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The potential regulatory mechanisms of the gonadotropin-releasing hormone in gonadotropin transcriptions identified with bioinformatics analyses
Reproductive Biology and Endocrinology volume 15, Article number: 46 (2017)
The regulation of gonadotropin synthesis and release by gonadotropinreleasing hormone (GnRH) plays an essential role in the neuroendocrine control of reproduction. However, the mechanisms underlying gonadotropin regulation by GnRH pulse frequency and amplitude are still ambiguous. This study aimed to explore the molecular mechanisms and biological pathways associated with gonadotropin synthesis by GnRH pulse frequencies and amplitudes.
Using GSE63251 datasets downloaded from the Gene Expression Omnibus (GEO), differentially expressed genes (DEGs) were screened by comparing the RNA expression from the GnRH pulse group, the GnRH tonic group and the control group. Pathway enrichment analyses of DEGs was performed, followed by protein-protein interaction (PPI) network construction. Furthermore, sub-network modules were constructed by ClusterONE and GO function and pathways analysed by DAVID. In addition, the relationship between the metabolic pathways and the GnRH pathway was verified in vitro.
In total, 531 common DEGs were identified in GnRH groups, including 290 up-regulated and 241 down-regulated genes. DEGs predominantly enriched in 16 Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways, including 11 up-regulated pathways (signallingsignallingmetabolic pathways, signallingand GnRH signalling pathway) and 5 down-regulated pathways (type II diabetes mellitus). Moreover, FBJ osteosarcoma oncogene (FOS) and jun proto-oncogene (JUN) had higher connectivity degrees in the PPI network. Three modules in the PPI were identified with ClusterONE. The genes in module 1 were significantly enriched in five pathways, including signallingthe insulin resistance and GnRH signalling pathway. The genes in modules 2 and 3 were mainly enriched in metabolic pathways and steroid hormone biosynthesis, respectively. Finally, knockdown leptin receptor (LEPR) and insulin receptor (INSR) reversed the GnRH-modulated metabolic related-gene expression.
The present study revealed the involvement of GnRH in the regulation of gonadotropin biosynthesis and metabolism in the maintenance of reproduction, achieved by bioinformatics analyses. This, indicates that the GnRH signalling pathway played a central linkings role in reproductive function and metabolic balance. In addition, the present study identified the difference response between GnRH pulse and GnRH tone, indicated that abnormal GnRH pulse and amplitude may cause disease, which may provide an improved understanding of the GnRH pathway and a new insight for disease diagnosis and treatment.
The hypothalamic-pituitary-gonadal (HPG) axis governs almost all mammalian reproduction events, from foetal development, through puberty to sexual maturity . Regulation of the reproductive system is initiated by an array of external and internal inputs, such as photoperiod, metabolic products and nutrients, growth factors, stress, infection and inflammation, as well as many central and peripheral growth factors and hormones. These inputs are integrated in the brain and hypothalamus to regulate the biosynthesis and secretion of gonadotropinreleasing hormone GnRH . GnRH, a hypothalamic decapeptide, is well known to be4 a crucial factor in normal gonadal development and function [3, 4]. Starting at the onset of puberty, GnRH is released in pulses from axon terminals at the median eminence into the hypothalamic-hypophyseal portal system and then acts on gonadotrophins in the anterior pituitary gland, which express the GnRH receptor. Upon receptor binding, GnRH signalling regulates both the production and release of gonadotrophins, luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which in turn act on their respective receptors in the gonads to stimulate steroid hormone release into the bloodstream [5,6,7]. LH and FSH then act on the ovary and testis to stimulate the production of gametes, and steroid and peptide hormones . These hormones positively and negatively feedback at the hypothalamus and pituitary level, thus regulating the reproductive hormone cascade . Therefore, understanding the molecular mechanisms involved in the response of gonadotropins to GnRH may help discover new therapeutic targets for reproductive disorders and hormone-dependent malignancies.
