Abstract
Increasing evidence accumulated during the past two decades has demonstrated that the then-novel kisspeptin, which was discovered in 2001, the known neuropeptides neurokinin B and dynorphin A, which were discovered in 1983 and 1979, respectively, and their G-protein-coupled receptors, serve as key molecules that control reproduction in mammals. The present review provides a brief historical background and a summary of our recent understanding of the roles of hypothalamic neurons expressing kisspeptin, neurokinin B, and dynorphin A, referred to as KNDy neurons, in the central mechanism underlying gonadotropin-releasing hormone (GnRH) pulse generation and subsequent tonic gonadotropin release that controls mammalian reproduction.
Introduction
Peptides play critical roles in the nervous systems of both invertebrates and vertebrates alike. The release of peptides as intercellular signaling molecules is an evolutionarily ancient property of neurons (1, 2). In fact, the nervous systems in cnidarians, a class of mostly aquatic animals that have existed for over 630 million years, are mainly controlled by peptidergic signals (2). Several signaling peptides were discovered in cnidarians and most of them were characterized by C-terminal amidation (3). These so-called neuropeptides are stored in intracellular neurosecretory vesicles until being secreted by exocytosis. Once secreted, these neuropeptides act on target cells by binding to and activating plasma membrane receptors, leading to changes in the intracellular signaling system.
The G-protein-coupled receptors (GPCRs) represent the single largest family of plasma membrane receptors, encompassing about 860 members in humans (4). The concept that these GPCRs may form a supergene family was derived from the discovery in 1986 that the β2-adrenergic receptors and the opsins share a seven-transmembrane domain topology (5). At that time, the β2-adrenergic receptors and the opsins were not known to have much in common except for coupling to G-proteins to elicit the intracellular signaling system. The structural feature of the seven-transmembrane domain topology allowed a search for putative GPCRs in the genome, resulting in the discovery of a large number of GPCRs. The GPCRs are split into two major groups: olfactory and non-olfactory receptors. The non-olfactory GPCRs are further classified based on whether the endogenous ligand is known or unknown. Approximately 30% of the ~400 non‐olfactory human GPCRs have not been definitively paired with endogenous ligands and are designated as orphan GPCRs (6).
The present review focuses on neuropeptides, kisspeptin, neurokinin B and dynorphin A, and their GPCRs, because evidence accumulated during the past two decades has demonstrated that those three neuropeptides serve as key molecules that control reproduction via controlling pulsatile gonadotropin-releasing hormone (GnRH) release in mammals. More specifically, the hypothalamic arcuate nucleus (ARC) neurons co-expressing kisspeptin/neurokinin B/dynorphin A, referred to as “KNDy neurons”, are evident in mammals including rodents (7–11), ruminants (12–14), and primates (15, 16) and the KNDy neurons are now considered to be largely responsible for GnRH pulse generation. In this review, we provide a historical background on the concept of GnRH pulse generator to control gametogenesis and steroidogenesis in mammals and a summary of our recent understanding of the roles of KNDy neurons in the central mechanism underlying GnRH pulse generation and subsequent tonic release of gonadotropins.
The Discovery of GnRH/Gonadotropin Pulses
One hundred years ago, in the 1920s, Smith (17) and Evans and Long (18) investigated the effects of hypophysectomy or the administration of pituitary extract on gonadal activities, and accordingly suggested that gonadal activities are regulated by one or more factors from the anterior pituitary gland (19). In the 1930s, luteinizing hormone (LH) and follicle-stimulating hormone (FSH) were successfully extracted from the anterior pituitary gland (20). The presence of GnRH [first named LH-RH/FSH-RH or LHRH (21)], which controls gonadotropin release via the pituitary portal circulation, was predicted by Harris and Jacobsohn because they showed that the structure and function of the transplanted pituitary gland were maintained only when the pituitary gland was relocated under the median eminence in rats (22). Consequently, GnRH, which stimulates both LH and FSH release, was isolated in the early 1970s by two independent laboratories headed by Schally and Guillemin, respectively (23, 24).
In the early 1970s, Knobil and colleagues first demonstrated tonic (pulsatile) and cyclic (surge) gonadotropin release in female rhesus monkeys, used as a model of humans (25, 26), and predicted that the pulsatile nature of tonic gonadotropin release is likely caused by pulsatile GnRH stimulation to the anterior pituitary gland. Their pioneer study demonstrated the indispensable role of GnRH pulses in the control of gonadotropin release from the anterior pituitary gland (27). Indeed, plasma LH and FSH levels were kept at physiological levels only when GnRH was administrated in a pulsatile manner at a physiological frequency (once per hour) in female rhesus monkeys with a hypothalamic lesion (which resulted in the lack of endogenous GnRH release). In contrast, continuous GnRH administration paradoxically inhibited gonadotropin release in these monkeys (27). These findings indicated that GnRH pulses are needed to sustain the normal response of the anterior pituitary gland to GnRH stimulation. This knowledge has been exploited towards human reproductive technology and therapies. Indeed, some patients take pulsatile GnRH administration by an attached pump as a medical treatment to enhance folliculogenesis and recover ovulation (28), whereas chronic GnRH treatment is therapeutically used to inhibit sex steroid release in patients suffering from endometriosis as well as prostate cancer (29).
The pulsatile GnRH release was first described in ewes by measurements of GnRH in the pituitary portal blood in 1982 (30) and then examined in more detail in 1992 (31). These studies demonstrated that GnRH pulses detected in the pituitary portal circulation synchronized with LH pulses detected in the peripheral circulation.
Localization of the GnRH Pulse Generator
Pulsatile GnRH release from GnRH neurons into the pituitary portal circulation has been hypothesized to be driven by the mechanism of the so-called “GnRH pulse generator” (32, 33). The first experimental evidence for the localization of the GnRH pulse generator was provided by Halasz and Pupp (34): They designed a small knife cut to isolate the mediobasal hypothalamus (MBH), leaving the region in contact with the pituitary gland but devoid of neural connections with the other brain regions. This complete deafferentation of the MBH failed to affect the testicular function (spermatogenesis) in males nor ovarian function (folliculogenesis) except for ovulation in female rats. These findings indicated that the complete deafferentation of the MBH disrupts the preovulatory GnRH/LH surge but not the GnRH pulses that drive tonic gonadotropin release in female rats. Subsequent studies had confirmed that pulsatile LH release is not impaired by the complete hypothalamic deafferentation in rats (35, 36). Taken together, these findings indicated that the GnRH pulse generator would be located in the MBH. Importantly, GnRH neuronal cell bodies are mainly located in the preoptic area (POA) and GnRH nerve terminals are located in the median eminence within the MBH in rats, indicating that the GnRH neurons themselves may not be involved in GnRH pulse generation and GnRH terminals would be an effector of GnRH pulse generator (36, 37).
Knobil and colleagues then established an important method to monitor GnRH pulse generator activity in the MBH via an electrophysiological approach in rhesus monkeys (38): This approach revealed that rhythmic increases in the multiple unit activity (termed MUA volleys) were accompanied by LH pulses detected in the peripheral circulation, when the recording electrodes were placed within the MBH. The MUA is the summation of the electrical activity of multiple neurons around the electrodes, and the origin of MUA volleys remained unknown at that time. This method was subsequently adapted to rats and goats (39–41) and successfully showed the MUA volleys in the MBH accompanied by LH pulses in such species as well. From then, significant effort was made to identify the intrinsic sources of the GnRH pulse generator for many years.
The ARC Kisspeptin Neurons Are a Major Regulator of GnRH/Gonadotropin Pulses
At the turn of the twenty-first century, the discovery of kisspeptin provided a breakthrough in our understanding of the source of the GnRH pulse generator. Kisspeptin was first found as an endogenous ligand of GPR54, a then-orphan GPCR that shares significant homology with galanin receptors (42), from human placenta extract (43, 44). Kisspeptin was identified as a 54-amino-acid peptide cleaved from a 145-amino-acid prepropeptide in humans (43, 44). The C-terminal amidated 10-amino-acid sequence of the peptide (Kp-10), which is essential and sufficient for interaction with GPR54, a Gq-coupled stimulatory GPCR (43), is identical among mammals, except for the C-terminal phenylalanine which is changed to tyrosine in non-primate mammals (43–50). The precursor and mature kisspeptin with the C-terminal amidation in humans, rodents, and domestic animals are summarized in Figure 1A. Moreover, an indispensable role of kisspeptin as a neuropeptide in the central nervous system regulating reproduction in humans, was uncovered by two studies published in 2003 (51, 52): Two groups from the US and France independently demonstrated inactivating mutations of the GPR54 gene in patients suffering from hypogonadotropic hypogonadism with pubertal failure. To date, several Kiss1 or Gpr54 knockout rodents replicated hypogonadotropic hypogonadism as seen in humans (52–58). Later, a Turkish group demonstrated that patients carrying inactivating mutations of the KISS1 gene also exhibited hypogonadotropic hypogonadism (59). Taken together, these findings suggest that kisspeptin-GPR54 signaling serves as a key regulator for puberty onset and gonadotropin release in mammals.
