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Department of Physiology, Faculty of Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain
1Correspondence: Department of Physiology, Faculty of Medicine, University of Santiago de Compostela, R/San Francisco s/n, 15782 Santiago de Compostela, Spain. E-mail: fsrsr{at}usc.es
| ABSTRACT |
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Key Words: hypothalamus gestation orexigenic peptides lactogenic hormones
| INTRODUCTION |
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Numerous hypothalamic neuropeptides, including neuropeptide Y (NPY), melanin-concentrating hormone (MCH), and orexins, have been involved in the control of food intake as well as in the regulation of neuroendocrine functions. These neuropeptides have been reported to display orexigenic functions and to be regulated by leptin levels. Nutritional status can alter the expression of these appetite-regulating peptides, but most studies have investigated acute changes with fasting, and the effects of a long-term state of hyperphagia as gestation and lactation remain to be fully defined.
The expression of NPY in the arcuate nucleus (ARC) has been shown to clearly increase with food restriction (6
, 7)
and its levels to be negatively regulated by leptin (8
, 9)
. In addition to its role in appetite regulation, NPY subserves other functions and has been implicated in the regulation of LH secretion, particularly the generation of the preovulatory surge of LH (10)
.
MCH is a newly identified peptide synthesized in neurons of the lateral hypothalamus that appears to be an important regulator of energy homeostasis. Studies investigating the effect of MCH have produced conflicting results, with initial indications of an inhibitory effect on food intake (11)
; more recent data suggest a stimulatory role (12)
. MCH gene knockout mice are hypophagic and lean, supporting the notion that this neuropeptide stimulates food intake (13)
.
Recently, orexins have been described as novel neuropeptides controlling food intake and localized within and around the lateral hypothalamic area (LHA) (14
, 15)
. Orexins have been shown to increase food intake if administered in the third ventricle (15)
, and prepro-orexin (prepro-OX) mRNA is increased in food -restricted animals (16)
. Conversely, orexin levels decrease with leptin treatment in rats (16
, 17)
.
Pregnancy and lactation are accompanied by numerous changes in hormone secretion that participate in the adaptation of the mother to the gestational and lactating condition. The hyperprolactinemia exhibited in both states likely plays an important role in regulating numerous brain functions, including feeding and appetite (18)
.
Our main goal in this work was to gain further insight into the mechanisms responsible for the physiological hyperphagia observed during pregnancy and lactation. Specifically, we tested the hypothesis that the hyperphagia present in these physiological settings could be driven by increased expression of orexigenic neuropeptides. For this issue, we measured the mRNA levels of the neuropeptides mentioned above in the hypothalamus of fed and fasted pregnant and lactating rats. We also investigated the possibility that elevated prolactin (PRL) levels during pregnancy and lactation might influence the expression of these neuropeptides using a well-characterized model of hyperprolactinemia induced by pituitary graft in virgin ovariectomized female rats.
| MATERIALS AND METHODS |
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Induction of hyperprolactinemia by pituitary graft
Female Sprague-Dawley rats (130150 g) were used for this experiment. All animals were bilaterally ovariectomized or sham-operated under ketamine-xylazine anesthesia (4 mg/kg). Ovariectomy was conducted in order to obtain a result independent from the ovaric function. One group of six rats received two pituitary glands obtained from two rats of the same age and sex, under de kidney capsule. Animals were killed 4 days after the surgery procedure and whole blood was used for serum collection and subsequently PRL RIA. The completeness of graft acceptance was determined for each animal by autopsy. Animal studies were approved by the Ethics Committee of the University of Santiago de Compostela and experiments were performed in agreement with the rules of laboratory animal care and the international law on animal experimentation.
Serum leptin determination
Serum leptin levels were measured by RIA as described (19)
using a rat leptin RIA kit (Linco Research, Inc., St. Louis, MO, USA). The limit of sensitivity was 0.5 µg/L. The intra- and interassay coefficients of variation for concentrations of 1.6 µg/L and 11.6 µg/L were 2.4% and 4.6%, and 4.8% and 5.7%, respectively.