GnRH is released intermittently pulses, and changes in GnRH pulse frequencies and amplitudes have differential effects on FSH and LH synthesis and release [9,10,11]. High GnRH pulse frequencies preferentially stimulate LH synthesis and secretion, whereas FSH synthesis and secretion are preferentially stimulated at lower frequencies. Studies using rodent models have demonstrated that FSHβ gene expression is optimally stimulated by GnRH pulses every 120 min, whereas LHβ gene expression is higher at shorter pulse intervals, every 30 min [10, 12]. The pulsatile manner by which GnRH is released serves as a primary mechanism by which the synthesis and secretion of FSH and LH from the gonadotropes are controlled. Changes in the pulse frequency and amplitude of GnRH release result in differential FSH and LH synthesis and secretion, contributing to regulating the female menstrual cycle [9, 11]. However, the mechanistic basis for the ability of gonadotropes to distinguish pulse frequency and amplitude are still ambiguous, and the majority of studies of GnRH signaling are performed in static culture using tonic treatment of GnRH. Therefore, a better understanding of the cellular decoding of the pulsatile GnRH signal is essential to elucidate the mechanisms that lead to GnRH pulse frequency dependent differential stimulation of synthesis and secretion of FSH and LH.
The function of GnRH neurons is controlled and modulated by a wide range of neuronal systems within the brain, which transmit feedback signals of sex steroids and mediate the response to stress, metabolic status and season [13,14,15]. Previous studies have recently provided a better understanding of how GnRH synthesis and secretion is controlled by modulatory neuronal systems in the brain. To a large extent, this is due to the recognition of the roles played by kisspeptin and gonadotropin inhibitory hormone (GnIH) . A large number of studies have documented that metabolic status, season, and stress were able to modulate the function of GnRH neurons , thereby affecting reproduction. However, there is no evidence to indicate how GnRH neurons modulate the metabolic status, season, and stress, or how the GnRH signalling pathway interacts with other related pathways. Therefore, an improved understanding of the molecular mechanism of GnRH on metabolic status is required to develop more specifically therapeutic approaches for metabolic disease.
The availability of online databases and computer algorithms makes it possible to investigate the complex mechanisms of pathways. Recently, gene expression profile data associated with the gonadotropin subunit genes have been studied by many researchers. However, the detailed mechanism, associated with the gonadotropin response to GnRH, has not been studied further in a bioinformatics framework. In the present study, the signalling mechanisms of gonadotropin responses to GnRH were explored via a bioinformatics approach using the microarray data GSE63251signalling. Differentially expressed genes (DEGs) were firstly identified between cells with and without GnRH, followed by pathway enrichment analysis and construction of protein–protein interaction networks (PPI). Furthermore, the Gene Ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses of the most remarkable module were performed using the Database for Annotation, Visualization and Integrated Discovery (DAVID) software. To our knowledge, this is the first report in which GnRH have been studied in the context of network biology. In addition, on the basis of networks, we proposed the hypothesis that GnRH was able to modulate the metabolic state, via the related membrane receptor, which was verified in the current study. The findings of this study may provide a systematic perspective to understand underlying mechanisms and a new insight of the GnRH role in gonadotropin subunit gene transcriptions and metabolic balance.
Affymetrix microarray data
The microarray data of GSE63251, contributed by Lawson et al. , were downloaded from the Gene Expression Omnibus (GEO) (http://www.ncbi.nlm.nih.gov/geo/) database at the National Center for Biotechnology Information (NCBI), which is currently the largest fully public gene expression resource . The microarray data GSE63251 contains 20 samples, including two samples of un-stimulated, four samples of tonic GnRH, and fourteen different GnRH dose and pulse frequencies. Only six only samples of these were analysed in the present study, including two samples of un-stimulated, two samples of perfusion tonic 100 nM GnRH and two samples of perfusion 8 pulses 100 nM GnRH based on the platform of GPL81 [MG_U74Av2] Affymetrix Murine Genome U74A Version 2 Array.
Data preprocessing and differential expression analysis
Background correction and quartile data normalization was performed on the original array data . The DEGs (DEG1) of GnRH pulse and the DEGs (DEG2) of GnRH tonic were respectively analysed with respect to the control group. Multiple testing was corrected using the Benjamini–Hochberg  procedure to obtain the adjusted P-value. Fold changes (FCs) in the expression of individual genes were calculated and DEGs with P < 0.05 and |log FC| >1 were considered to be significant. DEG1 and DEG2 were then combined and the pooled dataset was referred to as the overlapping DEGs.
