The effects of depot formulations of the luteinizing hormonereleasing hormone (LHRH) agonist Decapeptyl (25 g͞day) for 30 days or LHRH antagonist Cetrorelix pamoate (100 g͞day) for 30 days and daily injections of 100 g of Decapeptyl for 10 days on the expression of mRNA for pituitary LHRH receptor (LHRH-R) and the levels of LHRH-R protein were evaluated in rats. Serum sex steroid concentrations and the weights of the reproductive organs were greatly reduced in all groups treated with analogs, demonstrating an efficient blockade of the pituitary-gonadal axis. Decapeptyl microcapsules elevated serum LH in female rats, but decreased it in male rats. LHRH-R mRNA expression in female pituitaries was reduced to 41% and 56 -65% on days 10 and 30, respectively, whereas LHRH-R protein was 64% of control on day 10 and returned to pretreatment levels on day 30. Decapeptyl microcapsules reduced LHRH-R mRNA expression in male pituitaries to 58% on day 30 but not LHRH-R protein. Daily injections of Decapeptyl caused a desensitization of LH responses in female rats, while raising LHRH-R mRNA expression in female rats by 23% and LHRH-R protein levels by 119%. Cetrorelix pamoate reduced serum LH in female rats and diminished LHRH-R mRNA to 30% and 26% and LHRH-R protein to 57% and 48% on days 10 and 30, respectively. Elevated LHRH-R protein levels of ovariectomized rats were reduced after 10-day treatment with Cetrorelix or 100 g͞day Decapeptyl. Thus, changes in the mRNA expression after treatment with Cetrorelix, but not always Decapeptyl, paralleled those of LHRH-R protein. The inhibitory effect of Cetrorelix on serum LH, pituitary LHRH-R mRNA, and LHRH-R protein was greater than that of Decapeptyl. T he hypothalamic decapeptide luteinizing hormone-releasing hormone (LHRH) plays a central role in the control of reproduction by stimulating the release of pituitary luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which in turn promote gonadal functions and regulate sex steroid secretion (1-3). The effects of LHRH are mediated by high-affinity G protein-coupled LHRH-receptor (LHRH-R) on pituitary gonadotropes (4-7). The responses to LHRH vary under different conditions and critically depend on the regimens of administration and doses delivered to gonadotrope cells. An intermittent stimulation with low doses of LHRH or LHRH agonists, mimicking the normal pulsatile release of the neuropeptide from the hypothalamus, stimulates the release of gonadotropins, whereas a chronic exposure to LHRH agonists leads to an inhibition of pituitary responses and suppression of serum LH, FSH, and sex steroid levels (8-12). This desensitization of gonadotrope cells involves a down-regulation of pituitary receptors for LHRH and inhibition of gene expression of LHRH-R by mechanisms, some of which still remain to be clarified (5, 7, 13-15).The agonistic analogs of LHRH such as Decapeptyl, leuprolide, Zoladex, and buserelin have well established clinical indications, including in vitro fertilization and embryo transfer programs and trea...