Serum PRL determination
Serum PRL was determined as described previously (20)
by means of double antibody RIA using materials and protocols by Dr. A. F. Parlow (National Hormone and Pituitary Program of NIDDK, Baltimore, MD, USA). All samples were assayed in duplicate within one assay and results were expressed in terms of the NIDDK PRL-RP-3 standard.
In situ hybridization
For in situ hybridization, coronal hypothalamic sections (16 µm thick) were cut on a cryostat, mounted onto gelatin-coated slides, and immediately stored at -80°C until hybridization. NPY and MCH mRNA levels were determined using specific antisense oligodeoxynucleotide probes (for NPY, 5'-AGATGAGATGTGGGGGGAAACTAGGAAAAG-3', gene bank accession number: M20373 and for MCH, 5'-CCAACAGGGTCGGTAGACTCGTCCCAGCAT-3', gene bank accession number: M2971). The probes were 3'-end labeled with 35S-
dATP using terminal deoxynucleotidyl transferase. The specificity of the probes was confirmed by performing cohybridization studies, incubating the sections with an excess of unlabeled probes (data not shown). In situ hybridization was performed as described previously (21
, 22)
. Tissue sections were fixed with 4% paraformaldehyde in 0.1M phosphate buffer (pH 7.4) at room temperature for 30 min, dehydrated through 70, 80, 90, 95%, and absolute ethanol (5 min each).
Hybridization was carried out overnight at 37°C in a moist chamber. Hybridization solution was applied onto each slide and contained 4x SSC, 50% deionized formamide, 1x Denhardts solution, 10 µg /mL sheared single-stranded salmon sperm DNA, 10% dextran sulfate, DTT 50 mM, and
1x106 cpm/slide of the labeled probes. After hybridization, sections were rinsed in 1xSSC at room temperature, then sequentially washed in 1xSSC at 42°C (30 min/wash, 4 washes in total); 1xSSC at room temperature for 1 h, then rinsed in 70% ethanol with 300 mM ammonium acetate. Finally, sections were air-dried and exposed to Hyperfilm ß-Max at room temperature for 35 days.
For prepro-OX mRNA detection we used a prepro-OX antisense riboprobe labeled with 35S-CTP. A sense riboprobe was used as a negative control. The specificity of the probe has been demonstrated (16)
. Frozen sections were fixed with 4% paraformaldehyde in 0.1M phosphate buffer (pH 7.4) at room temperature for 30 min, dehydrated through 70, 80, 90, 95%, and absolute ethanol (5 min each). Hybridization was carried out overnight at 55°C in a moist chamber. Hybridization solution contained 4x SSC, 50% deionized formamide, 1x Denhardt
solution, 10 µg/mL sheared single-stranded salmon sperm DNA, 10% dextran sulfate, 5 µg/mL of tRNA, and 1x106 cpm/slide of the labeled probe. After hybridization, sections were rinsed in 2xSSC at room temperature, then sequentially washed in 2xSSC/50% formamide at 55°C (15 min/wash, 2 washes in total); rinsed briefly in 2xSSC at 37°C, incubated in RNase buffer containing 20 µg/mL Rnase A at 37°C (30 min), rinsed in 2xSSC at 37°C, washed three times in 2x SSC/50% formamide at 55°C (15 min per wash), twice in 2x SSC at room temperature (5 min per wash), and rinsed in water and ethanol. Finally, sections were air-dried and exposed to Hyperfilm ß-Max at room temperature for 7 days.
To compare anatomically similar regions, slides were matched according to the rat atlas of Paxinos and Watson (23)
. Sections from at least three animals per experimental group were processed together and were always apposed to the same autoradiographic film. Autoradiographic signals were analyzed using an imaging densitometer and the computer program Molecular AnalystTM (Bio-Rad Laboratories, Hercules, CA, USA). The background pixel density for each section was measured and the specific signal was corrected by subtracting this background value.
The slides were finally developed in Kodak D-19 developer (Kodak, Rochester, NY, USA), fixed (Kodak, Rochester, NY, USA), and counterstained with methylene blue.
Statistical analysis
Data were expressed as mean ± SE and analyzed with a computerized package of statistical analysis. Statistical significance of the differences was determined using the nonparametric Mann-Whitney test. A P value <0.05 was considered as a criterion of significance.
| RESULTS |
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In situ hybridization with an oligoprobe for MCH and a riboprobe for prepro-OX mRNA demonstrated labeling of numerous cells in the lateral hypothalamus (LH) (Fig. 1)
, as has already been reported (25
, 26)
.