Functional and pathway enrichment analysis
The Kyoto Encyclopedia of Genes and Genomes (KEGG)  knowledge database is a collection of online databases dealing with genomes, enzymatic pathways, and biological chemicals. The Database for Annotation, Visualization and Integrated Discovery (DAVID) , has been developed as a comprehensive set of functional annotation tools for relating functional terms with gene lists using a clustering algorithm. The Gene Ontology database provides functional unification of large-scale genomic or transcriptomic data, which mainly includes three categories, including biological processes (BP), molecular functions (MF), and cellular components (CC). KEGG pathways of the overlapping DEGs were analysed with a criterion of P < 0.05 using DAVID 6.7.
PPI network construction and module selection
The Search Tool for the Retrieval of Interacting Genes (STRING, version 9.1, http://www.string-db.org/)  is a web resource and biological database that includes comprehensively predicted and known interaction information. In our study, the overlapping DEGs with a confidence score of >0.4 were selected to construct the PPI network using Cytoscape software (version 3.0; http://cytoscape.org/) . Given that most of the networks were scale-free, the hub genes were then selected with a connectivity degree of >10. Then, a biological network was created between the GnRH signalling pathway and other related pathways by hub genes. In addition, based on the degree of connectivity, the enriched functional modules of the PPI network were disclosed using the ClusterONE Cytoscape plug-in [25, 26]. The significance threshold was P < 1 × 10−4. Furthermore, the GO and KEGG pathway enrichment analyses of the DEGs in the significant modules were performed using DAVID to analyse the gene function at the molecular level.
LβT2 cells, a gift from Dr. Pamela Mellon (University of California, San Diego) were maintained in high-glucose DMEM (Mediatech, Inc), supplementedwith 10%foetal bovine serum (FBS) (Gibico), 100 U of penicillin/mL, and 100 μg of streptomycin sulphate/mL (Thermo Fisher Scientific, Inc) in 5% CO2 humidified air at 37 °C .
Verifying the mechanisms of metabolic pathways in response to GnRH in vitro
Mouse GnRH-10 was synthesized by Shanghai Apeptide Co Ltd. The interferencethe vectors for LEPR and INSR were constructed. The sequences that express short hairpin RNA (shRNA) targeted to gene mRNA sequences were cloned in a p-SUPER vector (the Sigma-Aldrich) (http://www.sigmaaldrich.com/china-mainland.html) according to manufacturer’s instructions.
LβT-2 cells were cultured at a in a concentration of 1 × 105 viable cells/ml culture medium, in 12-well plates at 37 °C and 5% CO2. After 24 h, the medium was replaced with RPMI only, and then 1.5 μg of empty pSUPER(with a negative control), LEPR-shRNA or INSR-shRNA vectors were transfected using Lipofectamine 2000. Approximately 8 h after transfection, the cells were serum starved for 8 h and later stimulated with GnRH for 24 h, and then total RNA was extracted using TRIzol reagent.
Reverse transcription quantitative real-time PCR (RT-qPCR)
RNA was extracted using TRIzol reagent (TaKaRa), and 1 μg of total RNA was reverse transcribed into first-strand cDNA with a mix of oligo-dT and random primers using the Quantitect Reverse Transcription Kit (TaKaRa). RT-qPCR was performed on an Applied Biosystems 7500 Real-Time PCR System using SYBR green. Standard curves, generated from at least three dilution series of an abundant sample, were used for the relative quantification of related genes and β-actin (the same sample was used to generate standard curves for these genes). The expression levels of genes were normalized by dividing by β-actin mRNA expression levels (primers are shown in Table 1). Dissociation curve analysis was also performed for each gene at the end of PCR. Each amplicon generated a single peak. PCR cycling conditions were as follows: initial denaturation and enzyme activation at 95 °C for 30 s, followed by 40 cycles of denaturation at 95 °C for 5 s, and annealing at 60 °C for 30 s.
All statistical analysis was performed using Graphpad Prism software. Data were analysed using unpaired Student’s t-test or one-way ANOVA and Tukey’s post-hoc test. Data are presented as means ± SEM of at least three independent experiments and P < 0.05 was considered statistically significant.
