1 The brain regulates fertility through gonadotropin-releasing hormone (GnRH) neurons. Estradiol 2 induces negative feedback on pulsatile GnRH/luteinizing hormone (LH) release and positive 3 feedback generating preovulatory GnRH/LH surges. Negative and positive feedback are 4 postulated to be mediated by kisspeptin neurons in arcuate and anteroventral periventricular 5 (AVPV) nuclei, respectively. Kisspeptin-specific ERa knockout mice exhibit disrupted LH pulses 6 and surges. This knockout approach is neither location-specific nor temporally-controlled. We 7 utilized CRISPR-Cas9 to disrupt ERa in adulthood. Mice with ERa disruption in AVPV 8 kisspeptin neurons have typical reproductive cycles but blunted LH surges, associated with 9 decreased excitability of these neurons. Mice with ERa knocked down in arcuate kisspeptin 10 neurons showed disrupted cyclicity, associated with increased glutamatergic transmission to 11 these neurons. These observations suggest activational effects of estradiol regulate surge 12 generation and maintain cyclicity through AVPV and arcuate kisspeptin neurons, respectively, 13 independent from its role in the development of hypothalamic kisspeptin neurons or puberty 14 onset. 15 16 3 Significant Statement 17 The brain regulates fertility through gonadotropin-releasing hormone (GnRH) neurons. Ovarian 18 estradiol regulates GnRH pulses (negative feedback) and the GnRH surge release that 19 ultimately triggers ovulation (positive feedback). Kisspeptin neurons in the arcuate and 20 anteroventral periventricular nuclei are postulated to convey negative and positive feedback to 21 GnRH neurons, respectively. Kisspeptin-specific ERa knockout mice exhibited disrupted 22 negative and positive feedback. However, it is not clear what roles each kisspeptin population 23 plays, and not possible to separate their roles during development vs adulthood in this model. 24 Here we utilized CRISPR-Cas9 to disrupt ERa in each population in adulthood. We found 25 activational effects of estradiol regulate surge generation and maintain cyclicity through AVPV 26 and arcuate kisspeptin neurons, respectively, independent from estradiol action during 27 development. 28 42 Kisspeptin neurons in the arcuate and anteroventral periventricular (AVPV) regions are 43 estradiol-sensitive GnRH afferents that are postulated to mediate estradiol negative and positive 44 feedback, respectively (9, 10). Kisspeptin potently stimulates GnRH neurons and Kiss1 mRNA 45 is differentially regulated in these nuclei by estradiol (10-16). ERa in kisspeptin cells is critical 46 for estradiol negative and positive feedback, as kisspeptin-specific ERa knockout (KERKO) 47 mice exhibit higher frequency LH pulses and fail to exhibit estradiol-induced LH surges(17-20).
4Although informative, the KERKO model has several caveats that limit interpretation. First, ERa 49 is deleted as soon as Kiss1 is expressed, before birth in arcuate kisspeptin neurons (also called 50 KNDy neurons for coexpression of kisspeptin, neurokinin B and dynorphin) and ...