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Endocrinology Vol. 140, No. 8 3429-3437
Copyright © 1999 by The Endocrine Society


ARTICLES

Gender-Specific Exacerbation of Murine Lupus by Gonadotropin-Releasing Hormone: Potential Role of G{alpha}q/111

Jill D. Jacobson, Mansoor A. Ansari, Meghan Kinealy and Venkateswari Muthukrishnan

Section of Endocrinology, Children’s Mercy Hospital, University of Missouri-Kansas City School of Medicine and the School of Pharmacy, University of Missouri-Kansas City, Kansas City, Missouri 64108

Address all correspondence and requests for reprints to: Jill D. Jacobson, M.D., Section of Endocrinology, Children’s Mercy Hospital, 2401 Gillham Road, Kansas City, Missouri 64108. E-mail: jjacobson{at}cmh.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have previously demonstrated that GnRH and its analogues modulate the severity of murine systemic lupus erythematosus. In the present study, we demonstrate that GnRH alters disease severity in a sexually dimorphic fashion, even in gonadectomized mice. GnRH administration leads to an exacerbation of lupus in ovariectomized females, whereas it exerts no effect in castrated males. We initially hypothesized that gender differences in lymphocytic expression of GnRH receptor might explain these observations. Using competitive RT-PCR and binding studies to quantitate GnRH receptor expression in lymphoid organs, we found that GnRH administration led to decreased expression of GnRH receptor messenger RNA (mRNA) and GnRH binding, compared with vehicle, in spleens of ovariectomized females after 2 weeks of treatment. These decreases occurred concurrently with increased expression of interleukin-2 receptor mRNA and protein in females. GnRH administration did not alter GnRH receptor or interleukin-2 receptor mRNA or protein in castrated males. GnRH exerts actions on the pituitary through G protein signal transduction, specifically through G{alpha}q/11. Competitive RT-PCR revealed that GnRH administration was associated with increases in the expression of G{alpha}q/11 mRNA, compared with vehicle, in spleens in ovariectomized females but not in castrated males. Immunoblot analysis revealed a similar pattern. We conclude that gender differences in expression of G{alpha}q/11 may contribute to gender differences in immunity and/or autoimmune disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IT IS WELL established that females of a variety of species display a strikingly increased incidence of certain autoimmune diseases, compared with males. The mechanism(s) for this sexual dimorphism remains poorly understood. Differences in estrogens and androgens between males and females are thought to play a major role in the sexual dimorphism of the immune system. However, studies of the immune actions of gonadal steroids are complicated by the fact that steroids exert potent feedback effects on hypothalamic and pituitary hormones, many of which are now known to be produced in the immune system and to possess immune actions of their own (1, 2).

One hypothalamic hormone with immunomodulatory properties is GnRH (also known as LHRH). Numerous in vivo and in vitro studies have demonstrated that GnRH exerts predominantly stimulatory actions on both B and T lymphocyte function (3, 4). Moreover, immune cells have been shown to produce GnRH messenger RNA (mRNA) and peptide (5, 6). We have previously reported that GnRH analogues modulate the expression of murine lupus independently of effects on gonadal steroids (7). We now speculate that GnRH may play a key role in the gender differences in immunity and/or autoimmunity. We note the following clinical and experimental observations: 1) GnRH has been shown to be immunostimulatory; 2) it is produced by lymphocytes; 3) its production and action are positively regulated by estrogens; 4) its action is negatively regulated by androgens; 5) GnRH action is high in women during reproductive years, when autoimmune diseases occur; and 6) gonadal failure is associated with both a loss of negative feedback on GnRH and with a high incidence of autoimmune disorders (8, 9, 10).