Identification of DEGs
The neuropeptide hormone GnRH is a hypothalamic peptide essential for normal mammalian reproductive function. Gonadotropin synthesis and release is dependent upon pulsatile stimulation by the hypothalamic neuropeptide GnRH. However, the role of GnRH pulse frequency was not examined in depth. This study investigated the gene profiles that responded to GnRH. Using bioinformatics approaches, a total of 1177 DEGs between perfusion tonic 100 nM GnRH and control group with |logFC| > 1 and P < 0.05 were identified, including 507 up-regulated genes such as jun proto-oncogene (JUN), and activating transcription factor 4 (ATF 4) and 670 down-regulated DEGs, such as insulin receptor substrate 1 (IRS 1). In addition, a total of 403 up-regulated (such as activating transcription factor 3) and 447 down-regulated (such as inositol 1,4,5-trisphosphate receptor 2) DEGs were identified between the GnRH pulses group and control group. The schematic Venn diagram of differentially expressed genes is shown in Fig. 1.
Pathway enrichment analysis
To gain further understanding of the potential functional roles of the DEGs in GnRH treatment, this study performed a KEGG pathways analysis and set P < 0.05 as the cut-off value. The results are shown in Table 2. According to the results, up-regulated genes were primarily enriched in pathways associated with MAPK signalling pathway, p53 signalling pathway, metabolic pathways, adipocytokine signalling pathway and GnRH signalling pathway (Table 2). Down-regulated genes were primarily enriched in pathways associated with oocyte meiosis, progesterone-mediated oocyte maturation and type II diabetes mellitus (Table 2). However, the mechanisms of how gonadotropes are affected by GnRH pulse frequency and amplitude is not understood. Therefore, this study was concerned with the differences in gene expression in GnRH pulse and GnRH tonic, and mainly focused on the changes that occurred inGnRH pulse, as these were likely occurred in vivo. Then KEGG pathways analysis showed that DEGs unique to the GnRH pulse group were DEGs mainly enriched in dilated cardiomyopathy, hypertrophic cardiomyopathy, Alzheimer’s disease and porphyrin and chlorophyll metabolism, which were associate with disease (Table 3).
PPI network construction and hub gene identification
Considering that proteins rarely function alone, it is necessary to study the protein–protein interactions. Therefore, protein-protein interactions were constructed in the present study, which helped to understand functions of proteins at the molecule level and explore cell regulatory mechanisms. Based on the STRING database, the PPI network of overlapping DEGs contained 334 nodes and 989 edges network were gained with the combined score > 0.4 using Cytoscape (Fig. 2). Proteins with a very high degree of connectivity are commonly called “hubs”, and they may play a central regulatory role in the physiological process. Then, the hub genes or proteins in the networks with a connectivity degree of >10 were identified (Table 4, top10). A total of 53 hub genes were selected from the PPI network, which included FBJ osteosarcoma oncogene (FOS), jun proto-oncogene (JUN), mitogen-activated protein kinase 1 (MAPK 1), epidermal growth factor receptor (EGFR), and activating transcription factor 3 (ATF 3). In addition, the result of pathway enrichment showed that common DEGs were mainly enriched in seventeen pathways, but how these signalling pathways interplay with the GnRH signalling pathway are still ambiguous. Since hub genes play a crucial role in many process, we proposed the hypothesis that these signalling pathways interplayed with GnRH signalling pathway mainly through hub genes. Based on this, we created a biological network to analyse the interaction between the signalling pathways through hub genes using Cytoscape tool (Fig. 3). In fact, the biological network showed that these signalling pathways were directly or indirectly linked to each other through hub genes; for example, GnRH signalling pathways may regulate INS1 release and type II diabetes mellitus via the MKPA signalling pathway.
Functional module analysis
In order to explore the functions of the networks modules, we implemented cluster analysis. As shown in Fig. 4, a total of three significant modules with P < 1 × 10−4were identified using the ClusterONE plug-in of Cytoscape. Module 1 had 99 nodes and 460 edges, module 2 had 24 nodes and 29 edges and module 3 had 20 nodes and 21 edges. KEGG enrichment in the sub-network is presented in Table 5. The FoxO signalling pathway, MAPK signalling pathway, insulin resistance and GnRH signalling pathway were the predominant pathways enriched by the DEGs of module 1. The pathways enriched in module 2 were the glycolysis/gluconeogenesis, biosynthesis of antibiotics and metabolic pathways. Module 3 was mainly enriched in steroid hormone biosynthesis and ovarian steroidogenesis pathways. GO enrichment analysis was also performed and is presented in Fig. 5. The DEGs in module 1 were significantly enriched in biological processes, such as the regulation of transcription from RNA polymerase II promoter, response to drugs. signallingDEGs in module 2 were mainly enriched in GO terms associated with response to external stimuli, for example, regulation of eIF2 alpha phosphorylation and negative regulation of haemoglobin biosynthetic processes, while DEGs in module 3 were mainly enriched in cell surface and protein tyrosine phosphatase activity.
