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Leptin restores gonadotropic function in lean hypogonadotropic animals by an unknown mechanism. We aimed to test the hypothesis that restoration of gonadotropic function is a result of an upregulation of central acetylated melanocortin production.
Lean ovariectomised (OVX) ewes received intracerebroventricular (i.c.v.) infusions of leptin (or vehicle) for 3 days, which upregulated proopiomelanocortin (POMC) mRNA and restored pulsatile luteinizing hormone (LH) secretion. A melanocortin agonist (MTII), but not naloxone treatment, reinstated pulsatile LH secretion in lean OVX ewes. We treated (i.c.v.) lean OVX ewes with leptin (or vehicle) and measured peptide levels and post-translational modification in the arcuate nucleus (ARC). Levels of β-endorphin (β-END) were lower in lean animals, with no effect of leptin treatment. Desacetyl-α-MSH was the predominant form of α-melanocyte-stimulating hormone (α-MSH) in the ARC and levels were similar in all groups. In another group of lean and normal-weight OVX ewes, we measured the different forms of α-MSH in ARC, hypothalamus (ARC-removed) and the preoptic area (POA). Acetylated α-MSH levels were lower in lean animals in the terminal beds of the hypothalamus and POA but not the ARC.
Leptin corrects the hypogonadotropic state in the lean condition by upregulation of POMC gene expression, and may increase transport and acetylation of melanocortins to target cells in the brain. Melanocortin treatment restores LH secretion in lean animals.
Leptin is produced by adipose tissue and signals metabolic status to the brain to regulate food intake and energy expenditure [1,2]. Leptin also restores reproductive function in animals genetically deficient in leptin  and restores the pulsatile secretion of luteinizing hormone (LH) in lean ovariectomized (OVX) ewes that are hypogonadotropic . The central action of leptin is transmitted via the signaling form of the leptin receptor (Ob-Rb), which is found in a variety of neurons, especially those that produce the peptides/neurotransmitters that control food intake, metabolic function and energy expenditure . Most of the so-called ‘appetite-regulating peptides’ also regulate reproductive function, acting within the brain  to regulate gonadotropin-releasing hormone (GnRH) secretion . Neuropeptide Y (NPY), agouti-related peptide (AgRP), and melanocortins are examples of peptides with such dual functions [8,9,10,11].
The proopiomelanocortin (POMC) cells of the arcuate nucleus (ARC) also express Ob-Rb and a proportion of these express estrogen receptor-α in rats [12,13] and sheep [5,14]. The POMC prohormone is post-translationally cleaved to produce β-endorphin (β-END) and the melanocortins, α-melanocyte-stimulating hormone (α-MSH), β- and γ-MSH . Endogenous opioids, including β-END, negatively regulate reproduction  and stimulate food intake . On the other hand, the melanocortins reduce food intake  and stimulate reproduction , acting via the melanocortin receptors (MC-R), MC-3R and MC-4R. The generation of α-MSH and β-END from the same POMC precursor involves complex post-translational processing by prohormone convertase 1 and 2. In addition, carboxypeptidase E ‘trims’ the carboxy terminus and the peptidyl α-amidating mono-oxogenase enzyme amidates the C-terminus to enable bio-activity. Acetylation of the N-terminus increases the ability of α-MSH to reduce food intake, but acetylation of β-END nullifies activity [20,21]. The enzyme(s) (acetylase) responsible for this process have not been identified.
With respect to melanocortin action on the reproductive axis, Watanobe et al.  showed that the MC3-R/MC4-R antagonist SHU9119 or HS014 (a selective MC4 receptor antagonist) could reduce the effectiveness of leptin to restore gonadotropin secretion in starved rats. Other work indicated that α-MSH  and γ-MSH  stimulate LH release in humans and that γ-MSH causes GnRH release from hypothalamic explants . On the other hand, the MC3-R/MC4-R agonist melanotan II (MTII) had no effect on gonadotropin levels in male ob/obmice , suggesting a possible species difference.
