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receptor, KOR) [
102
,
103
], and its expression in KNDy neurons seems to be marginal
[
56
,
59
]. These fi ndings allude to intermediate neurons as the primary site of action
of dynorphin in the context of kisspeptin release, which, allegedly, would play a
substantial role by increasing the turnaround time of the inhibitory signal before act-
ing back on KNDy neurons, therefore allowing for the appearance of a kisspeptin
pulse. Of note, as research on the characterization of KNDy neurons advances, new
co-transmitters emerge, which, in the near future, may make the descriptive term
“KNDy” obsolete. In this vein, glutamate and glutamate receptors, also described in
KNDy neurons [
104
], may constitute additional autosynaptic regulatory loops [
82
,
104
,
105
] to “fi ne-tune” kisspeptin release (Fig.
15.4
). It has been speculated that
this or a similar mechanism may be involved in the attenuation of the severe repro-
ductive phenotype of
Tacr3
null mice compared to humans described recently by
Yang and colleagues [
14
,
106
]. Moreover, recent studies also suggest an action
(direct and indirect) of GnRH itself on KNDy neurons to, eventually, modulate
GnRH release [
107
]; however, this contention requires further research. For instance,
the presence of the GnRH receptor in KNDy neurons has yet to be demonstrated.
Control of Puberty Onset
GnRH release undergoes a series of developmental changes, progressing from an
activated neonatal period, followed by a dormant stage during the infantile and juve-
nile ages, to puberty onset, which is characterized by the appearance of GnRH
pulses with increasing amplitude and frequency. A number of central and peripheral
factors have been posed to mediate this awakening of the reproductive axis; how-
ever, exactly what triggers puberty onset remains elusive.
In recent years, hypothalamic kisspeptin has become a likely candidate to serve
as a gatekeeper of puberty onset. Kisspeptin is the most potent secretagogue of
GnRH described to date [
5
], and compelling evidence shows that
Kiss1
expression
and synaptic contacts between Kiss1 neurons in the hypothalamus increase at the
time of puberty onset in rodents [
92
,
108
,
109
], suggesting that hypothalamic
Kiss1
neurons play an important role during this maturational process [
110
]. Furthermore,
chronic administration of kisspeptin to prepubertal female rats advances puberty
onset [
111
], which is prevented in the presence of a kisspeptin antagonist [
112
]. In
this context, if we assume that NKB has a role in the control of kisspeptin release at
the onset of puberty, we could expect that impairments in the NKB/NK3R system
would directly translate into disorders in the timing of puberty. Indeed, as men-
tioned previously, a number of studies have documented impuberism associated
with hypogonadotropic hypogonadism (HH) in humans bearing inactivating muta-
tions in the genes encoding NKB and NK3R, which has been partially recapitulated
in
Tacr3
knockout mice. To note,
Tac2
/
Tacr3
expression in the hypothalamus of rats
(and markedly
Tacr3
in the ARC) increases prior to puberty onset [
22
,
40
], appar-
ently anticipating the increase of kisspeptin immunoreactivity reported in the rostral
periventricular area of the hypothalamus in prepubertal female mice [
113
].
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