Endocrinology Vol. 140, No. 1 118-123
Copyright © 1999 by The Endocrine Society
Neuropeptide Y and Tuberoinfundibular Dopamine Activities Are Altered during Lactation: Role of Prolactin1
Chien Li,
Peilin Chen and
M. Susan Smith
Division of Neuroscience, Oregon Regional Primate Research Center,
Beaverton, Oregon 97006; and the Department of Physiology and
Pharmacology, Oregon Health Sciences University, Portland, Oregon
97201-3098
Address all correspondence and requests for reprints to: Dr. M. Susan Smith, Division of Neuroscience, Oregon Regional Primate Research Center, 505 NW 185th Avenue, Beaverton, Oregon 97006. E-mail:
smithsu{at}ohsu.edu
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Abstract
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During lactation the suckling stimulus increases the activity of two
populations of neuropeptide Y (NPY) neurons in the hypothalamus, the
caudal portion of the arcuate nucleus (ARH) and the dorsomedial
hypothalamus (DMH), and suppresses the activity of TIDA neurons in the
ARH. In the present study, an acute resuckling model was used to
examine the role of suckling-induced hyperprolactinemia in modulating
the activity of these systems. Lactating rats were deprived of their
eight-pup litters on day 9 postpartum, and 48 h later, the animals
served either as nonsuckled controls (0 pups) or were suckled for
24 h. In addition, some of the resuckled animals received two sc
injections of bromocriptine (0.5 mg/rat·injection), a
dopamine D2 agonist, to inhibit suckling-induced PRL
secretion. In situ hybridization was performed for rat
NPY messenger RNA (mRNA) and tyrosine hydroxylase (TH) mRNA to provide
an index for NPY and TIDA neuronal activities, respectively. Resuckling
for 24 h induced a significant increase in NPY mRNA levels in the
caudal portion of the ARH and in the DMH. Bromocriptine
treatment did not alter the increase in NPY mRNA levels in the ARH,
whereas the treatment greatly attenuated the increase in NPY mRNA in
the DMH. TH mRNA levels in the rostral ARH area returned to basal
levels in the nonsuckled control animals, and 24 h of resuckling
significantly suppressed TH mRNA expression in this area.
Bromocriptine treatment caused a significant increase in
TH mRNA levels compared with those in the eight-pup suckled group.
Thus, the results from the present study demonstrate that the suckling
stimulus activated the two populations of NPY neurons and suppressed
TIDA activity. Suckling-induced hyperprolactinemia did not participate
in the increase in ARH NPY activity, whereas it played a major
stimulatory role in suckling-induced activation of NPY neurons in the
DMH and an inhibitory role in suckling-induced suppression of TIDA
activity. The increase in TIDA activity after
bromocriptine treatment was unexpected and suggests that
the role of PRL in the regulation of TIDA activity is significantly
altered during lactation.
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Introduction
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THE ACTIVITIES of several hypothalamic
neuronal systems are altered during lactation. These alterations may be
important in mediating some of the physiological adaptations occurring
during lactation, such as suppression of ovarian cyclicity, increased
food intake, and suckling-induced milk production.
Neuropeptide Y (NPY) neuronal activity has been shown to be greatly
increased in two discrete areas in the hypothalamus during lactation:
the caudal portion of the arcuate nucleus (ARH) and the dorsomedial
nucleus of the hypothalamus (DMH) (1, 2). It has been suggested that
the increased NPY activity in the caudal portion of the ARH may be
important in mediating the increased food intake and the suppression of
LH secretion associated with lactation (3, 4, 5, 6). Currently, the
functional role of the increased NPY in the DMH is still unknown.
In contrast, the activity of the tuberoinfundibular dopaminergic (TIDA)
system in the ARH is greatly suppressed during lactation. Dopamine (DA)
production as well as the expression of tyrosine hydroxylase (TH), the
rate-limiting enzyme in the DA biosynthetic pathway, are significantly
reduced (7, 8). Under normal conditions, DA produced from the TIDA
system is believed to be the main PRL-inhibiting factor that is
tonically released to inhibit PRL secretion from lactotrophs in the
anterior pituitary (for reviews, see Refs. 9, 10). In addition, the
activity of the TIDA neurons is regulated by PRL, such that elevated
PRL increases the activity of these neurons and the secretion of DA
into the median eminence (for reviews, see Ref. 11). During lactation,
however, this feedback regulation of PRL is not operative, because
elevated PRL levels are not associated with increased TIDA activity.