An ovine model of long-term restricted feeding results in a hypogonadotropic condition which, unlike the starved rat, is not catabolic and is more comparable to the human condition of lean condition caused by dieting or over-exercise. In contrast to the rat where POMC cells are located in the ARC and NTS , POMC cells are located exclusively in the ARC in both sheep (Clarke, unpublished data) and humans , and both of these species are able to produce β-MSH [27,28], which is not produced from the rodent POMC precursor .
Although it is clear that leptin can restore gonadotropic function in hypogonadotropic animals of lean body condition, the means by which this occurs is unknown. The aim of the present studies was to reveal this mechanism using lean hypogonadotropic sheep. We tested the hypothesis that leptin upregulates POMC gene expression and melanocortin production leading to restoration of reproductive function in lean animals. Our results show leptin can upregulate hypothalamic POMC expression and restore LH pulsatility. Furthermore, MTII given centrally is sufficient to restore LH pulsatility in lean hypogonadotropic ewes. We also present peptide data which shows that acetylated melanocortins in the terminal beds are downregulated at times of reduced leptin levels. We conclude that in the brain acetylated melanocortin peptides may mediate regulation of reproductive function by leptin in sheep.
These experiments were conducted with prior institutional ethical approval under the requirements of the Australian Prevention of Cruelty to Animals Act 1986 and the Code of Practice for the Care and Use of Animals for Scientific Purposes. The animals of this study were inspected by members of the Ethics Committee.
Adult Corriedale ewes were maintained on pasture or in feedlots, but for intensive experimentation, they were housed individually with natural lighting and temperature and were fed lucerne chaff. Before infusions or sampling, animals were conditioned to pen-housing and handling for 1 week. In experiments where OVX animals were used, the ovariectomies were carried out at least 1 month beforehand to eliminate cyclic alterations in the secretion of gonadal steroids. Third ventricular and lateral ventricular (LV) cannulations were performed at least 2 weeks prior to experimentation as previously described [4,30]. Animals were made lean by dietary restriction over a period of 6–10 months as described . Briefly, they were fed 500 g of pasture hay per day supplemented with straw for bulk. We did not allow our animals to become emaciated and aimed to achieve body condition scores of 2, which indicate a lean condition whereby the ends of the short ribs and backbone can just be felt . Animals of normal body weight were kept on pasture, with hay supplementation for maintenance. The animals were weighed monthly and adjustments in food intake were made at the discretion of the animal carer so that target weights of approximately 35 kg (lean) and 55 kg (normal) were attained. No animal in the lean group was excluded from feeding by dominant flock-mates. When in single pens, lean animals were fed 500 g of lucerne chaff per day and normal animals had ad libitum access to food. All experiments were carried out in the nonbreeding season.
Hypogonadotropic condition was defined if one of the following criteria was met:
This experiment was performed to detail the effects of leptin on the expression of key genes in the NPY/AgRP and POMC cells in lean animals in order to define how leptin may transmit information to the reproductive axis. Lean OVX ewes (33 ± 2.9 kg; 5 per group) received third ventricular infusions of either 4 μg/h human recombinant leptin  or artificial cerebrospinal fluid (aCSF; 150 mM NaCl, 1.2 mM CaCl, 1 mM MgCl and 2.8 mM KCl) as a vehicle at a rate of 55 μl/h for 3 days. Blood samples (5 ml) were collected every 10 min for 6 h before infusion and for the final 6 h of the 72-hour infusion period. Plasma was harvested and stored at −20°C until assayed for LH. At the end of the infusion period, animals were euthanized by an overdose of 20 ml sodium pentobarbital (Lethabarb; Virbac, Peakhurst, N.S.W., Australia) i.v. and the heads were removed and perfused through both carotid arteries with 2 liters of normal saline containing heparin (12.5 U/ml) followed by 3 liters of 4% paraformaldehyde in 0.1 M phosphate buffer (pH 7.4), the final liter containing 20% sucrose. The brains were removed and the hypothalamus was dissected and post-fixed at 4°C in fixative containing 30% sucrose for 7 days. Cryostat sections were cut in the coronal plane (20 μm), collected into cryoprotectant with 2% paraformaldehyde and stored at −20°C.