In this report, we demonstrate that gonadectomized male and female mice respond to the administration of native GnRH with exacerbation of disease severity in a sexually dimorphic fashion. Because exposure to androgens and estrogens is known to alter GnRH receptor expression at the level of the pituitary (11, 12, 13, 14, 15, 16), we speculated that gender differences in GnRH receptor expression might be demonstrable in immune cells. We measured expression of GnRH receptor mRNA in the thymus and spleen of gonadectomized mice, by competitive RT-PCR. Because GnRH administration has been associated with lymphocyte activation and increased expression of the interleukin-2 (IL-2) receptor (17), we next measured IL-2 receptor mRNA expression, by competitive RT-PCR, in lymphoid organs in males vs. females. Because GnRH is known to exert actions through G proteins, specifically through two highly homologous G proteins G{alpha}q and G{alpha}11 (hereafter referred to together as G{alpha}q/11) (18, 19), we sought gender differences in expression of G{alpha}q/11 mRNA and protein in lymphoid tissue.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice
All experiments were carried out in accordance with the NIH Guide for the Care and Use of Laboratory Animals and with the University of Missouri-Kansas City Animal Care and Use Committee. Studies were done in male and female (SWR x NZB) F1 and (NZB x NZW) F1 hybrid mice, bred in our animal facilities from NIH stock animals or purchased from The Jackson Laboratory (Bar Harbor, ME). Both models have been well characterized to display gender differences in severity of disease, with females affected earlier and more severely than males. Anti-DNA antibody levels correlate directly with disease severity in both the (NZB x NZW) F1 and the (SWR x NZB) F1 models of murine lupus (20, 21, 22). Because of limited availability of (NZB x NZW) F1 hybrid mice, the initial studies were done on (SWR x NZB) F1 hybrids. Later molecular studies were done using (NZB x NZW) F1 hybrids. In all experiments, gonadectomized mice were used to eliminate the variable of sex hormone production. Gonadectomized animals were randomized, at 14–18 days of age, to one treatment with GnRH or vehicle.

Experimental design
We expected that IL-2 receptor expression would be an early event in the course of disease. We therefore performed RT-PCR for IL-2 receptor and flow cytometric analysis of the IL-2 receptor at an early time point (2 weeks). We expected that changes in GnRH receptor, IL-2 receptor, and G{alpha}q/11 would precede any alterations in disease severity. Previous studies have shown dynamic alterations in GnRH receptor and GnRH responsiveness at the level of the pituitary after gonadectomy in both male and female rats (23, 24). It seems that these alterations begin to plateau by 2–3 weeks post surgery (23, 24). We postulated that similar effects would be seen in murine immune cells. We therefore used 2 weeks as our initial time point for molecular studies of all genes. RT-PCRs for GnRH receptor, IL-2 receptor, and G{alpha}q/11 were repeated after six weeks of treatment. Autoantibody levels and hematuria were measured every 6 weeks. Serum IgG levels were measured at 12-week intervals. Serum gonadal steroids were measured once, at 12 weeks. Refer to Table 1Go for design of the study.


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Table 1. Study design

 
Gonadectomy
For the disease severity studies, each male was castrated via a single scrotal incision, and each female was ovariectomized via a single dorsal incision, between 14 and 18 days of age, under light pentobarbital anesthesia.

Injections
GnRH (native decapeptide) was purchased from Sigma Chemical Co. (St. Louis, MO). Animals were injected sc in the nape of the neck six times weekly, with 100 µg GnRH or 100 µl vehicle consisting of 0.9 N saline.

Hormone measurements
Serum estradiol and testosterone were measured by RIA using commercial kits (Coat-A-Count, Diagnostic Products, Los Angeles, CA). The lower limit of detection for serum estradiol was 8 pg/ml. The lower limit of detection for testosterone was 4 ng/dl. Serum LH and PRL were measured by RIA using previously described methods (25, 26).

Sera
Sera were collected from blood obtained at 6 weeks by retroorbital puncture after isoflorane anesthesia.

Clinical tests
Total IgG concentrations were measured by single radial immunodiffusion assay using immunodiffusion plates containing monospecific antiserum for IgG (ICN Biomedicals, Inc., Costa Mesa, CA). Anti-DNA antibody levels were measured by a previously described enzyme-linked immunosorbent assay technique (27). Sera for anti-DNA antibody measurements were stored at -20 C. All samples from each time point were run in the same assay in an effort to avoid interassay variability. Urine was tested for blood by urinalysis reagent strips (Miles, Inc., Elkhart IN). Hematuria was scored blindly as follows: negative = 0; trace = 1; small = 2; moderate = 3; large (gross) = 4.

RNA purification
RNA was isolated by a the technique of Chomczynski, using TRI Reagent (Molecular Research Center, Inc., Cincinnati, OH), as follows (28): whole organs were individually removed, placed in 1 ml TRI reagent, homogenized, and placed on dry ice. RNA was extracted with chloroform, centrifuged, precipitated with isopropanol, recentrifuged, washed in 75% ethanol, and air dried for 1 h. The pellet was resolubilized in 25–200 µl of 0.05% diethylpyrocarbonate-treated H2O. RNA concentration was determined by optical density readings at 260 and 280 nm. Quantity of RNA was further assessed by measurement of ß-actin by competitive RT-PCR.