Figure 1

Schematic illustration of kisspeptin, neurokinin B, dynorphin A, and their precursors in humans, mice, rats, cattle, sheep, and pigs based on the previous reports (43, 45, 47, 49) and UniProtKB (https://www.uniprot.org/uniprot/). The precursors comprise a signal peptide in the N-terminal. (A) Kisspeptin consists of 52 or 54 amino acids cleaved from the precursors and the C-terminal is amidated. The C-terminal 10-amino acids (Kp-10) are identical among mice, rats, cattle, sheep, and pigs. Note that C-terminal tyrosine is replaced with phenylalanine in humans. (B) Neurokinin B consists of 10 amino acids cleaved from the precursors and the C-terminal is amidated. The amino acid sequence of neurokinin B is identical among humans, mice, rats, cattle, sheep, and pigs. The C-terminal amino acid sequence Phe-X-Gly-Leu-Met (or Leu)-amide is commonly found in tachykinin family peptides. (C) Dynorphin A consists of 17 amino acids cleaved from their precursors. The amino acid sequence of dynorphin A is identical among mice, rats, cattle, sheep, and pigs. The N-terminal amino acid sequence Tyr-Gly-Gly-Phe-Leu (or Met) are commonly found in endogenous opioid peptides.
Kisspeptin profoundly stimulated GnRH/gonadotropin release in mammals (53, 54, 60–63). The previous studies demonstrated that central administration of full-length kisspeptin or Kp-10 stimulated gonadotropin release in rodents (54, 60–62), ruminants (53), and primates (63). In addition, the stimulatory effect of kisspeptin on gonadotropin release was blocked by GnRH antagonists in both rodents (60, 61, 64) and primates (63), indicating that kisspeptin-induced gonadotropin release is mediated by GnRH. The previous in vitro study showed that kisspeptin stimulates GnRH release from the rat hypothalamic tissue via stimulatory Gq-protein-mediated activation of phospholipase C and mobilization of intracellular Ca2+ (65). Further, several histological analyses showed that Gpr54 is expressed in a majority of GnRH neurons in mice (53, 66, 67) and rats (60, 68). Electrophysiological studies revealed that kisspeptin exerted a potent direct depolarizing effect on GnRH neurons (67, 69, 70). Further, GnRH neuron-specific Gpr54 knockout mice resulted in infertility, whereas the rescuing Gpr54 in GnRH neurons in global Gpr54 knockout mice restored fertility (71), suggesting that GPR54 solely in GnRH neurons is enough for fertility in mice. Taken together, these findings suggest that kisspeptin directly stimulates GnRH release via GPR54 expressed in GnRH neurons to lead consequent gonadotropin secretion in mammals.
There are two major populations of hypothalamic kisspeptin neurons: one population is localized in the ARC—inside the MBH—in most mammals examined to date, and the other population is localized more rostral regions such as the anteroventral periventricular nucleus (AVPV) in rodents (72–77) and the POA in most of the other mammals including ruminants (12, 14, 46, 78–83), primates (50, 63, 84, 85), and others (47, 48). The role of AVPV/POA kisspeptin neurons in generating GnRH/LH surge in females was reviewed elsewhere (86–88). Circumstantial evidence suggesting that ARC kisspeptin neurons are an intrinsic source of the GnRH pulse generator has been accumulated as follows. When the MUA is measured in goats through recoding electrodes targeted to the vicinity of the ARC kisspeptin neurons, MUA volleys are found at regular intervals and are synchronized with LH pulses (13, 46). Further, recent in vivo GCaMP6 fiber photometry technology revealed that ARC kisspeptin neurons exhibited rhythmic increases in intracellular Ca2+ accompanied by LH pulses in mice (89, 90). Optogenetic stimulation of ARC kisspeptin neurons induced and optogenetic inhibition of ARC kisspeptin neurons suppressed LH pulses in kisspeptin neuron-specific channelrhodopsin- and archaerhodopsin-expressed gene-modified mice, respectively (89, 91).
GnRH neuronal axons in the median eminence seem to be an action site of kisspeptin for the generation of GnRH pulses. Immunoelectron microscopy revealed that kisspeptin and GnRH fibers are closely associated with each other in the internal layer of the median eminence and that few typical synaptic structures were found between kisspeptin and GnRH fibers in rats and goats, suggesting that kisspeptin acts on GnRH axons in a non-synaptic manner, such as “volume transmission” (92, 93). Further, peripheral (not only central) administration of kisspeptin successfully induced GnRH/gonadotropin release in mammals including rodents (53, 62, 64, 94), ruminants (46, 95), and primates (63, 96). This may be an advantage for therapeutic use of kisspeptin or its analogs in humans and domestic animals (97–99). Furthermore, GnRH neuronal cell bodies also seem to be an action site of ARC kisspeptin neurons because a retrograde tracing study revealed the projection of ARC kisspeptin neurons to the POA in mice (100) and confocal microscopy revealed contacts of kisspeptin fibers from the ARC population to GnRH neurons in ewes (101).
Roles of Kisspeptin, Neurokinin B, and Dynorphin A in the Mechanism Controlling GnRH Pulse Generation
Theoretically, the GnRH pulse generator would consist of neurons that are connected to each other and show synchronized neuronal activity. The dense distribution of kisspeptin neuronal cell bodies and fibers in the whole ARC (54, 75) may be indicative of a neuronal connection between kisspeptin neurons. Such a dense kisspeptin-kisspeptin neuronal connection may be necessary to synchronize the release of kisspeptin to the GnRH neurons at the median eminence. Importantly, Gpr54 is not found in ARC kisspeptin neurons in mice (66) and rats (68). Further, electrophysiology or MUA technology revealed that kisspeptin itself unlikely affects the activity of kisspeptin neurons in mice (102), rats (94), and goats (46), suggesting that other neuropeptide(s) may participate to synchronize the kisspeptin neuronal activity.
It is noteworthy that both neurokinin B and dynorphin A are co-localized in a majority of ARC kisspeptin neurons (therefore called KNDy neurons) in several mammalian species including rodents (7–11), ruminants (12–14), and primates (15, 16). Neurokinin B is one of the tachykinin family peptides, that are characterized by the presence of the common C-terminal amino acid sequence Phe-X-Gly-Leu-Met (or Leu)-amide (103) (Figure 1B). Among the tachykinin families, substance P, neurokinin A (both of which are cleaved from the same prepropeptide coded by TAC1 gene in humans), and neurokinin B (which is cleaved from separate prepropeptide coded by TAC3 gene) have been well-investigated, and the amino acid sequences of these peptides are identical in all mammalian species examined to date (103). There are three types of GPCRs for the tachykinins, denoted as NK1, NK2, and NK3 receptors. These receptors are recognized with moderate selectivity by endogenous tachykinins. Neurokinin B was reported to preferentially bind to the NK3 receptor, a Gq-coupled stimulatory GPCR (103). Neurokinin B previously attracted attention as a mediator for the hot flushes in postmenopausal women, who show ovarian steroid hyposecretion and gonadotropin hypersecretion (104). Importantly, inactivating mutations of the TAC3 or TACR3 (encoding the NK3 receptor) gene lead to hypogonadotropic hypogonadism in humans (105, 106), suggesting the importance of neurokinin B-NK3R signaling in human reproduction.
Dynorphin A is a family of endogenous opioid peptides characterized by the presence of the common N-terminal amino acid sequence Tyr-Gly-Gly-Phe-Leu (or Met) (107) (Figure 1C). There are three major endogenous opioids, such as β-endorphin, enkephalin, and dynorphin A, which are mainly cleaved from the separate prepropeptides encoded by POMC, PENK, and PDYN, respectively. Major corresponding receptors for β-endorphin, enkephalin, and dynorphin A are suggested to be μ-opioid, δ-opioid, and κ-opioid receptors, respectively, and the receptors are known as Gi-coupled inhibitory GPCRs (107). Dynorphin A was previously reported to be involved in negative feedback action of progesterone on GnRH pulse generation in ewes (108, 109).
Goodman and colleagues first found that neurokinin B and dynorphin A are largely co-localized in a single population of ARC neurons in ewes by immunohistochemistry for these peptides (110), and then uncovered that kisspeptin is also expressed in the same neuronal population (12). The co-localization of neurokinin B and dynorphin A in the ARC kisspeptin neurons were validated in several mammalian species such as goats (13), heifers (14), rats (9, 10), mice (7, 8, 11), and rhesus monkeys (15, 16) as summarized in Table 1. Co-localization of kisspeptin and neurokinin B was also found in humans (111–114) (Table 2), whereas few dynorphin A immunoreactivity was detected in the ARC kisspeptin/neurokinin B neurons in humans (112). Furthermore, NK3 receptors were found in a majority of rodent and ovine ARC KNDy neurons (7, 8, 11, 115, 116) and κ-opioid receptors were found in a majority of rat and ovine KNDy neurons and in a part of mouse KNDy neurons (7, 8, 11, 115, 117, 118) (Table 3). These findings suggest that the ARC KNDy neurons communicate with each other by neurokinin B-NK3 receptor signaling and dynorphin A-κ-opioid receptor signaling in an autocrine/paracrine manner. The species and sex differences in terms of the co-expressing rates of KNDy peptides and their receptors may imply the redundancy of KNDy neurons to maintain reproductive function in mammals as discussed later.
