The Kisspeptin Signaling Pathway represents the primary stimulatory mechanism controlling the pulsatile release of GnRH from the hypothalamus, making it the master regulator of the reproductive endocrine axis. Activation of kisspeptin neurons initiates the entire cascade leading to puberty and maintenance of adult gonadal function. Clinical aberrations in this pathway are strongly linked to idiopathic hypogonadotropic hypogonadism.
Origin
The pathway was elucidated through genetic studies identifying mutations in the KISS1 gene that resulted in congenital absence of puberty. Its discovery provided the crucial missing link in understanding the central control of reproduction, connecting external metabolic cues to GnRH release.
Mechanism
Kisspeptin acts via its receptor, GPR54, expressed on GnRH neurons, causing depolarization and the rhythmic secretion of GnRH. This signaling is highly sensitive to metabolic status and allostatic load, effectively integrating nutritional sufficiency with reproductive readiness. Modulating this pathway offers a powerful lever for influencing the HPG axis.
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