RT
RNA (5 µg) from each individual organ was transcribed into complementary DNA (cDNA) in a total vol of 50 µl using random hexamers to prime the reaction (Perkin-Elmer-Cetus, Norwalk, CT) and mouse murine leukemia virus reverse transcriptase (Life Technologies, Inc., Gaithersburg, MD). Control reaction tubes were identical except for the omission of reverse transcriptase in one set and RNA in another set (29).

Primer design
We used the published sequence of the murine GnRH receptor mRNA (30) and our previously published primer sequences to amplify GnRH receptor mRNA (31). Using the published sequence of the homologous genes G{alpha}q and G{alpha}11 (G{alpha}q/11) (32), we have synthesized the following oligonucleotide primers to amplify G{alpha}q/11 mRNA: sense: 5'-GGA GGT CGA TGT GGA GAA GG-3' antisense: 5'-CTG CCC GCC CAC ATC CAC CA-3'. We used commercially available primers for PCR of murine IL-2 receptor and ß-actin (CLONTECH Laboratories, Inc., Palo Alto, CA). These primers also flank intron-exon boundaries.

Competitor construction
Because quantitation is of importance, we used a competitive PCR technique for all genes. We used mimic construction kits (CLONTECH Laboratories, Inc.) to construct nonhomologous DNA fragments flanked by the primer templates for all genes (33). The competitive fragment corresponding to the GnRH receptor is 323 bp in length and is easily distinguishable from the gene product band (198 bp). The fragment corresponding to ß-actin is 344 bp in length and is easily distinguishable from the gene product band (540 bp). The fragment corresponding to the IL-2 receptor is 448 bp in length and is easily distinguishable from the gene product band (700 bp). The fragment corresponding to G{alpha}q/11 is 554 bp in length and is easily distinguishable from the gene product band (605 bp). Primers were used to amplify both the target genes and their corresponding nonhomologous DNA fragments in the same reaction tubes.

Competitor titration
To optimize the working concentration of each competitor, a standard curve was produced by amplifying serial 10-fold dilutions of competitor in the presence of a constant amount of cDNA from a positive sample. The log ratio of target:competitor was plotted against the log of femtomoles of competitor. We have previously demonstrated a linear relationship between the log ratio target:competitor vs. log competitor using our primers for the GnRH receptor (31). A linear relationship was observed between the log ratio of target to competitor in the range of 10-6 fmol to 10-2 fmol for GnRH receptor (r2 = 0.951; slope = -1.34). A linear relationship was observed between the log of the ratio of target to competitor in the range of 102–107 fmol for ß-actin (r2 = 0.974; slope = -0.709). A linear relationship was observed between the log of the ratio of target to competitor in the range of 10-3–10-0 fmol for the IL-2 receptor (r2 = 0.956; slope = 0.609) and from 10-1–104 fmol for G{alpha}q/11 (r2 = 0.971; slope = -1.15). Competitor was added to the samples within these linear ranges.

Amplification efficiency
To establish that the target cDNA and competitor cDNA were amplified at similar efficiencies, the log density of target DNA and competitor cDNA were plotted against cycle number. For each gene, the linear portions of the two curves exhibited very similar slopes, indicating that the amplification efficiencies of the target DNA and competitor DNA were equal, as previously demonstrated for GnRH receptor (31).

PCR
PCR was performed under intermediate stringency, by mixing 5 µl of the cDNA with PCR buffer, 2 mM MgCl2, 0.2 mM deoxynucleotide triphosphates, 2ng/ml sense and antisense primers, 5 U Taq polymerase, 2 µl mimic and 27 µl ribonuclease- and deoxyribonuclease-free H2O in a total vol of 50 µl. For radiolabeled PCR, 0.5 µl 32P labeled deoxycycidine triphosphate was added to the reaction mixture. PCR cycles were programmed as follows: 95 C for 2 min; 1 cycle: 95 C for 1 min, 60 C or 65 C for 1 min; 35 cycles: 72 C for 7 min; 1 cycle: 4 C soak (31).

Electrophoresis
Aliquots (5 µl) of PCR reactions were subjected to electrophoresis through 5% polyacrylamide gels or 1.8% agarose gels. Product and competitor bands were quantitated using densitometry (Molecular Dynamics, Inc., Sunnyvale, CA). Data are expressed as ratio of product:competitor, which correlates linearly with the amount of competitor added for each gene.

Mononuclear cell preparation
Peripheral blood mononuclear cells (PBMC) and splenic mononuclear cells (SMC) were isolated from heparinized blood by centrifugation over Ficoll-Hypaque gradients (Sigma Chemical Co.).

