Gonadotrophs following removal of the ovaries: a fine structural study of human pituitary glands.

The fine structure of gonadotrophs has been investigated in surgically removed pituitary glands of 12 women who because of disseminated breast cancer, underwent bilateral ovariectomy at various periods before hypophysectomy. Compared with the adenohypophyses of 3 non-ovariectomized female subjects with diabetes mellitus, electron microscopy revealed that two cell types were affected by gonadectomy. These cell types corresponded to those which were regarded as FSH gonadotrophs and LH gonadotrophs in previous studies. In addition in the adenohypophyses stimulated by removal of the ovaries, intermediary cell types began to appear suggesting a transformation of LH gonadotrophs to FSH gonadotrophs. The most conspicuous change following gonadectomy was the formation of castration cells. These cells arose from FSH gonadotrophs and exhibited ultrastructural features interpreted as representing the morphologic manifestations of sustained hypersecretion of gonadotrophins. It seemed that castration cells have a limited life span and in their advanced stages of development they show ultrastructural signs indicative of irreversible involution.     

Cytological changes in hypophysis of immatur rats after administration of anti-LH antibodies (author's transl)]

In the present work, cytological changes produced in rats' pars distalis were studied by administration of anti-LH antibodies. The anti-LH sera was obtained by active immunization of adult rabbits using bovine LH hormone with Freund's complete adjuvant. Newborn albino Wistar male and female rats were daily and subcutaneously inoculated with 0.1 ml. to 0.8 ml of anti-LH sera from the first 24 hr. on during 5 weeks. For controls, a similar schedule of inoculations with normal rabbit serum was used. At weekly intervals during the treatment, 5 lots of rats were sacrificed and the rest after a recovery period of 95 days. At the end of the 2nd week of immunization, both male and female animals showed degranulated gonadotroph cells in the central part of the pars distalis; at the 3rd week these cells were hypertrophied and presented developed Golgi complex. At the 4th week, the first large vacuoles of "castration" were seen in the gonadotroph cells of male pars distalis, besides in the females the degranulation of gonadotrophs continued. During the last week of treatment, the gonadotrophs of the male animals presented a highly dilated Golgi complex, more "castration-like cells" and numerous mitosis figures. The gonadotrophs of females pars distalis presented degranulation, but not vacuoles. After the recovery period the gonadotrophs of male rats were similar to those of the control hypophisis and did not show castration vacuoles in their cytoplasm. In female rats, the gonadotrophic cells showed "castration-like vacuoles" and a raised number of mitosis cells compared to control pituitaries. The significance of these findings will be discussed.     

An immunohistochemical study of adenohypophyseal cells containing follicle-stimulating hormone and luteinizing hormone during the phase of selective follicle-stimulating hormone release in postnatal female rats

Summary Serum concentration of follicle-stimulating hormone (FSH) in the juvenile female rat increases independently from that of luteinizing hormone (LH). The objective of this study was to determine whether this increase in serum FSH is accompanied by a proliferation of FSH-cells greater than the proliferation of LH-cells. Thus, we measured circulating FSH and LH in female rats on days 3, 10, 13, 17, and 20, calculated the percentages of adenohypophyseal cells that contained FSH or LH on days 3, 10, and 20, and determined whether cells containing only FSH existed on day 10. Serum FSH concentrations on days 10 and 13 were significantly greater than those on days 3, 17, or 20. No differences existed in serum LH concentrations. Cells containing FSH or LH were distributed throughout the entire adenohypophyses of 3, 10, and 20-day-old females. Clusters of these cells were observed in the ventral regions of adenohypophyses of 3-day-old females. The percentages of adenohypophyseal cells containing FSH increased significantly from 9% in 3-day-old rats to 17% in 10-day-old rats and then decreased to 14% in 20-day-old animals. At all ages the percentages of adenohypophyseal cells containing FSH were similar to the percentages of cells containing LH. At 10 days of age, all cells containing FSH also contained LH and all cells containing LH also contained FSH. These data suggest that the increase in serum FSH in the juvenile female rat is associated with an increase in the percentage of adenohypophyseal cells containing FSH and that at this time all cells containing FSH also contain LH.     