This apparent dissociation between TIDA activity and PRL secretion may
be one of the mechanisms by which high levels of PRL are sustained
during lactation.
Currently, the mechanisms by which the activities of these neuronal
systems are altered during lactation are not completely understood. It
has been suggested that the suckling stimulus is important in
triggering these changes (2, 12). Several factors associated with the
suckling stimulus, such as the elevated levels of PRL and neural
impulses, are possible candidates for mediating the alterations in NPY
and the TIDA activities. Thus, in the present study,
bromocriptine, a DA D2 receptor agonist, was
used to inhibit suckling-induced PRL to characterize its role in
modulating NPY and TIDA neuronal activities during lactation.
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Materials and Methods
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Animals
Day 1819 pregnant Sprague-Dawley rats (B & K Universal, Inc.,
Kent, WA) were housed individually and were maintained under a 12-h
light, 12-h dark cycle (lights on at 0700 h) and constant
temperature (23 ± 2 C). Food and water were provided ad
libitum. The pregnant rats were checked for the birth of the pups
every morning; the day of delivery was considered day 0 postpartum. All
animal procedures were approved by the Oregon Regional Primate Research
Center institutional animal care and use committee.
Experimental design
An acute suckling paradigm, previously described (2), was used
in the present study to control the onset of the suckling stimulus more
precisely. Briefly, lactating animals had their litters adjusted to
eight pups on day 2 postpartum, and the pups remained with their
mothers until day 9. At that time, the eight-pup litters were removed
from the females. On day 11, the animals were randomly divided into the
following three groups: 1) nonsuckled controls, animals received two sc
vehicle injections (0 pups control; n = 7); 2) eight pups suckling
for 24 h, animals received two vehicle injections (8 pups; n
= 8); and 3) eight pups suckling for 24 h, animals received two
bromocriptine injections (0.5 mg/rat·injection; 8
pups+B; n = 8). Resuckling for 24 h was chosen because
24 h of the suckling stimulus, after 48 h of pup deprivation,
was necessary to consistently observe significant changes in NPY gene
expression in the ARH (2).
Bromocriptine (Sandoz Pharmaceuticals Corp.,
East Hanover, NJ) was dissolved in peanut oil containing 25% alcohol
(5 mg/ml). Bromocriptine or vehicle was administered sc
3 h before returning litters to the dams on day 11 postpartum; a
second injection was given 12 h after returning the pups. The dose
of bromocriptine used in the present study has been shown
previously to have no direct effect in the brain (13, 14, 15).
After 24 h of suckling, the animals were killed by decapitation,
and the brains were quickly removed, frozen on dry ice, and stored at
-80 C. Coronal brain sections (20 µm) were collected through the ARH
in a one in three series. The slides were stored at -80 C until used
for in situ hybridization. Trunk blood was also collected
and was assayed for rat PRL by RIA. The assay was performed by Dr. Marc
Freeman at Florida State University according to methods previously
described (16).
In situ hybridization
In the present study, quantitative in situ
hybridization was used to measure the messenger RNA (mRNA) levels for
TH and NPY, respectively, to serve as an indirect measure of neuronal
activity. The activity of central neurons has been shown to be related
to the cellular levels of mRNA encoding their rate-limiting enzyme or
in peptidergic neurons to the levels of prepropeptide mRNA (17, 18).
Gene expression of TH and NPY in TIDA and NPY neurons, respectively,
exhibits a tight parallel relationship with neuronal activity (2, 8, 19, 20).