Regulation of the hypothalamic mRNA levels of NPY, MCH, and prepro-OX during pregnancy
Serum leptin levels significantly increased in pregnant rats in relation to nonpregnant rats (control); food-deprived pregnant rats had significantly lower serum leptin levels than nonrestricted animals (Fig. 2
A).
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We found increased levels of NPY mRNA content in the ARC of the hypothalamus compared with the levels observed in control nonpregnant rats (% of control: 131.20±10.58%, P<0.01) (Fig. 2B
). In contrast, no effect was observed in the NPY mRNA content in the DMH. Fasting of pregnant rats for 48 or 72 h further increased NPY mRNA levels in the ARC of the hypothalamus compared with pregnant rats fed ad libitum (% change: 128±15.19%, P<0.05; and 276.80±16.72%, P<0.001 for 48 and 72 h fasted pregnant animals, respectively, vs. fed pregnant animals) (Fig. 2C
). No increase was observed in the DMH of the hypothalamus of pregnant rats upon fasting.
MCH mRNA levels in the LH of pregnant rats were significantly decreased compared with control nonpregnant rats (% of control: 25.06±18.14%, P<0.001) (Fig. 3
A). Prepro-OX mRNA content was also decreased in the LH (% of control: 6.23 ±5.703%, P<0.001) (Fig. 3B
). Fasting increased MCH mRNA levels in the LH in the pregnant rats (% change: 233.04±30.64%, P<0.001; and 283.04±22.44%, P<0.001 for 48 and 72 h fasted animals vs. fed animals) (Fig. 3C
), but failed to modify the expression of prepro-OX (Fig. 3D
).
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Regulation of the hypothalamic mRNA levels of NPY, MCH, and prepro-OX during lactation
During lactation serum leptin levels were restored to nonpregnant values and food-deprived lactating rats had significantly lower serum leptin levels compared with nonrestricted animals (Fig. 4
A).
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There was a significant increase in the NPY mRNA content in the ARC (% of control:149.53±7.90%, P<0.001) and DMH (% of control:197.55±19.73%, P<0.001) of lactating rats in relation to nonpregnant rats (Fig. 4B
). These levels further increase upon fasting in the ARC (% change: 157.94±21.83%, P<0.05 and 241.57±39.48%, P<0.01, for 48 and 72 h fasted lactating vs. fed lactating animals) (Fig. 4C
), but no effect of food deprivation was observed in the DMH under these experimental conditions.
MCH mRNA levels were significantly decreased during lactation (% of control: 60.97±18.41%, P<0.01), and fasting (72 h) induced a clear increase in the expression of this peptide (% change: 178.12±4.22% for fasted lactating vs. fed lactating animals, P<0.01) (Fig. 5
A, C).
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Prepro-OX mRNA levels were significantly decreased during lactation (% of control: 64.38±11.15%, P<0.05), and fasting for 48 or 72 h did not induce any change in relation to fed lactating rats (Fig. 5B, D
).
Regulation of NPY, prepro-OX and MCH by prolactin
As previously reported (27)
, the pituitary graft induced a large increase (P<0.01) in PRL serum levels (45.51±9.10 µg/L) vs. sham-operated (13.754±3.31 µg/L) and ovariectomized rats (6.39±2.67 µg/L). PRL levels in pituitary grafted animals were similar to the levels found in pregnant animals (33.22±5.30 µg/L) (Fig. 6
A).
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Ovariectomy and hyperprolactinemia did not produce significant differences in NPY mRNA levels in the ARC or the DMH in comparison to intact sham-operated rats (Fig. 6B
).