A 'window of time' during which testosterone determines the opiatergic control of LH release in the adult male rat

Male rats castrated before puberty (when 26 days of age) showed a progressively decreasing susceptibility to the inhibitory effects of morphine (5 mg/kg) upon LH secretion for up to 28 days after gonadectomy (approximately 100%, 40% and 10% inhibition at 5, 12 and 28 days after castration), but thereafter morphine again caused approximately 50% reduction in serum LH values; the minimum inhibition found at 28 days after castration (age 54 days) occurred at the time at which male rats normally reach puberty. When rats were castrated at 59 days of age, morphine maximally suppressed serum LH concentrations (to less than 70%) 2 and 5 days after castration, but had no effect thereafter. In prepubertal castrates, testosterone replacement between Days 26 and 50 of life resulted in responses to morphine similar to those found in rats castrated after puberty, i.e. serum LH levels were not reduced. Morphine significantly reduced LH levels in prepubertal castrates given testosterone after 60 days of age. Treatment with morphine consistently elevated serum prolactin concentrations (greater than 100%) in castrated rats of all ages, regardless of the time elapsed after gonadectomy. These results indicate a transient fall in the inhibitory opioidergic tone upon LH secretion as the normal age of puberty approaches, that the ability of opiates to alter LH release in adulthood may depend upon testicular steroids secreted during the peripubertal period, and that the LH responses do not reflect general changes in the neuroendocrine response to opiates after castration since the prolactin response to morphine remains intact in rats castrated before and after puberty.     

Immunocytochemical localization of 5α-reductase type 1 in the prostate of normal and castrated rats

We immunohistochemically studied the localization of 5-reductase type 1 in combination with androgen receptor (AR) expression in individual lobes of the prostates of intact and castrated rats. In the normal rat prostate, 5-reductase was localized in the cytoplasm of most epithelial cells in the ventral, dorsal, and lateral type 1 (L1) lobes. Epithelial cells of lateral type 2 (L2) lobes were negative for 5-reductase. AR was present in the nuclei of all epithelial and stromal cells throughout the prostate. The number of 5-reductase-immunoreactive cells rapidly decreased in the ventral and L1 lobes after castration, whereas many positive cells remained in the dorsal lobe even at 4 weeks after castration. AR immunostaining was lost in the ventral, dorsal, and L1 lobes at 1 week after castration, but remained in the L2 lobe of 4-week-castrated rats. Electron microscopic immunocytochemistry showed that 5-reductase was exclusively localized in the rough endoplasmic reticulum membranes and that there were no distinct structural differences between the positively and negatively stained epithelial cells. These findings suggested that the expression of 5-reductase type 1 in the epithelial cell is heterogeneous within and among the individual lobes of the rat prostate, and does not correspond to AR expression.     

Immunohistochemical localization of LH-producing cells in the adenohypophysis of the Japanese quail,Coturnix coturnix japonica

Summary The cells that produce luteinizing hormone (LH) in the adenohypophysis of the Japanese quail were identified immunohistochemically using anti-chicken LH serum and horseradish peroxidase-labeled goat anti-rabbit gamma globulin serum. The LH cells are localized in the caudal lobe of the pars distalis. They are elongate in shape and are polarized toward the sinusoids, especially in their active states. Alterations in size of LH cells are directly related to changes in circulating LH levels as induced by castration or photostimulation. The LH cells identified immunohistochemically were only stained by alcian blue with periodic acid-Schiff (PAS), alcian blue and orange G.PAS-positive gonadotropic cells in the cephalic lobe were stained immunohistochemically only slightly if at all using anti-chicken LH serum and consequently may be FSH producing cells. In the cephalic lobe another type of basophilic cell was stained with alcian blue. These cells were also stained immunohistochemically with anti-chicken LH serum. These cells may possibly be identified as TSH cells due to the characteristics of the antichicken LH serum used in this study which cross react with LH and TSH but only slightly with FSH, and also on the basis of previous light and electron microscopic studies.We express our gratitude to Professors Hideshi Kobayashi and Katsumi Wakabayashi for their valuable guidance during the experiment. We also express our cordial thanks to Professor B.K. Follett for the gift of anti-chicken LH serum and standard LH. This work was supported in part by Grants from Ministry of Education of Japan and from the Ford Foundation.     