NPY and TH cRNA probe synthesis, the specificity of the cRNA probe, and
procedures for in situ hybridization have been described
previously (1, 2, 8). Briefly, the NPY cRNA probe was transcribed from
a 511-bp complementary DNA (cDNA) in which 21% of the UTP was
35S labeled (DuPont-New England Nuclear,
Boston, MA). The TH cRNA probe was transcribed from a 300-bp cDNA using
50% 35S-labeled UTP. The specific activity for both probes
ranged from 13 x 108 dpm/µg. The saturating
concentration for both probes used in the assay was 0.3
µg/ml·kb.
The brain sections were fixed in 4% paraformaldehyde and treated with
a fresh solution containing 0.25% acetic anhydride in 0.1 M
triethanolamine (pH 8.0), followed by a rinse in 2 x SSC
(standard saline citrate), dehydrated through a graded series of
alcohols, delipidated in chloroform, rehydrated through a second series
of alcohols, and then air-dried. The slides were exposed to the
respective cRNA probes overnight in moist chambers at 55 C. After
incubation, the slides were washed in SSC that increased in stringency,
in ribonuclease, and then in 0.1 x SSC at 60 C; dehydrated
through a graded series of alcohols; and dried. Slides were dipped in
NTB-2 emulsion (Eastman Kodak Co., Rochester, NY), exposed
for 67 days at 4 C, and developed. After development, the slides were
stained with cresyl violet.
Data analysis
The ARH was divided into four subdivisions (ARH-A, -B, -C, and
-D), as described in previous studies (1, 2), using the rat brain atlas
of Paxinos and Watson (21). We have shown previously (1, 2) that the
suckling stimulus only affects the NPY neurons located in the caudal
portion of the ARH (ARH-C). On the other hand, even though the suckling
stimulus suppresses TH gene expression throughout the entire ARH (8),
TIDA neurons are most numerous in the rostral portion of the ARH (ARH-A
and ARH-B). Thus, the ARH-C-containing sections were used for the NPY
study, and the brain sections containing ARH-A and ARH-B were used for
the TH study. As the suckling-induced NPY expressing neurons in the DMH
occupied the same plane as ARH-C (2), the tissue sections covering the
ARH-C subdivision were also used to analyze NPY gene expression in the
DMH.
The coronal brain sections were anatomically matched across animals
from all groups. The hybridization signals were quantitated using the
HARMONY image analysis system by VIDEK (Rochester, NY). The system
identified silver grains by the brightness of the image. An estimate
for silver grains over the entire ARH (for ARH-NPY and TH) or the
entire DMH (for DMH-NPY) on each tissue section was given as the area
occupied by silver grains within the marked area.
Statistical analysis
The data were expressed as the area occupied by grains per
section. The mean area occupied by grains per section was determined
for each animal. Data are presented as the mean ±
SEM. Differences between groups were evaluated using
one-way ANOVA and post-hoc Scheffes tests. Differences
were considered significant if P < 0.05.
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Results
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Effects of bromocriptine treatment on PRL levels
PRL levels were significantly elevated by 24 h of suckling,
whereas PRL levels remained low in nonsuckled control animals (Fig. 1
). Bromocriptine treatment
effectively blocked the PRL elevation induced by the suckling stimulus
(Fig. 1
).

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Figure 1. Serum PRL levels in the three treatment groups.
Animals were deprived of their pups for 48 h and then were
subjected to 24 h of suckling (8 pups and 8 pups+B) or remained
pup deprived (0 pups control). Bromocriptine treatment (B,
0.5 mg/rat·injection, two injections) significantly suppressed
suckling-induced PRL secretions. *, Significantly different
(P < 0.05) from 0 pups control group. ,
Significantly different (P < 0.05) from 8 pups
group.
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NPY gene expression in the ARH
In the ARH-C area, 24 h of suckling caused a significant
increase in NPY gene expression compared with that in the nonsuckled
control animals (Figs. 2
and 3
). In addition, there was no difference
in NPY gene expression between the 8 pups and the 8 pups+B groups
(Figs. 2
and 3
), indicating that inhibition of PRL secretion did
not prevent the suckling-induced activation of NPY gene expression in
ARH.