Table 1
| Species | Sexes and treatments | NKB/Kp | Dyn/Kp | Methods | Reference no. and authors |
|---|---|---|---|---|---|
| Sheep | Female (OVX+E2) | – | 94% | IHC | (12), Goodman et al., 2007 |
| Female (Ovary intact)1 | 80.4% | – | IHC | (12), Goodman et al., 2007 | |
| Goats | Female (OVX) | 99.5% | 78.0% | IHC | (13), Wakabayashi et al., 2010 |
| Cattle | Female (Ovary intact)2 | almost all3 | >half3 | IHC | (14), Hassaneen et al., 2016 |
| Rats | Female (OVX) | 97% | – | IHC | (9), True et al., 2011 |
| Female (OVX+E2) | majority4 | majority4 | IHC | (10), Murakawa et al., 2016 | |
| Mice | Female (OVX/OVX+E2) | 90% | 92% | ISH | (7), Navarro et al., 2009 |
| Male (Cast/Cast+T) | 94% | 86% | ISH | (8), Navarro et al., 2011 | |
| Female (OVX)5 | 100% | 100% | Pooled cell PCR | (11), Ikegami et al., 2017 | |
| Rhesus monkeys | Male (Cast) | 40-60% | – | IHC | (15), Ramaswamy et al., 2010 |
| Female (OVX) | – | 7.3% | IHC | (16), True et al., 2017 |
Co-expression % of neurokinin B or dynorphin A in the arcuate kisspeptin neurons in ruminants, rodents, and rhesus monkeys.
Cast, castration; Dyn, dynorphin A; E2, estradiol-17β; Kp, kisspeptin; NKB, neurokinin B; OVX, ovariectomy; T, testosterone.
1Data were collected from ewes at the luteal, follicular, and estrous stages.
2Data were collected from heifers at the luteal and follicular stages.
3Data were not shown as percentage.
4Data were not shown as percentage.
5Data were collected from Kiss1-GFP transgenic mice.
Table 2
| Species | Sexes | Ages | NKB/Kp | Kp/NKB | Methods | Reference no. and authors |
|---|---|---|---|---|---|---|
| Humans | Female | 27-74 years old | 77.0% | 95% | IHC | (111), Hrabovszky et al., 2010 |
| Male | Young (21-37 years old) | 75.2% | 32.9% | IHC | (112), Hrabovszky et al., 2012 | |
| Male | Young (21-49 years old) | 72.7% | 35.8% | IHC | (113), Molnar et al., 2012 | |
| Male | Aged (50-78 years old) | 77.9% | 68.1% | IHC | (113), Molnar et al., 2012 | |
| Female | Postmenopausal (64-90 years old) | 78.4% | 66.5% | IHC | (114), Skrapits et al., 2014 |
Co-expression % of kisspeptin and neurokinin B in the arcuate nucleus of humans.
Table 3
| Species | Sexes and treatments | NK3R | KOR | Targets | Methods | Reference no. and authors |
|---|---|---|---|---|---|---|
| Sheep | Female (Ovary intact)1 | 64% | – | NKB | IHC | (116), Amstalden, et al., 2010 |
| Female (Ovary intact)1 | – | 97.8% | Kp | IHC | (118), Weems et al., 2016 | |
| Female (Ovary intact)1 | – | 93.5% | NKB | IHC | (118), Weems et al., 2016 | |
| Rats | Female (OVX+E2) | – | 62% | Kp | ISH | (117), Tsuchida et al., 2020 |
| Mice | Female (OVX/OVX+E2) | 96% | 20% | Kp | ISH | (7), Navarro et al., 2009 |
| Male (Cast/Cast+T) | 76% | 6% | Kp | ISH | (8), Navarro et al., 2011 | |
| Male (Testis intact)2 | 35% | 41% | NKB | Single-cell PCR | (115), Ruka et al., 2013 | |
| Male (Cast)2 | 86% | 19% | NKB | Single-cell PCR | (115), Ruka et al., 2013 | |
| Female (OVX)3 | 83% | 33% | Kp | Pooled cell PCR | (11), Ikegami et al., 2017 |
Co-expression % of NK3 receptors or κ-opioid receptors in the arcuate kisspeptin/neurokinin B neurons.
Cast, castration; E2, estradiol-17β; Kp, kisspeptin; KOR, κ-opioid receptors; NK3R, NK3 receptors; NKB, neurokinin B; OVX, ovariectomy; T, testosterone.
1Data were collected from ewes at the luteal stage.
2Data were collected from Tac2-GFP transgenic mice.
3Data were collected from Kiss1-GFP transgenic mice.
Figure 2 shows a schematic illustration of the hypothesis explaining the mechanism controlling GnRH pulse generation. The current most plausible interpretation is that neurokinin B initiates and/or accelerates synchronized KNDy neuronal activity via stimulatory Gq-coupled NK3 receptors to release kisspeptin that stimulates GnRH release via stimulatory Gq-coupled GPR54 expressed in GnRH neurons, and that dynorphin A released from KNDy neurons then terminates KNDy neuronal activity via inhibitory Gi-coupled κ-opioid receptors. Indeed, a central administration of neurokinin B facilitated the frequency of the MUA volley, which is corresponding the GnRH pulse generator activity, and the frequency was lowered by a central administration of dynorphin A and increased by nor-binaltorphimine (nor-BNI), a κ-opioid receptor antagonist, in female goats (13). Peripheral administrations of PF-4455242, another κ-opioid receptor antagonist, facilitated and SB223412, an NK3 receptor antagonist, suppressed LH pulses in female goats (119, 120). Similarly, a central administration of neurokinin B or nor-BNI facilitated and SB222200, another NK3 receptor antagonist, suppressed LH pulses in ewes (121). In addition, neurokinin B and senktide, an NK3 receptor agonist, increased the firing frequency of a majority of male mouse KNDy neurons (8, 102) and dynorphin A and U50-488, a κ-opioid receptor agonist, decreased the firing frequency of all the KNDy neurons tested (102). Taken together, it is most likely that neurokinin B serves as a stimulatory signal for ARC KNDy neurons and dynorphin A serves as an inhibitory signal for the neurons, leading to the synchronized pulsatile pattern of the KNDy neuronal activity to generate GnRH pulse.
Figure 2

Schematic illustration of the hypothetical mechanism controlling gonadotropin-releasing hormone (GnRH) pulse generation in mammals. Neurokinin B initiates and/or accelerates synchronized KNDy neuronal activity via stimulatory Gq-coupled NK3 receptors to release kisspeptin that stimulates GnRH release via stimulatory Gq-coupled GPR54 expressed in GnRH neurons. Dynorphin A released from KNDy neurons then terminates KNDy neuronal activity via inhibitory Gi-coupled κ-opioid receptors.
Direct Evidence That KNDy Neurons as the GnRH Pulse Generator
As we mentioned above, circumstantial evidence accumulated in the last 15 years suggests that kisspeptin, neurokinin B, and dynorphin A in KNDy neurons play key roles in controlling pulsatile GnRH release in female mammals including rodents (58, 89, 91) and ruminants (13, 46, 121, 122). However, no direct evidence proving the role of KNDy neurons as the GnRH pulse generator had been provided yet because gene-modified mice and rats lack Kiss1 expression in both two populations of hypothalamic kisspeptin neurons as well as extra-hypothalamic and peripheral kisspeptin-producing cells. For example, we previously generated global Kiss1 knockout rats to demonstrate the indispensable role of kisspeptin in both pulsatile and surge-mode GnRH/gonadotropin release (58). The global Kiss1 knockout rats clearly reproduced the hypogonadal phenotypes of human and mouse models carrying KISS1/Kiss1 or GPR54/Gpr54 mutations such as pubertal failure and atrophic gonads in both sexes. Importantly, the Kiss1 knockout rats exhibited a complete suppression of pulsatile LH release even after gonadectomy in both sexes, suggesting that kisspeptin neurons serve as the GnRH pulse generation in both sexes. In addition, global Kiss1 knockout female rats exhibited no LH surge when animals were treated with preovulatory levels of estradiol-17β.
To prove that KNDy neurons serve as the GnRH pulse generator, we rescued KNDy neurons by infecting viral vectors expressing Kiss1 mRNA targeted into the ARC Tac3-expressing neurons in global Kiss1 knockout female rats (123). Pulsatile LH release was recovered in KNDy-rescued rats in which 20-50% ARC Tac3-expressing neurons exhibited Kiss1 expression. The profiles of LH pulses are largely dependent on the rescue rates of KNDy neurons, indicating that the rescue of KNDy neurons, but not Kiss1 transfection outside of ARC Tac3-expressing neurons, could recover LH pulses in global Kiss1 knockout female rats. Further, rescuing KNDy neurons could recover folliculogenesis, but not ovulation, suggesting that KNDy neurons are largely responsible for GnRH/LH pulse generation but not surge generation. To confirm the notion obtained by the KNDy rescue experiment, we evaluated the effect of conditional ARC Kiss1 knockout on GnRH pulse generation in newly generated Kiss1-floxed rats. By using the Cre-loxP system, we engineered conditional ARC Kiss1 knockout rats (123). Pulsatile LH release was completely suppressed in conditional ARC Kiss1 knockout female rats in which >90% Kiss1-expressing cells disappeared in the ARC.
