L’acquisition de la fertilité chez les mammifères est le résultat d’un long processus de développement et de maturation de l’axe gonadotrope. Cette fonction cruciale à la survie des espèces est orchestrée par une poignée de cellules localisées au niveau de l’aire préoptique hypothalamique chez le rongeur, sécrétant la gonadotropin-releasing hormon (GnRH). La GnRH stimule la sécrétion de LH et de FSH par l’adénohypophyse, qui stimulent à leur tour les gonades. Les cellules à GnRH naissent dans l’épithélium voméronasal pendant le développement embryonnaire et migrent le long des axones voméronasaux pour atteindre l’hypothalamus. A la naissance le système est entièrement en place, toutefois il subira une phase de maturation avant d’atteindre la puberté, signant le début de la fertilité. Chez l’homme, un défaut de sécrétion de GnRH peut conduire à un hypogonadisme hypogonadotrope idiopathique (IHH) caractérisé par une subfertilité et une puberté retardée voire absente, ou même à un syndrome de Kallmann. Dans une grande partie des cas ce défaut de sécrétion est lié à un défaut de développement prénatal et à une diminution du nombre de neurones à GnRH dans dans l’hypothalamus. Depuis peu, la grande famille des semaphorines, déjà connues pour leurs effets chimiotactiques dans certains types cellulaires, et en particulier la semaphorine3A (Sema3A) via son récepteur la Neuropilin-1 (Nrp1), a été décrite comme un facteur indispensable au développement du système à GnRH et décrit comme un « gène Kallmann ». Toutefois son rôle spécifique dans les cellules à GnRH reste à élucider. Le premier objectif de ma thèse a donc été de déterminer le rôle de l’expression du récepteur Nrp1 dans les neurones à GnRH. Le suivi de la maturation sexuelle des animaux Gnrh::cre, Nrp1loxp/loxp (qui n’expriment pas la Nrp1 exclusivement dans les neurones à GnRH) a révélé l’apparition d’une puberté précoce et d’un phénotype de surpoids en comparaison aux animaux contrôles, corrélé à une accumulation des cellules à GnRH dans l’aire préoptique. L’étude de l’embryogenèse du système à GnRH chez ces animaux a démontré une augmentation du nombre de cellules à GnRH pendant leur migration. Nos résultats obtenus in vivo et in vitro suggèrent que la signalisation Nrp1 a un impact sur la survie des neurones à GnRH, et qu’elle module la motilité des cellules en migration et influe leur positionnement dans le cerveau. Le deuxième objectif de ma thèse a été d’étudier le rôle de l’exocytose dépendante du calcium et donc de la neurosécrétion dans les neurones à GnRH sur leur développement. Le suivi de la physiologie d’animaux Gnrh::cre; iBot, dont l’exocytose dépendante du calcium est abolit par clivage de protéine VAMP2/synaptobrevin 2 dans le neurone à GnRH, a révélé l’apparition de deux phénotypes distincts selon la pénétrance du transgène : un groupe ayant une puberté normale et un poids comparable aux animaux contrôles, et un groupe ayant une puberté retardée voire inexistante associé à un surpoids. Ces derniers présentent un IHH, une augmentation du tissu adipeux périgonadique et une hyperleptinémie, alors que la distribution des neurones à GnRH dans le cerveau n’est pas altérée. Ces données mettent en évidence le fait que l’activité de neurosécrétion dans les neurones à GnRH ne serait pas nécessaire pour leur développement embryonnaire, mais qu’elle pourrait jouer un rôle dans le maintien de l’homéostasie énergétique.Ces deux études mettent en avant un lien étroit entre axe gonadotrope et métabolisme énergétique chez les mammifères et ont dévoilés de nouveaux mécanismes qui pourraient être impliqués dans la physiopathologie de la reproduction chez l’homme. / Fertility in mammals is the result of a long development and maturation process of the hypothalamic-pituitary-gonadal axis. The reproductive function is orchestrated by a small population of neurons, located in preoptic area of hypothalamus in rodents, and releasing in a pulsatile manner Gonadotropin-releasing hormon (GnRH) in the portal blood vessels, where it is transported to the anterior pituitary gland. GnRH neuropeptide triggers synthesis and release of the gonadotropins LH and FSH, which in turn stimulates development and function of the gonads. GnRH neurons differenciate extracerebraly in the nasal placode and migrate from the vomeronasal organ to the forebrain along olfactory/vomeronasal nerves. At birth, the system is ready, however it will undergo a maturation phase before reaching puberty, signing the beginning of fertility. Deficiency in GnRH release can lead to idiopathic hypogonadotropic hypogonadism (IHH), characterized by a defect in sexual maturation and delayed or no puberty, or even to Kallmann syndrome when the IHH is associated with a deficit in the sens of smell. These phenotypes could be linked to a defect during GnRH neuron migration period and a decrease of GnRH cells located in hypothalamus after birth. Numerous studies have described the influence of different molecules on the migration of GnRH neurons. Recently, the semaphorin family, well known for its chemotactic effects in some cell types, and particularly the semaphorin3A (Sema3A), has been described by our laboratory as an essential factor for the guidance of GnRH neurons during embryogenesis, and characterized as a « Kallmann gene ». However, the role of Sema3A, and its specific receptor Neuropilin-1 (Nrp1) in GnRH neurons remains to be elucidated. The first objective of my thesis was to determine the role of the expression of Nrp1 in GnRH neurons. The analysis of sexual maturation in mice in which Nrp1 expression was selectively knocked out in GnRH neurons revealed a precocious onset of puberty and overweight compared to control littermates, correlated with an accumulation of GnRH neurons in preoptic area. The study of the development of the GnRH system during embryogenesis has shown an increased number of cells during migration. In vivo and in vitro data suggested the involvement of Nrp1 signaling pathway in the survival of GnRH neurons, the control of their motility during migration, and their final positioning in the brain.The second objective of my thesis was to study the role of Calcium-dependent exocytosis, and thus neurosecretion, in GnRH neurons on their development. The monitoring of Gnrh::cre; iBot animals, in which calcium-dependent exocytosis is abolished by cleavage of VAMP2/synaptobrevin2 protein in GnRH neurons, showed the distinction of two different phenotypes. A subpopulation of mice underwent normal puberty onset, with a similar bodyweight than control littermates, and the other one never reached puberty and developed overweight. The later animals exihibited IHH, increase of the volume of perigonadic fat tissue, and hyperleptinemia, with no alteration of GnRH neuron number and distribution. This data established that neurosecretion in GnRH neurons is not a prerequisite for their migration during embryonic development but revealed that it could play an important role in metabolic homeostasis.Together these two studies highlight an intriguing direct connection between GnRH neurons and energy metabolism in mammals as well as new mechanisms that could be implicated in reproductive physiopathology in human.

A delicate balance of steroid and gonadotrophic hormones is essential for intrafollicular oocyte maturation and successful fertilization and embryonic development. Previous studies have demonstrated that a superovulatory dose of pregnant mare serum gonadotrophin (PMSG) has excessive gonadotrophic activity and alters intrafol1icular steroid hormone levels. In a series of four experiments, the morphology of oocytes and embryos retrieved from immature rats, treated with either a low or high dose of PMSG, and mature, cycling rats was compared to determine whether a superovulatory dose of PMSG has an adverse effect on oocyte maturation and subsequent fertilization and embryonic development in immature rats. Morphological criteria for the assessment of intraoviductal oocyte aging were established in the first experiment. During intraoviductal aging, progressive morphological changes directed by the intrinsic developmental program of the oocyte were observed. Further alterations in morphology were attributed to abnormalities of cytoskeletal function. In the second experiment, no difference in morphology was observed between oocytes retrieved from immature rats treated with either 4 or 40 IU PMSG. When compared with mature rats, changes attributable to cytoskeletal instability were observed in aged oocytes from immature rats treated with both doses of PMSG. This was concluded to be a manifestation of altered intrafollicular oocyte maturation as a result of the administration of exogenous gonadotrophin. In the third and fourth experiments, delayed fertilization and a significant reduction in fertilization rate were observed in superovulated, immature rats. The major cause of fertilization failure was determined to be intraoviductal oocyte aging. A significant increase in abnormal embryos was observed as a result of parthenogenetic activation of the aged oocytes. Abnormal, fertilized embryos retrieved from the superovulated group were concluded to be the manifestation of delayed fertilization. In conclusion, the major effect of a superovulatory dose of PMSG on oocyte fertilizability and embryonic development was intraoviductal oocyte aging and delayed fertilization. Changes attributed to altered intrafol1icular maturation were manifested during oocyte aging in immature rats treated with either the low or high dose of PMSG. / Medicine, Faculty of / Obstetrics and Gynaecology, Department of / Graduate

Gonadotropin-releasing hormone (GnRH) and its superactive analogues are currently being used in the treatment of a number of endocrine disorders, such as endometriosis, precocious puberty, infertility and prostatic cancer. Selection of these analogues for clinical use have been previously based on their activities in animal models. This thesis has therefore investigated the binding characteristics of the human GnRH receptor, in comparison to those of the rat receptor, as well as the activities of a number of GnRH analogues for stimulating luteinising hormone (LH) and follicle stimulating hormone (FSH) secretion from cultured human pituitary cells. The establishment of a human pituitary bioassay system has further made possible the investigation of the direct regulatory roles of GnRH and other neuropeptides in man. To date, such studies in man have been performed in vivo and are thus complicated by the simultaneous interactions of numerous modulators.