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Figure 2. Darkfield photomicrographs from the ARH-C
(top panels) and ARH-B (bottom panels)
showing the silver grain clusters representing NPY mRNA (top
panels) and TH mRNA (bottom panels) from the
three treatment groups. Note in the top panels the
marked increase in NPY silver grain expression in the dorsolateral and
ventrolateral portions of the ARH-C in the suckled animals (8 pups and
8 pups+B). As shown in the lower panels, TH mRNA was
markedly reduced in these groups. Scale bar = 20
µm.
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Figure 3. NPY mRNA levels in the ARH-C region in the three
treatment groups. Acute resuckling for 24 h, after 48 h of
pup deprivation, induced a significant increase in NPY mRNA levels in
this region. Inhibition of PRL secretion by bromocriptine
(B) did not prevent the activation of NPY neurons by the suckling
stimulus. *, Significantly different (P < 0.05)
from 0 pups control.
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NPY gene expression in the DMH
Suckling eight pups for 24 h induced the expression of NPY in
a population of neurons located around the compact zone in the DMH
(Fig. 4
). This population of NPY neurons
was not observed in the nonsuckled control group (Fig. 4
). In the
bromocriptine-treated group (Fig. 4
), the signal appeared
to be less intensive compared with that in vehicle-treated animals
(Fig. 4
). Quantitatively, the levels of NPY mRNA signal in both the 8
pups and the 8 pups+B groups were significantly higher than those in
the 0 pups control group (Fig. 5
). In
addition, the NPY mRNA levels in the 8 pups group were significantly
greater than those observed in the 8 pups+B group (Fig. 5
). It should
be noted that low levels of NPY mRNA signal were observed covering the
compact zone of the DMH in all animals examined (Fig. 4
), and this
expression did not change in response to suckling.

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Figure 4. Darkfield photomicrographs of the caudal DMH area
showing the expression of NPY mRNA from the three treatment groups.
Acute resuckling for 24 h induced clusters of silver grains
(representative clusters indicated by the arrows)
scattered in the DMH of 8 pups and 8 pups+B animals. Silver grain
clusters representing NPY mRNA were not found in the same area in the 0
pups control animals. The low level of signal covering the compact zone
of DMH was observed in all the animals examined.
Bromocriptine treatment significantly blunted NPY mRNA
expression in the DMH (8 pups+B). Scale bar = 25
µm.
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Figure 5. NPY mRNA levels in the DMH area in the three
treatment groups. Acute resuckling for 24 h induced a significant
increase in NPY mRNA levels in this area, whereas treatment with
bromocriptine (B) significantly attenuated NPY gene
expression. *, Significantly different (P < 0.05)
from 0 pups control group. , Significantly different
(P < 0.05) from 8 pups group.
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TH gene expression in the ARH
In the ARH-A and -B areas, TH gene expression was clearly detected
in animals with pups removed for 48 h (Fig. 2
). The levels of
expression were comparable to those found in normal diestrous females
(8). TH gene expression in both the vehicle- and
bromocriptine-treated suckled groups were significantly
lower than that in the nonsuckled controls (Figs. 2
and 6
). In addition, TH mRNA levels in
bromocriptine-treated suckled animals were significantly
higher than those in the 8 pups group (Figs. 2
and 6
).

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Figure 6. TH mRNA levels in the rostral ARH (ARH-A and
ARH-B) area in the three treatment groups. TH mRNA levels returned to
basal levels in the 0 pups control group, whereas 24 h of suckling
effectively suppressed TH gene expression (8 pups group). Treatment
with bromocriptine (B) increased TH mRNA levels compared
with that in the 8 pups group. *, Significantly different
(P < 0.05) from 0 pups control group. ,
Significantly different (P < 0.05) from 8 pups
group.
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Discussion
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During lactation, the suckling stimulus plays a key role in
mediating the alterations in hypothalamic function. The present studies
demonstrated that the suckling stimulus alters both NPY gene expression
in the ARH and DMH and TH expression in the ARH. In addition, the
results from treatment with bromocriptine indicate that
suckling-induced PRL may differentially regulate the activities of
different hypothalamic regions during lactation.
