Dynamic modulation of LH secretion by continuous kisspeptin infusion in healthy men
摘要
Kisspeptin stimulates gonadotropin-releasing hormone (GnRH) release and, by extension, gonadotropin secretion. Although continuous kisspeptin administration has been shown to dampen kisspeptin-induced GnRH release in non-human primates [
Three healthy adult men received a continuous intravenous infusion of kisspeptin-10 at a dose of 12.5 mcg/kg/h for 24 h and underwent frequent blood sampling to characterize the effect on reproductive hormones.
ResultsContinuous administration of kisspeptin resulted in an immediate increase in LH concentrations, from a baseline of 2.8–3.8 mIU/mL to the highest values of 17.5–30.6 mIU/mL (5- to eightfold above baseline), reached within 12–20 h of infusion onset. LH concentrations subsequently declined by 13–47% from max to end of the infusion, settling at 10.7–22.8 mIU/mL. FSH and testosterone rose modestly in parallel.
ConclusionWhile kisspeptin boluses have been employed to probe GnRH pulse generation, continuous infusion of kisspeptin is a complementary physiologic tool used to study dynamic changes in GnRH-induced LH secretion. Further studies are warranted to further elucidate the physiologic response of the kisspeptin receptor to non-pulsatile ligand administration.
Clinical trial registrationNCT01438073 (August 24, 2011).