Neural progestin receptors (PR) function in reproduction, neural development, neuroprotection, learning, memory and the anxiety response. In the absence of progestins, PR can be activated by dopamine (DA) in the rodent hypothalamus to elicit female sexual behaviour. The present study investigated mechanisms of DA activation of PR by testing the hypothesis that proteins from DA-treated hypothalami interact with PR in the absence of progestins. Ovariectomised, oestradiol-primed mice were infused with a D1-receptor agonist, SKF38393 (SKF), into the third ventricle 30 minutes prior to death. Proteins from SKF-treated hypothalami were pulled-down with glutathione S-transferase-tagged mouse PR-A or PR-B and the interactomes were analysed by mass spectrometry. The largest functional group to interact with PR-A in a DA-dependent manner was synaptic proteins. To test the hypothesis that DA activation of PR regulates synaptic proteins, we developed oestradiol-induced PR-expressing hypothalamic-like neurones derived from human-induced pluripotent stem cells (hiPSCs). Similar to progesterone (P4), SKF treatment of hiPSCs increased synapsin1/2 expression. This SKF-dependent effect was blocked by the PR antagonist RU486, suggesting that PR are necessary for this DA-induced increase. The second largest DA-dependent PR-A protein interactome comprised metabolic regulators involved in glucose metabolism, lipid synthesis and mitochondrial energy production. Interestingly, hypothalamic proteins interacted with PR-A, but not PR-B, in an SKF-dependent manner, suggesting that DA promotes the interaction of multiple hypothalamic proteins with PR-A. These in vivo and in vitro results indicate novel mechanisms by which DA can differentially activate PR isoforms in the absence of P4 and provide a better understanding of ligand-independent PR activation in reproductive, metabolic and mental health disorders in women. K E Y W O R D S energy homeostasis, induced pluripotent stem cells, metabolism, progesterone, synapse 2 of 26 | ACHARYA et Al. 1 | INTRODUC TI ON Neural progestin receptors (PR) are important regulators of neuroprotection, 1-5 learning and memory, 6-8 anxiety and stress response, 9-12 energy homeostasis, and reproduction. 13-16 Many of these effects are mediated by PR expressed in the hypothalamus. 14,17-19 In rodents and humans, PR are expressed as two isoforms, comprising an N-terminally truncated PR-A and a fulllength PR-B, 18,20-22 which are transcribed from alternate transcription start sites of the same pgr gene. 20,23 Although both PR isoforms share a C-terminal ligand binding domain, a DNA binding domain and two transactivation domains, differences between the two isoforms are contributed by a PR-B-specific transactivation domain and a PR-A-specific inhibitory region. 18,20,23-26 These structural differences contribute to the differential transcriptional activity of PR-A and PR-B in vitro and in vivo. 27-32 For example, using PR isoform-specific knockout mice, Mani et al. 33 have shown that PR-A is the primary mediator ...