Naxos disease: a rare occurrence of cardiomyopathy with woolly hair and palmoplantar keratoderma.

Naxos disease is a rare genodermatosis with woolly hair, keratoderma of palms and soles and cardiomyopathy. A seven-year-old boy presented with woolly hair and hyperkeratotic lesions on the palms and soles since birth. His cardiac status was evaluated and echocardiography revealed early cardiomyopathy. Scalp biopsy revealed hair shaft in an angulated outline suggestive of woolly hair. So the diagnosis of Naxos disease was made. Since he was asymptomatic no treatment was offered but a regular follow-up of the patient and treatment of emergent symptoms should prevent sudden death.

Increased galanin synapses onto activated gonadotropin-releasing hormone neuronal cell bodies in normal female mice and in functional preoptic area grafts in hypogonadal mice.

Galanin synaptic input onto gonadotropin-releasing hormone (GnRH) neuronal cell bodies was analysed in female mice using the presynaptic vesicle-specific protein, synaptophysin (Syn) as a marker. In the first experiment, forebrain sections from normal ovariectomized ovarian steroid-primed mice exhibiting a surge of luteinizing hormone were processed for immunohistochemical labelling for GnRH, synaptophysin, galanin and Fos. Two representative sections from each brain, one passing through the anterior septum (anterior section) and the other through the organum vasculosum lamina terminalis-preoptic area (posterior section), were analysed under the confocal microscope. None of the GnRH cells analysed in the anterior sections were Fos immunoreactive (IR) or received input from galanin-IR fibres. In contrast, the majority of GnRH cells in the posterior sections analysed were Fos-positive. The number of galanin synapses onto the Fos-positive GnRH cells was significantly higher than that in the Fos-negative cells in this area of the brain, even though the number of Syn-IR appositions was comparable to each other. Transplantation of preoptic area (POA) into the third cerebral ventricle of hypogonadal (HPG) mice corrects deficits in the reproductive system. In the second experiment, synaptic input to GnRH cells was compared between HPG/POA mice with (functional graft) or without (nonfunctional graft) gonadal development. The mean numbers of Syn-IR appositions and galanin synapses per GnRH cell and the proportion of GnRH cells with galanin input were significantly higher in the functional than in the nonfunctional grafts. The results suggest that galanin can act directly on the GnRH cell bodies and may have an important regulatory role on the GnRH system.

Galanin synaptic input to gonadotropin-releasing hormone perikarya in juvenile and adult female mice: implications for sexual maturity.

Changes in connectivity of the gonadotropin-releasing hormone (GnRH) neuronal system are believed to occur during the transition from juvenile to adulthood in females. Experiments were designed to investigate whether there is any difference in the number of galanin inputs to GnRH cells located in the organum vasculosum of lamina terminalis-rostral preoptic area (OVLT-rPOA) between juvenile (2 weeks old) and adult (10 weeks old) female mice. Triple label immunofluorescence staining of brain sections for galanin, GnRH and the presynaptic vesicle marker synaptophysin coupled with confocal microscopy was employed to identify galanin synapses to GnRH perikarya. The number of galanin synapses to GnRH cells and the proportion of GnRH cells with galanin input were significantly higher in adults than in juvenile mice. In adult mice, the proportions of GnRH cells with 0, 1, 2, 3, 4, 5 or 6 galanin synapses/cell were comparable to each other whereas in the juveniles the vast majority of them received no galanin synaptic input. A greater number of galanin synapses in adult as compared with juvenile female mice suggests a functional role for galanin in the maturation of the GnRH system.

Subsets of gonadotropin-releasing hormone (GnRH) neurons are activated during a steroid-induced luteinizing hormone surge and mating in mice: a combined retrograde tracing double immunohistochemical study.