The finding that 20% of KNDy neurons are enough to maintain GnRH pulses and folliculogenesis in the rat suggests the functional redundancy of the KNDy neuronal population. The notion of redundancy is also supported by a previous study showing that gene-modified mice bearing <5% Kiss1 expression still exhibited puberty and fertility in both sexes (124). To date, little is known the functional redundancy of the KNDy neurons in non-rodent mammalian species.
It should be noted that the previous immunohistochemical studies showed co-localization of NK3 receptor in a number of GnRH fibers in rats (125) and κ-opioid receptor in a majority of GnRH cell bodies in rats and ewes (118, 126). These findings imply that neurokinin B and dynorphin A may also directly acts on GnRH neurons to control GnRH release. Nevertheless, it is unlikely that neurokinin B and/or dynorphin A derived from KNDy neurons directly act on GnRH neurons to participate in GnRH pulse generation. This is because plasma LH/FSH levels were undetectable in global Kiss1 knockout rats (58), in which Tac3 and Pdyn gene were abundantly expressed in the ARC as shown in wild-type female rats. Further, Kiss1 rescue into the ARC Tac3-expressing cells but not out of the Tac3-expressing cells rescued LH pulses in the global Kiss1 knockout female rats (123). These findings indicate that ARC neurokinin B/dynorphin A neurons without Kiss1 could not drive GnRH/LH pulse generation. In this context, non-KNDy neurokinin B or dynorphin A neurons may directly project GnRH neurons and control/modulate GnRH and consequent gonadotropin release. Supportedly, our recent study suggested that the dynorphin neurons derived from the hypothalamic paraventricular nucleus mediate glucoprivic suppression of LH pulses (117).
Conclusions, Unanswered Questions, and Future Aspects
Kisspeptin discovery in the early 2000s and its subsequent studies have provided a breakthrough in our understanding of the brain mechanism underlying reproduction in mammals along with the rediscovery of the critical roles of neurokinin B, a tachykinin, and dynorphin A, an endogenous opioid peptide. We now postulate that KNDy neurons act as an intrinsic source of the GnRH pulse generator, in which neurokinin B serves as a stimulatory signal, dynorphin A serves as an inhibitory signal, and kisspeptin serve as an output signal of KNDy neurons that drive GnRH release from the GnRH neurons. There are, however, still some unanswered questions. For example, there are reportedly species differences in neurokinin B signaling in KNDy neurons: The NK3 receptor antagonist SB223412 potently inhibited gonadotropin and testosterone release in male dogs (127), on the other hand, CS-003, a triple tachykinin receptor antagonist, was needed to inhibit LH secretion in male and female rats (128). Similarly, electrophysiology revealed that three tachykinin receptors were needed to be antagonized to prevent the stimulatory action of NKB on male mouse KNDy neurons in vitro (102). There are also species differences in terms of the co-expressing rates of dynorphin A and κ-opioid receptors in KNDy neurons as described above. Further, the sex differences in the number of ARC kisspeptin/neurokinin B neurons were reported in humans: males have fewer kisspeptin- and neurokinin B-positive cells in the ARC than females (111, 129). The sex differences could be caused by feedback from different endogenous steroids in gonad-intact human subjects as reviewed elsewhere (122, 130). Indeed, previous studies showed the increases in KISS1 and TAC3 expression in the ARC of postmenopausal women compared to premenopausal women (84, 104). Further studies are warranted on how neurokinin B and dynorphin A orchestrate the synchronized activity of KNDy neurons and GnRH pulses in mammals and the significance behind the species and sex differences to contribute to future therapeutic approaches in both humans and domestic animals suffering from reproductive disorders.
Funding
The present study was supported in part by JSPS KAKENHI Grant Numbers 18H03973, 21K19186, and 21H05031 (to HirT), 19H03103 (to NI), 20H03127 (to YU).
Publisher’s Note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Statements
Author contributions
YU and HirT collected the information and wrote the manuscript. NI designed the pictures and critically revised the manuscript. MN and HitT collected the information and critically revised the manuscript. All authors contributed to the article and approved the submitted version.
Acknowledgments
We respectfully acknowledge the contributions of the late Professor Kei-ichiro Maeda, Ph.D., D.V.M., of The University of Tokyo, who suddenly passed away in February 2018. His leadership, insight, and invaluable ideas contributed greatly to our original studies reviewed in this article. We wish to thank Dr. Nicola Skoulding for editorial assistance.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
1
ElphickMRMirabeauOLarhammarD. Evolution of Neuropeptide Signalling Systems. J Exp Biol (2018) 221:jeb151092. doi: 10.1242/jeb.151092
2
GrimmelikhuijzenCJHauserF. Mini-Review: The Evolution of Neuropeptide Signaling. Regul Pept (2012) 177 Suppl:S6–9. doi: 10.1016/j.regpep.2012.05.001
3
TakahashiT. Comparative Aspects of Structure and Function of Cnidarian Neuropeptides. Front Endocrinol (2020) 11:339. doi: 10.3389/fendo.2020.00339
4
VaudryHSeongJY. Neuropeptide GPCRs in Neuroendocrinology. Front Endocrinol (2014) 5:41. doi: 10.3389/fendo.2014.00041
5
DixonRAKobilkaBKStraderDJBenovicJLDohlmanHGFrielleTet al. Cloning of the Gene and cDNA for Mammalian Beta-Adrenergic Receptor and Homology With Rhodopsin. Nature (1986) 321:75–9. doi: 10.1038/321075a0
6
HauserASGloriamDEBrauner-OsborneHFosterSR. Novel Approaches Leading Towards Peptide GPCR De-Orphanisation. Br J Pharmacol (2020) 177:961–8. doi: 10.1111/bph.14950
7
NavarroVMGottschMLChavkinCOkamuraHCliftonDKSteinerRA. Regulation of Gonadotropin-Releasing Hormone Secretion by Kisspeptin/Dynorphin/Neurokinin B Neurons in the Arcuate Nucleus of the Mouse. J Neurosci (2009) 29:11859–66. doi: 10.1523/JNEUROSCI.1569-09.2009
8
NavarroVMGottschMLWuMGarcia-GalianoDHobbsSJBoschMAet al. Regulation of NKB Pathways and Their Roles in the Control of Kiss1 Neurons in the Arcuate Nucleus of the Male Mouse. Endocrinology (2011) 152:4265–75. doi: 10.1210/en.2011-1143
9
TrueCKirigitiMCiofiPGroveKLSmithMS. Characterisation of Arcuate Nucleus Kisspeptin/Neurokinin B Neuronal Projections and Regulation During Lactation in the Rat. J Neuroendocrinol (2011) 23:52–64. doi: 10.1111/j.1365-2826.2010.02076.x
10
MurakawaHIwataKTakeshitaTOzawaH. Immunoelectron Microscopic Observation of the Subcellular Localization of Kisspeptin, Neurokinin B and Dynorphin A in KNDy Neurons in the Arcuate Nucleus of the Female Rat. Neurosci Lett (2016) 612:161–6. doi: 10.1016/j.neulet.2015.12.008
11
IkegamiKMinabeSIedaNGotoTSugimotoANakamuraSet al. Evidence of Involvement of Neurone-Glia/Neurone-Neurone Communications via Gap Junctions in Synchronised Activity of KNDy Neurones. J Neuroendocrinol (2017) 29:1–14. doi: 10.1111/jne.12480
12
GoodmanRLLehmanMNSmithJTCoolenLMde OliveiraCVJafarzadehshiraziMRet al. Kisspeptin Neurons in the Arcuate Nucleus of the Ewe Express Both Dynorphin A and Neurokinin B. Endocrinology (2007) 148:5752–60. doi: 10.1210/en.2007-0961
13
WakabayashiYNakadaTMurataKOhkuraSMogiKNavarroVMet al. Neurokinin B and Dynorphin A in Kisspeptin Neurons of the Arcuate Nucleus Participate in Generation of Periodic Oscillation of Neural Activity Driving Pulsatile Gonadotropin-Releasing Hormone Secretion in the Goat. J Neurosci (2010) 30:3124–32. doi: 10.1523/JNEUROSCI.5848-09.2010
14
HassaneenASANaniwaYSuetomiYMatsuyamaSKimuraKIedaNet al. Immunohistochemical Characterization of the Arcuate Kisspeptin/Neurokinin B/dynorphin (KNDy) and Preoptic Kisspeptin Neuronal Populations in the Hypothalamus During the Estrous Cycle in Heifers. J Reprod Dev (2016) 62:471–7. doi: 10.1262/jrd.2016-075
15
RamaswamySSeminaraSBAliBCiofiPAminNAPlantTM. Neurokinin B Stimulates GnRH Release in the Male Monkey (Macaca Mulatta) and Is Colocalized With Kisspeptin in the Arcuate Nucleus. Endocrinology (2010) 151:4494–503. doi: 10.1210/en.2010-0223
16
TrueCTakahashiDKirigitiMLindsleySRMoctezumaCArikAet al. Arcuate Nucleus Neuropeptide Coexpression and Connections to Gonadotrophin-Releasing Hormone Neurones in the Female Rhesus Macaque. J Neuroendocrinol (2017) 29:1–15. doi: 10.1111/jne.12491
17
SmithPE. Ablation and Transplantation of the Hypophysis in the Rat. Anat Rec (1926) 32:15–6.
