Neuroendocrine effects of progesterone

Steroids. 2000 Oct-Nov;65(10-11):613-20. doi: 10.1016/s0039-128x(00)00187-2.

Abstract

Progesterone (P) is secreted by the corpus luteum under the control of gonadotropin releasing hormone (GnRH)/luteinizing hormone (LH). Progesterone (P) is essential for reproduction because: (1) it induces in the endometrium the transcription of specific genes involved in the implantation of the blastocyst, (2) it modulates GnRH/LH secretion by decreasing GnRH pulse frequency, which in turn enriches the gonadotroph cells in FSH and avoids a second LH surge. Using the ewe as a model, we investigated the immediate GnRH and LH responses to acute changes of circulating P levels. Our results show that P changes cause dramatic modifications in GnRH pulse frequency: P removal induces an acceleration of the pulse generator, while P administration slows the pulse frequency. LH secretion was modified in parallel to the changes in GnRH. Other experiments proved that these neuroendocrine effects of P are mediated by P itself, not by its hydroxylated metabolites, and occur at the level of P receptors. Finally, these effects require priming by estradiol. Additionally, in the final stage of the follicular phase, P plays a role in the triggering of the LH surge. This has been shown in rodents, non-human primates, and in women. Such a phenomenon is not observed in ewes, although in these species luteal P modulates the amplitude of the estradiol-induced LH surge.

Publication types

  • Review

MeSH terms

  • Animals
  • Female
  • Gonadotropin-Releasing Hormone / drug effects
  • Gonadotropin-Releasing Hormone / metabolism
  • Humans
  • Luteinizing Hormone / drug effects
  • Neurosecretory Systems / drug effects*
  • Progesterone / pharmacology*
  • Progesterone / physiology
  • Receptors, GABA-A / physiology

Substances

  • Receptors, GABA-A
  • Gonadotropin-Releasing Hormone
  • Progesterone
  • Luteinizing Hormone