The decapeptide gonadotropin-releasing hormone (GnRH) plays a pivotal role in reproduction and is synthesized by GnRH-producing cell bodies in the basal forebrain. Experiments were designed to investigate whether GnRH cells projecting outside the blood brain barrier or those projecting within the brain are activated during the steroid-induced LH surge or mating in female mice. Retrograde uptake of intraperitoneally administered fluorogold (FG) by GnRH cells and double immunostaining for GnRH and Fos was employed for this purpose. The number of GnRH cells with FG uptake was comparable among the surged, mated and control mice. However, the number of Fos-positive GnRH cells was significantly higher in the steroid-induced LH surge group than in the mated mice. The number of Fos+FG-positive GnRH cells was higher and the number of FG-only GnRH cells was lower in mice with a steroid-induced LH surge as compared with the mated mice. This suggests the existence of a subgroup of GnRH cells projecting outside the blood-brain barrier activated during the steroid-induced LH surge but not during mating. The activation of similar proportions of GnRH cells without FG uptake in both the mated and the surge group indicate that nonneuroendocrine GnRH cells are not silent but can be activated by both mating and steroid hormones. Thus, functional subgroups may exist within the GnRH system with considerable overlap in the input to these cells.

A confocal microscopic study of synaptic inputs to gonadotropin-releasing hormone cells in mouse brain: regional differences and enhancement by estrogen.

Even though the cells producing gonadotropin-releasing hormone (GnRH) are scattered in the basal forebrain, a large proportion of them is present in the organum vasculosum of the lamina terminalis (OVLT) and in the preoptic area. The present studies were undertaken to investigate whether there is any difference in the number of synaptic inputs between GnRH cells located in the OVLT and those located at more anterior levels of the brain. Immunohistochemical staining for the synaptic marker synaptophysin coupled with confocal microscopy was employed to analyze synaptic inputs to GnRH cells located at the two levels examined. The results indicate that GnRH cells in the OVLT region receive a greater number of synaptophysin-immunoreactive appositions as compared with those located in the anterior septum. This supports the existence of subsets among the GnRH cells located in the basal forebrain. The effect of estradiol on the number of synaptophysin-immunoreactive appositions onto GnRH cells was also studied. Treatment of ovariectomized mice with estradiol significantly enhanced the number of synaptophysin-immunoreactive appositions to GnRH cells located at both levels examined. Thus the effect of estrogen on GnRH cells may be mediated in part by changes in the number of synaptic contacts.

Increased synaptic input to gonadotropin releasing hormone cells in preoptic area grafts that support reproductive development in female hypogonadal mice.

Ultrastructural studies have established that gonadotropin releasing hormone (GnRH) neuronal cell bodies receive sparse synaptic input compared to other neuronal cell types. In the present studies, immunocytochemistry for the presynaptic marker synaptophysin, coupled with confocal microscopy, was employed to evaluate whether there was a difference in synaptic input to GnRH cells within preoptic area grafts (hypogonadal, HPG; preoptic area, POA) in hypogonadal female mice that did or did not show ovarian development. GnRH cells in HPG/POA mice with ovarian development exhibited significantly higher numbers of synaptophysin immunoreactive (syn-IR) appositions as compared with HPG/POA mice without ovarian development. This suggests that synaptic input to the grafted GnRH cells is important for the correction of reproductive functions in HPG/POA mice. Following mating, Fos immunoreactivity was present in several GnRH cells in HPG mice with successful POA grafts, indicating the establishment of neuronal projections conveying somatosensory information to the GnRH cells in these mice. The presence of a higher number of syn-IR appositions to GnRH cells in the successful grafts supports this hypothesis.

Galanin immunoreactivity in mouse basal forebrain: sex differences and discrete projections of galanin-containing cells beyond the blood-brain barrier.

The distribution of galanin-immunoreactive (GAL-IR) cell bodies in the basal forebrain of mice was investigated. The overall pattern of staining for GAL in the area of brain analyzed was similar to that reported in other species with noticeable variations. Distinctive groups of GAL-IR cells were present in the bed nucleus of stria terminalis (BNST), supraoptic nucleus, retrochiasmatic supraoptic nucleus (SOR), magnocellular paraventricular nucleus, arcuate nucleus (ARC) and the nucleus circularis which is one of the cell groups belonging to the accessory magnocellular system. Comparison of the number of GAL-IR cells between the sexes indicated sexual dimorphism in the BNST, SOR and the ARC. As compared with female mice, the mean number of GAL-IR cells/section in the BNST and the SOR was higher and that in the ARC was lower in the males. Unlike in rats, the preoptic area contained mostly scattered GAL-IR cell bodies. Intraperitoneal injection of the retrograde tracer fluoro-gold in male mice resulted in uptake of fluoro-gold by selective GAL-IR cell groups in the basal forebrain suggesting that only some of these cell groups may project outside the blood-brain barrier whereas others may be involved in intracerebral neural transmission.