In situhybridization was performed using a 35S dUTP-labeled riboprobe using a described protocol [33,34]. The cDNA probes used were (1) a 511-base rat NPY sequence donated by Dr. Steven Sabol (National Heart, Blood and Lung Institute, Bethesda, Md., USA) , (2) a 400-base ovine POMC sequence  and (3) a 184-base rat AgRP sequence . Amplification and linearization of plasmid DNA was performed using a standard technique .
For each hybridization series, 2 sections per ewe were chosen to represent mid- and caudal regions of the ARC. All cRNA probes were synthesized using a Promega Gemini System II kit (Promega, Annandale, N.S.W., Australia). Following hybridization, slides were dipped in Ilford K5 photographic emulsion (Ilford Imaging, Melbourne, Vic., Australia) and kept at 4°C in the dark for either 11 days (NPY) or 7 days (POMC and AgRP). Image analysis was carried out on autoradiographs using coded slides, with the operator blinded to the treatments. As previously described , the number of silver grains per cell was estimated in 40 cells per section. Cells were counted when silver grain density was >5 times the background and when there was a clearly discernible nucleus.
As the results of experiment 1 showed upregulation of the POMC gene in lean hypogonadotropic ewes, further evaluation of the melanocortin axis and the opioidergic axis was undertaken. Since melanocortins stimulate the reproductive axis , restoration of POMC expression and production of melanocortins by leptin could be a means by which the reproductive axis is normalized in lean animals. To test this hypothesis, we determined whether MTII (MC3-R/MC4-R receptor agonist; Phoenix Pharmaceuticals, Belmont, Calif., USA) would restore pulsatile LH secretion as a reflection of GnRH secretion. Using a crossover design, lean OVX ewes (36.5 ± 0.73 kg; n = 9) received either MTII (10 μg/h) or aCSF (LV) for 3 h in alternate weeks. Blood samples (5 ml) were collected every 10 min for 3 h prior to and 3 h during the infusion. Plasma was harvested and stored at −20°C until assayed for LH.
Earlier work  suggested that the lean condition may increase negative opioid tone on the reproductive axis. Because the results of experiment 1 led to a focus on the products of the POMC gene, and the transcript of this gene encodes β-END, we investigated this regulatory mechanism. To determine if the reproductive axis was restrained by negative opioid action in the lean condition, we administered the nonspecific opioid antagonist naloxone. Naloxone was administered first to normal-weight animals to determine the efficacy of a dose of 50 μg/h using animals of 55.5 ± 0.5 kg. Groups received either naloxone (n = 5) or aCSF (n = 4) for 3 h by LV infusion in a crossover design. Since the response to naloxone is steroid-dependent , the experiment was replicated in OVX ewes with estradiol-17β and progesterone replacement to maximize the chance of an LH response. The former was administered by subcutaneous implantation of 3-cm implants inserted into the axillary region for 1 month and intravaginal progesterone delivery devices (CIDR: Riverina; Artificial Breeders Ltd., Albury, N.S.W., Australia) were inserted 2 days prior to the study. Naloxone causes a transient response  which is limited to the 1st LH pulse following initiation of treatment. This was observed in the steroid-treated animals of normal body weight, and we repeated the experiment in lean animals (34.52 ± 0.60 kg) with and without sex steroid replacement. Since no response was obtained at this naloxone dose, we tested the hypothesis that opioid tone is increased in the lean animals by infusing a 10-fold higher dose (500 μg/h) to lean OVX ewes (37.6 ± 2.1 kg; n = 8) treated with sex steroids, using the same protocol as above.
