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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article"><?properties manuscript?><front><journal-meta><journal-id journal-id-type="nlm-journal-id">0413066</journal-id><journal-id journal-id-type="pubmed-jr-id">2830</journal-id><journal-id journal-id-type="nlm-ta">Cell</journal-id><journal-id journal-id-type="iso-abbrev">Cell</journal-id><journal-title-group><journal-title>Cell</journal-title></journal-title-group><issn pub-type="ppub">0092-8674</issn><issn pub-type="epub">1097-4172</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23663785</article-id><article-id pub-id-type="pmc">3767768</article-id><article-id pub-id-type="doi">10.1016/j.cell.2013.04.017</article-id><article-id pub-id-type="manuscript">NIHMS487842</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Sexually dimorphic neurons in the ventromedial hypothalamus govern
mating in both sexes and aggression in males</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yang</surname><given-names>Cindy F.</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Chiang</surname><given-names>Michael</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Gray</surname><given-names>Daniel C.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Prabhakaran</surname><given-names>Mahalakshmi</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Alvarado</surname><given-names>Maricruz</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Juntti</surname><given-names>Scott A.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Unger</surname><given-names>Elizabeth K.</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Wells</surname><given-names>James A.</given-names></name><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Shah</surname><given-names>Nirao M.</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label>Program in Neuroscience, University of California, San
Francisco, San Francisco, CA 94158</aff><aff id="A2"><label>2</label>Dept. of Anatomy, University of California, San Francisco,
San Francisco, CA 94158</aff><aff id="A3"><label>3</label>Program in Chemistry and Chemical Biology, University of
California, San Francisco San Francisco, CA 94158</aff><aff id="A4"><label>4</label>Program in Biomedical Sciences, University of California,
San Francisco San Francisco, CA 94158</aff><aff id="A5"><label>5</label>Depts. of Pharmaceutical Chemistry and Cellular and
Molecular Pharmacology, University of California, San Francisco, San Francisco, CA
94158</aff><author-notes><corresp id="cor1"><label>*</label>Correspondence:
<email>nms@ucsf.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>25</day><month>6</month><year>2013</year></pub-date><pub-date pub-type="ppub"><day>9</day><month>5</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>09</day><month>5</month><year>2014</year></pub-date><volume>153</volume><issue>4</issue><fpage>896</fpage><lpage>909</lpage><!--elocation-id from pubmed: 10.1016/j.cell.2013.04.017--><permissions><copyright-statement>&#x000a9; 2013 Elsevier Inc. All rights
reserved.</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><title>SUMMARY</title><p id="P1">Sexual dimorphisms in the brain underlie behavioral sex differences, but
the function of individual sexually dimorphic neuronal populations is poorly
understood. Neuronal sexual dimorphisms typically represent quantitative
differences in cell number, gene expression, or other features, and it is
unknown if these dimorphisms control sex-typical behavior in one sex exclusively
or in both sexes. The progesterone receptor (PR) controls female sexual
behavior, and we find many sex differences in number, distribution, or
projections of PR-expressing neurons in the adult mouse brain. We have ablated
one such PR-expressing neuronal population located in the ventromedial
hypothalamus (VMH) using a novel genetic strategy. Ablation of these neurons in
females greatly diminishes sexual receptivity. Strikingly, the corresponding
ablation in males reduces mating and aggression. Our findings reveal the
functions of a molecularly-defined, sexually dimorphic neuronal population in
the brain. Moreover we show that sexually dimorphic neurons can control distinct
sex-typical behaviors in both sexes.</p></abstract></article-meta></front><body><sec sec-type="intro" id="S1"><title>INTRODUCTION</title><p id="P2">Males and females show sex differences in many behaviors, including mating
and aggression, that result from sexually dimorphic development or activation of the
underlying neural circuits. Gonadal sex hormones exert a profound influence on
vertebrate sex-typical behaviors by controlling sex differences in the brain (<xref rid="R17" ref-type="bibr">Cooke et al., 1998</xref>; <xref rid="R20" ref-type="bibr">Dewing et al., 2003</xref>; <xref rid="R26" ref-type="bibr">Gagnidze
et al., 2010</xref>; <xref rid="R35" ref-type="bibr">Jazin and Cahill,
2010</xref>; <xref rid="R63" ref-type="bibr">McCarthy and Arnold, 2011</xref>;
<xref rid="R65" ref-type="bibr">Morris et al., 2004</xref>; <xref rid="R94" ref-type="bibr">Simerly, 2002</xref>; <xref rid="R101" ref-type="bibr">De Vries, 1990</xref>; <xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>;
<xref rid="R108" ref-type="bibr">Yang et al., 2006</xref>). Most behaviors and
neural circuits are shared between the sexes such that sexually dimorphic neuronal
clusters represent a small fraction of the neurons within larger brain regions. It
has therefore been difficult to discern which dimorphic, hormone-responsive neurons
in the brain control each of the various sex differences in physiology and behavior.
