The classical concept that the control of follicle-stimulating hormone
(FSH) and luteinising hormone (LH) secretion by the pituitary gland i
s achieved by the stimulation of gonadotropin-releasing hormone (GnRH)
and negative feedback by steroid secretion from the gonads has recent
ly been modified by the identification of several proteins with the ca
pacity to modulate FSH secretion. These proteins, inhibin, activin and
follistatin, are produced in the ovary and testis and have the capaci
ty to act as long loop protein feedback signals which modulate FSH sec
retion. Further studies indicate that inhibin probably acts as a circu
lating hormone to inhibit FSH secretion. More recent data suggest that
activin and follistatin may act as local mediators to control FSH sec
retion at the pituitary by paracrine or autocrine phenomena. The produ
ction of activin, which stimulates FSH, and its binding protein follis
tatin, by pituitary cells raises the possibility that the local produc
tion modulates FSH secretion in addition to the long loop feedback sig
nals emanating from the gonads through the steroid hormones estradiol
and testosterone as well as circulating inhibin levels. Further studie
s are necessary to confirm the nature of these regulatory processes. (
C) 1998 Elsevier Science Ireland Ltd. All rights reserved.