Mononuclear cell subset analysis
Phenotypic analysis of PBMC and SMC was performed by immunofluorescent staining and flow cytometry, as previously described (7). PBMC and SMC were labeled with biotin-conjugated anti-CD25{alpha}, (PharMingen, San Diego, CA) or isotype-matched control antibodies. For flow-cytometric analyses, 0.5–1 x 106 cells were incubated on ice for 30 min with 5 µg/ml monoclonal antibody in 30 µl PBS/1% FCS/0.1% NaN3. Cells were washed twice in cold PBS/FCS/NaN3, and streptavidin phycoerythrin was added in a second incubation in 20 µl PBS with 0.2% NaN3 at 4 C for 20 min. After washing, 10,000 cells were analyzed on an Epics Profile II flow cytometer (Beckman Coulter, Miami, FL). Gates were established on viable cells using forward and side scatter parameters. Only viable cells were analyzed.

Iodination of buserelin
The labeling was carried out for 2 min using 2.5 µg of the peptide buserelin [D-Ser(TBU6)des-Gly10, LHRH-N-ethylamide (Hoeschst AG, Frankfurt, Germany)] in 30 µl 0.5 M sodium phosphate (pH 7.2), 500 µCi carrier-free Na125I, and 600 ng chloramine-T in 10 µl of 0.5 M sodium phosphate (pH 7.2), as previously described in full detail (3, 34). The reaction was stopped by the addition of 1 ml eluant buffer (10 mM Tris-HCl/0.1% BSA 0.1% NaN3, pH 7.6, at 25 C) and immediately layered onto a 1 x 10 cm column of Sephadex G-25 (Sigma Chemical Co.). Specific activity (280–380 µCi/µg) was determined by equating the ED50 value (in µCi) of a saturation curve with ED50 value (in µg) of a displacement curve obtained in the same assay (3).

GnRH receptor binding studies
GnRH receptor assay was carried out as previously described (3), in a total vol of 500 µl, for 90 min at 0–4 C. Assays were performed in triplicate in polypropylene test tubes, presoaked overnight in 1% albumin. The tubes contained 200 µl buffer (40 mM Tris-HCL, 0.1% BSA, pH 7.6), 100 µl [125I] buserelin (~150,000–180,000 cpm), 100 µl unlabeled buserelin (10 µg/tube) or buffer. Bound hormone was separated after washing with 3 ml ice-cold Tris-HCL buffer, pH 7.6, and by centrifugation at 15,000 x g. The supernatants were aspirated, and the radioactivity was contained in the pellet counted in a liquid scintillation counter (Packard Instruments Co., Downers Grove, IL) at 70% efficiency.

Immunoblot analysis
G protein expression was determined by immunoblot analysis, as previously described (35). Membrane proteins were solubilized and resolved by electrophoresis. The resolved proteins were electrophoretically transferred to nitrocellulose membrane (Sigma Chemical Co.). The blots were incubated with primary antibody, rabbit antimouse G{alpha}q/11 (1:1000 dilution, 0.05 µg/ml; Santa Cruz Laboratories, Santa Cruz, CA) for 3 h. Blots were then incubated with secondary antibody conjugated with alkaline phosphatase (1:100 dilution, 0.5 µg/ml) for 2 h. The blots were subsequently washed and then developed by adding the substrate (5-bromo-4-chloro-3-indolyl phosphate, (Sigma Chemical Co.) and incubating overnight at room temperature with gentle shaking.

Statistics
Anti-DNA antibody measurements, serum Ig measurements, and densitometric data were analyzed using a one-way ANOVA and further analyzed by Student’s t test. Those densitometric data that were skewed and hematuria data were analyzed by the nonparametric Kruskal-Wallis one-way ANOVA and further analyzed using the Wilcoxon rank sum test. Graphic data are expressed as mean ± SEM of all experiments.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Anti-DNA antibody levels
Anti-DNA antibody levels are an early marker of disease severity in both the (NZB x NZW) F1 and the (SWR x NZB) F1 models of murine lupus (20, 21, 22). We measured these at 6-week intervals to assess disease severity. Ovariectomized females responded to GnRH agonist with a significant increase in anti-DNA antibody levels, compared with vehicle, at 6 and 12 weeks of treatment (P < 0.05). The effects of GnRH waned over time. In contrast to ovariectomized females, castrated males did not display an increase in anti-DNA antibody levels with exposure to GnRH at any time point (Fig. 1Go).