Expression of galanin immunoreactivity in gonadotropin-releasing hormone neurons in mice: a confocal microscopic study.

The expression of galanin immunoreactivity (galanin-IR) in gonadotropin-releasing hormone (GnRH) neurons was investigated in mice using double label immunohistochemistry combined with confocal laser scanning microscopy. A large proportion of GnRH cells in proestrous mice and very few GnRH cells in male mice exhibited galanin-IR. These results are consistent with earlier reports in rats. Unlike in rats, the proportion of GnRH cells coexpressing galanin in mice was high following ovariectomy (OVX) and the treatment of OVX mice with estrogen decreased the number of GnRH cells with galanin-IR. The GnRH system can be considered more active during proestrous and following OVX since the output of luteinizing hormone is elevated during these phases in females. Since the induction of galanin-IR in GnRH cells is more pronounced in OVX and proestrous mice, the expression of galanin-IR in GnRH cells in mice appears to be an activation-dependent phenomenon rather than a direct effect of estrogen. However, in OVX mice treated with steroids to induce an LH surge the number of GnRH cells with galanin-IR was not proportionately increased. The possible reasons for this discrepancy are also discussed.

Androgen receptor immunoreactivity in specific neural regions in normal and hypogonadal male mice: effect of androgens.

This study examined the distribution and regulation of androgen receptor immunoreactivity (IR) in the brain of the hypogonadal (hpg) male mouse, genetically deficient in GnRH. Five groups of animals were studied: intact, castrated, or castrated and testosterone propionate (TP)-treated normal adult male mice, and intact or TP-treated hpg adult male mice. All groups were studied 1 week after treatment. Five regions of the brain with high concentrations of androgen receptors in normal animals were examined, including the medial preoptic area, the lateral ventral septum, the ventromedial hypothalamus, the bed nucleus of the stria terminalis and the medial amygdala. The results showed that the congenital absence of GnRH results in minimal expression of androgen receptor-IR in mice in all regions examined. However, treatment with exogenous testosterone for 1 week was sufficient to induce the numbers of neurons containing androgen receptors, as detected by immunocytochemistry, into the range seen in normal male mice in all the areas studied except the VMH. Similar plasticity was also observed in normal males after 1 week of castration and TP replacement.

Comparison of afferent and efferent competence of transplanted GnRH cells in the brains of hypogonadal female mice.

A deletion in the gene encoding gonadotropin-releasing hormone (GnRH) induces hypogonadism in mice caused by the deficiency of GnRH. Activation of the reproductive axis can be achieved in these hypogonadal (hpg) mice by third cerebro-ventricular transplantation of preoptic area (POA) containing GnRH neurons, obtained from normal fetal mice. The present study was carried out in female hpg mice with POA grafts (hpg/POA) to investigate anatomical integration of the GnRH cells required for the functional activation of the reproductive system. Ovarian development was present only in mice in which the graft tissue was located close to the median eminence (ME). The total lack of ovarian development in individuals with grafts containing GnRH cells located elsewhere in the brain suggests that the mere presence of GnRH cells does not guarantee ovarian development, but that the location of the graft may be important. Activation of the grafted GnRH cells following mating, as evidenced by the induction of Fos immunoreactivity, was observed in hpg/POA mice in which there was no ovarian development or detectable GnRH immunoreactive fiber innervation of the ME. Although ovarian development was evident in individuals with grafts located close to the ME, release of luteinizing hormone (LH) in response to mating was apparent in only some of these mice. The occurrence of mating and pregnancy only in hpg/POA mice with ovarian development and the reflex release of LH in response to mating suggests that both the efferent and afferent connections of the GnRH system are important for the full functioning of the system.

Signal processing in the vomeronasal system: modulation of sexual behavior in the female rat.

