In N
(‘4 N 0’. 0.
C N en N -
C
CB-154 group, LH concentrations remained at
‘5
V
peak levels through 60 mm, which contrasted
0
‘4
1- to the great decrease in LH at 60 mm observed
in the OV(8) group. The greater release of LH
-J from 30 to 60 mm after LHRH in the OV(0)
V 0’. than in the OV(8) + CB-154 group indicates
#{188}. ene4
‘4
In ‘00’. N that the suckling stimulus, itself, had some
(‘140 In
In
U.
C 00
#{149}-#{149}
INTACT. 8 PUPS
0 en #{149}‘--.DV, 8 PUPS
0 U,
E >4 #{149}--. OV.8PtPS,PRL DAY IT POST)RTUM
0
‘5 DV. GPUPS,CB-154
e P.
0
0
‘4 O---O
‘4 .--. OV.OPUPS
‘.0 0 ‘0 en 0. E
00 N N N en
C
‘5 0
0
+1 -H +1 +1 .0
CIOON 0.
U
0’ (‘4 (‘4 N 0
0 . >4 0 U
0’. * VS 0
OIl ‘5 0’ .
0
C C
‘4 0. C
0 0’
C C
0
U ‘5
V U V I
‘5 -J
Ii
0 C ,.
. .
0.
4-
V bO ‘4
0
In
o 0.
U
U
1.5 10
In
10 +I
(‘4 U C.-
‘4
10 .cj +. V > MINUTES AFTER LHRH
0.
0
0
44 .0
FIG. 7. LH response to 500 ng LHRH during Day
I-’ .00o 17 postpartum in the same animals shown in Fig. 6.
SUPPRESSION OF GONADOTROPINS DURING LACTATION 973
N ‘1en CI ‘4. N
‘0 CI 0. CI 0 stimulus,
sucklingsuppression
the of itself,
basal that
LH issecretion
responsible duringfor
enenNIn0’. CI
00 “
0
#{188}.
0
‘I-
V 04 appear to exert an acute effect on gonadotro-
0
U ‘ S VS pin secretion in intact females.
U 10 In 0
#{188}.. ,. In t. In nonlactating animals, numerous studies
. . have been able to demonstrate that experimen-
++ ‘5 ‘4 - ‘ 0.
10 o V V tally induced hyperprolactmnemia can inhibit
0.
O0.L)o.
‘5 .0 U ‘0 u basal gonadotropin secretion in intact rats
i .5 o 0 o o (Bartke et aL, 1977; Hodson et al., 1980;
974 SMITH
McNeilly et al., 1980; Vasquez et al., 1980a,b). possible that the mechanism of prolactin action
However, on an acute basis, prolactin had little during lactation differs from that of other non-
effect (Celotti et al., 1978; Winters and lactating states. Earlier evidence (Smith, 1978a;
Loriaux, 1978). In some studies, pituitary Muralidhar et a!., 1977) showed that a regimen
responsiveness to LHRH was found to be de- of exogenous prolactmn capable to decreasing
creased (Winters and Loriaux, 1978; Greeley LH and FSH secretion in ovariectomized lacta-
and Kizer, 1979; Vasquez et al., 1980a,b). ting rats had no effect if the pups were re-
Vasquez et al. (1980a,b) found that hyper- moved. These results suggest that suckling is
prolactinemia of 6 days duration in intact permissive to the action of prolactin.