Ultrastructural immunocytochemical localization of LH and FSH in the pituitary of the untreated male rat

Summary Rapid freeze-substitution fixation was employed in immunocytochemical studies on the localization of LH and FSH in the typical gonadotrophs of the anterior pituitary in the untreated male rat; a modification of a recently described ferritin antibody method (Inoue et al. 1982) was used in these studies. It was shown that rapid freeze-substitution fixation provides good preservation not only of the ultrastructure but also of the antigenicity. Both LH and FSH were clearly demonstrated in the same gonadotrophic cells, but the subcellular localization of these gonadotrophins differed: (i) LH was mainly located in small secretory granules, 250–300 nm in diameter; (ii) FSH was mainly present in large secretory granules, up to 500 nm in diameter. In the pituitary gland of the adult male rat, all gonadotrophs that react to antibodies against gonadotrophins are characterized by small and large secretory granules. Other types of cells of the anterior pituitary containing either small secretory granules or resembling corticotrophs with secretory granules assembled at cell periphery did not react to either anti-LH beta or anti-FSH beta serum.For light microscopy, the peroxidase antibody method was used. All of the gonadotrophin-positive cells contain both LH and FSH. None of the pituitary cells reacted to antibody against only one gonadotrophin. However, some cells are LH-rich while other cells are FSH-rich.     

Gonadotrophic cells of the rat hypophysis and their relation to hormone production

Summary The results of these experiments clearly indicate that the PAS-red and PAS-purple gonadotrophs of the rat anterior hypophysis are functionally as well as tinctorially distinct cell types. The PAS-red cells located peripherally in control animals (peripheral gonadotrophs of Purves and Griesbach) produce LH. Following castration they begin to appear in greater numbers in the central areas and by 45 days following castration they are predominant in both central and peripheral portions of the glands. At this time after castration the gonadotrophic content of the pituitary gland is predominantly luteinizing in character.The PAS-purple cells which are found in the central portions of control glands (central gonadotrophs of Purves and Griesbach) produce FSH. They appear peripherally following castration and are the predominant type of gonadotrophic cell in the glands of short term (10-day) castrates. The gonadotrophic content of such glands is chiefly FSH as shown by bioassay.By 45 days after castration the LH producing peripheral gonadotrophs and the FSH producing central gonadotrophs have lost their characteristic distribution patterns. Obviously, then, these two gonadotrophic types cannot be accurately followed on the basis of a restricted regional location in the pituitary but must be differentiated on the basis of specific cytological features and staining characteristics.This study was supported by USPHS Grant RG 4723 and by contract between Office of Naval Research, Department of the Navy, and University of Texas.     

Thyroxine can mimic photoperiodically induced gonadal growth in Japanese quail

Summary Pharmacological doses of thyroxine are able to mimic the effects of long photoperiods in Japanese quail. In birds maintained on short daylengths thrice-weekly injections of 100 g thyroxine cause full testicular maturation at rates not greatly different from those seen if quail are exposed to long days. Thyroxine stimulates increases in the secretion of FSH and LH, in pituitary prolactin content and in the hypothalamic content of Gn-RH. The effects are dose-dependent. If female quail kept on short daylengths are given thyroxine their ovaries develop and they lay eggs. In castrated male quail on short days thyroxine causes a ten-fold increase in circulating LH within a week. Thyroxine injections are also capable of maintaining quail in a photorefractory state even when they are transferred to short daylengths. The results suggest that thyroxine mimics long days by acting high in the photoneuroendocrine system and does not simply act to facilitate hormone secretion per se. This is in line with growing evidence in mammals and birds that parts of the photoperiodic machinery are sensitive to thyroid hormones.Abbreviations Gn-RH gonadotropin releasing hormone - FSH follicle stimulating hormone - LH luteinizing hormone - T ₄ thyroxine     

Light-microscope studies of the cytology of the adenohypophysis of the white-crowned sparrow,Zonotrichia leucophrys gambelii

