Circadian, ultradian, and episodic gonadotropin and prolactin secretion in human pseudocyesis

1991 ◽  
Vol 124 (5) ◽  
pp. 501-509 ◽  
Author(s):  
Mary A. Bray ◽  
Ozgul Muneyyirci-Delale ◽  
George D. Kofinas ◽  
Francisco I. Reyes

Abstract. Six women with pseudocyesis were studied by 15-min blood sampling for 12 to 24 h to determine their gonadotropin and PRL secretory profiles aiming to clarify the endocrine alterations in this form of hypothalamic amenorrhea. Clinical and biochemical evidence of hyperandrogenism was found in 4 patients. Persistent hyperprolactinemia was present only in one patient. Significant circadian and ultradian periodicities were identified by time series analysis in the 12-24 h profiles of FSH, LH and PRL secretion. Pulse analysis by the Van Cauter (UL-TRA.JN) method revealed a 24-h mean LH interpulse interval of 91±21 min with a mean LH amplitude of 5.4±0.8 IU/l. There was a significantly lower pulse frequency at night than during the daytime. The mean 24-h PRL interpulse interval and pulse amplitude were 134±22 min and 9.2±1.8 IU/l, respectively. Both FSH and LH mean levels were higher during the daytime than at night, while the reverse was true for PRL values. Decreased LH pulse frequeny and amplitude emerged as the most distinctive findings. Antecedent hypothalamic-pituitary aberrations due to other endocrinopathies and the timing of the hormonal assessment (e.g. recovery phase) may explain, at least in part, the reported heterogeneity of neuroendocrinologic findings in pseudocyesis.

1994 ◽  
Vol 130 (2) ◽  
pp. 113-120 ◽  
Author(s):  
Ria Adriaanse ◽  
Georg Brabant ◽  
Erik Endert ◽  
Frederique J Bemelman ◽  
Wilmar M Wiersinga

Adriaanse R, Brabant G, Endert E, Bemelman FJ, Wiersinga WM. Pulsatile thyrotropin and prolactin secretion in a patient with mixed thyrotropin- and prolactin-secreting pituitary adenoma. Eur J Endocrinol 1994;130:113–20. ISSN 0804–4643 The circadian and pulsatile thyrotropin (TSH) and prolactin (PRL) release was investigated in a patient with slight hyperthyroidism due to a mixed TSH- and PRL-secreting pituitary adenoma. Blood was withdrawn every 10 min for 24 h (before and after medical treatment); pulse characteristics were analyzed by Desade and Cluster programs (values as mean±sd). The inappropriately high mean 24-h TSH concentration of 3.55 ±0.31 mU/l was associated with a higher mean 24-h TSH pulse amplitude but unaltered mean 24-h TSH pulse frequency relative to healthy controls. The nocturnal TSH surge (absolute surge 0.5 mU/l, relative surge 16%) was low, related to a loss of the usual nocturnal increase of TSH pulse amplitude and TSH pulse frequency. Chronic treatment with octreotide resulted in a modest clinical and biochemical improvement of the hyperthyroid state; addition of bromocriptine at a later stage had no further beneficial effect. At the end of the follow-up period the mean 24-h TSH paradoxically had increased to 5.33 ±0.81 mU/l. The nocturnal TSH surge also increased (absolute surge 1.9 mU/l, relative surge 42%), but circadian changes in TSH pulsatility remained absent. In the untreated period the increased mean 24-h PRL concentration of 234 ± 24 μg/l was associated with an increased mean 24-h PRL amplitude, whereas the 24-h PRL pulse frequency (N = 4) was lower relative to controls. No circadian PRL rhythm was present. After octreotide and bromocriptine treatment the mean 24-h PRL concentration and mean 24-h PRL pulse amplitude were unchanged, but a clear nocturnal increase of PRL now was observed. Analysis of the temporal coupling between TSH and PRL release by bivariate autoregressive modeling revealed significant cross-correlations in all three periods investigated (coefficients in the range 0.34–0.76, median 0.52; p<0.01) between TSH and PRL concentrations with a lag time of 10–20 min. We conclude that pulsatile TSH and PRL release in this mixed TSH- and PRL-secreting pituitary adenoma was autonomous in nature. The observed dampening of the nocturnal increase of TSH and PRL is putatively related to a lack of TRH receptors in these tumors. The observed co-secretion of TSH and PRL suggests synthesis of both hormones by the same cell. R Adriaanse, Department of Endocrinology F5-171, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands


2000 ◽  
Vol 71 (2) ◽  
pp. 235-242 ◽  
Author(s):  
T. Tokuda ◽  
T. Matsui ◽  
H. Yano

AbstractPlasma leptin concentration shows pulsatility and diurnal rhythm in humans. However, there are few reports concerning the 24-h profile of circulating leptin levels in ruminants. Five crossbred ewes were housed in metabolism cages under a 1-h light-dark cycle. The ewes were offered alfalfa hay daily to meet their energy requirement. Blood samples were collected at 15-min intervals for 24 h. Plasma leptin concentrations were determined using a radioimmunoassay and the profile of plasma leptin levels was analysed by the PULSAR algorithmic program for detecting pulse. Plasma leptin concentration changed in a pulsatile fashion. The mean leptin concentration was 2·93 ng/ml. The mean pulse frequency was 4·8 pulses per day and the mean pulse amplitude was 0·67 ng/ml with an average pulse length of 1:13 h. Plasma leptin level was not affected by feeding or lighting cycle. These results indicate that plasma leptin level in sheep shows pulsatility but diurnal rhythm is not exhibited.


1991 ◽  
Vol 124 (4) ◽  
pp. 386-390 ◽  
Author(s):  
Peter Weber ◽  
Ulrich Krause ◽  
Gabi Gaffga ◽  
Georg Brabant ◽  
Friedrich Manz ◽  
...  

Abstract. To evaluate the pathophysiological role of TSH in goitrogenesis we investigated pulsatile TSH secretion in 11 patients with a non-toxic goitre and in 11 healthy controls. Thyroid volume was 40 ± 10 ml in the goitre group and 15 ± 4 ml in the controls as measured by ultrasound. Blood was sampled continously via an indwelling venous catheter at 10-min intervals over 24 h. Neither the mean 24-h serum TSH levels (goitre 1.1 ± 0.5 vs controls 0.9 ± 0.4 mU/l) nor the nocturnal surge of TSH were significantly different between the two groups. The average of the TSH pulse frequency (goitre 10.8 ± 3.7 vs controls 9.6 ± 3.5 pulses/24-h) and of the TSH pulse amplitude (goitre 0.4 ± 0.2 vs controls 0.3 ± 0.1 mU TSH/l as analysed by DESADE programme (detection of secretory activity by discrete deconvolution) did not differ in the two groups. Furthermore, there was no correlation between the volume of the thyroid gland and the dynamics of the TSH secretion. We conclude that our data do not suggest a relevant pathophysiological role of TSH secretion in the development of non-toxic goitre in man.


1989 ◽  
Vol 256 (4) ◽  
pp. E510-E515
Author(s):  
L. S. O'Dea ◽  
J. S. Finkelstein ◽  
D. A. Schoenfeld ◽  
J. P. Butler ◽  
W. F. Crowley

To examine the importance of the interpulse interval of gonadotropin-releasing hormone (GnRH) stimulation in modulating gonadotroph responsiveness, a fixed individualized dose of GnRH was administered to eight GnRH-deficient men at intervals selected randomly from the distribution of luteinizing hormone (LH) interpulse intervals of normal men. The responses were compared with data derived from a study of LH pulses in 20 normal men. A positive relationship was found between LH pulse amplitude and the preceding interpulse interval both in the GnRH-deficient (P less than 0.05) and in the normal (P less than 0.003) men. The distributions of LH pulse amplitudes appeared to differ between the two groups with failure of the study paradigm to reproduce the distribution of low-amplitude pulses of the normal men in the GnRH-deficient men. There was significantly more variability about the line that related interpulse interval and LH amplitude in the normal men (P less than 0.004) in whom the amount of GnRH could vary physiologically. This difference remained significant both for pulses with amplitudes below (P less than 0.01) or above (P less than 0.03) the mean of the normal men. These studies demonstrate that the GnRH interpulse interval is an independent determinant of pituitary responsiveness and that alterations in the amount of GnRH secreted from the hypothalamus are an important determinant of LH pulse amplitude in men.


