Reported in this week's Proceedings of the National Academy of Sciences

October 4, 1996

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The miracle of birth. How does it happen? A little differently than we thought, according to a study in the Oct. 1 issue of Proceedings of the National Academy of Sciences (PNAS), which sheds new light on the endocrine control of normal maternal and sexual behavior. The study was conducted collaboratively by Dr. Thomas Insel, director of the Yerkes Regional Primate Research Center and professor of psychiatry at Emory University, and Dr. Martin Matzuk, professor of pathology at Baylor College of Medicine.

As humans pondering the blessed event marvel at the wonders of nature, certain hormones are behind the scenes, making it all happen. Until now, the hormone oxytocin was thought to be the instigator of the birth process in mammals, enabling a pregnant female to start uterine contractions during labor, to begin lactating, to bond with her newborn, and in general, to behave maternally. It is the same hormone believed responsible for sexual receptivity to begin with, both male and female, and for the bonding behavior between the two (called pair-bonding). Oxytocin was also postulated to play a vital role in male copulation and ejaculation.

In PNAS, however, Dr. Insel reports that in mice, oxytocin is in fact essential only for nursing and not for the other maternal behaviors. And surprisingly, male mice deprived of oxytocin showed no decline in sexual function at all, and no change in behavior. Although oxytocin can affect many processes, it is not vital for maternal or sexual behaviors in mice, says Dr. Insel.

So why, then, are receptors for oxytocin so prevalent in the uterus and uterine wall at the time of birth? One hypothesis, says Dr. Insel, is that oxytocin secreted either locally or from the brain can aid in the induction of labor and parturition, but is not absolutely essential probably because other substances that stimulate contractions are more potent and fundamental in the process. Another possibility, he says, is that a similar substance may bind to identical oxytocin receptors, replacing oxytocin function in the mice who are oxytocin-deficient.

Oxytocin is produced mainly in the hypothalamus and released from the pituitary gland, the tiny knoblike structure tucked beneath the brain. From there it is released into the circulation. It is also made in the corpus luteum (the white body formed in the ovary immediately after ovulation), in the uterus, the placenta, the amniotic sac (surrounding the developing embryo), and in males, the testis.

Dr. Insel and his group performed their experiment on knockout mice - animals lacking the gene that codes for oxytocin, thanks to special genetic engineering techniques. In mice that are denied oxytocin, induction of labor and parturition proceed normally, though the behavior is normal, their offspring all die shortly after birth because they receive no nourishment. Post-partum injections of oxytocin restores milk ejection and rescues the offspring.

It is possible that mutations are present in the human genes for oxytocin (or oxytocin receptors) in women with nursing defects. An analysis of women or families with nursing defects would be a first step in determining whether any such mutations are present in humans, says Dr. Insel. This would explain why some women have such a difficult time with nursing, while others handle it with ease. If after further study, some women were found to lack a functional gene, oxytocin injections might enable them to nurse normally if they so choose, and provide their babies with the added immunological benefits of mothers milk.

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Copyright ©Emory University, 1996. All Rights Reserved.
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