The control of prolactin secretion is a complex interaction of peptides and neurotransmitters acting either in an inhibitory or stimulating way to effect final secretion of this hormone from the lactotrope cell in the anterior hypothalamus. These factors may act either directly on the lactotrope cell or indirectly by changing either dopamine restraint of prolactin secretion or by modulating peptide substances or neurotransmitters higher up in the hypothalamus. Gonadal steroids may also modulate the effect of peptides or dopamine at the level of the lactotrope. Prolactin's major role in the female rat is one of milk production post - partum, nurturing the young. It probably also has other physiological functions and may play a part in the menstrual cycle although this is controversial. Certainly, pulsatile secretion of prolactin during the menstrual cycle is well established and in the luteal phase this is concomitant with the secretion of luteinizing hormone. Theories explaining the synchronous surges seen during this phase of the menstrual cycle have been proposed and GnRH has been implicated in the genesis of the concordance of these secretory spikes. Using a potent GnRH antagonist an experiment was undertaken to establish the role of GnRH by blocking this hypothalamic peptide and observing the effect that this had on luteinizing hormone, prolactin and follicle stimulating hormone. In the first part of the thesis the control of prolactin secretion is reviewed. In the following section, an experiment was performed using a potent GnRH antagonist. A dose response curve was established for the antagonist action on LH. Then a twice maximum dose of this peptide was administered to three subjects in the midluteal phase of the menstrual cycle and the response of LH, prolactin and FSH was measured. The results indicate that although the GnRH antagonist significantly blocked LH secretory peaks, this action was not observed for either prolactin or FSH. This result is perhaps at variance with previous data which suggested that GnRH was responsible for concordant secretory spikes of LH and prolactin in the midluteal phase of the menstrual cycle.

In der vorliegenden Arbeit sollte die Wirksamkeit von Altrenogest (Regumate®) und Gonadotropinen bzw. des GnRH-Analogons D-Phe6-GnRH im Rahmen eines Verfahrens zur Brunst- und Ovulationssynchronisation bei besamten, als ingravid detektierten Jung- und Altsauen überprüft werden. Die Untersuchungen wurden an insgesamt 265 Jung- und 542 Altsauen vorgenommen. Die Sauen wurden im Rahmen der ultrasonografischen Trächtigkeitskontrolle, die zwischen den Tagen 21 und 35 nach der ersten künstlichen Besamung durchgeführt wurde, als ingravid detektiert und einer von drei verschiedenen Versuchsgruppen (VG) zugeteilt: VG 1 (n = 490): Applikation von 4 ml Regumate®/Tier/Tag oral über 15 Tage; einmalige subkutane (s.c.) Injektion von 1.000 IE PMSG/eCG 24 Stunden nach letztmaliger Regumate®-Gabe; i.m. Applikation von 500 IE hCG 78 bis 80 h nach PMSG/eCG zur Induktion der Ovulation; VG 2 (n = 135): identisch zu VG 1, aber Gabe von 5 ml Regumate® und 800 IE PMSG; VG 3 (n = 182): identisch zu VG 2, aber Injektion von 50 µg D-Phe6-GnRH zur Induktion der Ovulation. Die Sauen wurden jeweils zweimal im Abstand von 24 und 40 Stunden nach hCG