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Hum. Reprod. Advance Access originally published online on December 18, 2008
Human Reproduction 2009 24(4):976-981; doi:10.1093/humrep/den458
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© The Author 2008. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Effect of ghrelin on gonadotrophin secretion in women during the menstrual cycle

Christina I. Messini1, Konstantinos Dafopoulos1, Nektarios Chalvatzas1, Panagiotis Georgoulias2 and Ioannis E. Messinis1,3

1 Departments of Obstetrics and Gynaecology, University of Thessalia 41110, Larissa, Greece 2 Nuclear Medicine, Medical School, University of Thessalia, 41110 Larissa, Greece

3 Correspondence address. Tel: +30-2410682795; Fax: +30-2410670096; E-mail: messinis{at}med.uth.gr

BACKGROUND: It has been suggested that ghrelin may affect reproduction in animals by decreasing pituitary LH secretion. The role of ghrelin on LH secretion in women has not been investigated. Our aim was to assess the effect of ghrelin administration on basal and GnRH-induced LH secretion during the menstrual cycle.

METHODS: Normally cycling women (n = 10) received on Day 3 of three consecutive cycles a single bolus i.v. of either ghrelin (1 µg/kg, cycle 1) or GnRH (100 µg, cycle 2) or GnRH plus ghrelin (cycle 3). In cycle 1, ghrelin was also injected in late follicular and mid-luteal phase of the cycle. Saline was injected in a preceding cycle (cycle 1, control). Blood samples were taken before drugs or saline injection (time 0) as well as at –15, 15, 30, 45, 60, 75, 90 and 120 min.

RESULTS: Plasma ghrelin levels increased rapidly, peaking at 15 or 30 min (P < 0.001), then decreased steadily, approaching pre-injection levels at 120 min. Serum FSH, LH, estradiol and progesterone levels remained unchanged. The stimulating effect of GnRH on LH and FSH secretion was unaffected by ghrelin injection. In contrast to saline, ghrelin stimulated a significant increase in growth hormone levels.

CONCLUSIONS: Under these experimental conditions, our results demonstrate for the first time the inability of a bolus of ghrelin to affect basal and GnRH-induced LH and FSH secretion. It is suggested that ghrelin does not play a major physiological role in gonadotrophin secretion in women.

Key words: ghrelin/FSH/LH/GnRH/women

Submitted on September 5, 2008; resubmitted on October 31, 2008; accepted on November 15, 2008.


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