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Original

Functional hypothalamic amenorrhea: Current view on neuroendocrine aberrations

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Pages 4-11 | Received 30 Aug 2007, Accepted 09 Nov 2007, Published online: 07 Jul 2009

References

  • Yen S S. Effects of lifestyle and body composition on the ovary. Endocrinol Metab Clin North Am 1998; 27: 915–926
  • Marshall L A. Clinical evaluation of amenorrhea in active and athletic women. Clin Sports Med 1994; 13: 371–387
  • Genazzani A D, Ricchieri F, Lanzoni C, Strucchi C, Jasonni V M. Diagnostic and therapeutic approach to hypothalamic amenorrhea. Ann N Y Acad Sci 2006; 1092: 103–113
  • Schally A V, Arimura A, Baba Y, Nair R M, Matsuo H, Redding T W, Debeljuk L. Isolation and properties of the FSH and LH-releasing hormone. Biochem Biophys Res Commun 1971; 43: 393–399
  • Clarke I J. Control of GnRH secretion. J Reprod Fertil Suppl 1987; 34: 1–8
  • Perkins R B, Hall J E, Martin K A. Neuroendocrine abnormalities in hypothalamic amenorrhea: spectrum, stability, and response to neurotransmitter modulation. J Clin Endocrinol Metab 1999; 84: 1905–1911
  • Genazzani A D, Gastaldi M, Volpe A, Petraglia F, Genazzani A R. Spontaneous episodic release of adenohypophyseal hormones in hypothalamic amenorrhea. Gynecol Endocrinol 1995; 9: 325–334
  • Berga S L, Loucks T L. Use of cognitive behavior therapy for functional hypothalamic amenorrhea. Ann N Y Acad Sci 2006; 1092: 114–129
  • Messager S. Kisspeptin and its receptor: new gatekeepers of puberty. J Neuroendocrinol 2005; 17: 687–688
  • Shahab M, Mastronardi C, Seminara S B, Crowley W F, Ojeda S R, Plant T M. Increased hypothalamic GPR54 signaling: a potential mechanism for initiation of puberty in primates. Proc Natl Acad Sci U S A 2005; 102: 2129–2134
  • Russell S H, Small C J, Dakin C L, Abbott C R, Morgan D G, Ghatei M A, Bloom S R. The central effects of orexin-A in the hypothalamic–pituitary–adrenal axis in vivo and in vitro in male rats. J Neuroendocrinol 2001; 13: 561–566
  • Robel P, Baulieu E E. Neurosteroids: biosynthesis and function. Crit Rev Neurobiol 1995; 9: 383–394
  • Mellon S H, Deschepper C F. Neurosteroid biosynthesis: genes for adrenal steroidogenic enzymes are expressed in the brain. Brain Res 1993; 629: 283–292
  • McEwen B S. Non-genomic and genomic effects of steroids on neural activity. Trends Pharmacol Sci 1991; 12: 141–147
  • Majewska M D, Harrison N L, Schwartz R D, Barker J L, Paul S M. Steroid hormone metabolites are barbiturate-like modulators of the GABA receptor. Science 1986; 232: 1004–1007
  • Paul S M, Purdy R H. Neuroactive steroids. FASEB J 1992; 6: 2311–2322
  • Belelli D, Lan N C, Gee K W. Anticonvulsant steroids and the GABA/benzodiazepine receptor–chloride ionophore complex. Neurosci Biobehav Rev 1990; 14: 315–322
  • Fadalti M, Petraglia F, Luisi S, Bernardi F, Casarosa E, Ferrari E, Luisi M, Saggese G, Genazzani A R, Bernasconi S. Changes of serum allopregnanolone levels in the first 2 years of life and during pubertal development. Pediatr Res 1999; 46: 323–327
  • Calogero A E, Palumbo M A, Bosboom A M, Burrello N, Ferrara E, Palumbo G, Petraglia F, D'Agata R. The neuroactive steroid allopregnanolone suppresses hypothalamic gonadotropin-releasing hormone release through a mechanism mediated by the γ-aminobutyric acid A receptor. J Endocrinol 1998; 158: 121–125
  • Brann D W, Putnam C D, Mahesh V B. γ-Aminobutyric acidA receptors mediate 3α-hydroxy-5α-pregnan-20-one-induced gonadotropin secretion. Endocrinology 1990; 126: 1854–1859
