Modulating the RFamide-related peptide- 3/G protein-coupled receptor 147 signaling pathway with nourishing Yin-removing fire herbal mixture to alleviate precocious puberty in female rats: An experimental study

Abstract

Background: Precocious puberty (PP) involves early activation of the hypothalamic gonadotropin-releasing hormone (GnRH) generator. The RFamide-related peptide/G protein-coupled receptor 147 (RFRP3/GPR147) signaling pathway is vital in inhibiting GnRH and delaying puberty onset. The nourishing Yin-removing fire (NYRF) herbal mixture has shown promising results in treating PP.


Objective: This study aimed to assess the impact of the NYRF herbal mixture on the RFRP3/GPR147 signaling pathway in the hypothalamus and its potential in alleviating PP in female rats.


Materials and Methods: In a controlled experiment, 24 female Sprague-Dawley rats (means ± SD weight = 11.20 ± 0.69 gr and age = postnatal day [PD5]) were divided into normal, model, normal saline, and NYRF groups (n = 6/each). PP was induced in the model, normal saline, and NYRF groups by subcutaneous injection of danazol at PD5. The NYRF herbal mixture or normal saline was administered from PD15. Serum sex hormone levels and hypothalamic samples were collected for mRNA and protein expression at PD30.


Results: In the model group, hypothalamic GnRH and kisspeptin levels increased, while RFRP3 and GPR147 levels decreased, luteinizing hormone levels elevated, reproductive organ coefficients increased, and the vagina opened earlier compared to the normal group. Conversely, the NYRF group exhibited lower GnRH and kisspeptin levels but higher RFRP3 levels in the hypothalamus. Serum luteinizing hormone levels were reduced, reproductive organ coefficients were reduced, and the vaginal opening was delayed compared to the model and normal saline groups.


Conclusion: The NYRF herbal mixture delayed sexual development in rats with PP by hypothalamic upregulating RFRP3 and downregulating GnRH and kisspeptin.


Key words: Nourishing Yin-removing fire, RFamide-related peptide-3, G proteincoupled receptor 147, Hypothalamus, Puberty, Precocious. 

References
[1] Bradley SH, Lawrence N, Steele C, Mohamed Z. Precocious puberty. BMJ 2020; 368: l6597.

[2] Liu Y, Yu T, Li X, Pan D, Lai X, Chen Y, et al. Prevalence of precocious puberty among Chinese children: A school population-based study. Endocrine 2021; 72: 573–581.

[3] Naule L, Maione L, Kaiser UB. Puberty, a sensitive window of hypothalamic development and plasticity. Endocrinology 2021; 162: bqaa209.

[4] Plant TM, Steiner RA. The fifty years following the discovery of gonadotropin-releasing hormone. J Neuroendocrinol 2022; 34: e13141.

[5] Xie Q, Kang Y, Zhang C, Xie Y, Wang C, Liu J, et al. The role of kisspeptin in the control of the hypothalamic-pituitarygonadal axis and reproduction. Front Endocrinol 2022; 13: 925206.

[6] Singh P, Anjum S, Srivastava RK, Tsutsui K, Krishna A. Central and peripheral neuropeptide RFRP-3: A bridge linking reproduction, nutrition, and stress response. Front Neuroendocrinol 2022; 65: 100979.

[7] Tsutsui K, Ubuka T. Discovery of gonadotropin-inhibitory hormone (GnIH), progress in GnIH research on reproductive physiology and behavior and perspective of GnIH research on neuroendocrine regulation of reproduction. Mol Cell Endocrinol 2020; 514: 110914.

[8] Tsutsui K, Ubuka T. Gonadotropin-inhibitory hormone (GnIH): A new key neurohormone controlling reproductive physiology and behavior. Front Neuroendocrinol 2021; 61: 100900.

[9] Wang H, Khoradmehr A, Jalali M, Salehi MS, Tsutsui K, Jafarzadeh Shirazi MR, et al. The roles of RFamide-related peptides (RFRPs), mammalian gonadotropin-inhibitory hormone (GnIH) orthologues in female reproduction. Iran J Basic Med Sci 2018; 21: 1210–1220.

[10] Mohapatra SS, Mukherjee J, Banerjee D, Das PK, Ghosh PR, Das K. RFamide peptides, the novel regulators of mammalian HPG axis: A review. Vet World 2021; 14: 1867– 1873.

[11] Han X, He Y, Zeng G, Wang Y, Sun W, Liu J, et al. Intracerebroventricular injection of RFRP-3 delays puberty onset and stimulates growth hormone secretion in female rats. Reprod Biol Endocrinol 2017; 15: 35.