Chemosensory cues detected by the vomeronasal (VN) organ modulate a variety of social interactions in many species. In particular, activation of the VN system by pheromones regulates sexual behavior in the rodent. Although the exact nature of stimulus access to the organ is not clearly defined, the neuroanatomical pathway connecting the VN organ to hypothalamic centers controlling reproductive function is well established and relatively straightforward. Electrophysiological techniques have provided insight into the signal transduction process throughout the VN system. Combining behavioral studies with immunocytochemical detection of immediate early genes and neuropeptides reveals that gonadotropin hormone releasing hormone (GnRH)-containing neurons are specifically activated by stimulation of the VN organ. Furthermore, some of the activated GnRH neurons project to the ventromedial hypothalamus where they are hypothesized to induce sexual responsiveness. Early anecdotal evidence of an influence of the VN organ on human reproductive events has been substantiated by more recent anatomical, behavioral, and electrophysiological studies. Thus, further deciphering of the signal transduction process within the VN system of the rodent may yield unique insights into behaviors associated with human reproduction.

Vomeronasal organ-mediated induction of fos in the central accessory olfactory pathways in repetitively mated female rats.

Removal of the VNO significantly reduced the enhancement of lordosis and the induction of fos immunoreactivity in luteinizing hormone-releasing hormone (LHRH) neurons in ovariectomized estrogen-primed rats. There was a significant positive correlation between the two variables. In the accessory olfactory bulb (AOB) of the repetitively mated rats, the number of fos-positive cells in the granule (G) cell layer was significantly lower in the VNO-removed rats, whereas that in the mitral (M) cell layer was not significantly different between VNO-removed and VNO-sham females. The G/M ratio (calculated by dividing the mean number of fos-positive cells in the G cell layer by that in the M cell layer), taken as an estimate of the output of the AOB, was relatively larger in the VN-sham as compared with the VNO-removed rats. There were significant positive correlations between G/M ratio and the increase in LQ and between the G/M ratio and the percentage of fos-positive LHRH cells. The positive correlation between the number of fos-positive cells in the posterodorsal medial amygdala (PDMA) and the increase in LQ and that between the number of fos-positive cells in the PDMA and the percentage of fos-positive LHRH cells were significant, supporting the role of the medial nucleus of amygdala in lordosis. However, the correlation between G/M ratio and the number of fos-positive cells in the PDMA was not significant, indicating that fos immunoreactivity in the PDMA is not directly related to that in the AOB.(ABSTRACT TRUNCATED AT 250 WORDS)

The role of the medial nucleus of amygdala in the mating-induced enhancement of lordosis in female rats: the interaction with luteinizing hormone-releasing hormone neuronal system.

The effect of bilateral lesion of the medial nucleus of amygdala (mAMY) on the mating-induced enhancement of lordosis behavior in ovariectomized (OVX) estrogen-primed rats was investigated. The enhancement of lordosis following repeated coital stimulation was significantly reduced in the mAMY-lesioned rats as compared with the sham-operated controls. Double labeling immunocytochemistry of the brain of the repeatedly mated females for Fos protein and luteinizing hormone-releasing hormone (LHRH) revealed that a significantly lower percentage of the LHRH neurons in the mAMY-lesioned females exhibited Fos immunoreactivity than the controls. This suggests that bilateral destruction of the mAMY suppresses the activation of the LHRH neuronal system following repeated mating. Furthermore, the correlation between the number of Fos-positive LHRH neurons and lordosis-to-mount ratio in the sham-females was significant, while a similar comparison in mAMY-lesioned females was not significant. Since LHRH is reported to enhance lordosis behavior in OVX estrogen-primed rats, it appears likely that the effects of mAMY on lordosis are mediated through the LHRH neuronal system. The results further support the involvement of the accessory olfactory system in the mating-induced enhancement of lordosis behavior in female rats.

Influence of male rats on the luteinizing hormone-releasing hormone neuronal system in female rats: role of the vomeronasal organ.