cycling females could suppress both basal gona- One of the surprising aspects of this study
dotropin secretion and pituitary sensitivity to was the difference in LH and FSH responses
LHRH. However, they concluded that the to LHRH administration. With this method of
effects were indirect and due to increased pro- LHRH administration in vivo, FSH secretion
gesterone secretion (Vasquez et al., 1980a). does not increase in any intact animals, male or
It remains to be determined why prolactin can- female. In contrast, if pituitaries from intact
not acutely suppress gonadotropin secretion in animals were incubated in vitro, a significant
intact animals. The acute effectiveness of pro- FSH response to LHRH was observed within 1
lactin in ovariectomized but not intact rats h (Smith and Morello, 1980). An increase in
suggests that the presence of ovarian steroids FSH secretion after LHRH administration in
may interfere with the inhibitory action of vivo was observed in ovariectomized females
prolactin. (Tables 2, 3) and in castrated males (unpub-
The ability of prolactin to suppress acutely lished observations) although the magnitude of
(within 24 h) or chronically (5 days) the post- the responses was quite small. These observa-
castration rise in gonadotropins is clearly tions suggest that gonadal steroids or “folliculo-
demonstrated in this study (Figs. 2, 6, Table statin” (inhibin, Campbell and Schwartz, 1979;
3) and confirms earlier studies (Muralidhar et Rush and Lipner, 1979; Hermans et al., 1980)
al., 1977; Smith 1978a). This effect of pro- may be suppressing pituitary release of FSH in
lactin also has been demonstrated repeatedly response to LHRH. It is also possible that a
in nonlactating animals (Winters and Loriaux, regimen of LHRH administration in vivo that is
1977; Celotti et al., 1979; Greeley and Kizer, appropriate for LH secretion is inappropriate
1979; Hodson et al., 1980; McNeilly et al., for stimulating FSH secretion.
1980; Vasquez et al., 1980a,b). Whereas the The results in Tables 2 and 3 show very
present study clearly shows that prolactin has clearly that prolactin is the most important fac-
no effect on pituitary responsiveness to LHRH, tor responsible for the suppression of FSH
the results from other studies are inconsistent secretion after ovariectomy. It is interesting
in that some showed a decreased pituitary that suppression of the postcastration rise in
responsiveness due to prolactin (Celotti et al., FSH is the only aspect of FSH secretion that is
1978; Greeley and Kizer, 1979) whereas others decreased by lactation, since basal FSH secre-
showed no effect of prolactin (Vasquez et al., tion in intact lactating females is normal (Smith
1980a,b). There are several reasons that could and Neill, 1977) (Tables 2, 3) and estrogen-
account for these apparent discrepancies. First, induced FSH surges are similar in magnitude to
the pattern of prolactin secretion and the levels the proestrous FSH surge (Smith, unpublished;
achieved differ greatly in the various studies Coppings and McCann, 1979). In contrast, all
depending on the method used to induce hyper- aspects of LH secretion appear to be suppressed
prolactinemia. Use of pituitary tumors or during lactation. These data suggest that the
pituitary transplants results in chronically suckling stimulus, itself, has little suppressive
elevated levels of prolactin. Several investigators effect on FSH secretion and that the elevated
have demonstrated a correlarjn between the levels of prolactin are primarily responsible for
levels of prolactin achieved and the degree of any inhibition of FSH. Since the effects of pro-
suppression of LH and FSH and the response to lactin appear to be minimal in intact lactating
LHRH (Celotti et al., 1978; Hodson et a!., rats, an effect of prolactin on FSH would be
1980; Vasquez et aI., 1980a,b). During lacta- expected only after ovariectomy.
tion, the pattern of prolactin secretion consists As can be seen in Tables 2 and 3, the incre-
of suckling-induced surges with relatively low ments in FSH secretion after LHRH administra-
levels of prolactin between surges. It is also tion to the ovariectomized females were of
SUPPRESSION OF GONADOTROPINS DURING LACTATION 975
similar magnitude, regardless of the basal rate adequate pool of LH in a releasable form.
of FSH secretion at 0 mm. Whether FSH con- Pickering and Fink (1979) found that in cycling
centrations were 100-200 ng/ml or 900-1000 rats, a 20-fold increase in the size of the releas-
ng/ml at 0 mm, the maximum increase in FSH able pooi of LH occurred between the morning
was “v150-300 ng/ml. Therefore, the ma.xi- of diestrus and the evening of proestrus, in the
mum FSH concentrations observed after LHRH absence of any significant change in total
differed among the ovariectomized groups and pituitary content of LH. These data suggest
were directly related to the level of FSH secre- that the effects of steroids and LHRH self-
tion at 0 mm. From these data it is difficult to priming to increase the “sensitivity” of the
determine whether prolactin is acting directly pituitary to LHRH may reflect a change in LH
on the pituitary. On the one hand, the similar from a storage form into a readily releasable
increments in FSH secretion after LHRH in the form. If LHRH secretion is significantly
presence or absence of prolactin or suckling decreased during lactation, a hypothesis con-
suggest that prolactin had no effect on pituitary sistent with available data, the ability to main-
responsiveness to LHRH. On the other hand, if tain an adequate amount of LH in a releasable
prolactin has no effect, the peak FSH responses form in the pituitary may be greatly decreased.