Summary Adenohypophyses from more than two hundred white-crowned sparrows of both sexes and different ages, and from different periods of their annual reproductive cycle, have been used for this investigation. In addition to examination of these normal birds, we have also studied the adenohypophyses of 23 castrates and 24 controls held in different photoperiodic conditions.Cytologically the pars distalis of the adenohypophysis of the white-crowned sparrow is typically avian with distinct cephalic and caudal lobes, each with characteristic cell-types.Four basic cell-types, the acidophils, basophils, amphophils, and chromophobes, have been identified in the pars distalis by means of Matsuo tetrachrome and Matsuo modified PAS-methyl blue staining methods.Three types of acidophils, orange, red, and small, are confined to the caudal lobe of the pars distalis. Their possible functions are discussed.Light basophils (PAS-light red cells) and deep basophils (PAS-deep red cells) are equally distributed in both lobes. It is suggested that basophils may be involved in gonadotropic function since their appearance correlates well with the annual gonadal cycle and photoperiodic stimulation of gonadal growth and with the results of castration.The amphophils or PAS-purple cells (aldehyde-fuchsin positive) are found only in the cephalic lobe. Their probable function is discussed.Two types of chromophobes, specific and ordinary chromophobes, have been observed. The specific chromophobes are found only in the cephalic lobe and are similar to the Kernhaufen described by Romeis (1940). The ordinary chromophobes are similar to those of the pars distalis of other avian species and of mammals.The castration cells are found in both lobes of the photosensitive castrates under natural photoperiodic conditions as well as in those subjected artificially to photostimulation (20-hour daily photoperiods). Similar cells have also been observed in the pars tuberalis of the castrated photostimulated birds.The relations of the rostral and caudal groups of the portal vessels to the cell-types found in the cephalic and caudal lobes are discussed.Dedicated to Professor Dr. Y. Kato, Department of Anatomy of the Domestic Animals, Kyushu University, Fukuoka, Japan, and to President Dr. H. Mimura, Shinshu University, Matsumoto, Japan, in honor of their retirement.The investigation reported herein was supported by a research grant (5RO 1-HEO7240 NEUA) from the National Institutes of Health to Professor Vitums, by funds for biological and medical research made available by State of Washington Initiative Measure No. 171 to Professor Vitums; by a Research Career Development Award (5K3 AM-18, 370) from the National Institutes of Arthritis and Metabolic Diseases to Professor King; and by a research grant (5RO 1 NB 06 187) from the National Institutes of Health to Professor Farner. The senior author is greatful to Professor Dr. Hideo Murai and Doctor Yasukuni Watanabe, Department of Animal Science, Shinshu University,Ina,Japan, for their cooperation and support in this investigation. We wish to thank Mrs. Sumiko Sumida for technical assistance, and Miss Kathleen Reinhardt for the preparation of the drawings.     

Light- and electron-microscopic studies on the secretory cytology of the adenohypophysis of the Japanese quail,Coturnix coturnix japonica

The effects of thyroidectomy, adrenalectomy, and castration on the pars distalis of male Japanese quail, and of injection of LH-RH on sexually inactive females, were investigated by light and electron microscopy. Correlation between light and electron microscopy was attained by use of alternate thin and thick sections. Six types of secretory cells were identified and the ultrastructural characteristics described. Putative endocrine functions have been designated on the basis of responses to experimental interventions and on other criteria. The putative STH cells are characterized by the presence of large dense secretory granules (250-300 nm) that are stained with orange-G by the trichrome method. They occur only in the caudal lobe and appear to be unchanged by castration, thyroidectomy, adrenalectomy and LH-RH injection. The putative prolactin cells are characterized by large (400-600 nm), spherical or polmorphic, dense secretory granules stainable with acid fuchsin and aniline blue; prominent Golgi apparatus and well developed endoplasmic reticulum with densely packed, regularly parallel lamellae. They are found mainly in the cephalic lobe. The prolactin cells develop some vacuolization after adrenalectomy and undergo some degeneration after castration. The ACTH cells, which are restricted to the cephalic lobe, are identified by the dense, spherical granules (250-300 nm) that are stained with acid fuchsin. After adrenalectomy, they lose their secretory granules and are transformed into large, chromophobic adrenalectomy cells. TSH cells are so designated by their response to thyroidectomy including loss of their fine secretory granules and transformation to large, vacuolated thyroidectomy cells. We have found TSH cells and thyroidectomy cells only in the cephalic lobe. Basophilic cells, considered to be gonadotropes, occur in both the cephalic and caudal lobes. The gonadotropes of the cephalic lobe appear to have slightly larger (120-200 nm) granules than the caudal lobe (120-150 nm). However, after castration, the gonadotropes in both lobes become hypertrophied and vacuolated and are transformed into mutually indistinguishable castration cells. Twenty minutes after injection with LH-RH, the gonadotropes of both lobes increase in size and number, degranulate, develop vacuoles in the cytoplasm, and appear very similar to castration cells.     

