women with PCOS (4,[24][25][26][27][28][29][30]. Notably, the 2xDHT mice do not exhibit alterations of basal serum estradiol, testosterone, or luteinizing hormone (LH); do not develop obesity; and show similar ovarian weight, serum levels of cholesterol, free fatty acids, leptin, TNFα, and IL-6 relative to controls even up to 3.5 months after DHT insertion (21,22,31).Due to the interconnected nature of the hypothalamic-pituitary-gonadal axis, effects of excess androgens could be exerted at multiple levels of the axis (22,32). While some androgen effects occur in the brain, as reported by others (32, 33), whether ARs in gonadotropes contribute to the dysregulation of female estrous cycles and gonadotropin secretion is unknown. To define how androgen/AR in the pituitary contributes to reproductive dysfunction, and the molecular mechanisms that are underlying the pathophysiology, we used the 2xDHT mouse model with intact (Control; AR fl/fl , Cre -) or disrupted AR in gonadotropes (PitARKO; AR fl/fl , Cre +/-) (34) to probe the role of AR in gonadotrope cells (Figure 1). Since pituitary responsiveness to gonadotropin-releasing hormone (GnRH) stimulation is disrupted by high androgen levels (35) in vitro, and because GnRH-mediated increases in cytosolic Ca 2+ are crucial for exocytosis of LH granules (36, 37), we studied GEM, a GTP-binding protein that binds calmodulin to reduce Ca 2+ influx (36-38). Our findings demonstrate important roles for gonadotropic AR in reproduction as an extraovarian regulatory factor. Gonadotropic AR-mediated reproductive dysfunction may act through GEM, reducing LH secretion from the pituitary in the presence of DHT. insight.jci.org