Olfactory information processed by the vomeronasal system is reported to influence reproductive functions in a variety of mammals. The present studies were designed to determine if male-associated cues affect the luteinizing hormone-releasing hormone (LHRH) neuronal system, and, if so, to determine the extent to which these cues are processed by the vomeronasal organ (VNO). Ovariectomized rats underwent VNO removal (VNX) or sham surgery (VN-Sham). Forty-eight hours after estrogen priming (5 micrograms), they were subjected to one of the following treatments: repeated mating, repeated exposure to male-soiled bedding or repeated exposure to clean bedding. In animals treated for 180 min, coronal brain sections were double labelled for Fos protein and LHRH. An intense Fos immunoreactivity was induced following mating in the majority of LHRH neurons in the VN-Sham females, whereas removal of the VNO significantly suppressed the mating-induced Fos staining. Exposure of female rats to male-soiled bedding or clean bedding did not induce appreciable Fos immunoreactivity in LHRH neurons. Following 90 min of mating or exposure to bedding, blood samples were assayed for luteinizing hormone (LH). Mating stimulated the release of LH in VN-Sham females, while the removal of the VNO significantly suppressed the mating-induced LH release. Exposure of the females to male-soiled bedding or clean bedding did not induce an LH surge. The present results demonstrate that male-originating sensory cues (i.e. repeated mating) can influence the LHRH neuronal system, as evidenced by the presence of Fos immunoreactivity in LHRH cell bodies, and indicate that this effect is mediated through the VNO to a certain extent.(ABSTRACT TRUNCATED AT 250 WORDS)

The male-induced implantation failure (the Bruce effect) in mice: effect of exogenous progesterone on maintenance of pregnancy in male-exposed females.

The effect of exogenous progesterone given early during pregnancy in maintaining pregnancy in alien male-exposed mice was investigated. Administration of progesterone, 1 mg/female/day, on days 1 to 5 post coitum was fully effective and on day 2 to 6 post coitum was partially effective in maintaining pregnancy in females. However, progesterone injection on days 3 to 7 post coitum was totally ineffective in maintaining pregnancy in females. The results suggest that only when administration of progesterone is begun early during male exposure, luteal failure in newly inseminated females is prevented. The results also suggest that failure of corpus luteum function or some other irreversible changes leading to luteolysis occur in females early during exposure to alien males before the external manifestation of implantation failure (vaginal cornification). It is suggested that exogenous progesterone given early during alien male exposure prevents luteal failure and maintains pregnancy in females through its facilitatory effect on hypophysial prolactin secretion.

Induction of FOS immunoreactivity in central accessory olfactory structures of the female rat following exposure to conspecific males.

Reproductive events in the female rat can be influenced by exposure to the odors of conspecific males. Much evidence indicates that these pheromonal effects are mediated by the accessory olfactory system (AOS); however, individual cells within the AOS that are stimulated following exposure to male odors have not yet been visualized. The present experiment was designed to determine the effect of exposure to conspecific males and male odors on signal transduction in central AOS neurons as measured by immunohistochemical detection of the induction of the fos-like protein. AOS structures examined included the accessory olfactory bulb (AOB), medial amygdala (mAMYG), and bed nucleus of the stria terminalis (BNST). Due to its importance in the control of reproductive activities and its direct link to the AOS, the ventromedial nucleus of the hypothalamus (VMH) was also examined. Adult, ovariectomized rats were injected with estradiol benzoate (EB) and 48 h later were placed in cages containing bedding material soiled by conspecific males or placed in cages containing clean bedding material. After exposure durations ranging from 10 to 180 min, the animals were sacrificed and the brains were immunohistochemically processed for detection of fos-like immunoreactivity. Another group of ovariectomized, EB-injected females was repeatedly paired with conspeciflc males for 15 min followed by 15 min of rest. Repeated matings were conducted over a 60-, 120-, or 180-min period while control animals were repeatedly exposed to clean bedding material. Quantitative analysis of the number of fos-immunopositive cells in the AOB revealed that continuous exposure to male-soiled bedding or repeated mating resulted in significant induction of foslike immunoreactivity compared to controls. Both treatments produced similar numbers of fos-like immunoreactive cells in the mitral and granule cell layers of the AOB. Fos induction was apparent after 60 min of treatment but was more prominent at 120 and 180 min. In the mAMYG, BLAST, and VMH, differences between the two treatments were noted. Exposure to male-soiled bedding for 60 min produced scattered staining in the mAMYG, BLAST, and VMH, whereas 60 min of repetitive mating resulted in a more dense distribution of fos-like immunoreactive cells in these areas. Strikingly distinct patterns of fos-like immunoreactive cells were observed in the mAMYG, BLAST, and VMH following 120 or 180 min of repetitive mating. These patterns were not present in animals exposed to male odors. The findings indicate that exposure of female rats to reproductively relevant stimuli resulted in induction of fos-like immunoreactivity within the AOS and that both olfactory and nonolfactory cues probably contributed to this effect.