Ultrastructural localization of gonadotropin-releasing hormone in the porcine gonadotropic cells

Summary The comparative ultrastructural localization of LH, FSH and GnRH clearly shows that the granules of the FSH/LH cells contain all three hormones. The separate storage of LH and FSH in a significant number of cells, which in the same granules also display GnRH, may suggest that LH-RH is also FSH-RH and may help to explain the non-parallel release of LH and FSH under some functional conditions.     

Thyroxine treatment prevents the development of photosensitivity in european starlings (Sturnus vulgaris)

Summary In starlings, the breeding season is terminated by a state of photorefractoriness. Birds remain completely reproductively inactive as long as long days are maintained, and only exposure to short days restores photosensitivity. Two experiments investigated the role of different doses of thyroxine in the development of photosensitivity in castrated starlings. First, photorefractory castrated male starlings were moved from long (18L:6D) to short (8L:16D) days, and received in the drinking water either 1 or 10 mg · 1^-1 thyroxine for the first 7 weeks of a 14-week observation period. Control birds regained photosensitivity after 5 weeks of short days, as signaled by a spontaneous increase in plasma LH, whereas the return to photosensitivity was delayed until weeks 7 and 9 in the 1- and 10-mg · 1^-1 thyroxine-treated birds, respectively. In the second experiment, the effect of different doses of thyroxine was explored at the level of the hypothalamic Gn-RH neurosecretory neurones. The acquisition of photosensitivity in control birds transferred from long to short days was characterized by a marked increase in hypothalamic Gn-RH content (while long-day controls maintained low Gn-RH content). Doses of 10 and 20 mg · 1^-1 of thyroxine completely prevented the return to photosensitivity, as seen through changes in either plasma LH concentrations or hypothalamic Gn-RH content, while a dose of 1 mg · 1^-1 allowed a partial recovery of photosensitivity, as hypothalamic Gn-RH content increased to an intermediate level and the spontaneous rise in plasma LH occurred slowly but steadily.Abbreviations Gn-RH gonadotrophin-releasing hormone - LH luteinizing hormone - LHRH-I luteinizing hormone releasing hormone     

Photoperiodic activation of Fos-like immunoreactive protein in neurones within the tuberal hypothalamus of Japanese quail

Photoperiodic stimulation of quail (Coturnix coturnix japonica) resulted in the appearance of a nuclear fos-like protein within neurones of the basal tuberal hypothalamus. On transfer to long days the number of neurones containing this fos-like immunoreactivity increased from about 150 to 700, the neurones being scattered throughout the length of the tubero-infundibular complex. This activation had occurred by early in the second long day and was maintained for at least three long days. Over this period circulating levels of LH increased seven-fold, indicating that photoperiodic induction had taken place in the birds. A similar time-course of fos-like induction occurred in castrated quail exposed to a single long day and then returned to short days. Activation mirrored the long-term changes in LH secretion found in this paradigm and fos-like immunoreactivity showed the same carry-over characteristics of photoperiodic induction, being maximal two days after the quail had been exposed to the single long day (and were again on short days) and when LH secretion was at its maximum. Activation of fos-like immunoreactive cells did not take place when long-day quail were transferred to short photoperiods. The evidence supports the view that the neurones being activated are involved in a specific fashion in the avian photoperiodic response.     

