Reproduction is enormously costly in energetic terms, and female mammals, including women, will defer reproduction by ceasing to ovulate when the food supply is limited or when other physiological processes (e.g., exercise or thermoregulation) require excessive amounts of energy. Examples of nutritional infertility in humans include the amenorrhea and infertility that are seen in women with eating disorders or in endurance athletes (e.g., distance runners).

We have used a number of approaches to study the effects of nutrition on reproductive physiology and behaviors in laboratory rodents, including treatment with pharmacological agents that selectively inhibit glucose or fatty acid utilization, experimental diabetes mellitus and insulin treatment, and manipulations of energy expenditure via changes in exercise and ambient temperature.

 

  

George N. Wade

Nutritional Infertility, Hormones and Energy Balance


This work reveals that both reproductive physiology (secretion of GnRH and gonadotropins) and behaviors (sexual receptivity and maternal behavior) are sensitive to minute-to-minute changes in the availability of metabolic fuels, and not to any aspect of body size or composition (fat content), as previously supposed.

Metabolic fuel availability is detected by cells in the caudal hindbrain and is then relayed to neurons in the forebrain, which control reproductive behaviors.


Nutritional manipulations which inhibit sexual behavior also alter levels of estrogen and progestin receptors in these neural loci, suggesting that altered binding of gonadal steroids contributes to the behavioral changes.

Thus, we have some idea as to: a) The nature of the relevant metabolic cues - short-term changes in metabolic fuel oxidation. b) The sites where these signals are detected - the caudal hindbrain. c) The effector pathways - forebrain circuits controlling reproductive behaviors.

Our current research focuses on the on the neural pathways by which nutritional information is transmitted from the hindbrain fuel detectors to the forebrain effector neurons that control reproductive function. Neuropeptides which affect the regulation of energy balance, such as neuropeptide Y and corticotropin-releasing hormone, seem to play an important role in this regard. We continue to investigate which other neurotransmitter systems play a role in nutritional infertility as well as how and where they interact.

 

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Working hypothesis as to how metabolic fuel information is detected and transmitted to forebrain circuits which control reproductive behaviors. Metabolic fuel detectors appear to reside in the caudal hindbrain, perhaps in the area postrema (AP). This information is then relayed synaptically to the forebrain circuits which regulate reproductive behaviors (blue arrows). Ongoing work indicates that neuropeptides, such as neuropeptide Y and corticotropin-releasing hormone, play a significant role in this process. Our work provides no evidence whatsoever for the possibility that metabolic fuel availability might be detected by forebrain effector neurons (orange arrow).

 

Selected Papers on Nutritional Infertility:

 

Publications with links to Medline Pub Med and Acrobat Reader
 
Schneider, JE, and GN Wade. 1989. Availability of metabolic fuels controls estrous cyclicity of Syrian hamsters. Science 244: 1326-1328. Subsequent exchange of letters with Rose Frisch.

Pub Med:

 Wade, GN, JE Schneider, and MI Friedman. 1991. Insulin-induced anestrus in Syrian hamsters. American Journal of Physiology 260: R148-R152.

Wade, GN, and JE Schneider. 1992. Metabolic fuels and reproduction in female mammals. Neuroscience and Biobehavioral Reviews 16: 235-272.

 Berriman, SJ, GN Wade, and JD Blaustein. 1992. Expression of Fos-like proteins in gonadotropin-releasing hormone neurons of Syrian hamsters: Effects of estrous cycles and metabolic fuels. Endocrinology 131: 2222-2228.

 Dickerman, RW, H-Y Li, and GN Wade. 1993. Decreased availability of metabolic fuels suppresses estrous behavior in Syrian hamsters. American Journal of Physiology 264: R568-R572.

 Schneider, JE, DG Friedenson, AJ Hall, & GN Wade. 1993. Glucoprivation induces anestrus and lipoprivation may induce hibernation in Syrian hamsters. American Journal of Physiology 264: R573-R577.

 Li, H-Y, GN Wade, and JD Blaustein. 1994. Manipulations of metabolic fuel availability alter estrous behavior and neural estrogen-receptor immunoreactivity in Syrian hamsters. Endocrinology 135: 240-247, 1994.

Wade, GN, JE Schneider, and H-Y Li. 1996. Invited review: Control of fertility by metabolic cues. American Journal of Physiology 270: E1-E19. Subsequent exchange of letters with R.E. Frisch.

Du, Y, GN Wade, and JD Blaustein. 1996. Effects of food deprivation on induction of neural progestin receptors by estradiol in Syrian hamsters. American Journal of Physiology 270: R978-R983.

Wade, GN, RL Lempicki, AK Panicker, RM Frisbee, and JD Blaustein. 1997. Leptin facilitates and inhibits sexual behavior in female hamsters. American Journal of Physiology 272: R1354-R1358.

Panicker, A.K. and G.N. Wade. (1998). Insulin-induced repartitioning of metabolic fuels inhibits estrous behavior in Syrian hamsters: Role of area postrema. American Journal of Physiology 274: R1094-R1098.

Wade, G.N. (1998). Energy balance: Effects on reproduction. In: Encyclopedia of Reproduction, (E. Knobil & J.D. Neill, editors), San Diego: Academic Press, 1091-1100.

Panicker, AK, RA Mangels, JB Powers, GN Wade, and JE Schneider. 1998. AP lesions block suppression of estrous behavior, but not estrous cyclicity, in food-deprived Syrian hamsters. American Journal of Physiology 275: R158-R164.

 Early, AH, GN Wade, and RL Lempicki. 1999. Effects of cold exposure on estrous behavior and neural estrogen receptor in Syrian hamsters. Physiology & Behavior 65: 763-768, 1999.

Schneider, JE, RM Blum, and GN Wade. 2000. Metabolic control of food intake and estrous cycles in Syrian hamsters. I. Plasma insulin and leptin. American Journal of Physiology, 278: R476-R480.

Corp, ES, B Gréco, JB Powers, CL Marìn Bivens, and GN Wade. 2001. Neuropeptide Y inhibits estrous behavior and stimulates food intake through separate receptors in Syrian hamsters. American Journal of Physiology, 280: R1061-R1068.

Jones, JE, and LS Lubbers. 2001. Suppression and recovery of estrous behavior in Syrian hamsters following changes in metabolic fuel availability, American Journal of Physiology, 280: R1093-R1098.

 Jones, JE, ES Corp, & GN Wade. 2001 Effects of naltrexone and CCK on estrous behavior and food intake in Syrian hamsters. Peptides, 22: 601-606.

URL: http://www-unix.oit.umass.edu/~gwade/juli%20CCK%20naltrexone.pdf


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