Abstract

Chronic gonadotropin-releasing hormone agonist (GnRHa) treatment is effective for the medical suppression of the hypothalamic-pituitary-gonadal axis in situations like central precocious puberty and gender dysphoria. However, its administration during the peripubertal period could influence normal brain development and function because GnRH receptors are expressed in brain regions that regulate emotions, cognition, motivation and memory. This study used an ovine model to determine whether chronic peripubertal GnRHa-treatment affected the developmental shift from preference of familiarity to novelty. Experimental groups included Controls and GnRHa-treated rams. To differentiate between effects of altered GnRH signaling and those associated with the loss of sex steroids, a group was also included that received testosterone replacement as well as GnRHa (GnRHa + T). Preference for a novel versus familiar object was assessed during 5-min social isolation at 8, 28 and 46 weeks of age. Approach behavior was measured as interactions with and time spent near the objects, whereas avoidance behavior was measured by time spent in the entrance zone and attempts to escape the arena via the entry point. Emotional reactivity was measured by the number of vocalizations, escape attempts and urinations. As Control and GnRHa-treated rams aged, their approach behaviors showed a shift from preference for familiarity (8 weeks) to novelty (46 weeks). In contrast, relative to the Controls the GnRHa + T rams exhibited more approach behaviors towards both objects, at 28 and 46 weeks of age and preferred familiarity at 46 weeks of age. Vocalisation rate was increased in GnRHa treated rams in late puberty (28 weeks) compared to both Control and GnRHa + T rams but this effect was not seen in young adulthood (46 weeks). These results suggest that the specific suppression of testosterone during a developmental window in late puberty may reduce emotional reactivity and hamper learning a flexible adjustment to environmental change. The results also suggest that disruption of either endogenous testosterone signalling or a synergistic action between GnRH and testosterone signalling, may delay maturation of cognitive processes (e.g. information processing) that affects the motivation of rams to approach and avoid objects.

Highlights

  • Gonadotropin-releasing hormone (GnRH) is, classically, thought of as a decapeptide that is synthesized in specialized hypothalamic neurons and transported via the hypophyseal portal vessels to the anterior pituitary gland, where it stimulates the release of the gonadotropins, luteinizing hormone (LH) and follicle stimulating hormone (FSH)

  • While mean circulating testosterone concentrations increased in all groups, this increase was significantly delayed in both GnRH agonists (GnRHa)-treated groups compared to Controls (Treatment × Age P = 0.004)

  • There appears to be a window during late puberty or early adulthood where suppression of testosterone is associated with lower emotional reactivity, which will be of relevance for patients receiving GnRHatreatment during this time

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Summary

Introduction

Gonadotropin-releasing hormone (GnRH) is, classically, thought of as a decapeptide that is synthesized in specialized hypothalamic neurons and transported via the hypophyseal portal vessels to the anterior pituitary gland, where it stimulates the release of the gonadotropins, luteinizing hormone (LH) and follicle stimulating hormone (FSH). The presence of GnRH (types I and II) and GnRH receptors in other tissues (Hsueh and Schaeffer, 1985; Skinner et al, 2009), including brain regions that are not primarily involved in the regulation of reproductive function and behavior (Jennes et al, 1997; Wilson et al, 2006; Skinner et al, 2009; Schang et al, 2010), suggests that GnRH may have additional non-reproductive roles In this regard, GnRH neurons extend to extra-hypothalamic brain regions such as the limbic system, which is important for the regulation of emotions, behaviors, motivations and memory. It is imperative to investigate the effects of chronic GnRHa-treatment during the peripubertal period, as this represents a critical window of neuronal development, plasticity and programming (Berenbaum and Beltz, 2011) and any effects on brain function and behavior may be long lasting or even permanent

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