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      A reduction in long-term spatial memory persists after discontinuation of peripubertal GnRH agonist treatment in sheep

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          Highlights

          • Peripubertal GnRHa impaired long-term spatial memory.

          • This impairment was not reversed after discontinuing GnRHa-treatment.

          • Spatial orientation and learning performance remained unaffected following GnRHa withdrawal.

          • Speed of progression through these spatial tasks was altered after discontinuing GnRHa.

          • GnRH irreversibly alters these cognitive functions during critical window of development.

          Abstract

          Chronic gonadotropin-releasing hormone agonist (GnRHa) administration is used where suppression of hypothalamic-pituitary-gonadal axis activity is beneficial, such as steroid-dependent cancers, early onset gender dysphoria, central precocious puberty and as a reversible contraceptive in veterinary medicine. GnRH receptors, however, are expressed outside the reproductive axis, e.g. brain areas such as the hippocampus which is crucial for learning and memory processes. Previous work, using an ovine model, has demonstrated that long-term spatial memory is reduced in adult rams (45 weeks of age), following peripubertal blockade of GnRH signaling (GnRHa: goserelin acetate), and this was independent of the associated loss of gonadal steroid signaling. The current study investigated whether this effect is reversed after discontinuation of GnRHa-treatment. The results demonstrate that peripubertal GnRHa-treatment suppressed reproductive function in rams, which was restored after cessation of GnRHa-treatment at 44 weeks of age, as indicated by similar testes size (relative to body weight) in both GnRHa-Recovery and Control rams at 81 weeks of age. Rams in which GnRHa-treatment was discontinued (GnRHa-Recovery) had comparable spatial maze traverse times to Controls, during spatial orientation and learning assessments at 85 and 99 weeks of age. Former GnRHa-treatment altered how quickly the rams progressed beyond a specific point in the spatial maze at 83 and 99 weeks of age, and the direction of this effect depended on gonadal steroid exposure, i.e. GnRHa-Recovery rams progressed quicker during breeding season and slower during non-breeding season, compared to Controls. The long-term spatial memory performance of GnRHa-Recovery rams remained reduced ( P < 0.05, 1.5-fold slower) after discontinuation of GnRHa, compared to Controls. This result suggests that the time at which puberty normally occurs may represent a critical period of hippocampal plasticity. Perturbing normal hippocampal formation in this peripubertal period may also have long lasting effects on other brain areas and aspects of cognitive function.

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          Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline.

          The aim was to formulate practice guidelines for endocrine treatment of transsexual persons. This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe the strength of recommendations and the quality of evidence, which was low or very low. Committees and members of The Endocrine Society, European Society of Endocrinology, European Society for Paediatric Endocrinology, Lawson Wilkins Pediatric Endocrine Society, and World Professional Association for Transgender Health commented on preliminary drafts of these guidelines. Transsexual persons seeking to develop the physical characteristics of the desired gender require a safe, effective hormone regimen that will 1) suppress endogenous hormone secretion determined by the person's genetic/biologic sex and 2) maintain sex hormone levels within the normal range for the person's desired gender. A mental health professional (MHP) must recommend endocrine treatment and participate in ongoing care throughout the endocrine transition and decision for surgical sex reassignment. The endocrinologist must confirm the diagnostic criteria the MHP used to make these recommendations. Because a diagnosis of transsexualism in a prepubertal child cannot be made with certainty, we do not recommend endocrine treatment of prepubertal children. We recommend treating transsexual adolescents (Tanner stage 2) by suppressing puberty with GnRH analogues until age 16 years old, after which cross-sex hormones may be given. We suggest suppressing endogenous sex hormones, maintaining physiologic levels of gender-appropriate sex hormones and monitoring for known risks in adult transsexual persons.
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            Risk taking in adolescence: what changes, and why?

            Extant studies of age differences in cognitive processes relevant to risk taking and decision making, such as risk perception and risk appraisal, indicate few significant age differences in factors that might explain why adolescents engage in more risk taking than adults. The present analysis suggests that the greater propensity of adolescents to take risks is not due to age differences in risk perception or appraisal, but to age differences in psychosocial factors that influence self-regulation. It is argued that adolescence is a period of heightened vulnerability to risk taking because of a disjunction between novelty and sensation seeking (both of which increase dramatically at puberty) and the development of self-regulatory competence (which does not fully mature until early adulthood). This disjunction is biologically driven, normative, and unlikely to be remedied through educational interventions designed to change adolescents' perception, appraisal, or understanding of risk. Interventions should begin from the premise that adolescents are inherently more likely than adults to take risks, and should focus on reducing the harm associated with risk-taking behavior.
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              Modeling the Effects of Perceptual Load: Saliency, Competitive Interactions, and Top-Down Biases

              A computational model of visual selective attention has been implemented to account for experimental findings on the Perceptual Load Theory (PLT) of attention. The model was designed based on existing neurophysiological findings on attentional processes with the objective to offer an explicit and biologically plausible formulation of PLT. Simulation results verified that the proposed model is capable of capturing the basic pattern of results that support the PLT as well as findings that are considered contradictory to the theory. Importantly, the model is able to reproduce the behavioral results from a dilution experiment, providing thus a way to reconcile PLT with the competing Dilution account. Overall, the model presents a novel account for explaining PLT effects on the basis of the low-level competitive interactions among neurons that represent visual input and the top-down signals that modulate neural activity. The implications of the model concerning the debate on the locus of selective attention as well as the origins of distractor interference in visual displays of varying load are discussed.
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                Author and article information

                Contributors
                Journal
                Psychoneuroendocrinology
                Psychoneuroendocrinology
                Psychoneuroendocrinology
                Pergamon Press
                0306-4530
                1873-3360
                1 March 2017
                March 2017
                : 77
                : 1-8
                Affiliations
                [a ]Institute of Biodiversity Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow G61 1QH, UK
                [b ]Department of Medical Neurobiology, Division of Clinical Neuroscience, Oslo University Hospital – Rikshospitalet, 0027 Oslo, Norway
                [c ]Division of Veterinary Bioscience and Education, School of Veterinary Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow G61 1QH, UK
                [d ]Department of Psychology, University of Oslo, Pb 1094 Blindern, 0317 Oslo, Norway
                [e ]Department of Neurosurgery, Division of Clincial Neuroscience, Oslo University Hospital – Rikshospitalet, 0027 Oslo, Norway
                [f ]Department of Neuropsychology, Helgeland Hospital, 8651 Mosjøen, Norway
                Author notes
                [* ]Corresponding author. Neil.Evans@ 123456glasgow.ac.uk
                Article
                S0306-4530(16)30792-2
                10.1016/j.psyneuen.2016.11.029
                5333793
                27987429
                5eb93a6a-fc25-4456-bdc8-410e197ed768
                © 2016 The Authors

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 12 October 2016
                : 23 November 2016
                : 23 November 2016
                Categories
                Article

                Endocrinology & Diabetes
                spatial memory,hippocampus,gnrh,puberty,precocious puberty,gender identity disorder

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