Leptin treatment of lean hypogonadotropic ewes led to increased POMC gene expression in the ARC and restoration of pulsatile LH secretion. In order to determine that the change in gene expression was translated into a change in peptide levels, we undertook an experiment to measure levels of NPY, α-MSH and β-END peptide. Lean (36.6 ± 2.1 kg) and normal (63.3 ± 6.1 kg) OVX Corriedale ewes were given LV infusions as follows: lean aCSF (n = 7 for LH analysis, 5 for peptide analysis as a result of damaged tissue), lean leptin (n = 4), and normal aCSF (n = 4). Leptin (50 μg/h) and aCSF were infused at a rate of 55 μl/h for 72 h with a loading dose of 150/165 μl. Blood samples (5 ml) were collected every 10 min for 4 h prior to the commencement of infusions and 4 h afterwards. Further 10-min blood samples were collected between 20–24 h and 68–72 h of the infusion period. Plasma was harvested and stored at −20°C until assayed for LH.
Animals were euthanized at the end of the infusion periodand the hypothalami were dissected, snap frozen on dry ice and stored at −80°C. The blocks were sectioned at 200 μm on a cryostat and the ARC was dissected with the median eminence removed. Ten sections were collected and placed in 700 μl of 0.5 M acetic acid, boiled for 10 min and homogenized. The extracts were centrifuged at 7,500 rpm at 4°C for 30 min and the supernatants were collected for HPLC and α-MSH enzyme immunoassay (EIA) analysis.
The effect of leptin on the levels of α-MSH in the ARC of lean hypogonadotropic OVX ewes were not as marked as we expected, so further studies were undertaken to measure levels of the peptide in regions of the brain where dense α-MSH-immunoreactive terminal beds are observed. This study was performed on lean and normal-weight OVX animals (n = 4 per group), which represented leptin-deficient and leptin-replete states, respectively. The animals were euthanized and the ARC (median eminence-removed), hypothalamus (ARC-removed) and the preoptic area (POA) were collected by fresh dissection, snap frozen on dry ice and stored at −80°C. Each tissue region was then extracted (vide supra) and quantified for desacetylated (des-α-MSH) and acetylated α-MSH (act-α-MSH) using HPLC and α-MSH EIA.
NPY in ARC extracts were assayed using a competitive binding EIA. Plates were first coated with anti-NPY serum 1:25,000 (Peninsula Laboratories, San Carlos, Calif., USA) in EIA assay buffer (1.42 g/l Na2HPO4, 0.2 g/l KH2PO4, 5.0 g/l BSA, 1 ml/l Tween 20 in water, pH 7.4) overnight at 4°C. The plate was then washed and blocked (8 g/l NaCl, 1.42 g/l KH2PO4, 0.2 g/l KCl, 5.0 g/l BSA, pH 7.4) for 1 h at room temperature. After washing, standards and samples were added at 100 μl/well for 1 h at room temperature. After removing the supernatant, 100 μl of biotinylated NPY 1:500,000 (Bachem, Torrance, Calif., USA) was added to all wells, except blank and nonspecific binding wells, for 1 h. The plate was washed and 100 μl of streptavidin-HRP (BD Pharmingen, Franklin Lakes, N.J., USA) was added for 1 h. Finally, after 3 washes, 100 μl of tetramethylbenzidine (Pierce, Rockford, Ill., USA) was added to each well until a strong blue reaction developed in the total binding wells (10–15 min). The reaction was terminated by the addition of 100 μl of 2 N H2SO4 and the plates were read at 450 nm. The sensitivity of this assay was 8 pg/100 μl.
β-END concentrations in ARC extracts (1:100) were measured in duplicate as previously described . β-END (Bachem, Bubendorf, Switzerland) was iodinated using the chloramine T procedure  and purified by reverse-phase chromatography using a C18-sep-pak column equilibrated with 80% MeOH and 1% FA. This assay had a sensitivity of 10 pg/ml.