The results of examining ARH NPY gene expression in the present study
are in agreement with those of our earlier studies (1, 2) and others
(22), showing a significant increase in NPY gene expression in neurons
in the caudal ARH in response to the suckling stimulus. In addition,
the ineffectiveness of bromocriptine treatment in altering
suckling- induced increases in ARH NPY gene expression indicates
that suckling-induced hyperprolactinemia is not important in modulating
ARH NPY activity. These results are in agreement with reports showing
that PRL treatment does not affect ARH NPY gene expression (23), and
immunoneutralization of PRL does not reduce NPY expression during
lactation (22). In addition, because of the inhibition of PRL
secretion, milk production in bromocriptine-treated dams
would be minimal; therefore, these animals do not experience a
significant change in energy balance. Thus, the activation of NPY in
the ARH in the bromocriptine-treated animals occurs in the
absence of a change in energy balance. These results thus suggest that
the activation of NPY neurons in the ARH is mediated by incoming neural
impulses activated by suckling, not by changes in energy balance.
In addition to the ARH NPY neurons, the present study also confirmed
our earlier report (2) that the suckling stimulus activates a second
population of NPY neurons located in the DMH. The blunted NPY
expression after the inhibition of elevated PRL by
bromocriptine treatment suggests that the activation of
the DMH NPY neurons is, to a significant degree, mediated by PRL.
The full activation of the NPY neurons is probably achieved by the
combination of the suckling-induced neuronal inputs to the DMH and the
hyperprolactinemia. The mechanism by which PRL modulates NPY activity
in DMH is unknown. Identification of PRL receptors (PRL-R) in the brain
(24, 25, 26, 27, 28) suggests that PRL may act directly in the brain to modulate
NPY neruonal activity. It has been shown by immunocytochemistry (25)
and receptor autoradiography (24) that PRL-R were found in the DMH,
whereas in situ hybridization failed to show PRL-R-positive
neurons in this area (26, 27, 28). These results suggest that PRLs action
in DMH may be presynatpic. On the other hand, PRL-R have also been
found in the central nuclei of the amygdala, the medial preoptic area,
the lateral septum, and the periaqueductal gray (24, 28) areas, which
have been shown to be activated by the suckling stimulus during
lactation (29, 30, 31, 32). The expression of PRL-R in these areas raises the
possibility that PRL may modulate DMH NPY neuronal activity indirectly.
Currently, there is very little known about the significance of
suckling-activated DMH NPY neurons during lactation. Recently, a
retrograde tracing study conducted in our laboratory demonstrated that
the suckling-activated DMH NPY neurons project to the paraventricular
nucleus of the hypothalamus (33), suggesting that these NPY neurons may
modulate paraventricular nucleus of the hypothalamus activity during
lactation.
The suppression of TIDA neuronal activity during lactation has been
previously reported (7, 8, 12), although the mechanism by which TIDA
activity is suppressed is still not understood. The involvement of PRL
in regulating the TIDA neurons during lactation has largely been
dismissed, because the short loop feedback regulation, in which
elevated PRL levels (34, 35, 36) are normally associated with increased
TIDA activity, clearly does not exist during lactation. In addition,
exogenous PRL administration failed to activate TIDA neurons during
lactation (7). Recently, it was shown that inhibition of
suckling-induced PRL in midlactation caused a suppression of DOPA
accumulation in the median eminence (37), suggesting that PRL may play
a stimulatory role in regulating TIDA activity during lactation.
However, the interpretation of the results is complicated by the
following concerns: 1) the suppression of DOPA could not be reversed by
coadministration of PRL; and 2) the methods used for measuring TIDA
activity. TIDA activity was assessed by treating the animals with a
decarboxylase inhibitor, NSD 1015. After treatment, the animals were
killed, and DOPA accumulation in the median eminence fragments was
measured (11). However, the midbrain dopaminergic cell groups (A8, A9,
and A10), other than TIDA neurons, also terminate in the median
eminence (38). Therefore, the changes in DOPA may not solely reflect
the activity of TIDA neurons.