In contrast, a significant decrease of MCH and prepro-OX mRNA content was found in the LH of hyperprolactinemic animals in comparison with intact sham-operated rats (% of sham-operated rats: 67.46±10.02%, P<0.01 and 35.37±4.64%, P<0.001 for MCH and prepro-OX) (Fig. 6C, D
).
| DISCUSSION |
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50% and food consumption usually occurs in the dark phase only (28)
Several hypothalamic neuropeptides have been identified as possible regulators of food intake and metabolism. NPY has been demonstrated to greatly increase food intake in satiated animals when injected intracerebroventricularly (30)
. For this action NPY is mainly produced in the ARC nucleus of the hypothalamus, and the nerve fibers from this nucleus project into various hypothalamic sites that are implicated in the regulation of feeding behavior, in particular the paraventricular nucleus (PVN) (31)
. Diet restriction and starvation rapidly induce accumulation of NPY in the PVN by increasing NPY mRNA levels in the ARC nucleus (6
, 32)
. These effects are mainly due to the low levels of leptin found in these experimental conditions (33)
. Our data demonstrated that NPY mRNA levels in the ARC were significantly increased during pregnancy. Taking into account the high serum leptin levels observed in late pregnant animals, this increase in hypothalamic NPY expression is somewhat surprising, since in normal nonpregnant rats modest increases in circulating leptin levels lead to a marked decrease in NPY mRNA levels in the ARC nucleus (34)
. However, in pregnant rats there is also a state of leptin resistance mediated, at least in part, by a decrease in the expression of the long biologically active form of the leptin receptor (Ob-Rb) (4)
.
Other workers have reported no change of NPY mRNA levels in the hypothalamus during pregnancy (29)
. This disagreement may be due to the technology used: Northern blotting using RNA from the whole hypothalamus vs. in situ hybridization looking at discrete nuclei in the hypothalamus.
To gain further insight into this issue, we assessed the levels of NPY after food restriction and therefore decreased leptin levels in pregnant rats. We found that fasting for 48 or 72 h further increased NPY mRNA levels in the ARC of pregnant rats, as it occurs in the nonpregnant state (35)
. It has also been shown that in food-restricted late pregnant rats there is an increase in circulating ghrelin levels (36)
, and ghrelin significantly increases NPY mRNA levels in the hypothalamus (37)
. Thus, a role of the high levels of ghrelin found in these food-deprived pregnant animals upon the up-regulation of NPY expression cannot be ruled out.
NPY mRNA has also been detected in the DMH, although its role in this nucleus is not clear (24)
. In contrast to NPY neurons in the ARC, we could not find any change in NPY mRNA content in the DMH in fed or fasting pregnant rats. During lactation we demonstrated increased levels of NPY mRNA in both the ARC and DMH nuclei of the hypothalamus. Fasting of lactating rats further up-regulated NPY expression in the ARC, but not in the DMH. These results agree with previous reports (24
, 38)
. The finding that NPY is elevated in both nuclei during lactation suggests that the mechanisms involved could be different in pregnant rats, where we found such an increase restricted to the ARC nucleus. Little is known about NPY neurons in the DMH. In the female rat, this population of neurons does not seem to be activated under basal conditions or in response to stimuli such as fasting (39)
or streptozotocin-induced diabetes (40)
. Lactation, then, is the only demonstrated physiological situation where NPY is up-regulated in this nucleus. Besides lactation, there are only two types of mice that exhibit increased levels of NPY mRNA in the DMH and a marked hyperphagia: the melanocortin receptor 4 (MC4-R) knockout mice and the agouti mice (41)
. Whether MC4-R expression might somehow be compromised in the lactating rat and contribute to collaborate in the massive hyperphagia during this state remains to be clarified.
These data together with the central role of NPY in inducing the feeding response make this peptide a possible candidate in mediating the hyperphagia during pregnancy and lactation.
Surprisingly, the hypothalamic expression of orexin, another orexigenic peptide, was significantly decreased during pregnancy and lactation; in these two groups of rats, food restriction did not increase the levels of mRNA of this hypothalamic peptide, as has been demonstrated in nonpregnant rats (16
, 42)
. These results suggest that during gestation there might be a strong inhibitory effect on prepro-OX expression at the level of the hypothalamus that counteracts the stimulatory effect of the low leptin levels observed in fasted pregnant and lactating rats; furthermore they indicate that orexin is not apparently involved in the regulation of the increased food intake observed during pregnancy and lactation.
