The central regulation of the preovulatory LH surge requires a complex sequence of interactions between neuronal systems that impinge on LH-releasing hormone (LHRH)-synthesizing neurons. The reported absence of estrogen receptors (ERs) in LHRH neurons indicates that estrogen-receptive neurons that are afferent to LHRH neurons are involved in mediating the effects of this steroid. We now present evidence indicating that central histaminergic neurons, exclusively located in the tuberomammillary complex of the caudal diencephalon, serve as an important relay in this system. Evaluation of this system revealed that 76% of histamine-synthesising neurons display ER␣-immunoreactivity in their nucleus; furthermore histaminergic axons exhibit axo-dendritic and axo-somatic appositions onto LHRH neurons in both the rodent and the human brain. Our in vivo studies show that the intracerebroventricular administration of the histamine-1 (H1) receptor antagonist, mepyramine, but not the H2 receptor antagonist, ranitidine, can block the LH surge in ovariectomized estrogen-treated rats. These data are consistent with the hypothesis that the positive feedback effect of estrogen in the induction of the LH surge involves estrogen-receptive histamine-containing neurons in the tuberomammillary nucleus that relay the steroid signal to LHRH neurons via H1 receptors. (Endocrinology 140: [4335][4336][4337][4338][4339][4340][4341] 1999) T HE POSITIVE feedback effect of elevated plasma estradiol levels in proestrous animals initiates a surge of LH from the anterior pituitary gland, which is triggered by an increased discharge of LH-releasing hormone (LHRH) from nerve terminals in the median eminence into the hypophysial portal circulation (1). Although the LHRH secretion unequivocally depends on available estrogen levels, efforts to detect a significant uptake of estradiol (2) or estrogen receptor (ER) immunoreactivity (3-5) in LHRH neurons have been unsuccessful until very recently (see Note Added in Proof). Consequently, it has been assumed that the positive feedback effect of estrogen upon LHRH neurons is mediated by estrogensensitive interneurons. The neuronal circuits that relay information to LHRH neurons about the circulating levels of gonadal steroid hormones have been the subject of intensive investigation (1). Any candidate neurotransmitter system for mediating the feedback effects of estrogen on LHRH neurons must satisfy the criteria of (a) expressing ERs, (b) innervating LHRH neurons, and (c) exerting a regulatory influence upon LHRH neurons via specific neurotransmitter receptors.In this report, we present data consistent with the hypothesis that the histaminergic neuronal system of the brain, the perikarya of which are confined to the tuberomammillary nuclear (TM) complex, provides an interneuron system capable of mediating the feedback effects of estrogen on LHRH neurons. This study was prompted by reports indicating (a) that administration of estrogen into the medium of perifused hypothalamic blocks stimulates the ...