after LHRH should be similar in the ovariecto-
mized groups and independent of the rate of ACKNOWLEDGMENTS
FSH secretion at 0 mm. Further studies on the
I would like to acknowledge the expert assistance
regulation of FSH secretion are needed to
of Sharon Alex and Kathryn Morency. Radioimmuno-
resolve this issue. assays for LH, FSH, and prolactin were performed
The LH data from these same animals (Figs. using reagents supplied by the NIAMDD. Ovine pro-
5, 7) are clear and demonstrate that prolactin is lactin also was supplied by the NIAMDD.
worth, C. F., Steger, R. W. and Meites, J. (1980). Smith, M. S. (1978a). The relative contribution of
Effects of a prolactin-secreting pituitary tumor suckling and prolactin to the inhibition of gona-
on hypothalamic, gonadotropic and testicular dotropin secretion during lactation in the rat.
function in male rats. Neuroendocrinology 30, Biol. Reprod. 19, 77-83.
7-10. Smith, M. S. (1978b). A comparison of pituitary
Lu, K. H., Chen, H. T., Grandison, L., Huang, H. H. responsiveness to luteinizing hormone during
and Meites, J. (1976a). Reduced luteinizing hor- lactation and the estrous cycle of the rat. Endo-
mone release by synthetic luteinizing hormone crinology 102, 114-120.
releasing hormone (LHRH) in postpartum Smith, M. S. and Morello, C. J. (1980). Effect of pul-
lactating rats. Endocrinology 98, 1235-1240. satile or continuous GnRH on the release of LH
Lu, K. H., Chen, H. T., Huang, H. H., Grandison, L., and FSH in vitro by anterior pituitaries from
Marshall, S. and Meites, J. (1976b). Relation be- lactating and cycling rats. 62nd Annual Meeting
tween prolactin and gonadotropin secretion in of the Endocrine Society. Abstr. 275.
postpartum lactating rats. J. Endocrinol. 68, Smith, M. S. and Neill, J. D. (1977). Inhibition of
241-250. gonadotropin secretion during lactation in the
McNeilly, A. S., Sharpe, R. M. and Frazer, H. M. rat: Relative contribution of suckling and ovarian
(1980). Effect of adrenalectomy or castration on steroids. Biol. Reprod. 17, 255-261.
the inhibition of gonadotropin secretion induced Steger, R. W. and Pelusa, J. J. (1978). Gonadotropin
by hyperprolactinemia in the adult male rat. regulation in the lactating rat. Acts Endocrinol.
J. Endocrinol. 5, 83-92. 88, 668-675.
Muralidhar, K., Maneckjee, R. and Moudgal, N. R. Vasquez, J. M., Ellegood, J. M., Nazian, S. J. and
(1977). Inhibition of in vivo pituitary release of Mahesh, V. B. (1980a). Effect of hyperprolac-
luteinizing hormone in lactating rats by exogen- tinemia on pituitary sensitivity to luteinizing hor-
ous prolactin. Endocrinology 100,1137-1142. mone-releasing hormone following manipulation
Pickering, A.J.M.C. and Fink, G. (1979). Variation in of sex steroids. Fertil. Steril. 33, 543-549.
the size of the ‘readily releasable pool’ of luteini- Vasquez, J. M., Nazian, S. J. and Mahesh, V. B.
zing hormone during the estrous cycle of the rat. (1980b). Pituitary sensitivity to LHRH in hyper-
J. Endocrinol. 83, 53-59. prolactinemia induced by perphenazine and renal
Rush, M. E. and Lipner, H. (1979). Blockade of gona- pituitary transplants in female rats. Biol. Reprod.
dotropin-releasing hormone-induced secretion of 22, 486-492.
pituitary follicle stimulating hormone by inhibin- Winters, S. J. and Loriaux, D. L. (1978). Suppression
containing preparations. Endocrinology 105, of plasma luteinizing hormone by prolactin in
187-194. male rat. Endocrinology 102, 864-868.