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Figure 1. Anti-DNA antibody levels in ovariectomized (SWR x NZB) F1 hybrid female and male mice after various weeks of treatment with vehicle or GnRH. Serum anti-DNA antibody levels were measured by a standard enzyme-linked immunosorbent assay technique, as described in Materials and Methods, and were expressed as optical density (OD). Results are mean ± SEM (n = 14–22). *, Significantly higher (P < 0.05) than vehicle.

 
IgG levels
The hallmark of systemic lupus erythematosus is a polyclonal B lymphocyte activation, which is reflected in increased Ig production. Figure 2Go shows total serum IgG levels in females and males after 12 weeks of administration of GnRH or vehicle. Again, GnRH agonist significantly increased disease severity, as evidenced by IgG levels in females. (P < 0.000001 agonist vs. vehicle treatments in females). No effect of GnRH agonist on IgG levels was observed in males. Similar results were observed after 24 weeks of treatment (data not shown).



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Figure 2. Serum IgG levels in gonadectomized (SWR x NZB) F1 hybrid female and male mice after 12 weeks of treatment with GnRH or vehicle. Values are mean ± SEM (n = 9–22 in each group). *, Significantly higher than vehicle treatment (P < 0.000001).

 
Hematuria
In gonadectomized mice, 21.4% of females and 10% of males displayed gross (4+) hematuria after 12 weeks of GnRH agonist administration (P < 0.05). None of the vehicle-treated mice displayed gross hematuria at 12 weeks. Figure 3Go shows the later, more severe hematuria scores in females and males after 30 weeks of administration of GnRH or vehicle. Again, GnRH agonist significantly increased disease severity, as evidenced by hematuria levels in females (P < 0.05 agonist vs. vehicle treatment). No effect of GnRH agonist on IgG levels was observed in males (n = 9–13/group).



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Figure 3. Hematuria scores in gonadectomized (SWR x NZB) F1 hybrid female and male mice after 30 weeks of treatment with GnRH or vehicle. Values are mean ± SEM (n = 9–13 in each group). *, Significantly higher than vehicle treatment (P = 0.030).

 
Hormone levels
Serum gonadal steroid levels were undetectable in gonadectomized mice in both treatment groups after 12 weeks of treatment. Levels were therefore not measured at later time points. No significant alterations in serum PRL levels were seen with administration of these GnRH analogues in castrated males or females.

Expression of GnRH receptor mRNA
The observation that GnRH exacerbated disease in females only led us to the initial speculation that females expressed more GnRH receptor than males. We measured GnRH receptor mRNA, by competitive RT-PCR, after treatment with GnRH or vehicle. GnRH agonist treatment was associated with significantly decreased expression of the GnRH receptor, compared with vehicle, in spleen in females. The effects were evident at the 2-week time point (P < 0.005). GnRH agonist administration exerted no demonstrable effect on expression of the GnRH receptor in males (Fig. 4Go). A similar pattern was observed in the thymus, although the differences were not statistically significantly different. Similar patterns of mRNA expression were observed at the 6-week time point (data not shown).



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Figure 4. GnRH receptor mRNA expression in spleen in gonadectomized (NZB x NZW)F1 hyrid male and female mice treated with vehicle or GnRH for 2 weeks. A, Autoradiograph of a representative experiment using competitive RT-PCR to measure GnRH receptor mRNA in spleen of male and female (NZB x NZW) F1 hybrid mice treated with GnRH or vehicle. ß-actin mRNA expression in the same samples is shown below the GnRH receptor gels. Control lanes are shown with female data. B, Graphic representation of the ratio of target:competitor in spleen with various treatments from all experiments (n = 10–12/group). GnRH significantly decreases the splenic expression of the GnRH receptor mRNA, compared with vehicle, in the spleen in females (P = 0.004). Data were quantitated by densitometry and are expressed as mean ± SEM.

 
GnRH receptor binding
Vehicle-treated females displayed increased maximum receptor binding (Bmax), compared with vehicle-treated males (P < 0.01). GnRH administration was associated with a reduction in Bmax in females (P < 0.05). GnRH administration did not significantly alter binding in males. Table 2Go shows the results of binding studies after 2 weeks of treatment.


