The essential, rhythmic, and intermittent release pattern of key neurohormones, particularly Gonadotropin-Releasing Hormone (GnRH) and Growth Hormone-Releasing Hormone (GHRH), from the hypothalamus. This pulsatile release is critical for preventing receptor desensitization in the pituitary and maintaining the healthy function of the entire downstream endocrine axis. The frequency and amplitude of these pulses dictate reproductive and somatic health.
Origin
The concept is foundational to neuroendocrinology, emerging from research demonstrating that constant hormonal stimulation leads to receptor downregulation. Pulsatility describes the necessary on/off, rhythmic nature of hypothalamic signaling to the pituitary gland.
Mechanism
The pulse generator, a cluster of neurons within the hypothalamus, orchestrates this rhythm. For the reproductive axis, GnRH pulses stimulate the pituitary to release Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH). Similarly, GHRH is released in pulses to stimulate Growth Hormone (GH) secretion. Age-related decline in this pulsatility, particularly a decrease in pulse amplitude and frequency, leads directly to the downstream reduction in gonadal and somatic hormones.
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