  • Genazzani A D, Petraglia F, Volpe A, Genazzani A R. Hypothalamic amenorrhea: neuroendocrine mechanisms/stress-induced anomalies. Assist Reprod Technol/Androl 1997; 9: 1–13
  • Nappi R E, Petraglia F, Genazzani A D, D'Ambrogio G, Zara C, Genazzani A R. Hypothalamic amenorrhea: evidence for a central derangement of hypothalamic–pituitary–adrenal cortex axis activity. Fertil Steril 1993; 59: 571–576
  • Genazzani A D, Luisi M, Malavasi B, Strucchi C, Luisi S, Casarosa E, Bernardi F, Genazzani A R, Petraglia F. Pulsatile secretory characteristics of allopregnanolone, a neuroactive steroid, during the menstrual cycle and in amenorrheic subjects. Eur J Endocrinol 2002; 146: 347–356
  • Meczekalski B, Tonetti A, Monteleone P, Bernardi F, Luisi S, Stomati M, Luisi M, Petraglia F, Genazzani A R. Hypothalamic amenorrhea with normal body weight: ACTH, allopregnanolone and cortisol responses to corticotropin-releasing hormone test. Eur J Endocrinol 2000; 142: 280–285
  • Genazzani A D, Forti G, Guardabasso V, Maggi M, Milloni M, Cianfanelli F, Serio M. Frequency of prolactin pulsatile release in normal men and in agonadal patients is neither coupled to LH release nor influenced by androgen modulation. Clin Endocrinol (Oxf) 1992; 37: 65–71
  • Tatemoto K, Carlquist M, Mutt V. Neuropeptide Y – a novel brain peptide with structural similarities to peptide YY and pancreatic polypeptide. Nature 1982; 296: 659–660
  • El Bahh B, Balosso S, Hamilton T, Herzog H, Beck-Sickinger A G, Sperk G, Gehlert D R, Vezzani A, Colmers W F. The anti-epileptic actions of neuropeptide Y in the hippocampus are mediated by Y and not Y receptors. Eur J Neurosci 2005; 22: 1417–1430
  • Pedrazzini T, Pralong F, Grouzmann E. Neuropeptide Y: the universal soldier. Cell Mol Life Sci 2003; 60: 350–377
  • McDonald J K, Koenig J I. NPY actions on reproductive and endocrine functions. The biology of NPY and related peptides, W F Colmers, C Wahlestedt. Humana Press Inc., Totowa, NJ 1993; 419–447
  • Kalra S P, Crowley W R. Neuropeptide Y: a novel neuroendocrine peptide in the control of pituitary hormone secretion, and its relation to luteinizing hormone. Front Neuroendocrinol 1992; 13: 1–46
  • Tomaszuk A, Simpson C, Williams G. Neuropeptide Y, the hypothalamus and the regulation of energy homeostasis. Horm Res 1996; 46: 53–58
  • Ahima R S. Body fat, leptin, and hypothalamic amenorrhea. N Engl J Med 2004; 351: 959–962
  • Meczekalski B, Genazzani A R, Genazzani A D, Warenik-Szymankiewicz A, Luisi M. Clinical evaluation of patients with weight loss-related amenorrhea: neuropeptide Y and luteinizing hormone pulsatility. Gynecol Endocrinol 2006; 22: 239–243
  • Wojcik-Gladysz A, Polkowska J. Neuropeptide Y – a neuromodulatory link between nutrition and reproduction at the central nervous system level. Reprod Biol 2006; 6(Suppl 2)21–28
  • Vale W, Spiess J, Rivier C, Rivier J. Characterization of a 41-residue ovine hypothalamic peptide that stimulates secretion of corticotropin and β-endorphin. Science 1981; 213: 1394–1397
  • Smith R, Nicholson R C. Corticotrophin releasing hormone and the timing of birth. Front Biosci 2007; 12: 912–918
  • Mastorakos G, Scopa C D, Vryonidou A, Friedman T C, Kattis D, Phenekos C, Merino M J, Chrousos G P. Presence of immunoreactive corticotropin-releasing hormone in normal and polycystic human ovaries. J Clin Endocrinol Metab 1994; 79: 1191–1197
  • Rivier C, Brownstein M, Spiess J, Rivier J, Vale W. In vivo corticotropin-releasing factor-induced secretion of adrenocorticotropin, β-endorphin, and corticosterone. Endocrinology 1982; 110: 272–278