bzw. D-Phe6-GnRH künstlich besamt. Der Erfolg der Behandlungen wurde anhand der sonografischen Untersuchung der Ovarien kontrolliert. Untersuchungen erfolgten zum Zeitpunkt der Trächtigkeitsuntersuchung, am Ende der Regumate®-Behandlung, unmittelbar vor der ersten und unmittelbar nach der zweiten künstlichen Besamung. Trächtigkeits- (TR) und Abferkelrate (AFR) sowie Anzahl insgesamt und lebend geborener Ferkel wurden dokumentiert. Als jeweilige Kontrolltiere dienten Jung- bzw. Altsauen, die brunst- und ovulationssynchronisiert wurden, zur Erstbesamung anstanden und zeitgleich wie die Tiere der Versuchsgruppe besamt wurden. Die Auffindungsrate der Ovarien betrug 88,9 % zum Zeitpunkt der Trächtigkeitsuntersu-chung (TU) und 98,3 % am Ende der Regumate®-Behandlung. Während der Besamungen konnten bei allen untersuchten Tieren die Ovarien dargestellt werden. Zum Zeitpunkt der TU wiesen die Sauen überwiegend Corpora lutea (CL; 56,3 %; p < 0,05) auf. Der zweithäufigste Befund waren Follikel von 2-6 mm Durchmesser (F2-6; 27,7 %; p < 0,05). Durch Altrenogest konnte das Follikelwachstum effektiv gehemmt werden, ohne die spontane Luteolyse zu beeinträchtigen. Mehr als 84 % der Tiere wiesen am Ende der 15-tägigen Behandlung mit Regumate® F2-6 auf. Altsauen, die 4 ml Regumate® erhielten, hatten häu-figer als die mit 5 ml behandelten Tiere polyzystisch degenerierte Ovarien (POD). Zahlrei-che Altsauen, vor allem solche mit periovulatorischen Funktionsgebilden zum Zeitpunkt der Trächtigkeitsuntersuchung (p < 0,05), wiesen zudem CL am Ende der Behandlung auf (16,3 %). Jungsauen ovulierten unabhängig von der ovulationsauslösenden Substanz überwiegend zwischen beiden Besamungen (p < 0,05), während Altsauen zu gleichen Anteilen zwischen den Besamungen und nach der zweiten Besamung ovulierten. Die ovulationsauslösende Substanz, d.h. hCG bzw. GnRH, hatte weder bei Jung- noch bei Altsauen einen Einfluss auf das Ovulationsverhalten. Der Ovulationszeitpunkt war ohne Einfluss auf die Trächtig-keitsrate. Altsauen, die D-Phe6-GnRH erhielten, wurden häufiger tragend als Tiere, die hCG erhielten (p < 0,05). Reziprokes Ergebnis erzielten die Jungsauen (p < 0,05). Kon-trolltiere wiesen Trächtigkeits- bzw. Abferkelraten auf, die bis zu 15,6 % (TR; p < 0,05) bzw. 16,8 % (AFR) höher als die der Versuchstiere waren, da vor allem die Altsauen, nicht aber Jungsauen aller drei Versuchsgruppen schlechtere Fruchtbarkeitsleistungen erzielten. Aus den Ergebnissen ist zu schlussfolgern, dass die kombinierte Anwendung von Altrenogest (Regumate®) und Gonadotropinen bzw. GnRH-Analogon D-Phe6-GnRH zur Brunst- und Ovulationssynchronisation bei besamten, als ingravid detektierten Jung- und Altsauen geeignet ist. Ausgehend von den Ergebnissen ist zu empfehlen, Sauen mit 5 ml Reguma-te®/Tier/Tag zu behandeln (Zyklusblockade). Ein Applikationsintervall von 15 Tagen ist ausreichend. Werden 800 IE PMSG/eCG 24 Stunden nach letztmaliger Regumate®-Applikation verabreicht, kann mit zuverlässiger Stimulation des Follikelwachstums gerechnet werden. Jungsauen sollten 500 IE hCG 78 bis 80 Stunden nach der PMSG/eCG-Gabe erhalten. Bei Altsauen sind dazu 50 µg des GnRH-Analogons D-Phe6-GnRH emp-fehlenswert. Die transkutane Ultrasonografie ist ein geeignetes Verfahren zur Darstellung von Ovarien und ovarieller Funktionskörper.