1989 ◽  
Vol 49 (2) ◽  
pp. 267-273 ◽  
Author(s):  
S. M. Rhind ◽  
S. McMillen ◽  
G. Z. Wetherill ◽  
W. A. C. McKelvey ◽  
R. G. Gunn

ABSTRACTGonadotrophin profiles during the follicular phase of the cycle prior to a synchronized mating and LH and progesterone profiles at days 2, 6 and 10 post mating were investigated in three groups of 16 ewes. of one group were given 0·5 × estimated metabolizable energy requirements for maintenance (MEM) from 14 days before mating until slaughter 11 days after mating (LL). Ewes of a second group were given 1·5 × MEM during the 14 days prior to mating and then 0·5 × MEM thereafter (HL) and the remaining ewes (HH) were given 1·5 × maintenance throughout the experiment. During the day before mating, plasma samples were collected at 10-min intervals for 8 h and assayed for LH and FSH. Samples were collected at 15-min intervals for 8 h on days 2, 6 and 10 after mating. Each ewe was then injected intravenously with 10 μg LH and samples were collected for a further 3 h. All of these samples were assayed for LH and progesterone. Nutritional treatment did not affect mean follicular phase concentrations of FSH or LH or mean LH pulse amplitude but the mean LH pulse frequency (pulses per h) of LL ewes was lower than that of HH + HL ewes (0·37 v. 0·48; P < 0·05). After mating, mean LH concentrations were unaffected by sampling date or nutritional treatment but the mean LH pulse frequency was lower in HL + LL than HH ewes at day 2 (0·25 v. 0·40; P < 0·01) and day 10 (0·28 v. 0·38; P < 0·05). Mean progesterone concentrations (ng/1) were higher in HL + LL than HH ewes at day 10 (6·77 v. 4·80; P < 0·05) but pulse frequency was not significantly affected. Injection of 10 μg LH on days 2, 6 and 10 after mating was followed by a significant increase in progesterone concentrations. The progesterone response was greater (P < 0·05) in LL + HL ewes than in HH ewes. It is concluded that increased rates of embryo mortality often associated with undernutrition are unlikely to be related to lower circulating progesterone levels per se but may be attributable to reductions in mean LH pulse frequency and consequent changes in progesterone profiles.


1991 ◽  
Vol 125 (6) ◽  
pp. 614-620 ◽  
Author(s):  
Jacques Allouche ◽  
Antoine Bennet ◽  
Pierre Barbe ◽  
Monique Plantavid ◽  
Philippe Caron ◽  
...  

Abstract. LH nocturnal pulsatility and bioactivity to immunoreactivity (B/I) ratio were determined in 16 patients with anorexia nervosa-related hypothalamic amenorrhea and low sex steroid levels, and in 12 normal women in the midfollicular phase. The patients were subdivided into 2 groups: IA (N=7) without, and IB (N=9) with documented recent weight gain. Blood samples were taken from each subject at 10-min intervals from 00.00 to 06.00 h. Immunoreactive LH data were analysed with cluster analysis algorithm. A pool of aliquots from all the samples was used to evaluate bioactive LH, immunoreactive LH and LH B/I ratio in each subject. LH pulse frequency was lower in Group IA than in controls, whereas it did not differ significantly between Group IB and controls. LH pulse amplitude was lower in Group IA, and higher in Group IB than in controls. LH B/I ratio was below the control range in 3/16 patients. In conclusion, persistent hypothalamic amenorrhea does not require a permanent inhibition of the GnRH pulse generator; transient inhibition of pulsatility and qualitative abnormalities of gonadotropins could be involved in the mechanism, at least in some patients.