  • Petraglia F, Sutton S, Vale W, Plotsky P. Corticotropin-releasing factor decreases plasma luteinizing hormone levels in female rats by inhibiting gonadotropin-releasing hormone release into hypophysial–portal circulation. Endocrinology 1987; 120: 1083–1088
  • Rivier C, Rivier J, Vale W. Stress-induced inhibition of reproductive functions: role of endogenous corticotropin-releasing factor. Science 1986; 231: 607–609
  • Berga S L, Loucks-Daniels T L, Adler L J, Chrousos G P, Cameron J L, Matthews K A, Marcus M D. Cerebrospinal fluid levels of corticotropin-releasing hormone in women with functional hypothalamic amenorrhea. Am J Obstet Gynecol 2000; 182: 776–781
  • Berga S L, Daniels T L, Giles D E. Women with functional hypothalamic amenorrhea but not other forms of anovulation display amplified cortisol concentrations. Fertil Steril 1997; 67: 1024–1030
  • Oswiecimska J, Ziora K, Geisler G, Broll-Waśka K. Prospective evaluation of leptin and neuropeptide Y (NPY) serum levels in girls with anorexia nervosa. Neuro Endocrinol Lett 2005; 26: 301–304
  • Biller B M, Federoff H J, Koenig J I, Klibanski A. Abnormal cortisol secretion and responses to corticotropin-releasing hormone in women with hypothalamic amenorrhea. J Clin Endocrinol Metab 1990; 70: 311–317
  • Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman J M. Positional cloning of the mouse obese gene and its human homologue. Nature 1994; 372: 425–432
  • Tartaglia L A, Dembski M, Weng X, Deng N, Culpepper J, Devos R, Richards G J, Campfield L A, Clark F T, Deeds J, et al. Identification and expression cloning of a leptin receptor, OB-R. Cell 1995; 83: 1263–1271
  • Bluher S, Mantzoros C S. The role of leptin in regulating neuroendocrine function in humans. J Nutr 2004; 134: 2469S–2474S
  • Moschos S, Chan J L, Mantzoros C S. Leptin and reproduction: a review. Fertil Steril 2002; 77: 433–444
  • Fantuzzi G, Faggioni R. Leptin in the regulation of immunity, inflammation, and hematopoiesis. J Leukoc Biol 2000; 68: 437–446
  • Kiess W, Muller G, Galler A, Reich A, Deutscher J, Klammt J, Kratzsch J. Body fat mass, leptin and puberty. J Pediatr Endocrinol Metab 2000; 13: 717–722
  • Considine R V, Caro J F. Leptin: genes, concepts and clinical perspective. Horm Res 1996; 46: 249–256
  • Iqbal J, Pompolo S, Considine R V, Clarke I J. Localization of leptin receptor-like immunoreactivity in the corticotropes, somatotropes, and gonadotropes in the ovine anterior pituitary. Endocrinology 2000; 141: 1515–1520
  • Andrico S, Gambera A, Specchia C, Pellegrini C, Falsetti L, Sartori E. Leptin in functional hypothalamic amenorrhoea. Hum Reprod 2002; 17: 2043–2048
  • Carro E, Pinilla L, Seoane L M, Considine R V, Aguilar E, Casanueva F F, Dieguez C. Influence of endogenous leptin tone on the estrous cycle and luteinizing hormone pulsatility in female rats. Neuroendocrinology 1997; 66: 375–377
  • Herpertz S, Albers N, Wagner R, Pelz B, Köpp W, Mann K, Blum W F, Senf W, Hebebrand J. Longitudinal changes of circadian leptin, insulin and cortisol plasma levels and their correlation during refeeding in patients with anorexia nervosa. Eur J Endocrinol 2000; 142: 373–379
  • Kieffer T J, Habener J F. The adipoinsular axis: effects of leptin on pancreatic beta-cells. Am J Physiol Endocrinol Metab 2000; 278: E1–E14
  • Ahima R S, Saper C B, Flier J S, Elmquist J K. Leptin regulation of neuroendocrine systems. Front Neuroendocrinol 2000; 21: 263–307
  • Welt C K, Chan J L, Bullen J, Murphy R, Smith P, DePaoli A M, Karalis A, Mantzoros C S. Recombinant human leptin in women with hypothalamic amenorrhea. N Engl J Med 2004; 351: 987–997
  • Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H, Kangawa K. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature 1999; 402: 656–660