In addition, neuronal sex differences usually represent quantitative rather than
allor-nothing dimorphisms in gene expression or cytological features. It is
presently unclear whether such groups of dimorphic neurons regulate gender-typical
behaviors in one or both sexes.</p><p id="P3">Progesterone controls female reproduction, including sexual receptivity, by
signaling via its cognate receptor, PR (<xref rid="R51" ref-type="bibr">Levine et
al., 2001</xref>; <xref rid="R57" ref-type="bibr">Mani et al., 1997</xref>). PR
is widely distributed in the brain, and the PR+ neurons that regulate sexual
receptivity remain to be identified unambiguously (<xref rid="R8" ref-type="bibr">Blaustein and Feder, 1979</xref>; <xref rid="R73" ref-type="bibr">Olster and
Blaustein, 1990</xref>; <xref rid="R83" ref-type="bibr">Quadros et al.,
2008</xref>). The VMH, which contains a small pool of PR+ neurons in its
ventrolateral division (VMHvl), is well characterized for its relevance to female
mating in mammals (<xref rid="R7" ref-type="bibr">Blaustein, 2008</xref>; <xref rid="R15" ref-type="bibr">Cohen and Pfaff, 1992</xref>; <xref rid="R24" ref-type="bibr">Flanagan-Cato, 2011</xref>; <xref rid="R87" ref-type="bibr">Rubin and
Barfield, 1983</xref>). Studies with c-Fos suggest that many VMHvl neurons,
including a subset of PR+ neurons, are activated following female mating (<xref rid="R25" ref-type="bibr">Flanagan-Cato et al., 2006</xref>). However, lesions
or manipulations of neuronal activity of the VMH can lead to no change, a decrease,
or an increase in female sexual behavior (<xref rid="R28" ref-type="bibr">Goy and
Phoenix, 1963</xref>; <xref rid="R44" ref-type="bibr">Kow et al., 1985</xref>;
<xref rid="R50" ref-type="bibr">Leedy and Hart, 1985</xref>; <xref rid="R58" ref-type="bibr">Mathews and Edwards, 1977a</xref>, <xref rid="R59" ref-type="bibr">1977b</xref>; <xref rid="R67" ref-type="bibr">Musatov
et al., 2006</xref>; <xref rid="R76" ref-type="bibr">Pfaff and Sakuma,
1979a</xref>, <xref rid="R77" ref-type="bibr">1979b</xref>; <xref rid="R86" ref-type="bibr">Robarts and Baum, 2007</xref>; <xref rid="R99" ref-type="bibr">La Vaque and Rodgers, 1975</xref>). Some studies also report a
concurrent increase in body weight, suggesting a complex role of this region in
feeding and mating (<xref rid="R40" ref-type="bibr">King, 2006</xref>; <xref rid="R68" ref-type="bibr">Musatov et al., 2007</xref>). This phenotypic
diversity is likely due to manipulations that variably affect the heterogeneous
neuronal subsets within the VMH (<xref rid="R48" ref-type="bibr">Kurrasch et al.,
2007</xref>), adjacent brain regions, and fibers of passage. Given these
challenges, the identity and function of VMHvl neurons that specifically influence
female mating remain unclear.</p><p id="P4">In accord with the notion that the VMHvl influences female sexual behavior,
the VMHvl exhibits quantitative cell and molecular sex differences (<xref rid="R22" ref-type="bibr">Dugger et al., 2007</xref>; <xref rid="R30" ref-type="bibr">Grgurevic et al., 2012</xref>; <xref rid="R60" ref-type="bibr">Matsumoto and Arai, 1983</xref>, <xref rid="R61" ref-type="bibr">1986</xref>;
<xref rid="R74" ref-type="bibr">Patisaul et al., 2008</xref>; <xref rid="R106" ref-type="bibr">Wu et al., 2009</xref>; <xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>). Intriguingly, lesions or manipulations of
neural activity of the VMH or the surrounding neurons have long suggested an
important role of this region in controlling aggression (<xref rid="R33" ref-type="bibr">Hess and Akert, 1955</xref>; <xref rid="R46" ref-type="bibr">Kruk et
al., 1979</xref>; <xref rid="R84" ref-type="bibr">Reeves and Plum, 1969</xref>;
<xref rid="R104" ref-type="bibr">Wheatley, 1944</xref>). In fact, this region is
activated during male aggression, and correspondingly, electrical activation or
inhibition elicits or inhibits fighting, respectively (<xref rid="R42" ref-type="bibr">Kollack-Walker and Newman, 1995</xref>; <xref rid="R52" ref-type="bibr">Lin et al., 2011</xref>; <xref rid="R100" ref-type="bibr">Veening et