The α-MSH peptides were separated by HPLC using a Symmetry C18 (5 μm) column (4.6 × 150 mm; Waters, Milford, Mass., USA). The mobile-phase was trifluoroacetic acid (0.1%) acetonitrile:methanol (80:20) gradient, with a flow rate of 1 ml/min. The α-MSH peptides eluted between 25–30% acetonitrile:methanol. Fractions (1 ml) were dried and rehydrated with 50 μl of EIA buffer (1.42 g/l Na2HPO4, 0.2 g/l KH2PO4, 5 g/l BSA, 1 ml/l Tween 20,pH 7.4) and assayed to identify the different forms of α-MSH using EIA. The protocol was the same as for the NPY EIA, but 50 μl volumes were used. Standards were act-α-MSH (Bachem, Torrance, Calif., USA), antiserum was sheep anti-α-MSH (1:25,000; Bachem, Bubendorf, Switzerland), and the label was biotinylated α-MSH (1:500,000; Bachem). Final reaction with tetramethylbenzidine was 15–20 min. Assay sensitivity was 4 pg/100 μl.
LH in plasma was measured as previously described  using NIH-oLH-S18 as the standard and NIDDK-anti-oLH-I as the antiserum. Iodinated ovine LH (125I-NIDDK-AFD-9598B) was used as a tracer. Assay sensitivity was 0.2 ng/ml and the interassay coefficient of variation (CV) was less than 15%.
An LH pulse was defined as having occurred when the assay value of a given sample exceeded the assay value of the previous sample by at least 3 standard deviations, as well as other criteria detailed previously . This method uses error estimates generated by the computer program of Salamonsen et al. . LH pulse amplitude was calculated as the difference between the peak pulse and the pre-pulse nadir. The LH interpulse interval was the average time in minutes between 2 successive LH peaks. The mean pre-pulse nadir was calculated as the mean of the lowest hormone value preceding an identified pulse.
Leptin was measured as previously described . The sensitivity of the assay was 0.12 ng/ml and the intra-assay CV was less than 10%.
Data are presented as means (±SEM). Hormone data were analyzed by repeated measures ANOVA, with least significant differences as a post hoc test. Peptide and mRNA levels were analyzed by 1-way independent measures ANOVA with Tukey's post hoc comparison.
Leptin levels were lower (p < 0.05) in lean animals (0.89 ± 0.1 ng/ml) than in animals of normal weight (2.4 ± 0.4 ng/ml).
Our model of long-term reduced body weight produced a range of LH responses as shown previously . Infusion of the aCSF vehicle had no effect on mean plasma LH levels (fig. (fig.1a),1a), but leptin infusion increased mean LH concentrations (p < 0.01), LH pulse amplitude (p < 0.01) and the LH pre-pulse nadir (p < 0.01) in lean hypogonadotropic OVX ewes (fig. 1b, c).
Leptin treatment increased expression of POMC (fig. 2a–f) by increasing the number of detectable cells (p < 0.05) and the level of expression per cell (p < 0.05). Leptin treatment had no effect on the level of expression of NPY (fig. 2g–l) and AgRP genes (fig. 2m–r).
LV infusion of MTII increased mean LH concentration (p < 0.01), LH pulse amplitude (p < 0.05) and the LH pre-pulse nadir (p < 0.01) compared to pre-treatment LH levels in lean, hypogonadotropic OVX ewes. Vehicle treatment had no effect. In contrast to the response to leptin, the response to MTII occurred immediately upon the commencement of infusion (fig. (fig.33).
Naloxone (50 μg/h) increased the amplitude of the 1st LH pulse following the onset of infusion (p < 0.01) in steroid-treated controls (data not shown). The same treatment had no effect on plasma LH levels in lean hypogonadotropic OVX ewes treated with or without gonadal steroids (fig. (fig.4).4). The higher dose of 500 μg/h naloxone did not increase plasma LH levels in lean animals (data not shown).
Plasma levels of LH were lower in the lean animals than in the normal animals (5.6 ± 0.36 ng/ml) prior to treatment. Although the mean plasma LH level and the plasma LH pulse amplitude were the same before treatment in the lean vehicle-treated and leptin-treated animals, the interpulse interval was significantly higher (p < 0.05) in the latter group. This was because 3 of the animals in the leptin-treated group had no discernable LH pulses in the pre-treatment period. NPY peptide levels were significantly (p < 0.01) higher in lean animals than in normal animals (fig. (fig.5a).5a). Levels of β-END were significantly lower in lean ewes (p < 0.05; fig. fig.5b)5b) and des-α-MSH tended to be lower (p < 0.06; fig. fig.5c).5c). Leptin treatment did not significantly alter the levels of NPY, β-END or des-α-MSH.