Nevertheless, orexin has also been related to sleep. Different experimental evidences supported a possible role of the orexin system in the regulation of the sleep-wake cycle. Thus, orexin knockout mice or dogs with a mutation in the orexin receptor 2 (OX2R) display a phenotype similar to human narcolepsy (43
, 44)
, characterized by excessive daytime sleepiness and other physiological manifestations of REM sleep (44)
. In addition, narcoleptic humans show low orexin levels in the cephalospinal fluid (45)
and a decreased number of orexin neurons in the hypothalamus (46)
. These findings indicate that the loss of orexin function results in narcolepsy. Pregnancy and lactation in humans and rodents are associated with changes in sleep patterns (47)
. In late pregnancy in the rat there is an enhanced sleep during the dark period and alterations and sleep loss during the daytime (48)
. In the lactating rat, suckling is followed by an increased incidence of sleep (49)
. The low prepro-OX expression levels observed in late pregnant and lactating animals, which were unchanged upon fasting, indicate that this neuropeptide could be another factor contributing to the sleep disturbances during these situations.
Earlier studies have shown that MCH knockout mice are hypophagic and lean (13)
and MCH antagonists have been postulated as possible drugs to treat obesity (50)
. Our finding of a marked decrease in MCH mRNA levels during pregnancy and lactation was rather surprising, indicating that the hyperphagia present in these physiological situations is not mediated by this orexigenic peptide. Furthermore they also suggest that, at least in some physiological settings, decreased MCH is not enough to induce hypophagia and weight loss. Nevertheless, MCH and orexins have also been shown to regulate other functions different to food intake such as stimulating the GnRH/LH system and the hypothalamic-pituitary-adrenocortical axis (HPA) (51
52
53
54)
. Whether the decreased expression of these neuropeptides could contribute to regulate these functions during pregnancy and lactation remains to be established.
Pregnancy and lactation are physiological states characterized by the presence of hyperprolactinemia. Several data appear to show that PRL may be a major factor mediating the hyperphagia associated with both states (18)
. In fact, there are reports indicating that PRL can induce hyperphagia when administered systemically or intracerebroventricularly (55
56
57)
. Moreover, up-regulation of prolactin receptor expression in numerous hypothalamic nuclei of pregnant and lactating rats (58
, 59)
suggests that a pregnant or lactating female may be significantly more sensitive to the hyperphagic effects of prolactin than a nonpregnant one. As feeding and appetite changes in response to hyperprolactinemia are likely to be mediated by the appetite centers of the brain, we tested the hypothesis that elevated PRL levels during pregnancy and lactation could affect the expression of the above mentioned neuropeptides, using a pituitary grafted rat model of chronic hyperprolactinemia.
Our data showing no differences in the levels of NPY mRNA in the ARC and DMH between hyperprolactinemic and sham-operated rats suggest that prolactin could not be involved in NPY overexpression in the hypothalamus observed during pregnancy and lactation. It has been reported that during lactation the suckling induced hyperprolactinemia does not participate in the increase in ARC NPY expression. In contrast to our results, it has been shown that the high PRL levels induced by suckling play a major stimulatory role in the increase of NPY mRNA content in the DMH (60)
. The reason for this discrepancy is unclear at present.
Finally, the decreased MCH and prepro-OX mRNA levels induced by pituitary graft indicate that the inhibition of these peptides during pregnancy and lactation could be mediated at least in part by PRL. To our knowledge this is the first report providing direct evidence for a role of PRL in regulating MCH and prepro-OX mRNA levels in the rat. These effects of PRL could be involved in the reported contribution of the hormone in the sleep alterations exhibited during pregnancy and lactation (61)
and in the regulatory function of PRL on the gonadotrophin axis (62)
. Additional work is required to determine the full extent of the function of PRL in mediating these effects.
In summary, this study sets the basis for a complete dissection of the complex neural pathways involved in the mechanisms established during pregnancy and lactation regarding body weight homeostasis. Specifically, we found that increased NPY gene expression during pregnancy and lactation might be part of the adaptive mechanisms present in these physiological circumstances to develop the hyperphagia observed in these states. MCH and prepro-OX do not appear to be responsible for the alterations in body weight homeostasis present in pregnancy and lactation, though they may well be involved in the adaptation of other homeostatic mechanisms that occur in these situations. Increased circulating PRL levels could contribute to the decreased MCH and prepro-OX levels observed in these states.
Received for publication September 25, 2002. Accepted for publication March 27, 2003.
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