In the present study, we used an acute suckling model to examine the
possible role of PRL in regulating TIDA neurons. In this model, the
animals were first deprived of pups for 48 h before receiving
24 h of resuckling. The period of pup separation allows the TIDA
activity as well as TH gene expression to recover to basal levels (8, 20). Secondly, in situ hybridization was used so as to be
able to specifically study the changes in TIDA neurons. Consistent with
previous reports (8, 37), this paradigm confirmed that the acute
suckling stimulus greatly inhibited TH gene expression. Surprisingly,
TH mRNA levels in these neurons were partially restored when
hyperprolactinemia was prevented by bromocriptine
treatment. These results suggest that, at least in response to the
acute effects of suckling, elevated PRL is involved in the suppression
of TH gene expression and, possibly, TIDA neuronal activity.
Theoretically, the inhibitory effect of PRL on TIDA neurons observed in
the present study should ensure that hyperprolactinemia is maintained
during lactation. More importantly, the suckling stimulus appears to be
critical in changing the stimulatory effects of PRL on TIDA activity
into inhibitory effects. The mechanisms by which elevated PRL
negatively modulates TH gene expression are not clear. Recently, it has
been shown that TIDA neurons in the ARH express PRL-R (39). This
provides anatomical evidence that PRL can affect TIDA neurons directly
by binding to its own receptor. On the other hand, it is also possible
that PRL can modulate TH expression indirectly by acting on neurons
that connect to the TIDA neurons. Anatomical studies have demonstrated
the direct contact between POMC-positive neuronal terminals and TIDA
cell bodies (40, 41). It has been shown that µ-opioid receptor
antagonists can prevent suckling-induced suppression of TIDA activity
(42). Furthermore, immunoneutralization of suckling-induced PRL causes
a decrease in the number of activated ß-endorphin-positive neurons
during lactation (43). Therefore, it is possible that PRL may modulate
TIDA activity by acting through the POMC system in the ARH.
Anatomical and pharmacological evidence also suggests that ARH NPY can
directly modulate TH gene expression and TIDA neuronal activity
(44, 45, 46). Thus, upon activation by the suckling stimulus, the ARH NPY
neurons may directly modulate TH expression in the TIDA neurons. The
possibility that PRL may modulate TH expression through the ARH NPY
neurons is ruled out by the present studies, which show that ARH NPY
expression remained elevated regardless of changes in TIDA neurons that
were affected by the suppression of PRL. Taken together, these results
suggest that during lactation the activity of TIDA neurons is probably
modulated by both PRL-dependent and PRL-independent mechanisms. Thus,
we hypothesize that suckling-induced PRL acts either directly on TIDA
neurons or indirectly through other systems, such as the POMC system,
but not the NPY system, to modulate TH gene expression during lactation
(Fig. 7
). In addition, PRL-independent
mechanisms, such as suckling-activated ARH NPY neurons, can modulate
TIDA neurons directly (Fig. 7
). It is plausible that the negative
effect of PRL on TH expression is the result of interactions between
these two mechanisms. More studies are needed to resolve this
issue.

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Figure 7. A diagrammatic representation of putative pathways
in the ARH involved in the modulation of TIDA neurons during lactation.
The results of the present study suggest that a PRL-dependent mechanism
is involved in negatively modulating TIDA neurons. PRL may act either
directly on the TIDA neurons or indirectly through other systems in the
ARH, such as the POMC system proposed in the diagram, to modulate the
TIDA neurons. Also, suckling-activated NPY neurons (PRL-independent
mechanism) may directly participate in the modulation of TIDA neurons
upon activation by the suckling stimulus.
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|
In conclusion, the present study demonstrated that the suckling
stimulus activates two populations of NPY neurons and suppresses TIDA
neuronal activity in the hypothalamus. Suckling-induced
hyperprolactinemia plays a stimulatory role in suckling-activated NPY
neurons in the DMH and an inhibitory role in suckling-induced
suppression of TIDA activity.
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Acknowledgments
|
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We thank Dr. Kevin Grove for comments on the manuscript. Thanks
also to Drs. Steve Sabol at NIH and Tom Sherman at Georgetown
University for providing the rat NPY cDNA plasmid (pBLNPY1) and the TH
cDNA plasmid.
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Footnotes
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1 This work was supported by NIH Grants HD-14643 and HD-18185 and
Oregon Regional Primate Research Center Grant RR-00163. 
Received April 7, 1998.
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