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Table 2. GnRH receptor binding in spleen membrane homogenates

 
Expression of IL-2 receptor mRNA
Previous studies in female rats demonstrate that GnRH agonist administration is associated with increased expression of the IL-2 receptor. We therefore measured IL-2 receptor mRNA expression, in an effort to detect gender differences or differences in responsiveness to GnRH. GnRH agonist administration significantly increased expression of IL-2 receptor mRNA, compared with vehicle, in the spleen in ovariectomized females (P < 0.05). This up-regulation occurred at the same time point when GnRH receptor was markedly down-regulated (2 weeks). GnRH agonist administration exerted no demonstrable effect on expression of IL-2 receptor mRNA in males at 2 weeks (Fig. 5Go). Similar results were observed in the thymus [ratio of product:competitor in female vehicle treated vs. female GnRH treated: 0.79 ± 0.04 vs. 1.01 ± 0.06, respectively (P < 0.05)]. GnRH agonist administration did not alter IL-2 receptor mRNA expression in the male thymus (ratio of product:competitor in male vehicle treated 0.74 ± 0.07 vs. male GnRH treated 0.66 ± 0.06.) When amplifying the IL-2 receptor, we noted the presence of weak bands between the target and competitor at high cycle numbers. The source of the faint bands is unknown. If they result from amplification of alternate templates, they should not interfere with coamplification of target and competitor. If they result from heteroduplex formation between target and competitor, they could affect the target:competitor ratio. This did not occur, given that the ratio remained constant throughout multiple cycle numbers.



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Figure 5. IL-2 receptor mRNA expression in spleens of gonadectomized (NZB x NZW) F1 mice treated with vehicle or GnRH for 2 weeks. A, Autoradiograph of a representative experiment measuring IL-2 receptor mRNA, by competitive RT-PCR, in spleen of male and female (NZB x NZW) F1 hybrid mice. Control lanes represent both males and females. See Fig. 4Go for ß-actin mRNA expression in the same samples. B, Graphic representation of the ratio of target:competitor in spleen with various treatments. GnRH increases the splenic expression of IL-2 receptor mRNA, compared with vehicle in the spleen in females (P < 0.05). Data were quantitated by densitometry and are expressed as mean ± SEM (n = 10–12 mice). C, Graphic representation of flow cytometric data showing mean fluorescent intensity in SMC in the four treatment groups. *, Vehicle-treated females display greater fluorescent intensity for IL-2 receptor than vehicle-treated males (P < 0.00005); **, GnRH further increases the splenic expression of IL-2 receptor mRNA, compared with vehicle in the spleen in females (P < 0.05).

 
FACS analysis
Flow cytometric analysis revealed that GnRH administration was associated with increased fluorescent intensity of IL-2R in female SMC after 2 weeks of treatment. No differences were seen between vehicle and GnRH administration in male SMC’s (Fig. 5CGo). Similar results were observed in PBMC: mean fluorescent intensity 1.61 ± 0.09 in female vehicle vs. 2.20 ± 0.15 in female GnRH (P < 0.01). GnRH administration was associated with a decrease in mean fluorescence intensity in male PBMC [mean fluorescent intensity 1.54± 0.11 in male vehicle vs. 1.22 ± 0.07 in male GnRH-treated mice (P < 0.05)].

Expression of G{alpha}q/11 mRNA
The observation that the GnRH receptor was down-regulated in females led us to speculate about postreceptor differences. GnRH is known to work through G proteins. It is known to exert actions through G{alpha}q/11. We measured G{alpha}q/11 mRNA by competitive RT-PCR after administration of GnRH or vehicle. Females expressed significantly more G{alpha}q/11 mRNA than males (P < 0.05). GnRH agonist administration significantly increased expression of the G{alpha}q/11, compared with vehicle, in spleen in females (P < 0.01). GnRH agonist administration exerted no demonstrable effect on expression of the G{alpha}q/11 mRNA in males (Fig. 6Go). The effects were apparent at the 2-week time point. Similar results were observed at the 6-week time point.



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Figure 6. G{alpha}q/11 mRNA expression in spleen in gonadectomized (NZB x NZW) F1 mice treated with vehicle or GnRH for 2 weeks. A, Representative autoradiograph of G{alpha}q/11 mRNA, as measured by competitive RT-PCR. Control lanes represent both males and females. See Fig. 4Go for ß-actin mRNA expression in the same samples. B, Graphic representation of the ratio of target:competitor for all experiments. *, Vehicle-treated females express more G{alpha}q/11 mRNA than vehicle-treated males, in spite of prepubertal gonadectomy (P < 0.05); **, GnRH administration further increases expression of G{alpha}q/11 mRNA, compared with vehicle in the spleen in females (P < 0.01) but not in males. Data were quantitated by densitometry and are expressed as mean ± SEM (n = 10–12/group).

