2010
DOI: 10.1016/j.neuroimage.2009.11.074
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Sex steroid hormones-related structural plasticity in the human hypothalamus

Abstract: We investigated the effects of an artificial menstrual cycle on brain structure and activity in young women using metabolic magnetic resonance imaging (MRI). We show that the activation of the hypothalamo-pituitary-gonadal axis during the pill-free interval of low-dose combined oral contraceptive use is associated with transient microstructural and metabolic changes in the female hypothalamus but not in the thalamus, a brain structure unrelated to reproductive control, as assessed by water diffusion and proton… Show more

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Cited by 46 publications
(49 citation statements)
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“…Indeed, the hypothalamus serves as a crucial centre for the integration and coordination of various brain functions, and as such, it is prone to involvement in several major brain disorders (Saper, 1990;Overeem et al, 2002;Sisk and Foster, 2004;Swaab, 2006;Aziz et al, 2007;Bao et al, 2008;Willis, 2008;Gordon, 2010;Kalsbeek et al, 2010). Precise MRI identification of the gray and white structures of the hypothalamus would also be of great help in developing new research approaches aimed at investigating hypothalamic connectivity (Lemaire et al, 2011) and the functional and/or metabolic changes that occur naturally within the hypothalamus with fluctuating physiological conditions (Baroncini et al, 2010) and/or upon changes to the external environment (Goldstein et al, 2010), as well as in routine clinical examination using 1.5T MRI. Besides, detailed knowledge of hypothalamic topography in vivo is a prerequisite for the future development of automatic algorithms (Wang et al, 2011) that enable the accurate segmentation of the hypothalamus and its subregions (Goldstein et al, 2007), and thus the performance of morphometric MRI studies on an automated scale.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, the hypothalamus serves as a crucial centre for the integration and coordination of various brain functions, and as such, it is prone to involvement in several major brain disorders (Saper, 1990;Overeem et al, 2002;Sisk and Foster, 2004;Swaab, 2006;Aziz et al, 2007;Bao et al, 2008;Willis, 2008;Gordon, 2010;Kalsbeek et al, 2010). Precise MRI identification of the gray and white structures of the hypothalamus would also be of great help in developing new research approaches aimed at investigating hypothalamic connectivity (Lemaire et al, 2011) and the functional and/or metabolic changes that occur naturally within the hypothalamus with fluctuating physiological conditions (Baroncini et al, 2010) and/or upon changes to the external environment (Goldstein et al, 2010), as well as in routine clinical examination using 1.5T MRI. Besides, detailed knowledge of hypothalamic topography in vivo is a prerequisite for the future development of automatic algorithms (Wang et al, 2011) that enable the accurate segmentation of the hypothalamus and its subregions (Goldstein et al, 2007), and thus the performance of morphometric MRI studies on an automated scale.…”
Section: Discussionmentioning
confidence: 99%
“…Since hypothalamic plasticity appears to be a widely conserved process (Peinado et al, 2002;Pinto et al, 2004;Ebling and Barrett, 2008;Appelbaum et al, 2010;Baroncini et al, 2010), dietinduced hypothalamic plasticity could be present in humans as well. Indeed, haploinsufficiency of BDNF, the typical permissive factor of brain plasticity, is associated with childhood-onset obesity (Han et al, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…Metabolic magnetic resonance imaging studies performed on young women have revealed sex-steroid-driven plasticity in the hypothalamus in vivo [100]. During the pill-free period, when the hypothalamus is active and normal early-follicular-phase pulsatile LH release occurs, there is higher water molecule diffusion and lower levels of choline [100], a metabolite enriched in astrocytes [102,103], than in the pill-supplemented period, when the hypothalamic-pituitary-gonadal axis is fully inhibited [101].…”
Section: Do Glial Cells Regulate the Gnrh System In The Human Brain?mentioning
confidence: 99%
“…During the pill-free period, when the hypothalamus is active and normal early-follicular-phase pulsatile LH release occurs, there is higher water molecule diffusion and lower levels of choline [100], a metabolite enriched in astrocytes [102,103], than in the pill-supplemented period, when the hypothalamic-pituitary-gonadal axis is fully inhibited [101]. Although the underlying mechanisms remain to be determined, the increase in water diffusion and reduction in choline levels may reflect a decrease in the tortuosity of the extracellular space due to diminished astroglial cell size, as shown for other neuroendocrine systems [104].…”
Section: Do Glial Cells Regulate the Gnrh System In The Human Brain?mentioning
confidence: 99%