No description available.

With approximately 8.5 million unwanted cats euthanized in the U.S. annually, convenient, cost effective methods of sterilization are greatly needed. Current spay/neuter techniques, such as surgery and hormonal intervention, are not satisfying this need due to their high cost, significant expertise required, and the need for feral cats to be collected and brought into clinics for treatment. The aim of this research is to develop a safe contraceptive vaccine that could be delivered to the feral cat population in bait without compromising non-feline species. Feline Herpes Virus (FHV) is a feline specific virus. The USDA has approved the immunization of cats with an attenuated, non-pathogenic strain of FHV expressing foreign antigens. In our research, we have partially replaced Glycoprotein I of FHV to express a fusion protein of Flagellin (FliC), Enhanced Green Fluorescent Protein (EGFP), and Gonadotropin Releasing Hormone (GnRH). FliC has been shown to stimulate a heightened antibody response when antigens are expressed as fusion proteins with it. GnRH, a major reproductive hormone responsible for the development of testes and ovaries in felines, is the target of our vaccine vector. Expression of EGFP will allow tracking of the viral vector. The expression of the fusion protein (FliC-EGFP-GnRH) is expected to stimulate an antibody and cell mediated immune response directed towards feline GnRH, which will provide an immunocontraceptive effect specific to cats. / Master of Science

Master of Science / Department of Animal Sciences and Industry / Timothy G. Rozell / Several alternatively-spliced mRNA transcripts of the follicle stimulating hormone receptor (FSHR) have been identified in sheep, including FSHR-1 (G protein-coupled form), FSHR-2 (dominant negative form), and FSHR-3 (growth factor type-1 form). Coupling of the FSHR to signaling pathways which activate different downstream effectors leads to speculation that specific splice variants may be transcribed under differing physiological conditions. This is the first study to correlate expression patterns of FSHR-1, FSHR-2, and FSHR-3 and development of follicles in the mature sheep ovary. In Experiment 1, 8 Suffolk-cross ewes were allowed to come into estrus naturally and were euthanized 24 (n=3), 36 (n=3), and 48 (n=2) hours after the onset of estrus. In Experiment 2, 7 Suffolk-cross ewes received CIDRs for 14 days. At CIDR removal, PMSG (500IU) was administered to treatment ewes (n=3), while controls (n=4) received no PMSG. Ewes were euthanized 24 (n=4; 2 CIDR only, 2 PMSG) or 36 (n=3; 2 CIDR only, 1 PMSG) hours later. All visible follicles were aspirated and pooled according to follicular diameter: small (≤ 2.0 mm), medium (2.1-4.0 mm), large (4.1-6.0 mm), and preovulatory (≥ 6.1 mm). Granulosa cells were separated from follicular fluid by centrifugation. Total RNA was extracted from granulosa cells (GC) and reversed transcribed. The resulting cDNA was subjected to qPCR, using primer sets designed to amplify each variant specifically. For Experiment 1, regardless of time after onset of estrus, relative expression of FSHR-3 exceeded that of both FSHR-1 and FSHR-2 in medium follicles (p < 0.01), and tended to be higher in small follicles (p=0.09). For Experiment 2, treatment with PMSG did not significantly alter expression patterns of FSHR variants (p=0.18). The FSHR-3 was expressed higher than FSHR-2 in all follicle sizes (p < 0.01) and was numerically more highly expressed than FSHR-1, although this difference was not significant (p > 0.11). These experiments show that in addition to the well characterized G protein-coupled form of the FSHR, alternatively spliced variants of the FSHR may participate in follicular dynamics during the first follicular wave of the sheep estrous cycle. Furthermore, these results would indicate that an “alternatively” spliced form of the FSHR (FSHR-3) is the predominant form of the FSHR in the sheep.