Effect of Corticotropin Releasing Factor (CRF) Injected Into the Median Eminence on LH Secretion in Male Rats

We determined the dose-response relationship and examined the time-related effect of CRF (corticotropin releasing factor) injected directly into the Median Eminence (ME) on LH secretion in conscious intact and castrated male rats. Doses of 0.25, 0.75, 1, and 1.5 nmol CRF dissolved in 1 l of saline (or saline only in the controls) were injected into the ME and blood samples collected 30, 60, 90, and 120 min postinjection to determine by RIA serum LH. CRF at doses of 0.75, 1 and 1.5 nmol significantly decreased serum LH in castrated and intact animals. The lower dose of CRF did not decrease LH in the two groups studied. The results suggest that in males as in females, CRF inhibits by itself LH secretion, at least in part, by a central action in the ME; the inhibitory effect of CRF on LH is similar in castrated and intact males; the dose of 0.25 nmoles of CRF was ineffective in decreasing LH and finally that CRF at ME levels may participate in a variety of stress-related responses, including reproduction inhibition, through LH suppression.     

Development in the cyclic hamster of refractoriness to the superovulatory action of anti-LH serum

Hamsters injected s.c. on the day of ovulation (Day 1) with 100 microliters equine anti-bovine LH serum ovulated 28 eggs at the end of a 5-day cycle. When a second injection of anti-LH serum was administered 4-93 days later, the animals did not superovulate and had normal 4-day cycles. Injection of 100 microliters normal rabbit serum (NRS) on Day 1 followed 14 days later by anti-LH serum resulted in the ovulation of 32 ova whereas a priming injection of 100 microliters normal horse serum (NHS) followed by anti-LH serum resulted in the ovulation of only 18 ova. When hamsters were injected on Day 1 with anti-LH serum, NHS or NRS and then with anti-LH serum in the 4th cycle, high titres of free antibodies to LH were present on Days 2-4 only in the animals treated with NRS; these hamsters ovulated a mean of 35 ova. These experiments suggest that the hamster rapidly forms antibodies to equine immunoglobulins, thus preventing a second injection of anti-LH serum from inducing superovulation.     

Mise en évidence par immunofluorescence des cellules à hormones glycoprotidiques dans l'hypophyse d'un Rongeur d'Iran,Ellobius lutescens (Th): cellules gonadotropes et cellules thyréotropes

Résumé Les cellules à hormones glycoprotidiques (thyréotropes et gonadotropes) ont pu être indentifiées grâce aux réactions d'immunofluorescence qu'elles donnent avec des anticorps préparés à partir de LH et FSH ovine, de HCG et de PMSG, ainsi que de TSH bovine. Tandis que l'anticorps anti TSH brut révèle la totalité des cellules à hormones glycoprotidiques tout comme l'anticorps anti HCG, l'anticorps anti TSH saturé par LH ne laisse subsister la fluorescence qu'au niveau des grandes cellules anguleuses (Bleu Alcian et AF positives) qui fixent l'anticorps rendu ainsi spécifique pour TSH. Les deux autres types de cellules glycoprotidiques (PAS positives), qui présentent un dimorphisme très accentué, réagissent positivement avec l'anticorps anti LH ainsi qu'avec l'anticorps anti FSH: nous pouvons donc attribuer la fonction gonadotrope à ces deux catégories cellulaires sans qu'il soit cependant possible d'y distinguer les secrétions de type LH ou FSH.

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Immunofluorescent demonstration of gonadotrophic and thyrotrophic cells in the hypophysis of Ellobius lutescens (Th.), an iranian rodent

Summary Glycoprotein-containing cells (thyrotrophic and gonadotrophic cells) have been identified by immunofluorescence reactions, with antibodies to ovine LH and FSH, HCG, PMSG, and bovine TSH, in the hypophysis of the rodent Ellobius lutescens. Whereas raw anti-TSH antibody (as well as anti-HCG antibody) gives a positive reaction with all glycoprotein-containing cells, LH- saturated anti-TSH antibody fluoresces only at the site of large, angular cells (Alcian Blue- and Aldehyde Fuchsin-positive) which retain the antibody thus rendered TSH-specific. The two other types of glycoprotein (PAS-positive) cells, which exhibit a marked dimorphism, give a positive reaction with anti-LH and anti-FSH antibodies; thus we can attribute gonadotrophic functions of these two cell-types although we cannot discriminate between LH or FSH secretion.

     

Accuracy of serum luteinizing hormone and serum testosterone measurements to assess the efficacy of medical castration in prostate cancer patients

Background

Luteinizing hormone-releasing hormone (LH-RH) agonists are the standard for androgen deprivation therapy (ADT) in prostate cancer (PCa) patients. Current guidelines recommend serum testosterone measurement to assess the efficacy of ADT and to define castration resistance. However, serum testosterone does not reflect the exclusive effect of castration due to its extratesticular production. The aim of this study is to analyze if serum LH reflects better than serum testosterone the activity of LH-RH agonists.