Des-α-MSH was the only form of α-MSH detected in the ARC and no α-MSH of any form was detected in the blank tissue (cerebellum; fig. fig.5d).5d). Leptin treatment in these animals significantly increased mean LH concentration for the final 4 h of infusion (p < 0.05) and increased LH pulse amplitude between 20–24 h of infusion (p < 0.05) and between 68–72 h of infusion (p < 0.01). The LH interpulse interval was decreased following leptin treatment between 20–24 h and 68–72 h of infusion (p < 0.01; fig. fig.5e5e).
Des-α-MSH tended to be lower in the ARC of lean ewes (p < 0.059). Act-α-MSH was detected in the ARC of 2 of 4 normal animals, leading to a large standard error for measures in this nucleus (fig. (fig.6a).6a). Act-α-MSH levels were lower in the terminal beds of the hypothalamus (ARC removed; p < 0.05; fig. fig.6b)6b) and the POA (p < 0.01; fig. fig.6c)6c) of lean hypogonadotropic ewes.
POMC gene expression is reduced and NPY gene expression is increased with reduction in body weight, in association with a hypogonadotropic state . Central leptin infusion to the brain restores pulsatile LH secretion and this is associated with an upregulation of POMC expression, but no change in NPY expression. Because pulsatile LH secretion reflects GnRH secretion , we can confidently use the former as an index of the latter. In addition to the response of the POMC gene to leptin treatment of lean hypogonadotropic OVX ewes, we show that treatment of lean animals with a melanocortin agonist, MTII, can restore pulsatile LH secretion. This lends support to the notion that the means by which leptin stimulates GnRH/LH secretion may be via the POMC cells and the production of melanocortins. Act-α-MSH levels in regions of the brain where melanocortin terminal beds are found, viz. the ‘non-arcuate’ hypothalamus and POA, were lower in lean hypogonadotropic ewes. This strongly suggests that MTII mimics the effects of act-α-MSH and activates neurons outside of the ARC to stimulate the reproductive axis.
Leptin treatment is able to restore GnRH and gonadotropin levels in rats  and monkeys  following 2–3 days starvation, but our model is one in which a hypogonadotropic state occurs due to a reduction in body reserves over a long period of time. This is important because, unlike the acute challenge presented to starved laboratory rats, our animals established an altered metabolic set point to normal animals and were not compromised by health. In the long-term food-restricted sheep, leptin treatment restores gonadotropin secretion , but re-feeding restores LH secretion without a change in leptin levels , which may be due to altered leptin transport upon re-feeding. Alternatively, the relevant cells in the brain may become more responsive to leptin with re-feeding, but this remains to be determined. Certainly, leptin transport in sheep can change markedly depending on the season , so it is possible that it also changes with body weight in sheep. ARC Ob-Rb mRNA is upregulated in lean sheep, but its expression within POMC cells is unchanged with reduced body weight . Notwithstanding these issues, it is clear from earlier studies and the present work that central leptin infusion restores pulsatile LH secretion in our lean hypogonadotropic model, suggesting that the subcellular signaling machinery for leptin action is operative. POMC mRNA levels are reduced and NPY and AgRP mRNA levels are increased in lean fasted rats  and in sheep subjected to chronic food restriction [37,48]. In some studies, however, this effect of body weight on POMC expression has not been observed, perhaps due to variation between animals . In laboratory rats, leptin treatment is able to reverse the fasting-induced changes in NPY, AgRP and POMC gene expression . The results of the present study yielded a different result, since leptin treatment increased POMC expression without altering either NPY or AgRP expression. For this reason, we focused further on the POMC system.