 
Expression of G{alpha}q/11 protein
Immunoblot analysis demonstrated a doublet at 40–41 kDa in the spleens of GnRH-treated females after 2 weeks of treatment, representing G{alpha}q/11 protein. No band was visible in spleens of vehicle-treated males or females. A faint band can be seen in GnRH-treated males. A representative immunoblot is shown in Fig. 7Go.



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Figure 7. Representative immunoblot analysis of G{alpha}q/11 protein expression in spleen in gonadectomized (NZB x NZW)F1 mice treated with vehicle or GnRH for 2 weeks (spleens from three mice pooled in each group). GnRH administration is associated with an increased intensity of the 40/41-kDa band representing G{alpha}q/11, compared with vehicle in females.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
GnRH is one of several hypothalamic and pituitary hormones known to exert immune actions. GnRH mRNA and peptide have been shown to be produced by lymphocytes (5, 6). Thus, GnRH resembles a cytokine. We hypothesized that, as an immunomodulatory agent, GnRH might alter the expression of murine lupus. Our initial central hypothesis was that gender differences in production of GnRH might contribute to gender differences in expression of autoimmune disease. This was based on published observations that estrogens positively regulate GnRH production and that GnRH is immunostimulatory.

Our initial murine studies demonstrated that antagonists to GnRH ameliorated disease severity in (SWR x NZB) F1 hybrid mice, a lupus-prone mouse strain. Results were similar in female mice whether they were intact, gonadectomized, or treated with high-dose estradiol, demonstrating that the effects of GnRH antagonists were independent of estradiol. On the other hand, GnRH agonist administration exacerbated lupus in ovariectomized females (7).

In contrast to our past study using GnRH antagonists, the present study demonstrates that GnRH agonists modulate the severity of murine lupus in a gender-specific fashion. Whereas females respond to GnRH agonist with an exacerbation of lupus, disease severity is unaltered by GnRH administration in males. The results of the present study suggest an additional mechanism for gender differences in expression of autoimmune disease: gender differences in responsiveness to GnRH at the level of the immune system.

Although the present study begins to address the mechanisms for the gender-specific effects of GnRH on murine lupus, we have not attempted to address the importance of gonadotropins. GnRH might act on the immune system directly, by a direct effect on B or T lymphocytes, or indirectly, either by an increase in pituitary gonadotropins or perhaps by an increase in gonadotropin production by immune cells. LH and FSH production and receptor expression by immune cells have been suggested but not confirmed (36, 37). On the other hand, numerous studies have demonstrated the expression of GnRH and GnRH receptor mRNA and protein in immune cells (5, 6, 31, 38, 39). We have previously shown that GnRH mRNA and GnRH receptor mRNA are cyclically expressed in parallel in immune cells during the mouse estrous cycle. This finding lends support for a direct autocrine or paracrine action for GnRH in the immune system (31).

Females display increases in autoantibody and serum IgG levels at the earliest time points tested, reflecting increased disease severity. At the later time points in females, a reduction in anti-DNA antibody levels is seen. This could be attributable to tachyphylaxis to GnRH agonist. GnRH is known to down-regulate its own receptor whenever it is administered in a nonpulsatile fashion (40). A trend toward early mortality was noted in the GnRH-treated females, compared with vehicle-treated females. A negative selection of the most GnRH-responsive females may have contributed to the later waning of autoantibody levels in females.

Our results seem to agree with (and perhaps provide a unifying explanation for) some of the seemingly contradictory reports in the literature relating to the immune actions of GnRH. The numerous studies demonstrating immuno-stimulatory properties of GnRH used immune cells exclusively from females (3, 4, 17). A seemingly contradictory study demonstrated that GnRH exerted immunosuppressive effects on lymphocyte proliferation in vitro (41). The latter study used lymphocytes from healthy male volunteers. Our study suggests that the immune actions of GnRH may be gender specific.

The finding that gender differences existed, even in gonadectomized mice, was surprising, because one would have expected that prepubertal gonadectomy would have eliminated gender differences. One possible explanation for the observed gender differences was that the males and females were incompletely gonadectomized and that estrogens were produced by females in sufficient amounts to worsen disease severity and/or that androgens were produced in sufficient quantities to ameliorate disease. This seems unlikely, given that androgen and estrogen levels were undetectable in all treatment groups including vehicle treatment. Furthermore, necropsies revealed no evidence of gonadal tissue.