A kisspeptina, codificada pelo gene KISS1, é um neuropeptídeo crucial na regulação do início da puberdade. A kisspeptina estimula a secreção hipotalâmica do hormônio liberador de gonadotrofinas (GnRH) após se ligar ao seu receptor GPR54. Mutações inativadoras do GPR54 são atualmente consideradas como uma causa rara de hipogonadismo hipogonadotrófico isolado (HHI) normósmico. Recentemente, uma mutação ativadora no receptor GPR54 foi implicada na patogênese da puberdade precoce dependente de gonadotrofinas (PPDG). Com base nesses achados, levantamos a hipótese de que alterações no gene KISS1 poderiam contribuir para a patogênese de distúrbios puberais centrais. O objetivo do presente estudo foi investigar a presença de variantes no gene KISS1 em pacientes com PPDG e HHI. Sessenta e sete crianças brasileiras com PPDG (63 meninas e 4 meninos) e 61 pacientes com HHI (40 homens e 21 mulheres) foram selecionados, incluindo casos esporádicos e familiares em ambos os grupos. A população controle consistiu de 200 indivíduos com história de desenvolvimento puberal normal. A região promotora e os 3 exons do gene KISS1 foram amplificados e submetidos a sequenciamento automático. Duas novas variantes no gene KISS1, p.P74S e p.H90D, foram identificadas em duas crianças não relacionadas, portadoras de PPDG idiopática. Ambas as variantes estão localizadas na região amino-terminal da kisspeptina-54 e estavam ausentes em 400 alelos controles. A variante p.P74S foi identificada em heterozigose em um menino que desenvolveu puberdade com um ano de idade. Sua mãe e avó materna, que apresentavam história de desenvolvimento puberal normal, eram portadoras da mesma variante em heterozigose, sugerindo penetrância incompleta e/ou herança sexo-dependente. A variante p.H90D foi identificada em homozigose em uma menina com PPDG, que desenvolveu puberdade aos seis anos de idade. Sua mãe, com história de menarca aos dez anos de idade, era portadora da mesma variante em heterozigose. Células transfectadas estavelmente com GPR54 foram estimuladas com concentrações crescentes de kisspeptina-54 (kp-54) humana selvagem ou contendo as mutações (kp-54 H90D e kp-54 P74S) e o acúmulo de fosfato de inositol (IP) foi medido. Nos estudos in vitro, a kp-54 P74S apresentou uma capacidade de ativação do receptor GPR54 semelhante à kp-54 selvagem. A kp-54 p.H90D mostrou uma ativação da sinalização do receptor significativamente mais potente que a kp-54 selvagem, sugerindo que essa é uma mutação ativadora. No grupo de HHI, uma nova variante (c.588-589insT) foi identificada em heterozigose na região 3 não traduzida do gene KISS1 em um paciente do sexo masculino. O papel dessa variante no fenótipo de HHI permanece indeterminado. Em conclusão, duas mutações no gene KiSS1 foram descritas pela primeira vez em associação com PPDG. / Kisspeptin, encoded by the KISS1 gene, is an important regulator of puberty onset. After binding to its receptor GPR54, kisspeptin stimulates gonadotropin-releasing hormone secretion by the hypothalamic neurons. Inactivating GPR54 mutations are a rare cause of normosmic isolated hypogonadotropic hypogonadism (IHH). Recently, a unique GPR54 activating mutation was implicated in the pathogenesis of gonadotropin dependent precocious puberty (GDPP). Based on these observations, we hypothesized that mutations in the KISS1 gene might be associated with central pubertal disorders. The aim of this study was to investigate KISS1 mutations in idiopathic GDPP and normosmic IHH. Sixty-seven Brazilian children (63 girls and 4 boys) with idiopathic GDPP and 61 patients with normosmic IHH (40 men and 21 women) were selected. Familial and sporadic cases were included in both groups. The control population consisted of 200 individuals who had normal timing of puberty. The promoter region and the 3 exons of the KISS1 gene were amplified and automatically sequenced. Two novel KISS1 missense mutations, p.P74S and p.H90D, were identified in two unrelated children with idiopathic GDPP. Both mutations were absent in 400 control alleles and are located in the amino-terminal region of kisspeptin-54. The p.P74S mutation was identified in the heterozygous state in a boy who developed puberty at 1 yr of age. His mother and maternal grandmother, who had normal pubertal development, were also heterozygous for the p.P74S mutation, suggesting incomplete penetrance and/or sex-dependent inheritance. The p.H90D mutation was identified in the homozygous state in a girl with GDPP, who developed puberty at 6 yr of age. Her mother, who had menarche at 10 yr of age, carried the p.H90D mutation in the heterozygous state. CHO cells stably transfected with GPR54 were stimulated with different concentrations of synthetic human wild type or mutant kisspeptin-54 (KP54) and inositol phosphate (IP) accumulation was measured. In vitro studies revealed that the capacity of the p.P74S mutant KP54 to stimulate IP production was similar to the wild type. The p.H90D kisspeptin-54 showed a significantly more potent activation of GPR54 signaling in comparison to the wild type in vitro, suggesting a gain-of-function mutation. In the IHH group, a heterozygous variant in the 3 UTR of the KISS1 gene (c.588-589insT) was identified. The role of this variant in the IHH phenotype remains to be determined. In conclusion, two KiSS1 mutations were described for the first time in association with GDPP.