1991 ◽  
Vol 52 (1) ◽  
pp. 115-125 ◽  
Author(s):  
S. M. Rhind ◽  
S. McMillen ◽  
W. A. C. McKelvey

ABSTRACTIn two experiments involving ovariectomized Scottish Blackface ewes and steroid replacement therapy, the effects of level of food intake and of body condition on hypothalamic and pituitary sensitivity to progesterone and oestradiol feedback were investigated. In experiment 1, groups of 16 ewes in similar levels of body condition were given dried grass pellets ad libitum (mean dry-matter (DM) intake of 2481 (s.e. 71) g per head per day; group H) or 1105 g DM per head per day (group M). In experiment 2, groups of 16 ewes were fed so that they achieved body condition scores of 2·70 (s.e. 0040; group HBC) or 1·67 (s.e. 0·036; group LBC) prior to the start of the experiment. All ewes were then fed to maintain their respective levels of body condition. In both experiments, all ewes were ovariectomized and intravaginal progesterone pessaries and subcutaneous oestradiol implants were inserted; these were designed to induce circulating concentrations of these steroids within the normal range for intact ewes. Approximately 1 week later, blood samples were collected at 15-min intervals for 10 h, and at 10-min intervals for 8 h before and after pessary withdrawal respectively. All samples were assayed for LH and selected samples were assayed for FSH and progesterone. Gonadotropin profiles were also recorded during 2-h periods following injection (i.v.) of 0·25 μg and 5 μg GnRH. When circulating progesterone concentrations were elevated, due to the presence of a progesterone pessary, there was no effect of level of food intake on mean LH or FSH concentrations or mean LH pulse frequency but H ewes had a higher mean LH pulse amplitude than M ewes (P < 005). When the progesterone pessaries were absent, H ewes had a higher mean LH concentration (P < 001), mean LH pulse frequency (P < 001) and LH pulse amplitude (P < 0·01) than M ewes but mean FSH concentrations were similar in the two groups. Irrespective of the presence or absence of elevated progesterone concentrations, the pituitary responses to GnRH injection were either not significantly different or were lower in H compared with M ewes. In experiment 2, HBC ewes had a higher mean LH concentration (P < 001), LH pulse frequency (P < 0·001), pulse amplitude (P < 0·001) and FSH concentration (P < 001) than LBC ewes, irrespective of circulating progesterone concentrations. The mean heights and ‘areas’ of the LH peak induced by injection of 0·25 μg GnRH were larger in HBC than LBC ewes (P < 005) irrespective of circulating progesterone concentrations. When mean concentrations before injection were taken into account, the corresponding increases in FSH concentration were similar for the two groups. Following injection of 5 u.g GnRH, the differences in peak size were generally not significant. It is concluded that during the follicular phase of the cycle, a low level of intake is associated with increased hypothalamic sensitivity, but not pituitary sensitivity to oestradiol feedback. Body condition affects both hypothalamic and pituitary activity but the relative importance of direct and indirect effects of body condition on the sensitivity of these organs to steroid feedback, remains to be elucidated.


1996 ◽  
Vol 135 (3) ◽  
pp. 340-344 ◽  
Author(s):  
A Gallinelli ◽  
R Gallo ◽  
AD Genazzani ◽  
ML Matteo ◽  
A Caruso ◽  
...  

Gallinelli A, Gallo R, Genazzani AD, Matteo ML. Caruso A, Woodruff TK. Petraglia F. Episodic secretion of activin A in pregnant women. Eur J Endocrinol 1996,135:340–4. ISSN 0804–4643 The aim of the present study was to determine the characteristics of activin A secretion in women with normal and abnormal pregnancy. With this purpose, a prospective study was done to evaluate the putative pulsatile pattern of serum activin A in serial specimens of blood collected during a certain amount of time (every 15 min for 3 h). A group of pregnant women (N = 24) participated in a crosssectional study. They were subdivided into three groups: healthy pregnant women (N = 8), patients with preterm labor (N = 8) and patients with gestational diabetes (N = 8) before and after insulin therapy. Secretory pulses of serum activin A were determined in all patients with a specific frequency and amplitude by using two different computerized analyses, i.e. DETECT and CLUSTER. Mean ± sem values of serum activin A were significantly higher in patients with preterm labor and gestational diabetes than in controls (p < 0.01), showing a significant decrease following insulin therapy in diabetic patients (p < 0.01). Specific pulses of serum activin A levels were observed in all women. The mean pulse frequency did not change significantly between healthy controls and the different pathological groups. Patients with gestational diabetes after insulin therapy showed a pulse frequency that was significantly higher than in controls (p < 0.05). When the mean peak amplitude of activin A pulses was evaluated, patients with preterm labor or gestational diabetes showed values that were significantly higher than in healthy pregnant women (p < 0.01). A significant, inverse correlation between pulse frequency and amplitude was found both in healthy pregnant women (p < 0.05) and in patients with gestational diabetes (p < 0.001). The present study showed that circulating activin A levels in pregnant women change in a pulsatile pattern whose pulse amplitude is modified in the presence of gestational diseases, such as preterm labor or gestational diabetes. Felice Petraglia, Department of Obstetrics and Gynecology, University of Pisa, via Roma 67, 56100 Pisa, Italy