Role of the ventromedial nucleus of hypothalamus in the male-induced enhancement of lordosis in female rats.

The involvement of the ventromedial nucleus of the hypothalamus (VMH) in the mating-induced enhancement of lordosis in ovariectomized estrogen-primed rats was investigated. In the first experiment, females with bilateral VMH or sham lesions were primed with 2 micrograms estradiol benzoate, and 48 h later they were subjected to repeated-mating tests. The VMH-lesioned rats failed to exhibit lordosis during the tests; however, the sham-operated females exhibited a gradual increase in lordosis quotient (LQ) with repetitive matings. In the second experiment, ovariectomized females were bilaterally implanted with estradiol (E2) or cholesterol (C) in the VMH, 48 h prior to behavioral testing. Repeated-mating-induced elevation in LQ was observed in the females when they were bilaterally implanted with E2 in the VMH; C was ineffective. To exclude the possibility of the spread of E2 to areas adjacent to VMH, plasma-luteinizing hormone (LH) was measured. Elevation in the circulating LH levels following ovariectomy was not suppressed in the females following bilateral E2 implants in the VMH, suggesting that the effect of estrogen is localized within or immediately around the VMH. The results suggest that the integrity of the VMH is critical for the potentiation of lordosis behavior in ovariectomized estrogen-primed females by male-originating sensory cues, and that selective priming of the VMH with estrogen is sufficient for the male-induced enhancement of lordosis.

Role of the vomeronasal organ in the male-induced enhancement of sexual receptivity in female rats.

The role of the vomeronasal organ (VNO) in the male-induced enhancement of sexual receptivity in ovariectomized estrogen-primed rats was investigated. Removal of the VNO significantly reduced the enhancement of sexual receptivity following mating, as compared with the sham-operated controls. The sham-operated females exhibited a surge of luteinizing hormone (LH) following mating; however, LH release induced by pairing with males was less manifested in the VNO-removed females. This suggests that in female rats, VNO removal impairs the male-induced release of LH-releasing hormone (LHRH). Since LHRH enhances sexual receptivity in ovariectomized estrogen-primed rats, the present results suggest that the increase in sexual receptivity in female rats following mating probably results from a VNO-mediated LHRH release.

The male-induced implantation failure (the Bruce effect) in laboratory mice: investigations on luteal failure in pregnancy-blocked females.

The luteal function in newly inseminated female mice following exposure to alien males was investigated. The corpora lutea (CL) of newly inseminated females exhibited high delta 5 3 beta hydroxysteroid dehydrogenase (delta 5 3 beta HSD) activity at 24 hr or 48 hr (pro-oestrus) after the beginning of alien male exposure. By contrast, the enzyme activity in the CL at 72 hr (oestrus) after the beginning of alien male exposure was markedly less as compared with that in the CL of unexposed controls. This suggests that the CL of newly inseminated female mice can synthesise progesterone from its substrate at least up to 48 hr after the beginning of alien male exposure. Administration of prolactin to newly inseminated females beginning at 0 hr of alien male exposure prevented implantation failure; the majority of females showed implanted embryos. Prolactin administration starting at 24 hr after the beginning of alien male exposure was only partially effective, and that starting at 48 hr was totally ineffective in preventing implantation failure in newly inseminated females. The results indicate that the CL of newly inseminated females cease to respond to prolactin within 24 hr of alien male exposure, even though they exhibit the capacity to synthesise progesterone (as evidenced by the presence of delta 5 3 beta HSD activity) for a longer period.