It seems likely that NPY is elevated in lean ewes as a compensatory mechanism to increase appetite drive. It is possible that leptin cannot restore levels to normal without an increase in body weight because other metabolic factors signal to the NPY cells. The present results concur with our earlier studies  showing that central leptin treatment restores LH levels in lean OVX ewes without reducing food intake. This substantiates the notion that NPY expression remains high in these animals to maintain appetite drive until body weight is corrected to normal. The earlier study also showed that treating OVX ewes of normal weight with leptin had the opposite effect, i.e. having no effect on plasma LH levels but reducing food intake . Collectively, these point towards a dissociation between the means by which leptin affects food intake and reproductive function respectively.
There is evidence to suggest that an increase in endogenous opioid tone, created by endorphins, enkephalins, dynorphins and endomorphins, is responsible for the suppression of pulsatile LH secretion at times of reproductive quiescence . Consistent with our investigation of the role of the POMC system in the control of reproductive function, especially in the lean condition, we considered it important to entertain the notion that opioids (specifically β-END) might be involved. This could occur by a preferential increase in β-END production (through differential post-translational processing in favor of β-END) and/or increased opioid receptor expression. We present evidence that there is no selective increase in the production of β-END peptide, and that enhanced opioid tone is unlikely since a ‘normal’ dose of the nonspecific opioid antagonist, naloxone, or 10 times this dose, did not increase LH secretion in the hypogonadotropic lean animals. This agrees with and extends the results of others  who studied food-restricted ewe lambs. There are 2 possible interpretations of these data. One is that the opioid system has no role to play in the reduction of GnRH/LH secretion in the hypogonadotropic lean condition. The other is that there is a profoundly enhanced opioid tone. To fully investigate this aspect of the lean condition, it seems most appropriate to examine the role of the dynorphin and enkephalin systems, both of which appear to play an important role in the control of GnRH neurons [56,57], but this was beyond the scope of the present study, which focused on the POMC neurons. An indication that altered production of β-END is not the means by which leptin transmits information to the GnRH cells is that leptin treatment did not affect the production of β-END peptide, even though the same treatment increased POMC expression and pulsatile LH secretion.
On the other hand, MTII restored LH secretion, strongly indicating a role of the melanocortins in the control of the reproductive system at times of compromised energy availability. This notion is supported by rat  and human [22,23] studies showing inhibition or stimulation of LH pulsatile secretion following administration of a melanocortin antagonist or agonist, respectively. We found that MTII acted much faster than leptin in restoring pulsatile LH secretion. Thus, we speculate that the melanocortins act downstream of leptin, and this slower response with leptin indicates slower transcriptional or post-translational events required for leptin to act. Our results are consistent with MTII acting on downstream effector cells, bypassing leptin-mediated effects on POMC cells. In support of this notion are the discoveries that almost all POMC cells in the ovine ARC express the leptin receptor ob/rb, and ovine POMC cells are activated following intravenous leptin injection (Clarke, unpublished data). Additionally, α-MSH  and γ-MSH  are capable of stimulating LH secretion in humans, and a central melanocortin receptor antagonist can reduce the effectiveness of leptin to restore gonadotropin secretion in starved rats . It does, however, remain plausible that MTII elicits its effect independently of leptin signaling to rescue GnRH/LH secretion. Many neuronal systems have been implicated in the regulation of GnRH secretion , and the possible involvement of melanocortins does not preclude effects of other systems. It is probable that the melanocortins communicate with numerous different cell types to stimulate the reproductive axis. One possibility is the recently discovered peptide kisspeptin, since Kiss1 mRNA is downregulated at times of reduced energy stores and treatment with kisspeptin is able to restore vaginal opening and elicit gonadotropin and estrogen responses . Melanocortins may interact with kisspeptin in lean hypogonadotropic states to stimulate the reproductive axis downstream to leptin or independently.
In agreement with our observation that NPY gene expression is strongly upregulated in the lean condition, NPY peptide levels were also increased and leptin treatment was unable to correct this towards normal levels. Although NPY is a negative regulator of the reproductive axis in the ewe , the gene expression data and peptide data presented herein suggest that the GnRH/LH response to leptin treatment in lean hypogonadotropic animals is not explained by a reduction in the level of this peptide.
