Persistence of Sleep-Associated Decrease in GnRH Pulse Frequency in the Absence of Gonadal Steroids

Context: There is dramatic slowing of GnRH pulse frequency during sleep in the early follicular phase of the menstrual cycle, but it is unknown whether this represents a primary effect of sleep or is dependent upon the sex steroid environment. Objectives: Our objective was to determine 1) whether sl...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2011-08, Vol.96 (8), p.2590-2595
Hauptverfasser: Shaw, Natalie D, Gill, Sabrina, Lavoie, Helene B, Marsh, Erica E, Hall, Janet E
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container_end_page 2595
container_issue 8
container_start_page 2590
container_title The journal of clinical endocrinology and metabolism
container_volume 96
creator Shaw, Natalie D
Gill, Sabrina
Lavoie, Helene B
Marsh, Erica E
Hall, Janet E
description Context: There is dramatic slowing of GnRH pulse frequency during sleep in the early follicular phase of the menstrual cycle, but it is unknown whether this represents a primary effect of sleep or is dependent upon the sex steroid environment. Objectives: Our objective was to determine 1) whether sleep affects GnRH pulse frequency in postmenopausal women (PMW) in whom gonadal hormones are low and 2) whether this relationship changes with aging. Design and Setting: Studies were performed in the Clinical Research Center of an academic medical center. Subjects: Subjects included healthy PMW, 45–55 (n = 8) and 70–80 (n = 6) years old. Interventions: Subjects were studied during one night of polysomnographic-recorded sleep and one night of monitored wake during which blood was sampled every 5 min for 8 h. Main Outcome Measures: Pulsatile secretion of free α-subunit (FAS), a marker of GnRH secretion, was assessed. Results: There were no differences in sleep macroarchitecture or sleep efficiency [75 ± 12% (mean ± sd)] between older and younger PMW. The FAS interpulse interval was longer during sleep than nighttime wake in all women (60.5 ± 4.3 vs. 52.0 ± 2.8 min, P = 0.03) with a similar effect in the two groups. FAS pulse amplitude did not differ between sleep and wake periods (474.8 ± 36.7 vs. 478.2 ± 36.5 ng/liter, P = 0.9). Conclusions: Sleep is associated with a significant decline in GnRH pulse frequency in both older and younger PMW. Its persistence in PMW reinforces the important connection between sleep and GnRH secretion.
doi_str_mv 10.1210/jc.2011-1188
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Objectives: Our objective was to determine 1) whether sleep affects GnRH pulse frequency in postmenopausal women (PMW) in whom gonadal hormones are low and 2) whether this relationship changes with aging. Design and Setting: Studies were performed in the Clinical Research Center of an academic medical center. Subjects: Subjects included healthy PMW, 45–55 (n = 8) and 70–80 (n = 6) years old. Interventions: Subjects were studied during one night of polysomnographic-recorded sleep and one night of monitored wake during which blood was sampled every 5 min for 8 h. Main Outcome Measures: Pulsatile secretion of free α-subunit (FAS), a marker of GnRH secretion, was assessed. Results: There were no differences in sleep macroarchitecture or sleep efficiency [75 ± 12% (mean ± sd)] between older and younger PMW. The FAS interpulse interval was longer during sleep than nighttime wake in all women (60.5 ± 4.3 vs. 52.0 ± 2.8 min, P = 0.03) with a similar effect in the two groups. FAS pulse amplitude did not differ between sleep and wake periods (474.8 ± 36.7 vs. 478.2 ± 36.5 ng/liter, P = 0.9). Conclusions: Sleep is associated with a significant decline in GnRH pulse frequency in both older and younger PMW. Its persistence in PMW reinforces the important connection between sleep and GnRH secretion.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Biological and medical sciences</subject><subject>Circadian Rhythm - physiology</subject><subject>Endocrine Research</subject><subject>Endocrinopathies</subject><subject>Estradiol - blood</subject><subject>Estradiol - deficiency</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Follicular Phase - physiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gonadal Steroid Hormones - blood</subject><subject>Gonadotropin-Releasing Hormone - blood</subject><subject>Gonadotropin-Releasing Hormone - metabolism</subject><subject>Humans</subject><subject>Luteinizing Hormone - blood</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postmenopause - physiology</subject><subject>Progesterone - blood</subject><subject>Progesterone - deficiency</subject><subject>Sleep - physiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkdFrFDEQxoMo9qy--Sz7Ir64NZPNJrsvwlHtVShYrIJvITc7sTn2kjPZFfrfm-OuVcGnMMlvvm8yH2MvgZ-BAP5ug2eCA9QAXfeILaCXba2h14_ZgnMBda_F9xP2LOcN5yBl2zxlJwKUVI3qFwyvKWWfJwpIVXTVzUi0q5c5R_R2oqH6QJjIZqp8qFbhy2V1PY-lukj0cy5Nd_v76Zaq5Trfa6xisIMdq5uJUvRDfs6eOFuaXhzPU_bt4uPX88v66vPq0_nyqkbZ6ql2jrhwLTWWrNBSO9VrzQWSQmuFdOseJapOqjUqEigAFFAjWqta2ffSNafs_UF3N6-3NCCFKdnR7JLf2nRnovXm35fgb82P-Ms0IJXuuyLw5iiQYvldnszWZ6RxtIHinE3XgdSiUVDItwcSU8w5kXtwAW72sZgNmn0sZh9LwV_9PdkDfJ9DAV4fAZvRji7ZgD7_4aQUreaycM2BozBETD7QLlHOZhPnFMpu_2__GwGTp28</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Shaw, Natalie