18
EvansHMLongJA. Characteristic Effects Upon Growth, Oestrus and Ovulation Induced by the Intraperitoneal Administration of Fresh Anterior Hypophyseal Substance. Proc Natl Acad Sci USA (1922) 8:38–9. doi: 10.1073/pnas.8.3.38
19
HamburgerC. Historical Introduction. In: WolstenholmeGEWKnightJ, editors. Gonadotropins: Physiochemical and Immunological Properties. London W.I.: J. & A. Churchill Ltd. (1966). p. 2–10.
20
FevoldHLHisawFLLeonardSL. The Gonad Stimulating and the Luteinizing Hormones of the Anterior Lobe of the Hypophesis. Am J Physiol (1931) 97:291–301. doi: 10.1152/ajplegacy.1931.97.2.291
21
SchallyAV. Use of GnRH in Preference to LH-RH Terminology in Scientific Papers. Hum Reprod (2000) 15:2059–61. doi: 10.1093/humrep/15.9.2059
22
HarrisGWJacobsohnD. Functional Grafts of the Anterior Pituitary Gland. Proc R Soc Lond B Biol Sci (1952) 139:263–76. doi: 10.1098/rspb.1952.0011
23
MatsuoHBabaYNairRMArimuraASchallyAV. Structure of the Porcine LH- and FSH-Releasing Hormone. I. The Proposed Amino Acid Sequence. Biochem Biophys Res Commun (1971) 43:1334–9. doi: 10.1016/S0006-291X(71)80019-0
24
AmossMBurgusRBlackwellRValeWFellowsRGuilleminR. Purification, Amino Acid Composition and N-Terminus of the Hypothalamic Luteinizing Hormone Releasing Factor (LRF) of Ovine Origin. Biochem Biophys Res Commun (1971) 44:205–10. doi: 10.1016/S0006-291X(71)80179-1
25
DierschkeDJBhattacharyaANAtkinsonLEKnobilE. Circhoral Oscillations of Plasma LH Levels in the Ovariectomized Rhesus Monkey. Endocrinology (1970) 87:850–3. doi: 10.1210/endo-87-5-850
26
MonroeSEAtkinsonLEKnobilE. Patterns of Circulating Luteinizing Hormone and Their Relation to Plasma Progesterone Levels During the Menstrual Cycle of the Rhesus Monkey. Endocrinology (1970) 87:453–5. doi: 10.1210/endo-87-3-453
27
BelchetzPEPlantTMNakaiYKeoghEJKnobilE. Hypophysial Responses to Continuous and Intermittent Delivery of Hypothalamic Gonadotropin-Releasing Hormone. Science (1978) 202:631–3. doi: 10.1126/science.100883
28
FilicoriMCognigniGE. Ovulation Induction With Pulsatile Gonadotropin Releasing Hormone: Missing in Action. Fertil Steril (2018) 109:621–2. doi: 10.1016/j.fertnstert.2018.01.023
29
PloskerGLBrogdenRN. Leuprorelin. Drugs (1994) 48:930–67. doi: 10.2165/00003495-199448060-00008
30
ClarkeIJCumminsJT. The Temporal Relationship Between Gonadotropin Releasing Hormone (GnRH) and Luteinizing Hormone (LH) Secretion in Ovariectomized Ewes. Endocrinology (1982) 111:1737–9. doi: 10.1210/endo-111-5-1737
31
MoenterSMBrandRMMidgleyARKarschFJ. Dynamics of Gonadotropin-Releasing Hormone Release During a Pulse. Endocrinology (1992) 130:503–10. doi: 10.1210/endo.130.1.1727719
32
LincolnDWFraserHMLincolnGAMartinGBMcNeillyAS. Hypothalamic Pulse Generators. Recent Prog Horm Res (1985) 41:369–419. doi: 10.1016/B978-0-12-571141-8.50013-5
33
MaedaK-ITsukamuraHOhkuraSKawakamiSNagabukuroHYokoyamaA. The LHRH Pulse Generator: A Mediobasal Hypothalamic Location. Neurosci Biobehav Rev (1995) 19:427–37. doi: 10.1016/0149-7634(94)00069-D
34
HalászBPuppL. Hormone Secretion of the Anterior Pituitary Gland After Physical Interruption of All Nervous Pathways to the Hypophysiotrophic Area. Endocrinology (1965) 77:553–62. doi: 10.1210/endo-77-3-553
35
BlakeCASawyerCH. Effects of Hypothalamic Deafferentation on the Pulsatile Rhythm in Plasma Concentrations of Luteinizing Hormone in Ovariectomized Rats. Endocrinology (1974) 94:730–6. doi: 10.1210/endo-94-3-730
36
OhkuraSTsukamuraHMaedaK-I. Effects of Various Types of Hypothalamic Deafferentation on Luteinizing Hormone Pulses in Ovariectomized Rats. J Neuroendocrinol (1991) 3:503–8. doi: 10.1111/j.1365-2826.1991.tb00310.x
37
SilvermanAJJhamandasJRenaudLP. Localization of Luteinizing Hormone-Releasing Hormone (LHRH) Neurons That Project to the Median Eminence. J Neurosci (1987) 7:2312–9.
38
WilsonRCKesnerJSKaufmanJMUemuraTAkemaTKnobilE. Central Electrophysiologic Correlates of Pulsatile Luteinizing Hormone Secretion in the Rhesus Monkey. Neuroendocrinology (1984) 39:256–60. doi: 10.1159/000123988
39
KimuraFNishiharaMHirumaHFunabashiT. Naloxone Increases the Frequency of the Electrical Activity of Luteinizing Hormone-Releasing Hormone Pulse Generator in Long-Term Ovariectomized Rats. Neuroendocrinology (1991) 53:97–102. doi: 10.1159/000125704
40
NishiharaMHirumaHKimuraF. Interactions Between the Noradrenergic and Opioid Peptidergic Systems in Controlling the Electrical Activity of Luteinizing Hormone-Releasing Hormone Pulse Generator in Ovariectomized Rats. Neuroendocrinology (1991) 54:321–6. doi: 10.1159/000125909
41
MoriYNishiharaMTanakaTShimizuTYamaguchiMTakeuchiYet al. Chronic Recording of Electrophysiological Manifestation of the Hypothalamic Gonadotropin-Releasing Hormone Pulse Generator Activity in the Goat. Neuroendocrinology (1991) 53:392–5. doi: 10.1159/000125746
42
LeeDKNguyenTO’NeillGPChengRLiuYHowardADet al. Discovery of a Receptor Related to the Galanin Receptors. FEBS Lett (1999) 446:103–7. doi: 10.1016/S0014-5793(99)00009-5
43
OhtakiTShintaniYHondaSMatsumotoHHoriAKanehashiKet al. Metastasis Suppressor Gene KiSS-1 Encodes Peptide Ligand of a G-Protein-Coupled Receptor. Nature (2001) 411:613–7. doi: 10.1038/35079135
44
KotaniMDetheuxMVandenbogaerdeACommuniDVanderwindenJMLe PoulEet al. The Metastasis Suppressor Gene KiSS-1 Encodes Kisspeptins, the Natural Ligands of the Orphan G Protein-Coupled Receptor GPR54. J Biol Chem (2001) 276:34631–6. doi: 10.1074/jbc.M104847200
45
TeraoYKumanoSTakatsuYHattoriMNishimuraAOhtakiTet al. Expression of KiSS-1, A Metastasis Suppressor Gene, in Trophoblast Giant Cells of the Rat Placenta. Biochim Biophys Acta (2004) 1678:102–10. doi: 10.1016/j.bbaexp.2004.02.005
46
OhkuraSTakaseKMatsuyamaSMogiKIchimaruTWakabayashiYet al. Gonadotrophin-Releasing Hormone Pulse Generator Activity in the Hypothalamus of the Goat. J Neuroendocrinol (2009) 21:813–21. doi: 10.1111/j.1365-2826.2009.01909.x
47
TomikawaJHommaTTajimaSShibataTInamotoYTakaseKet al. Molecular Characterization and Estrogen Regulation of Hypothalamic KISS1 Gene in the Pig. Biol Reprod (2010) 82:313–9. doi: 10.1095/biolreprod.109.079863
48
InoueNSasagawaKIkaiKSasakiYTomikawaJOishiSet al. Kisspeptin Neurons Mediate Reflex Ovulation in the Musk Shrew (Suncus Murinus). Proc Natl Acad Sci USA (2011) 108:17527–32. doi: 10.1073/pnas.1113035108
49
NaniwaYNakatsukasaKSetsudaSOishiSFujiiNMatsudaFet al. Effects of Full-Length Kisspeptin Administration on Follicular Development in Japanese Black Beef Cows. J Reprod Dev (2013) 59:588–94. doi: 10.1262/jrd.2013-064
50