OBJETIVO: Identificar os genes diferencialmente expressos entre os leiomiomas uterinos de pacientes em idade reprodutiva, tratadas ou não com análogo do GnRH e confirmar os resultados obtidos para genes selecionados por técnica de PCR em tempo real. PACIENTES E MÉTODOS: Foi colhida amostra do maior nódulo de leiomioma uterino de 89 pacientes negras, idade entre 20 e 45 anos, com indicação cirúrgica de miomectomia. Dessas, 38 receberam análogo do GnRH previamente a cirurgia (Grupo A) e 51 foram submetidas a cirurgia sem tratamento prévio (Grupo B). Dentro de cada grupo foram selecionadas 10 pacientes nulíparas, com maior nódulo acima de 3,0 cm, volume uterino acima de 300 cc. e amostras colhidas na fase lútea no Grupo B. INTERVENÇÃO: 5 amostras de cada grupo foram analisadas por técnica de microarray e posteriormente genes diferencialmente expressos foram analisados por técnica de PCR em tempo real em 10 pacientes de cada grupo. RESULTADOS: Do total de 47.000 seqüências da plataforma Affymetrix, representando em torno de 38.500 genes humanos já caracterizados, resultou na expressão diferencial de 174 genes, sendo 70 super-expressos (33 com função conhecida) e 104 subexpressos (65 com função conhecida) em amostras do Grupo A (Tratado) comparativamente ao Grupo B (Não-Tratado). Os genes super-expressos CYR 61, EGR 1 e SULF 2 e o sub-expresso, WIF 1 foram confirmados por PCR em tempo real, enquanto o gene HMGN1 não teve confirmação da sua super-expressão após PCR em tempo real. CONCLUSÕES: Há alteração da expressão gênica de leiomioma uterino de mulheres submetidas a tratamento com análogo de GnRH em relação às não tratadas. O número de genes sub-expressos é o dobro dos super-expressos e 80% das alterações detectadas pela técnica de microarray foram confirmadas por PCR em tempo real. / OBJECTIVE: To identify the genes differentially expressed between the uterine leiomyomas of patients in reproductive age, treat or not treated with GnRH analogue and confirm the results for genes selected by real time PCR. METHODS: It was harvested sample of the largest lump of uterine leiomyoma of 89 black patients, aged between 20 and 45 years, with details of surgical miomectomia. Of these, 38 patients received GnRH analogue prior to surgery (Group A) and 51 were undergoing surgery without prior treatment (Group B). Within each group were selected 10 patients nulliparous, with higher nodule over 3.0 cm, uterine volume over 300 cc. and samples taken during lutea in Group B. INTERVENTION: 5 samples from each group were analyzed by microarray, and then differentially expressed genes were analyzed by real time PCR on 10 patients in each group. RESULTS: Of the 47,000 sequences of the platform used, representing around 38,500 human genes already characterized, resulted in differential expression of 174 genes, with 70 genes up regulated (33 genes with known function) and 104 down regulated (65 genes with known function) in samples of Group A (Treaty) compared to Group B (Non-Treaty). The up regulated genes CYR 61, EGR 1 and SULF 2 and down regulated, WIF 1 were confirmed by real time PCR , while the gene HMGN1 had no confirmation of expression after real-time PCR. CONCLUSIONS: There is change in the gene expression of uterine leiomyoma of women undergoing treatment with GnRH analogue regarding women not treated. The number of genes underexpressed genes is double the down regulated and 80% of the changes detected by microarray were confirmed by real time PCR.