Previous studies show that prior exposure to estradiol has a major stimulatory influence on GnRH responsiveness in pituitary cultures (21). A study in adult male volunteers shows that pituitary responsiveness to GnRH analogues was controlled by past exposure to testosterone and not by current levels (42). The current study suggests that past exposure to some factor (or factors) determines the effects of GnRH at the level of the immune system, as well. We have recently demonstrated that splenocytes from female mice respond to GnRH in vitro with an increase in T lymphocyte proliferation, whereas splenocytes from males respond with a suppression (43). Thus, gender differences in GnRH responsiveness persist in lymphocytes, even after removal from the in vivo hormonal milieu. The differences in in vitro T cell proliferation persist, even when long-term gonadectomized mice are used (unpublished observations). Thus, past exposure to some factor or factors induces persistent gender differences in responsiveness to GnRH.

Although the animals in the current study underwent prepubertal gonadectomy, they would have been exposed to gender divergent hormones antenatally. Perhaps differences in in utero hormonal exposure were sufficient to induce long-lasting immunological changes. Recent studies suggest that it is immature thymocytes that are most responsive to the effects of gonadal steroids (44). Prenatal androgen exposure abolishes the responsiveness to GnRH at the level of the pituitary in sheep (45). Prenatal androgens also abolish estrogen responsiveness of GnRH neurons (46). The HPG/Bm mouse model provides additional evidence that prenatal hormonal exposure may be sufficient to induce lasting gender differences in the immune system, as well. This model has a deletional mutation of the GnRH gene (47). Homozygous GnRH-deficient mice do not enter puberty and are infertile. An early study demonstrated gender differences in thymic size between male and female GnRH-deficient HPG/Bm mice, whose only exposure to gender-disparate androgens, estrogens, or GnRH would have been in utero (48).

In our study, GnRH administration was associated with gender-specific alterations in mRNA expression of the GnRH receptor, IL-2 receptor, and G{alpha}q/11 after 2 weeks of treatment. These differences might be attributable to gender differences in response to gonadectomy. We would have had to include sham-operated animals to test this hypothesis. Such experiments would have been complicated by the fact that GnRH and GnRH receptor mRNA levels vary dynamically with the estrous cycle in lymphoid organs in the intact female mouse (31). We have recently demonstrated that the expression of G{alpha}q/11 also varies with the estrous cycle (unpublished observations). At any rate, the purpose of the present study was to compare the GnRH-induced exacerbation of disease between males and females, in the absence of gender disparate gonadal steroids, and to begin to address the mechanisms for the dimorphism observed.

We initially hypothesized that the increased exacerbation of disease by GnRH in females might relate to increased GnRH receptor expression. Exposure to estrogens has been shown to increase the expression of the GnRH receptor, at least at the level of the pituitary. Androgens have been shown to decrease GnRH receptor mRNA and protein. Gender differences were observed. Vehicle-treated females displayed increased GnRH binding capacity, compared with vehicle-treated males. With GnRH administration, however, females demonstrated a reduced expression of GnRH receptor mRNA and decreased GnRH binding. GnRH did not alter GnRH receptor expression in males.

Previous studies have shown that GnRH responsiveness in pituitary cells does not correlate directly with the expression of the GnRH receptor. Authors of those studies have speculated that postreceptor differences may explain these observations (11, 12, 24). Our GnRH receptor expression findings suggested the possibility that gender differences in immune responsiveness to GnRH might relate to postreceptor differences in immune cells. We were able to demonstrate that splenocytes from females expressed more G{alpha}q/11 mRNA than males and that this expression was up-regulated after 2 weeks of exposure to GnRH. Protein studies supported these findings.

Our observations are consistent with the possibility that gender differences in responsiveness to GnRH might contribute to gender differences in the immune system and/or to gender differences in the expression of autoimmune disease. Gender differences in expression of the GnRH receptor or of G{alpha}q/11 might contribute to gender differences in responsiveness to GnRH. These differences may relate to antenatal exposure to estrogens, androgens, and/or GnRH.

Further studies, using knockout models of G{alpha}q, G{alpha}11, and estrogen receptors, as well as the GnRH-deficient HPG/Bm mouse strain, will be invaluable in disentangling evidence questioning which hormonal influences contribute to the gender differences in responsiveness to GnRH. These models will also provide valuable clues in developmental neuro-immunoendocrinology.


    Footnotes
 
1 This study was supported by NIH Grant 1R-29-AR-43152; grants from the Phillip S. Astrowe Trust, the Sarah Morrison Bequest, and the Lupus Foundation of America; and a Children’s Mercy Hospital Clinical Scholar’s Award. Back

Received January 4, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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