WatanabeYUenoyamaYSuzukiJTakaseKSuetomiYOhkuraSet al. Oestrogen-Induced Activation of Preoptic Kisspeptin Neurones May Be Involved in the Luteinizing Hormone Surge in Male and Female Japanese Monkeys. J Neuroendocrinol (2014) 26:909–17. doi: 10.1111/jne.12227
51
de RouxNGeninECarelJCMatsudaFChaussainJLMilgromE. Hypogonadotropic Hypogonadism Due to Loss of Function of the KiSS1-Derived Peptide Receptor GPR54. Proc Natl Acad Sci USA (2003) 100:10972–6. doi: 10.1073/pnas.1834399100
52
SeminaraSBMessagerSChatzidakiEEThresherRRAciernoJSJrShagouryJKet al. The GPR54 Gene as a Regulator of Puberty. N Engl J Med (2003) 349:1614–27. doi: 10.1056/NEJMoa035322
53
MessagerSChatzidakiEEMaDHendrickAGZahnDDixonJet al. Kisspeptin Directly Stimulates Gonadotropin-Releasing Hormone Release via G Protein-Coupled Receptor 54. Proc Natl Acad Sci USA (2005) 102:1761–6. doi: 10.1073/pnas.0409330102
54
KinoshitaMTsukamuraHAdachiSMatsuiHUenoyamaYIwataKet al. Involvement of Central Metastin in the Regulation of Preovulatory Luteinizing Hormone Surge and Estrous Cyclicity in Female Rats. Endocrinology (2005) 146:4431–6. doi: 10.1210/en.2005-0195
55
d’Anglemont de TassignyXFaggLADixonJPDayKLeitchHGHendrickAGet al. Hypogonadotropic Hypogonadism in Mice Lacking a Functional Kiss1 Gene. Proc Natl Acad Sci USA (2007) 104:10714–9. doi: 10.1073/pnas.0704114104
56
LapattoRPallaisJCZhangDChanYMMahanACerratoFet al. Kiss1-/- Mice Exhibit More Variable Hypogonadism Than Gpr54-/- Mice. Endocrinology (2007) 148:4927–36. doi: 10.1210/en.2007-0078
57
ChanYMBroder-FingertSWongKMSeminaraSB. Kisspeptin/Gpr54-Independent Gonadotrophin-Releasing Hormone Activity in Kiss1 and Gpr54 Mutant Mice. J Neuroendocrinol (2009) 21:1015–23. doi: 10.1111/j.1365-2826.2009.01926.x
58
UenoyamaYNakamuraSHayakawaYIkegamiKWatanabeYDeuraCet al. Lack of Pulse and Surge Modes and Glutamatergic Stimulation of LH Release in Kiss1 Knockout Rats. J Neuroendocrinol (2015) 27:187–97. doi: 10.1111/jne.12257
59
TopalogluAKTelloJAKotanLDOzbekMNYilmazMBErdoganSet al. Inactivating KISS1 Mutation and Hypogonadotropic Hypogonadism. N Engl J Med (2012) 366:629–35. doi: 10.1056/NEJMoa1111184
60
IrwigMSFraleyGSSmithJTAcohidoBVPopaSMCunninghamMJet al. Kisspeptin Activation of Gonadotropin Releasing Hormone Neurons and Regulation of KiSS-1 mRNA in the Male Rat. Neuroendocrinology (2004) 80:264–72. doi: 10.1159/000083140
61
GottschMLCunninghamMJSmithJTPopaSMAcohidoBVCrowleyWFet al. A Role for Kisspeptins in the Regulation of Gonadotropin Secretion in the Mouse. Endocrinology (2004) 145:4073–7. doi: 10.1210/en.2004-0431
62
PhengVUenoyamaYHommaTInamotoYTakaseKYoshizawa-KumagayeKet al. Potencies of Centrally- or Peripherally-Injected Full-Length Kisspeptin or Its C-Terminal Decapeptide on LH Release in Intact Male Rats. J Reprod Dev (2009) 55:378–82. doi: 10.1262/jrd.20240
63
ShahabMMastronardiCSeminaraSBCrowleyWFOjedaSRPlantTM. Increased Hypothalamic GPR54 Signaling: A Potential Mechanism for Initiation of Puberty in Primates. Proc Natl Acad Sci USA (2005) 102:2129–34. doi: 10.1073/pnas.0409822102
64
MatsuiHTakatsuYKumanoSMatsumotoHOhtakiT. Peripheral Administration of Metastin Induces Marked Gonadotropin Release and Ovulation in the Rat. Biochem Biophys Res Commun (2004) 320:383–8. doi: 10.1016/j.bbrc.2004.05.185
65
CastellanoJMNavarroVMFernandez-FernandezRCastanoJPMalagonMMAguilarEet al. Ontogeny and Mechanisms of Action for the Stimulatory Effect of Kisspeptin on Gonadotropin-Releasing Hormone System of the Rat. Mol Cell Endocrinol (2006) 257-258:75–83. doi: 10.1016/j.mce.2006.07.002
66
HerbisonAEde TassignyXDoranJColledgeWH. Distribution and Postnatal Development of Gpr54 Gene Expression in Mouse Brain and Gonadotropin-Releasing Hormone Neurons. Endocrinology (2010) 151:312–21. doi: 10.1210/en.2009-0552
67
HanSKGottschMLLeeKJPopaSMSmithJTJakawichSKet al. Activation of Gonadotropin-Releasing Hormone Neurons by Kisspeptin as a Neuroendocrine Switch for the Onset of Puberty. J Neurosci (2005) 25:11349–56. doi: 10.1523/JNEUROSCI.3328-05.2005
68
HigoSHondaSIijimaNOzawaH. Mapping of Kisspeptin Receptor mRNA in the Whole Rat Brain and Its Co-Localisation With Oxytocin in the Paraventricular Nucleus. J Neuroendocrinol (2016) 28:10. doi: 10.1111/jne.12356
69
Pielecka-FortunaJChuZMoenterSM. Kisspeptin Acts Directly and Indirectly to Increase Gonadotropin-Releasing Hormone Neuron Activity and Its Effects Are Modulated by Estradiol. Endocrinology (2008) 149:1979–86. doi: 10.1210/en.2007-1365
70
LiuXLeeKHerbisonAE. Kisspeptin Excites Gonadotropin-Releasing Hormone Neurons Through a Phospholipase C/calcium-Dependent Pathway Regulating Multiple Ion Channels. Endocrinology (2008) 149:4605–14. doi: 10.1210/en.2008-0321
71
KirilovMClarksonJLiuXRoaJCamposPPorteousRet al. Dependence of Fertility on Kisspeptin-Gpr54 Signaling at the GnRH Neuron. Nat Commun (2013) 4:2492. doi: 10.1038/ncomms3492
72
SmithJTCunninghamMJRissmanEFCliftonDKSteinerRA. Regulation of Kiss1 Gene Expression in the Brain of the Female Mouse. Endocrinology (2005) 146:3686–92. doi: 10.1210/en.2005-0488
73
ClarksonJHerbisonAE. Postnatal Development of Kisspeptin Neurons in Mouse Hypothalamus; Sexual Dimorphism and Projections to Gonadotropin-Releasing Hormone Neurons. Endocrinology (2006) 147:5817–25. doi: 10.1210/en.2006-0787
74
SmithJTPopaSMCliftonDKHoffmanGESteinerRA. Kiss1 Neurons in the Forebrain as Central Processors for Generating the Preovulatory Luteinizing Hormone Surge. J Neurosci (2006) 26:6687–94. doi: 10.1523/JNEUROSCI.1618-06.2006
75
AdachiSYamadaSTakatsuYMatsuiHKinoshitaMTakaseKet al. Involvement of Anteroventral Periventricular Metastin/Kisspeptin Neurons in Estrogen Positive Feedback Action on Luteinizing Hormone Release in Female Rats. J Reprod Dev (2007) 53:367–78. doi: 10.1262/jrd.18146
76
KauffmanASGottschMLRoaJByquistACCrownACliftonDKet al. Sexual Differentiation of Kiss1 Gene Expression in the Brain of the Rat. Endocrinology (2007) 148:1774–83. doi: 10.1210/en.2006-1540
77
TakaseKUenoyamaYInoueNMatsuiHYamadaSShimizuMet al. Possible Role of Oestrogen in Pubertal Increase of Kiss1/kisspeptin Expression in Discrete Hypothalamic Areas of Female Rats. J Neuroendocrinol (2009) 21:527–37. doi: 10.1111/j.1365-2826.2009.01868.x
78
SmithJTLiQPereiraAClarkeIJ. Kisspeptin Neurons in the Ovine Arcuate Nucleus and Preoptic Area Are Involved in the Preovulatory Luteinizing Hormone Surge. Endocrinology (2009) 150:5530–8. doi: 10.1210/en.2009-0712
79
MatsudaFNakatsukasaKSuetomiYNaniwaYItoDInoueNet al. The LH Surge-Generating System Is Functional in Male Goats as in Females: Involvement of Kisspeptin Neurones in the Medial Preoptic Area. J Neuroendocrinol (2015) 27:57–65. doi: 10.1111/jne.12235