[12] Yu C-H, Liu P-H, Van Y-H, Lien AS-Y, Huang T-P, Yen HR. Traditional Chinese medicine for idiopathic precocious puberty: A hospital-based retrospective observational study. Complement Ther Med 2014; 22: 258–265.

[13] Sun W, Han X, Wang Y, Yu J, Yan W, Zhao J, et al. Effectiveness of Ziyin Xiehuo granules and Zishen Qinggan granules on partial precocious puberty in girls: A multicenter, randomized, single-blind, controlled trial. J Tradit Chin Med 2018; 38: 740–745.

[14] Huang R, Zeng G-Z, Huang H-Y, Wang Y-H, Yu J. [Further exploration on the essence of yin deficiency caused fire hyperactivity syndrome in precocious puberty children patients]. Zhongguo Zhong Xi Yi Jie He Za Zhi 2016; 36: 879–881. (In Chinese)

[15] Zeng G, Han X, Yu J, Wang Y, Tian Z. Effect of nourishing “yin” removing “fire” Chinese herbal mixture on hypothalamic mammalian target of rapamycin expression during onset of puberty in female rats. Evid Based Complement Alternat Med 2015; 2015: 157846.

[16] He Y, Han X, Sun W, Yu J, Tamadon A. Precocious puberty and the Lin28/Let7 pathway: The therapeutic effect of the nourishing “Yin” and purging “Fire” traditional Chinese medicine mixture in a rat model. Evid Based Complement Alternat Med 2018; 2018: 4868045.

[17] Wang S, Zhu L, Yu J, Tian Z. Effect of nourishing “Yin”- removing “Fire” Chinese herbal mixture on hypothalamic NKB/NK3R expression in female precocious rats. Evid Based Complement Alternat Med 2014; 2014: 217424.

[18] Bai G-L, Hu K-L, Huan Y, Wang X, Lei L, Zhang M, et al. The traditional Chinese medicine fuyou formula alleviates precocious puberty by inhibiting GPR54/GnRH in the hypothalamus. Front Pharmacol 2021; 11: 596525.

[19] Auta T, Hassan AT. Alteration in oestrus cycle and implantation in Mus musculus administered aqueous wood ash extract of Azadirachta indica (neem). Asian Pac J Reprod 2016; 5: 188–192.

[20] Laferriere CA, Pang DS. Review of intraperitoneal injection of sodium pentobarbital as a method of euthanasia in laboratory rodents. J Am Assoc Lab Anim Sci 2020; 59: 254–263.

[21] Guarneri AM, Kamboj MK. Physiology of pubertal development in females. Pediatr Med 2019; 2: 42–49.

[22] Wahab F, Atika B, Ullah F, Shahab M, Behr R. Metabolic impact on the hypothalamic kisspeptin-Kiss1r signaling pathway. Front Endocrinol 2018; 9: 123.

[23] Han X-X, Zhao F-Y, Gu K-R, Wang G-P, Zhang J, Tao R, et al. Development of precocious puberty in children: Surmised medicinal plant treatment. Biomed Pharmacother 2022; 156: 113907.

[24] Livadas S, Chrousos GP. Control of the onset of puberty. Curr Opin Pediatr 2016; 28: 551–558.

[25] Tsutsui K, Ubuka T, Ukena K. Advancing reproductive neuroendocrinology through research on the regulation of GnIH and on its diverse actions on reproductive physiology and behavior. Front Neuroendocrinol 2022; 64: 100955.

[26] Sun W, Li S, Tian Zh, Shi Y, Yu J, Sun Y, et al. Dynamic changes of RFRP3/GPR147 in the precocious puberty model female rats. Curr Mol Med 2019; 19: 766–775.

[27] Uenoyama Y, Inoue N, Nakamura S, Tsukamura H. Kisspeptin neurons and estrogen–estrogen receptor a signaling: Unraveling the mystery of steroid feedback system regulating mammalian reproduction. Int J Mol Sci 2021; 22: 9229.

[28] Maione L, Bouvattier C, Kaiser UB. Central precocious puberty: Recent advances in understanding the aetiology and in the clinical approach. Clin Endocrinol 2021; 95: 542–555.

[29] Stein AD, Lundeen EA, Martorell R, Suchdev PS, Mehta NK, Richter LM, et al. Pubertal development and prepubertal height and weight jointly predict young adult height and body mass index in a prospective study in South Africa. J Nutr 2016; 146: 1394–1401.