Many studies have focused on POMC gene transcription and how this may or may not change with body weight [37,48,60], but little is known about the peptides produced by post-translational processing of the precursor. Thus, it was considered important to ascertain whether there was a differential shift in the processing of the precursor (β-END vs. melanocortins). In agreement with data from the rat , we show that des-α-MSH is the predominant form of α-MSH detected in the ARC, but acetylated forms were found in 2 of the normal-weight animals from experiment 4. This is likely due to the difference in the dissection methods used in experiments 3 and 4. In experiment 3, the ARC was removed by microdissection of sectioned tissue, but in experiment 4 we wished to examine tissues in which melanocortin terminal beds are found. Rather than microdissecting very specific regions, we undertook to determine whether there was a generalized difference in the type of melanocortin found in the region of the perikarya of POMC cells (ARC) and areas to which these cells project. In experiment 3, using the more precise dissection method, we showed that ARC samples from lean animals contained des-α-MSH only. The presence of acetylated forms of the peptide in the ARC samples of experiment 4 was most likely due to the inclusion of some non-ARC tissue in these samples. We conclude that des-α-MSH is the major form of α-MSH in the ARC and that the peptide is acetylated shortly before export from the cell body or in the axons or terminals of the neurons. There was a trend (p = 0.06) towards reduced des-α-MSH peptide levels in lean hypogonadotropic conditions in the ARC, and levels in leptin-treated animals were midway between those in normal animals and those in lean animals (not statistically significant). Further work on the acetylation of this and other peptides in the brain is in progress.
Projections of melanocortin-producing neurons, terminal beds  and receptors  are found throughout the brain. Measurement of the level of function of these neurons will require quantification of the level of peptide that is produced and exported to the neuronal targets. In particular, measuring POMC gene expression and/or des-α-MSH in the ARC may not indicate the full profile of the melanocortin status of the brain. It has been suggested that leptin acts to increase N-acetyltransferase activity, increasing the amount of the more potent act-α-MSH [20,25], and that α-MSH may be acetylated en route to terminal beds . This is substantiated in the current study, but it would be instructive to identify the enzyme and determine what regulates its activity. Although des-α-MSH is the predominant form in all nuclei analyzed, we believe that the salient changes are seen in the acetylated forms. Another consideration is that change in function of POMC-derived melanocortins is brought about by a change in MC3 and MC4R expression in the brain; however, our earlier studies suggest that expression of these receptors is unchanged by alteration of body weight in sheep .
In summary, this study suggests that a link exists between energy stores, the melanocortin system and the reproductive axis. We show that leptin can act to increase POMC gene expression in lean hypogonadotropic animals, suggesting that this leads to increased melanocortin production and function. This correlates to increased secretion of LH in lean animals. Activation of the melanocortin receptor with MTII immediately restores LH levels in lean animals, consistent with the hypothesis that the downregulation of the POMC system is the cause of the hypogonadotropic condition in these animals. Act-α-MSH levels are lower in the POA and in areas of the hypothalamus outside of the ARC in lean ewes with low leptin levels. We speculate that leptin may increase the acetylation of α-MSH during neuronal transport, and this acetylated form may act on target cells in the POA and in areas of the hypothalamus outside of the ARC, leading to an increase in pulsatile LH secretion. Melanocortins may have specific utility in the restoration of reproduction in situations of low body weight, caused by excessive exercise or other conditions.
We thank Mr. B. Doughton, Ms. L. Morrish, Ms. Alexandra Rao and Ms. E. Gleeson for their technical assistance; Dr. J. Smith for reviewing earlier versions of the manuscript; and Dr. A.F. Parlow (National Hormone and Peptide Program, NIDDK, Torrance, Calif., USA) for assay reagents. This work was supported by a grant (I.J.C.) from The National Health and Medical Research Council of Australia (N.H. and M.R.C.) and by grants (C.B.) from the American Diabetes Association and The Richard and Susan Smith Family Foundation Pinnacle Program Project (7-05-PPG-02), the National Institutes of Health (DK60673 and DK65743), and the Endocrine Society.