80
EstradaKMClayCMPompoloSSmithJTClarkeIJ. Elevated KiSS-1 Expression in the Arcuate Nucleus Prior to the Cyclic Preovulatory Gonadotrophin-Releasing Hormone/Lutenising Hormone Surge in the Ewe Suggests a Stimulatory Role for Kisspeptin in Oestrogen-Positive Feedback. J Neuroendocrinol (2006) 18:806–9. doi: 10.1111/j.1365-2826.2006.01485.x
81
FranceschiniILometDCateauMDelsolGTilletYCaratyA. Kisspeptin Immunoreactive Cells of the Ovine Preoptic Area and Arcuate Nucleus Co-Express Estrogen Receptor Alpha. Neurosci Lett (2006) 401:225–30. doi: 10.1016/j.neulet.2006.03.039
82
SmithJTClayCMCaratyAClarkeIJ. KiSS-1 Messenger Ribonucleic Acid Expression in the Hypothalamus of the Ewe Is Regulated by Sex Steroids and Season. Endocrinology (2007) 148:1150–7. doi: 10.1210/en.2006-1435
83
SmithJTRaoAPereiraACaratyAMillarRPClarkeIJ. Kisspeptin Is Present in Ovine Hypophysial Portal Blood But Does Not Increase During the Preovulatory Luteinizing Hormone Surge: Evidence That Gonadotropes Are Not Direct Targets of Kisspeptin In Vivo. Endocrinology (2008) 149:1951–9. doi: 10.1210/en.2007-1425
84
RometoAMKrajewskiSJVoytkoMLRanceNE. Hypertrophy and Increased Kisspeptin Gene Expression in the Hypothalamic Infundibular Nucleus of Postmenopausal Women and Ovariectomized Monkeys. J Clin Endocrinol Metab (2007) 92:2744–50. doi: 10.1210/jc.2007-0553
85
SmithJTShahabMPereiraAPauKYClarkeIJ. Hypothalamic Expression of KISS1 and Gonadotropin Inhibitory Hormone Genes During the Menstrual Cycle of a Non-Human Primate. Biol Reprod (2010) 83:568–77. doi: 10.1095/biolreprod.110.085407
86
TsukamuraHMaedaK-IUenoyamaY. Fetal/perinatal Programming Causing Sexual Dimorphism of the Kisspeptin–GnRH Neuronal Network. In: HerbisonAEPlantTM, editors. The GnRH Neuron and Its Control. Hoboken, NJ: Wiley (2018). p. 43–60.
87
TsukamuraH. Kobayashi Award 2019: The Neuroendocrine Regulation of the Mammalian Reproduction. Gen Comp Endocrinol (2021) 113755. doi: 10.1016/j.ygcen.2021.113755
88
TsukamuraHHommaTTomikawaJUenoyamaYMaedaK-I. Sexual Differentiation of Kisspeptin Neurons Responsible for Sex Difference in Gonadotropin Release in Rats. Ann NY Acad Sci (2010) 1200:95–103. doi: 10.1111/j.1749-6632.2010.05645.x
89
ClarksonJHanSYPietRMcLennanTKaneGMNgJet al. Definition of the Hypothalamic GnRH Pulse Generator in Mice. Proc Natl Acad Sci USA (2017) 114:E10216–23. doi: 10.1073/pnas.1713897114
90
HanSYKaneGCheongIHerbisonAE. Characterization of GnRH Pulse Generator Activity in Male Mice Using GCaMP Fiber Photometry. Endocrinology (2019) 160:557–67. doi: 10.1210/en.2018-01047
91
HanSYMcLennanTCzieselskyKHerbisonAE. Selective Optogenetic Activation of Arcuate Kisspeptin Neurons Generates Pulsatile Luteinizing Hormone Secretion. Proc Natl Acad Sci USA (2015) 112:13109–14. doi: 10.1073/pnas.1512243112
92
MatsuyamaSOhkuraSMogiKWakabayashiYMoriYTsukamuraHet al. Morphological Evidence for Direct Interaction Between Kisspeptin and Gonadotropin-Releasing Hormone Neurons at the Median Eminence of the Male Goat: An Immunoelectron Microscopic Study. Neuroendocrinology (2011) 94:323–32. doi: 10.1159/000331576
93
UenoyamaYInoueNPhengVHommaTTakaseKYamadaSet al. Ultrastructural Evidence of Kisspeptin-Gonadotrophin-Releasing Hormone Interaction in the Median Eminence of Female Rats: Implication of Axo-Axonal Regulation of GnRH Release. J Neuroendocrinol (2011) 23:863–70. doi: 10.1111/j.1365-2826.2011.02199.x
94
Kinsey-JonesJSLiXFLuckmanSMO’ByrneKT. Effects of Kisspeptin-10 on the Electrophysiological Manifestation of Gonadotropin-Releasing Hormone Pulse Generator Activity in the Female Rat. Endocrinology (2008) 149:1004–8. doi: 10.1210/en.2007-1505
95
TanakaTOhkuraSWakabayashiKOkamuraH. Effect of Peripherally Administered Kisspeptin-10 on GnRH Neurosecretion Into the Hypophyseal Portal Circulation in Ovariectomized Goat Does. Small Ruminant Res (2012) 105:273–6. doi: 10.1016/j.smallrumres.2012.01.007
96
DhilloWSChaudhriOBPattersonMThompsonELMurphyKGBadmanMKet al. Kisspeptin-54 Stimulates the Hypothalamic-Pituitary Gonadal Axis in Human Males. J Clin Endocrinol Metab (2005) 90:6609–15. doi: 10.1210/jc.2005-1468
97
PragueJKDhilloWS. Potential Clinical Use of Kisspeptin. Neuroendocrinology (2015) 102:238–45. doi: 10.1159/000439133
98
AbbaraAEngPCPhylactouMClarkeSARichardsonRSykesCMet al. Kisspeptin Receptor Agonist Has Therapeutic Potential for Female Reproductive Disorders. J Clin Invest (2020) 130:6739–53. doi: 10.1172/JCI139681
99
BeltramoMDecourtC. Towards New Strategies to Manage Livestock Reproduction Using Kisspeptin Analogs. Theriogenology (2018) 112:2–10. doi: 10.1016/j.theriogenology.2017.08.026
100
YeoSHHerbisonAE. Projections of Arcuate Nucleus and Rostral Periventricular Kisspeptin Neurons in the Adult Female Mouse Brain. Endocrinology (2011) 152:2387–99. doi: 10.1210/en.2011-0164
101
MerkleyCMCoolenLMGoodmanRLLehmanMN. Evidence for Changes in Numbers of Synaptic Inputs Onto KNDy and GnRH Neurones During the Preovulatory LH Surge in the Ewe. J Neuroendocrinol (2015) 27:624–35. doi: 10.1111/jne.12293
102
de CroftSBoehmUHerbisonAE. Neurokinin B Activates Arcuate Kisspeptin Neurons Through Multiple Tachykinin Receptors in the Male Mouse. Endocrinology (2013) 154:2750–60. doi: 10.1210/en.2013-1231
103
PennefatherJNLecciACandenasMLPatakEPintoFMMaggiCA. Tachykinins and Tachykinin Receptors: A Growing Family. Life Sci (2004) 74:1445–63. doi: 10.1016/j.lfs.2003.09.039
104
RanceNE. Young 3rd WS. Hypertrophy and Increased Gene Expression of Neurons Containing Neurokinin-B and Substance-P Messenger Ribonucleic Acids in the Hypothalami of Postmenopausal Women. Endocrinology (1991) 128:2239–47. doi: 10.1210/endo-128-5-2239
105
GuranTTolhurstGBereketARochaNPorterKTuranSet al. Hypogonadotropic Hypogonadism Due to a Novel Missense Mutation in the First Extracellular Loop of the Neurokinin B Receptor. J Clin Endocrinol Metab (2009) 94:3633–9. doi: 10.1210/jc.2009-0551
106
TopalogluAKReimannFGucluMYalinASKotanLDPorterKMet al. TAC3 and TACR3 Mutations in Familial Hypogonadotropic Hypogonadism Reveal a Key Role for Neurokinin B in the Central Control of Reproduction. Nat Genet (2009) 41:354–8. doi: 10.1038/ng.306
107
AkilHWatsonSJYoungELewisMEKhachaturianHWalkerJM. Endogenous Opioids: Biology and Function. Annu Rev Neurosci (1984) 7:223–55. doi: 10.1146/annurev.ne.07.030184.001255
108
GoodmanRLCoolenLMAndersonGMHardySLValentMConnorsJMet al. Evidence That Dynorphin Plays a Major Role in Mediating Progesterone Negative Feedback on Gonadotropin-Releasing Hormone Neurons in Sheep. Endocrinology (2004) 145:2959–67. doi: 10.1210/en.2003-1305
