Endotoxin inhibits the surge secretion of gonadotropin-releasing hormone via a prostaglandin-independent pathway

Endocrinology. 2004 Jan;145(1):221-7. doi: 10.1210/en.2003-1102. Epub 2003 Oct 9.

Abstract

Immune/inflammatory challenges, such as bacterial endotoxin, disrupt gonadotropin secretion and ovarian cyclicity. We previously determined that endotoxin can block the estradiol-induced LH surge in the ewe. Here, we investigated mechanisms underlying this suppression. First, we tested the hypothesis that endotoxin blocks the estradiol-induced LH surge centrally, by preventing the GnRH surge. Artificial follicular phases were created in ovariectomized ewes, and either endotoxin or vehicle was administered together with a surge-inducing estradiol stimulus. In each ewe in which endotoxin blocked the LH surge, the GnRH surge was also blocked. Given this evidence that endotoxin blocks the estradiol-induced LH surge at the hypothalamic level, we began to assess underlying central mechanisms. Specifically, in view of the prior demonstration that prostaglandins mediate endotoxin-induced suppression of pulsatile GnRH secretion in ewes, we tested the hypothesis that prostaglandins also mediate endotoxin-induced blockade of the surge. The prostaglandin synthesis inhibitor flurbiprofen was delivered together with endotoxin and the estradiol stimulus. Although flurbiprofen abolished endotoxin-induced fever, which is a centrally generated, prostaglandin-mediated response, it failed to reverse blockade of the LH surge. Collectively, these results indicate endotoxin blocks the LH surge centrally, suppressing GnRH secretion via a mechanism not requiring prostaglandins. This contrasts with the suppressive effect of endotoxin on GnRH pulses, which requires prostaglandins as intermediates.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Cyclooxygenase Inhibitors / pharmacology
  • Endotoxins / pharmacology*
  • Estradiol / pharmacology
  • Female
  • Flurbiprofen / pharmacology
  • Follicular Phase / physiology
  • Gonadotropin-Releasing Hormone / metabolism*
  • Inflammation / chemically induced
  • Inflammation / metabolism
  • Luteinizing Hormone / metabolism*
  • Neurosecretory Systems / immunology*
  • Neurosecretory Systems / metabolism*
  • Ovariectomy
  • Prostaglandins / metabolism*
  • Pulsatile Flow
  • Sheep
  • Stress, Physiological / immunology
  • Stress, Physiological / metabolism

Substances

  • Cyclooxygenase Inhibitors
  • Endotoxins
  • Prostaglandins
  • Gonadotropin-Releasing Hormone
  • Estradiol
  • Flurbiprofen
  • Luteinizing Hormone