Verifying the mechanisms of metabolic pathways in response to GnRH in vitro
To date, many studies have confirmed that metabolic status, season, and stress were able to modulate the function of GnRH neurons [13,14,15]. However, there was no evidence that indicated how GnRH neurons modulate the metabolic status, season, and stress. Therefore, this study investigated that the regulatory function of GnRH on metabolic status. It is known thatleptin, a peptide hormone secreted by adipocytes, is encoded by the “fat gene”  which can increase body energy expenditure along with decreased energy intake by suppressing appetite , thus playing a crucial role in metabolism and body growth mediation. Based on this, we investigated whether GnRH modulates the energy expenditure and energy intake via LEPR, by knockdown of LEPR expression. The results showed that the GnRH-induced NPY (Fig. 6a) and PTPN11 (Fig. 6b) expression was significantly suppressed when the expression of LEPR was interfered, genes which are responsible for energy intake and reproduction, respectively. In addition, the role of GnRH on the insulin signalling pathway was also detected. Interfering with LEPR facilitated the GnRH-suppressed GYS1 expression (Fig. 6c), which promoted glycogenesis. Conversely, interfering with LEPR significantly repressed GnRH-induced PKLR expression (Fig. 6d), which promoted glycolysis.
GnRH plays a central role in the control of normal reproductive function by regulating the synthesis and release of the gonadotropins LH and FSH [30,31,32]. The knownlege of signalling mechanisms involved in gonadotropin synthesis have been expanding. However, the mechanisms underlying gonadotropin regulation by GnRH remained to be fully elucidated. Bioinformatics tools have accelerated the progression of biomedical research, with high-throughput screening being especially useful. Such tools not only reduce the need for time-consuming and labour-intensive bench-work, but also provide critical directions and insights for advanced studies . In this study, we first systematically explored the mechanisms of gonadotropin responding to GnRH by bioinformatics. While standard pathway analysis investigates each pathway individually, biological processes are not independent but rather interact with and influence each other. Therefore, it is necessary to investigate the links between them as well as their shared regulatory mechanisms. In our study, the mechanism was analysed by bioinformatics, including DEG screening, PPI network construction, and module analysis of the PPI network. Based on these results, a workflow was described for further exploring the interplay between pathways involved in the gonadotropin regulatory mechanisms, through the construction of a biological network and extending the GnRH signalling pathway with additional knowledge involved in other physiological processes.
In the present study, the results of the GO and KEGG pathway enrichment analyses revealed the primary biological processes in which the DEGs were involved, including focal adhesion, type II diabetes mellitus, glycogen biosynthesis and metabolism, progesterone-mediated oocyte maturation. Furthermore, other pathways associated with GnRH regulation were activated simultaneously followed by treatment with GnRH, such as MAPK signalling pathway, cytokine-cytokine receptor interaction, and most importantly, the GnRH signalling pathway . Based on the results, it was revealed that the GnRH signalling pathway interplayed with other signalling pathways to co-regulate the reproductive function and other biological process.
Metabolic dysfunctions are often linked to reproductive abnormalities . Obesity and conditions with hyperinsulinemia such as type 2 diabetes mellitus, metabolic syndrome, and polycystic ovary syndrome (PCOS) are often accompanied by infertility in females . Insulin, like LH, is a gonadotropin, which increases steroidogenesis and altered follicular maturation in animal models . In addition to insulin, leptin also served as a critical factor in the process of fat cell metabolism, which can convey information about nutritional state to the reproductive axis . In a normal metabolic state, leptin increases GnRH activity/secretion (indirectly via afferent forebrain interneurons)  and enhances reproductive function in females . In cases of metabolic dysfunction, like obesity, leptin resistance can occur  eliminating a positive signal to the reproductive axis. However, there was previously no evidence to indicate how GnRH neurons modulate the metabolic status. Based on this, we proposed the hypothesis that GnRH may modulate the metabolic status through regulating expression of the related genes, such as the membrane receptor LEPR and INSR. In fact, the current results showed that interfering with LEPR significantly suppressed GnRH-induced NPY and PTPN11 expression, which are responsible for energy intake and reproduction, respectively. Similarly, Interfering with LEPR facilitated the GnRH-suppressed GYS1 expression, which promoted the glycogenesis. Conversely, interfering with LEPR significant repressed GnRH-induced PKLR expression, which promoted glycolysis. These results provide a better understanding of the regulation of GnRH on energy intake and expenditure at the molecular level, which constitute useful insights into the relationship between reproduction and metabolic status.
