Neurons in the upper lumbar spinal cord project axons containing gastrin-releasing peptide (GRP) to innervate lower lumbar regions controlling erection and ejaculation. This system is vestigial in female rats and in males with genetic dysfunction of androgen receptors, but in male rats, pharmacological stimulation of spinal GRP receptors restores penile reflexes and ejaculation after castration. GRP offers new avenues for understanding potential therapeutic approaches to masculine reproductive dysfunction.GRP, a member of the bombesin-like peptide family 1 , is distributed widely in the central nervous system and gastrointestinal tract of mammals 2 , 3 . GRP and neuromedin B (NMB), the mammalian counterpart of bombesin, play a role in many physiological processes, including itch 4 , circadian rhythms 5 , food intake 6 and fear memory consolidation 7 , 8 . In mammals, bombesin-like peptides act through a family of at least three G protein-coupled receptors: GRP-preferring receptor (GRP-R), NMB-preferring receptor (NMB-R) and bombesin receptor subtype-3 (BRS-3) 9 .Using immunocytochemistry (ICC) directed at GRP, we found a group of neurons within a region previously dubbed the 'spinal ejaculation generator' because toxins that selectively lesion galanin-containing neurons there virtually eliminate ejaculation in rats 10 . These galaninergic neurons project to the thalamus 10 , but it had been unclear whether there are also direct connections between this center and the lower spinal cord regions that directly trigger ejaculation 11 . The separate, GRP-containing neurons that we found within the center projected axons to more caudal spinal regions and were much more prominent in wild-type (WT) males than in WT females ( Fig. 1a,b; Supplementary Fig. 1 online) (n = 5, F 2,12 = 299.9, P < 0.001). Semiquantitative reverse transcription (RT)-PCR confirmed more pre-pro
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NIH-PA Author ManuscriptGrp transcripts in this region of males than of females ( Supplementary Fig. 2 online). To test whether androgen receptors direct sexual dimorphism of these neurons, we examined genetically male (XY) Long-Evans rats carrying the testicular feminization mutation (Tfm) of the androgen receptor gene Ar. These rats develop testes embryologically and secrete testosterone pre-and postnatally but, because their androgen receptor protein is dysfunctional, develop a wholly feminine exterior, including a clitoris rather than a penis. The spinal cord of Tfm rats was hyperfeminine, having even fewer GRP-positive neurons in this region than did WT females (P <0.001) (Fig. 1c,d). In normal males, GRP-expressing neurons also expressed androgen receptor (96.1 ± 1.7%; n = 4 WT males), but not estrogen receptor alpha (ERα) (Fig. 1e-h). Because androgens such as testosterone augment ejaculation in male rats and humans 12 , the presence of androgen receptor in the GRPpositive neurons of the ejaculation center offers a locus for androgenic modulation of ejaculation and other sexual reflexes.ICC r...