  • Wynne K, Stanley S, Bloom S. The gut and regulation of body weight. J Clin Endocrinol Metab 2004; 89: 2576–2582
  • Barreiro M L, Tena-Sempere M. Ghrelin and reproduction: a novel signal linking energy status and fertility?. Mol Cell Endocrinol 2004; 226: 1–9
  • Gale S M, Castracane V D, Mantzoros C S. Energy homeostasis, obesity and eating disorders: recent advances in endocrinology. J Nutr 2004; 134: 295–298
  • Korner J, Leibel R L. To eat or not to eat – how the gut talks to the brain. N Engl J Med 2003; 349: 926–928
  • Cummings D E, Weigle D S, Frayo R S, Breen P A, Ma M K, Dellinger E P, Purnell J Q. Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med 2002; 346: 1623–1630
  • Pagotto U, Gambineri A, Vicennati V, Heiman M L, Tschöp M, Pasquali R. Plasma ghrelin, obesity, and the polycystic ovary syndrome: correlation with insulin resistance and androgen levels. J Clin Endocrinol Metab 2002; 87: 5625–5629
  • Tena-Sempere M, Barreiro M L, Gonzalez L C, Gaytán F, Zhang F P, Caminos J E, Pinilla L, Casanueva F F, Diéguez C, Aguilar E. Novel expression and functional role of ghrelin in rat testis. Endocrinology 2002; 143: 717–725
  • Kawamura K, Sato N, Fukuda J, Kodama H, Kumagai J, Tanikawa H, Nakamura A, Honda Y, Sato T, Tanaka T. Ghrelin inhibits the development of mouse preimplantation embryos in vitro. Endocrinology 2003; 144: 2623–2633
  • Furuta M, Funabashi T, Kimura F. Intracerebroventricular administration of ghrelin rapidly suppresses pulsatile luteinizing hormone secretion in ovariectomized rats. Biochem Biophys Res Commun 2001; 288: 780–785
  • Vulliemoz N R, Xiao E, Xia-Zhang L, Germond M, Rivier J, Ferin M. Decrease in luteinizing hormone pulse frequency during a five-hour peripheral ghrelin infusion in the ovariectomized rhesus monkey. J Clin Endocrinol Metab 2004; 89: 5718–5723
  • Tolle V, Kadem M, Bluet-Pajot M T, Frere D, Foulon C, Bossu C, Dardennes R, Mounier C, Zizzari P, Lang F, et al. Balance in ghrelin and leptin plasma levels in anorexia nervosa patients and constitutionally thin women. J Clin Endocrinol Metab 2003; 88: 109–116
  • Schneider L F, Warren M P. Functional hypothalamic amenorrhea is associated with elevated ghrelin and disordered eating. Fertil Steril 2006; 86: 1744–1749
  • Warren M P, Voussoughian F, Geer E B, Hyle E P, Adberg C L, Ramos R H. Functional hypothalamic amenorrhea: hypoleptinemia and disordered eating. J Clin Endocrinol Metab 1999; 84: 873–877
  • De Souza M J, Leidy H J, O'Donnell E, Lasley B, Williams N I. Fasting ghrelin levels in physically active women: relationship with menstrual disturbances and metabolic hormones. J Clin Endocrinol Metab 2004; 89: 3536–3542
  • Chan J L, Bullen J, Lee J H, Yiannakouris N, Mantzoros C S. Ghrelin levels are not regulated by recombinant leptin administration and/or three days of fasting in healthy subjects. J Clin Endocrinol Metab 2004; 89: 335–343
  • Teschemacher H, Opheim K E, Cox B M, Goldstein A. A peptide-like substance from pituitary that acts like morphine. I. Isolation. Life Sci 1975; 16: 1771–1775
  • Blank M S, Murphy J R. Luteinizing hormone sensitivity to naloxone in maturing male chimpanzees. Brain Res Bull 1991; 27: 241–245
  • Remorgida V, Venturini P L, Anserini P, Salerno E, De Cecco L. Naltrexone in functional hypothalamic amenorrhea and in the normal luteal phase. Obstet Gynecol 1990; 76: 1115–1120
  • Genazzani A D, Petraglia F, Gastaldi M, Volpogni C, Gamba O, Genazzani A R. Naltrexone treatment restores menstrual cycles in patients with weight loss-related amenorrhea. Fertil Steril 1995; 64: 951–956

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