Previous studies have demonstrated that different frequencies of pulsatile GnRH result in altered secretion patterns of FSH and LH. Increasing frequencies results in preferential secretion of LH, whereas decreasing frequencies leads to greater FSH secretion. Because FSH and LH synthesis and secretion are both modulated by GnRH through the same G protein-coupled GnRH receptor, one possible mechanism is that distinct signalling pathways are activated, depending on GnRH pulse frequency, leading to the differential regulation of FSH and LH production [41, 42]. However, it remains unknown how gonadotropes decode the pulsatile GnRH signal to preferentially synthesize FSH or LH. In the present study, the difference between GnRH pulse and GnRH tone were also analysed. As expected, GO analysis and KEGG pathway enrichment analysis revealed that GnRH pulse treatment activated the unique pathways. These pathways are involved in hypertrophic cardiomyopathy, dilated cardiomyopathy, alzheimer’s disease, as well as the calcium signalling pathway. These results further indicated that abnormal GnRH pulse and amplitude may cause disease, which may provide an improved understanding of the GnRH pathway and a new insight for disease diagnosis and treatment.
However, there are some limitations in our study. First, the small amounts of data used in the current study were downloaded from the GEO database, not generated by us. Because GEO is a huge data repository, a meta-analysis of the relevant molecular mechanism of GnRH may be performed in future studies. Second, the results were web-based and were not all verified by biological experiments. Thus, further experimental studies based on our findings are still needed.
In summary, with this study, for the first time, we characterized GnRH to prove an insight into their role in gonadotropin regulation and metabolic balance using PPI networks and GO and KEGG enrichment analysis, which might provide comprehensive bioinformatics analysis of the mechanisms of GnRH. These results indicated that the GnRH signalling pathway interplayed with other signalling pathways to co-regulate the reproductive function and other biological process. In addition, the difference between GnRH pulse and GnRH tone revealed that abnormal GnRH pulse and amplitude may cause disease, which may provide an improved understanding of the GnRH pathway and a new insight for disease diagnosis and treatment. However, further experimentation and additional studies are needed to validate these results.
Cellular component GnRH: gonadotropinreleasing hormone
Database for annotation, visualization and integrated discovery
Gene expression omnibus
Kyoto encyclopedia of genes and genomes
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We are grateful to Dr. Pamela Mellon (University of California, San Diego) for kindly providing LβT2 cell.
This work was supported by the National Natural Science Foundation of China (Grant no. 31372287), Ministry of Agriculture Transgenic Major Projects of China (2014ZX0800952B), the Agricultural Science and Technology Innovation Program of China (ASTIP-IAS13), and National Biological Breeding Capacity Building and Industrialization Projects (2014–2573).
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The datasets used and/or analyzed during the current study available from the corresponding author on reasonable request.
WX, BYZ, GDF, LC, FY, KZ and CYC analyzed and interpreted data, drafted or revised the manuscript, read and approved the final manuscript, and agreed to be accountable for all aspects of the work. FLL, MXC and PQW made substantial contributions to conception and design. All authors read and approved the final manuscript.
The authors declare that there are no competing interests regarding the publication of this article.
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Xiang, W., Zhang, B., Lv, F. et al. The potential regulatory mechanisms of the gonadotropin-releasing hormone in gonadotropin transcriptions identified with bioinformatics analyses. Reprod Biol Endocrinol 15, 46 (2017). https://doi.org/10.1186/s12958-017-0264-3
- Molecular mechanisms
- GnRH signalling pathway
- Bioinformatics analyses
- Metabolic status