1990 ◽  
Vol 258 (5) ◽  
pp. E799-E804
Author(s):  
S. L. Greenspan ◽  
A. Klibanski ◽  
J. W. Rowe ◽  
D. Elahi

To determine the effect of age on pulsatile prolactin secretion, we examined prolactin pulse characteristics by cluster analysis in healthy young and old male subjects during the day and night. Pulsatile prolactin secretion was identified in all subjects during the day and night, and prolactin pulse frequency remains stable with age. Younger subjects had a significantly higher prolactin pulse amplitude, area, and peak interval during the night compared with older subjects. In contrast, daytime prolactin pulse characteristics were similar in young and old subjects. Because the major neuroregulator of prolactin is dopamine and because normal aging has been reported to be associated with reductions in hypothalamic dopamine content and effect, we determined whether the mechanism of altered day-night prolactin pulsatile secretion was due to changes in dopaminergic tone. We examined endogenous prolactin secretion after administration of the dopamine antagonist metoclopramide. Metoclopramide significantly increased mean serum prolactin concentration and prolactin pulse height and amplitude in all subjects during the day and night. However, net prolactin pulse amplitude after metoclopramide stimulation at night was significantly higher in older subjects compared with younger subjects. We conclude that prolactin pulse amplitude is blunted in elderly men at night and that daytime pulsatile prolactin secretion is unaltered by age in normal men. The mechanism for this alteration of nighttime prolactin pulsatile secretion in elderly men may be due to age-associated changes in dopaminergic regulation.


1986 ◽  
Vol 111 (3) ◽  
pp. 425-431 ◽  
Author(s):  
G. B. Thomas ◽  
J. T. Cummins ◽  
L. Cavanagh ◽  
I. J. Clarke

ABSTRACT Hypothalamic control of prolactin secretion was studied in ovariectomized ewes by comparing the effects of hypothalamo-pituitary disconnection (HPD) and sham-operation (sham-HPD). HPD caused a two-fold increase in plasma prolactin concentrations on days 1 and 7 following surgery during anoestrus and a tenfold increase during the breeding season. Thereafter, concentrations gradually declined to be similar to those in sham-HPD ewes by day 43 (breeding season) and day 145 (anoestrus). The maximum plasma prolactin response to HPD was similar during the two seasons (anoestrus: 128 ± 15 vs breeding season: 118 ± 13 μg/l). Sham-HPD had no effect on plasma prolactin concentrations. Prolactin pulse frequency was not affected by HPD, but increases in plasma prolactin concentrations were associated with increases in pulse amplitude. At the time of the normal anoestrus, plasma prolactin concentrations rose in both the HPD and sham-HPD ewes, raising the question of extra-hypothalamic regulation of seasonal changes in prolactin secretion. Plasma LH and FSH concentrations became undetectable in HPD ewes but were unaltered in sham-HPD ewes. We conclude that hypothalamic inhibition of pituitary prolactin secretion in the sheep can be demonstrated by HPD but that this effect is not sustained. This transience may indicate the additional requirement of hypothalamic-releasing factors in the control of prolactin release. In addition, the surgically isolated ovine pituitary of the HPD animal has an inherent pulsatile secretion of prolactin. J. Endocr. (1986) 111, 425–431


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