109
ForadoriCDGoodmanRLAdamsVLValentMLehmanMN. Progesterone Increases Dynorphin a Concentrations in Cerebrospinal Fluid and Preprodynorphin Messenger Ribonucleic Acid Levels in a Subset of Dynorphin Neurons in the Sheep. Endocrinology (2005) 146:1835–42. doi: 10.1210/en.2004-1326
110
ForadoriCDAmstaldenMGoodmanRLLehmanMN. Colocalisation of Dynorphin A and Neurokinin B Immunoreactivity in the Arcuate Nucleus and Median Eminence of the Sheep. J Neuroendocrinol (2006) 18:534–41. doi: 10.1111/j.1365-2826.2006.01445.x
111
HrabovszkyECiofiPVidaBHorvathMCKellerECaratyAet al. The Kisspeptin System of the Human Hypothalamus: Sexual Dimorphism and Relationship With Gonadotropin-Releasing Hormone and Neurokinin B Neurons. Eur J Neurosci (2010) 31:1984–98. doi: 10.1111/j.1460-9568.2010.07239.x
112
HrabovszkyESiposMTMolnarCSCiofiPBorsayBAGergelyPet al. Low Degree of Overlap Between Kisspeptin, Neurokinin B, and Dynorphin Immunoreactivities in the Infundibular Nucleus of Young Male Human Subjects Challenges the KNDy Neuron Concept. Endocrinology (2012) 153:4978–89. doi: 10.1210/en.2012-1545
113
MolnarCSVidaBSiposMTCiofiPBorsayBARaczKet al. Morphological Evidence for Enhanced Kisspeptin and Neurokinin B Signaling in the Infundibular Nucleus of the Aging Man. Endocrinology (2012) 153:5428–39. doi: 10.1210/en.2012-1739
114
SkrapitsKBorsayBAHerczegLCiofiPBloomSRGhateiMAet al. Colocalization of Cocaine- and Amphetamine-Regulated Transcript With Kisspeptin and Neurokinin B in the Human Infundibular Region. PloS One (2014) 9:e103977. doi: 10.1371/journal.pone.0103977
115
RukaKABurgerLLMoenterSM. Regulation of Arcuate Neurons Coexpressing Kisspeptin, Neurokinin B, and Dynorphin by Modulators of Neurokinin 3 and Kappa-Opioid Receptors in Adult Male Mice. Endocrinology (2013) 154:2761–71. doi: 10.1210/en.2013-1268
116
AmstaldenMCoolenLMHemmerleAMBillingsHJConnorsJMGoodmanRLet al. Neurokinin 3 Receptor Immunoreactivity in the Septal Region, Preoptic Area and Hypothalamus of the Female Sheep: Colocalisation in Neurokinin B Cells of the Arcuate Nucleus But Not in Gonadotrophin-Releasing Hormone Neurones. J Neuroendocrinol (2010) 22:1–12. doi: 10.1111/j.1365-2826.2009.01930.x
117
TsuchidaHMostariPYamadaKMiyazakiSEnomotoYInoueNet al. Paraventricular Dynorphin A Neurons Mediate LH Pulse Suppression Induced by Hindbrain Glucoprivation in Female Rats. Endocrinology (2020) 161:bqaa161. doi: 10.1210/endocr/bqaa161
118
WeemsPWWittyCFAmstaldenMCoolenLMGoodmanRLLehmanMN. Kappa Opioid Receptor Is Co-Localized in GnRH and KNDy Cells in the Female Ovine and Rat Brain. Endocrinology (2016) 157:2367–79. doi: 10.1210/en.2015-1763
119
SasakiTItoDSonodaTMoritaYWakabayashiYYamamuraTet al. Peripheral Administration of Kappa-Opioid Receptor Antagonist Stimulates Gonadotropin-Releasing Hormone Pulse Generator Activity in Ovariectomized, Estrogen-Treated Female Goats. Domest Anim Endocrinol (2019) 68:83–91. doi: 10.1016/j.domaniend.2018.12.011
120
SasakiTSonodaTTatebayashiRKitagawaYOishiSYamamotoKet al. Peripheral Administration of SB223412, a Selective Neurokinin-3 Receptor Antagonist, Suppresses Pulsatile Luteinizing Hormone Secretion by Acting on the Gonadotropin-Releasing Hormone Pulse Generator in Estrogen-Treated Ovariectomized Female Goats. J Reprod Dev (2020) 66:351–7. doi: 10.1262/jrd.2019-145
121
GoodmanRLHilemanSMNestorCCPorterKLConnorsJMHardySLet al. Kisspeptin, Neurokinin B, and Dynorphin Act in the Arcuate Nucleus to Control Activity of the GnRH Pulse Generator in Ewes. Endocrinology (2013) 154:4259–69. doi: 10.1210/en.2013-1331
122
LehmanMNHeWCoolenLMLevineJEGoodmanRL. Does the KNDy Model for the Control of Gonadotropin-Releasing Hormone Pulses Apply to Monkeys and Humans? Semin Reprod Med (2019) 37:71–83. doi: 10.1055/s-0039-3400254
123
NagaeMUenoyamaYOkamotoSTsuchidaHIkegamiKGotoTet al. Direct Evidence That KNDy Neurons Maintain Gonadotropin Pulses and Folliculogenesis as the GnRH Pulse Generator. Proc Natl Acad Sci USA (2021) 118:e2009156118. doi: 10.1073/pnas.2009156118
124
PopaSMMoriyamaRMCaligioniCSYangJJChoCMConcepcionTLet al. Redundancy in Kiss1 Expression Safeguards Reproduction in the Mouse. Endocrinology (2013) 154:2784–94. doi: 10.1210/en.2013-1222
125
KrajewskiSJAndersonMJIles-ShihLChenKJUrbanskiHFRanceNE. Morphologic Evidence That Neurokinin B Modulates Gonadotropin-Releasing Hormone Secretion via Neurokinin 3 Receptors in the Rat Median Eminence. J Comp Neurol (2005) 489:372–86. doi: 10.1002/cne.20626
126
WeemsPWCoolenLMHilemanSMHardySMcCoshRBGoodmanRLet al. Evidence That Dynorphin Acts Upon KNDy and GnRH Neurons During GnRH Pulse Termination in the Ewe. Endocrinology (2018) 159:3187–99. doi: 10.1210/en.2018-00435
127
NoritakeKISuzukiJMatsuokaTMakinoTOhnishiHShimomuraKet al. Testicular Toxicity Induced by a Triple Neurokinin Receptor Antagonist in Male Dogs. Reprod Toxicol (2011) 31:440–6. doi: 10.1016/j.reprotox.2010.12.007
128
NoritakeKIMatsuokaTOhsawaTShimomuraKSanbuisshoAUenoyamaYet al. Involvement of Neurokinin Receptors in the Control of Pulsatile Luteinizing Hormone Secretion in Rats. J Reprod Dev (2011) 57:409–15. doi: 10.1262/jrd.11-002S
129
HrabovszkyEMolnarCSSiposMTVidaBCiofiPBorsayBAet al. Sexual Dimorphism of Kisspeptin and Neurokinin B Immunoreactive Neurons in the Infundibular Nucleus of Aged Men and Women. Front Endocrinol (2011) 2:80. doi: 10.3389/fendo.2011.00080
130
MooreAMCoolenLMPorterDTGoodmanRLLehmanMN. KNDy Cells Revisited. Endocrinology (2018) 159:3219–34. doi: 10.1210/en.2018-00389
Summary
Keywords
Kiss1, Tac3, Pdyn, GPR54, NK3 receptor, κ-opioid receptor
Citation
Uenoyama Y, Nagae M, Tsuchida H, Inoue N and Tsukamura H (2021) Role of KNDy Neurons Expressing Kisspeptin, Neurokinin B, and Dynorphin A as a GnRH Pulse Generator Controlling Mammalian Reproduction. Front. Endocrinol. 12:724632. doi: 10.3389/fendo.2021.724632
Received
14 June 2021
Accepted
23 August 2021
Published
09 September 2021
Volume
12 - 2021
Edited by
Hubert Vaudry, Université de Rouen, France
Reviewed by
Manuel Tena-Sempere, University of Cordoba, Spain; Hana Zemkova, Academy of Sciences of the Czech Republic (ASCR), Czechia
Updates
Copyright
© 2021 Uenoyama, Nagae, Tsuchida, Inoue and Tsukamura.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Yoshihisa Uenoyama, uenoyama@nagoya-u.jp
This article was submitted to Neuroendocrine Science, a section of the journal Frontiers in Endocrinology
Disclaimer
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.