D</creator><creator>Gill, Sabrina</creator><creator>Lavoie, Helene B</creator><creator>Marsh, Erica E</creator><creator>Hall, Janet E</creator><general>Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110801</creationdate><title>Persistence of Sleep-Associated Decrease in GnRH Pulse Frequency in the Absence of Gonadal Steroids</title><author>Shaw, Natalie D ; Gill, Sabrina ; Lavoie, Helene B ; Marsh, Erica E ; Hall, Janet E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-ffe02f5e3aea2747f697702ce6caa24fb9c4c6846bc6e2c21161e325a654994f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Biological and medical sciences</topic><topic>Circadian Rhythm - physiology</topic><topic>Endocrine Research</topic><topic>Endocrinopathies</topic><topic>Estradiol - blood</topic><topic>Estradiol - deficiency</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Follicle Stimulating Hormone - blood</topic><topic>Follicular Phase - physiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gonadal Steroid Hormones - blood</topic><topic>Gonadotropin-Releasing Hormone - blood</topic><topic>Gonadotropin-Releasing Hormone - metabolism</topic><topic>Humans</topic><topic>Luteinizing Hormone - blood</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postmenopause - physiology</topic><topic>Progesterone - blood</topic><topic>Progesterone - deficiency</topic><topic>Sleep - physiology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shaw, Natalie D</creatorcontrib><creatorcontrib>Gill, Sabrina</creatorcontrib><creatorcontrib>Lavoie, Helene B</creatorcontrib><creatorcontrib>Marsh, Erica E</creatorcontrib><creatorcontrib>Hall, Janet E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shaw, Natalie D</au><au>Gill, Sabrina</au><au>Lavoie, Helene B</au><au>Marsh, Erica E</au><au>Hall, Janet E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistence of Sleep-Associated Decrease in GnRH Pulse Frequency in the Absence of Gonadal Steroids</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>96</volume><issue>8</issue><spage>2590</spage><epage>2595</epage><pages>2590-2595</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Context: There is dramatic slowing of GnRH pulse frequency during sleep in the early follicular phase of the menstrual cycle, but it is unknown whether this represents a primary effect of sleep or is dependent upon the sex steroid environment. Objectives: Our objective was to determine 1) whether sleep affects GnRH pulse frequency in postmenopausal women (PMW) in whom gonadal hormones are low and 2) whether this relationship changes with aging. Design and Setting: Studies were performed in the Clinical Research Center of an academic medical center. Subjects: Subjects included healthy PMW, 45–55 (n = 8) and 70–80 (n = 6) years old. Interventions: Subjects were studied during one night of polysomnographic-recorded sleep and one night of monitored wake during which blood was sampled every 5 min for 8 h. Main Outcome Measures: Pulsatile secretion of free α-subunit (FAS), a marker of GnRH secretion, was assessed. Results: There were no differences in sleep macroarchitecture or sleep efficiency [75 ± 12% (mean ± sd)] between older and younger PMW. The FAS interpulse interval was longer during sleep than nighttime wake in all women (60.5 ± 4.3 vs. 52.0 ± 2.8 min, P = 0.03) with a similar effect in the two groups. FAS pulse amplitude did not differ between sleep and wake periods (474.8 ± 36.7 vs. 478.2 ± 36.5 ng/liter, P = 0.9). Conclusions: Sleep is associated with a significant decline in GnRH pulse frequency in both older and younger PMW. Its persistence in PMW reinforces the important connection between sleep and GnRH secretion.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>21646369</pmid><doi>10.1210/jc.2011-1188</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Journals@Ovid Complete
subjects Aged
Aged, 80 and over
Aging - physiology
Biological and medical sciences
Circadian Rhythm - physiology
Endocrine Research
Endocrinopathies
Estradiol - blood
Estradiol - deficiency
Feeding. Feeding behavior
Female
Follicle Stimulating Hormone - blood
Follicular Phase - physiology
Fundamental and applied biological sciences. Psychology
Gonadal Steroid Hormones - blood
Gonadotropin-Releasing Hormone - blood
Gonadotropin-Releasing Hormone - metabolism
Humans
Luteinizing Hormone - blood
Medical sciences
Middle Aged
Postmenopause - physiology
Progesterone - blood
Progesterone - deficiency
Sleep - physiology
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
title Persistence of Sleep-Associated Decrease in GnRH Pulse Frequency in the Absence of Gonadal Steroids
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