Methods

Serum LH and serum testosterone were measured with chemiluminescent immunoassay (CLIA) in a cohort study of 1091 participants: 488 PCa patients “on LH-RH agonists”, 303 “off LH-RH agonist” in whom LH-RH agonists were withdrawn, and 350 men with PCa suspicion “no LH-RH agonist” who never received LH-RH agonists. In a validation cohort of 147 PCa patients, 124 on “LH-RH agonists” and 19 “off LH-RH agonists”, serum testosterone was also measured with liquid chromatography and tandem mass spectrometry (LC MSMS).

Results

The area under the curve (AUC) to distinguish patients “on versus off LH-RH agonists” was 0.997 for serum LH and 0.740 for serum testosterone, P < 0.001. The 97.5 percentile of serum LH in patients “on LH-RH agonists” was 0.97 U/L, been the most efficient threshold 1.1 U/L. The AUCs for serum LH, testosterone measured with CLIA and with LC MSMS, in the validation cohort, were respectively 1.000, 0.646 and 0.814, P < 0.001. The efficacy to distinguish patients “on versus off LH-RH agonists” was 98.6%, 78.3%, and 89.5% respectively, using 1.1 U/L as threshold for serum LH and 50 ng/dL for serum testosterone regardless the method.

Conclusions

Serum LH is more accurate than serum testosterone regardless the method, to distinguish patients “on versus off LH-RH agonists”. The castrate level of serum LH is 1.1 U/l. These findings suggest that assessment of LH-RH agonist efficacy and castration resistance definition should be reviewed.

     

Hypothalamic control of the post-castration rise in serum LH concentration in rams

Sexually mature rams were left intact, castrated (wethers), castrated and implanted with testosterone, or castrated, implanted with testosterone and pulse-infused every hour with LHRH. Serum concentrations of LH increased rapidly during the first week after castration and at 14 days had reached values of 13.1 +/- 2.2 ng/ml (mean +/- s.e.m.) and were characterized by a rhythmic, pulsatile pattern of secretion (1.6 +/- 0.1 pulses/h). Testosterone prevented the post-castration rise in serum LH in wethers (1.0 +/- 0.5 ng/ml; 0 pulses/h), but a castrate-type secretory pattern of LH was obtained when LHRH and testosterone were administered concurrently (10.7 +/- 0.8 ng/ml; 1.0 pulse/h). We conclude that the hypothalamus (rather than the pituitary) is a principal site for the negative feedback of androgen in rams and that an increased frequency of LHRH discharge into the hypothalamo-hypophysial portal system contributes significantly to the post-castration rise in serum LH.     

Ultrastructure of the pars distalis of the lizard Anolis carolinensis with special reference to the identification of the gonadotropic cell

Summary Five categories of granulated cells were distinguished by their ultrastructural features, and quantitative analyses were made of the pars distalis cells in normal and castrated lizards. The gonadotropin-producing cell was identified on the basis of its uniform distribution in the gland as well as from cytological changes resulting from castration. The secretory granules of the gonadotropic cell vary in size (100–500 m) and density, and lipid bodies are commonly present. Following castration, the endoplasmic reticulum proliferates, forming many small, rough-surfaced, dilated cisternae which do not coalesce greatly as in other vertebrate species. Degranulation is accompanied by hypertrophy and hyperplasia of the mitochondria and by the appearance in the cytoplasm of conspicuous clusters of microfilaments. The designated gonadotropic cell was the only class of secretory cell showing consistent changes following three weeks of castration.In addition to the uniformly distributed gonadotrope cell, two secretory cells occur mainly in the rostral half of the gland, and two in the caudal half. Tentative identification of the cell types is discussed in the light of available information on the localization of the hormones in the pars distalis of this species.Grateful recognition is given to the Electron Microscope Laboratory of the University of California, Berkeley, for use of their facilities, and to Emily Reid for her assistance with the illustrations.Member of Consejo Nacional de Investigaciones Cientificas y Técnicas.