al., 2005</xref>). However, as with VMH neurons that regulate female
receptivity, the identity of VMH neurons that influence aggression is unknown. In
principle, these behaviors may be regulated by a single set or by non-overlapping
sets of neurons.</p><p id="P5">We utilized genetic strategies in mice to visualize PR+ neurons and to assess
their contributions to mating and aggression. We find many sex differences in PR+
neurons in the adult brain, including in the VMHvl. We have developed a Cre-loxP
strategy to ablate any molecularly defined neuronal population via targeted viral
delivery of a genetically engineered caspase. Using this approach, we have ablated
PR+ VMHvl neurons in adult females and observe a dramatic reduction in sexual
receptivity. The corresponding ablation in males reduces mating and territorial
aggression. Thus our results define a role of PR+ VMHvl neurons in sex-typical
behaviors. Moreover, we establish that a discrete, sexually dimorphic neuronal
population influences sexually dimorphic behaviors in both sexes.</p></sec><sec sec-type="results" id="S2"><title>RESULTS</title><sec id="S3"><title>Visualizing PR expression in the mouse brain</title><p id="P6">We wished to identify PR+ neurons at high cellular resolution. We
inserted an <italic>IRES-PLAP-IRES-nuclear LacZ</italic> (<italic>PL</italic>)
reporter into the 3&#x02019; UTR of <italic>PR</italic> using gene targeting
(<xref ref-type="fig" rid="F1">Figures 1A, B</xref>). As described
previously (<xref rid="R93" ref-type="bibr">Shah et al., 2004</xref>), this
cassette permits expression of placental alkaline phosphatase (PLAP), which
labels neuronal processes, and nuclear targeted &#x003b2;-galactosidase
(&#x003b2;-gal) in PR+ cells. This strategy maintains the expression and
function of PR and permits examination of PR+ neurons in otherwise wildtype (WT)
mice. Accordingly, and in contrast to
<italic>PR<sup>&#x02212;/&#x02212;</sup></italic> mice (<xref rid="R13" ref-type="bibr">Chappell et al., 1997</xref>; <xref rid="R53" ref-type="bibr">Lydon et al., 1995</xref>),
<italic>PR<sup>PL/PL</sup></italic> females were similar to WT females
in fecundity and also maintained normal sex hormone titers (<xref ref-type="fig" rid="F1">Figure 1C&#x02013;G</xref>).</p><p id="P7">In the forebrain, we observed &#x003b2;-gal activity in pools of neurons
in specific hypothalamic nuclei, posterodorsal medial amygdala (MeApd), medial
division of the posteromedial bed nucleus of the stria terminalis (BNSTmpm),
various cortical areas, basal ganglia, and dentate gyrus (<xref ref-type="fig" rid="F1">Figures 1H&#x02013;M</xref>, <xref ref-type="fig" rid="F2">2</xref>, <xref ref-type="supplementary-material" rid="SD4">S1</xref>). This
distribution of cells mirrors the expression pattern of PR mRNA in adjacent
sections (<xref ref-type="fig" rid="F1">Figure 1H&#x02013;M</xref>). In regions
such as the basal ganglia with low level PR expression that precludes
visualization by in situ hybridization, we can detect PR message by RT-qPCR
(<xref ref-type="supplementary-material" rid="SD4">Figure S1A</xref>). The
distribution of &#x003b2;-gal+ cells is in accord with histological and
pharmacological studies (<xref rid="R6" ref-type="bibr">Becker, 1999</xref>;
<xref rid="R8" ref-type="bibr">Blaustein and Feder, 1979</xref>; <xref rid="R73" ref-type="bibr">Olster and Blaustein, 1990</xref>; <xref rid="R83" ref-type="bibr">Quadros et al., 2008</xref>). In the case of the
basal ganglia, our studies localize PR expression to sparsely distributed
neurons across the rostrocaudal axis (<xref ref-type="supplementary-material" rid="SD4">Figure S1B&#x02013;D</xref>). In addition, we find unreported PR+
neuronal pools scattered within the basal forebrain (<xref ref-type="fig" rid="F2">Figure 2</xref>), an observation confirmed by RT-qPCR from this
region (<xref ref-type="supplementary-material" rid="SD4">Figure S1A</xref>).
The ~1 week t<sub>1/2</sub> of &#x003b2;-gal in neurons precludes
detection of PR mRNA changes across the 4&#x02013;6 day estrous cycle (<xref rid="R1" ref-type="bibr">Allen, 1922</xref>; <xref rid="R95" ref-type="bibr">Smith et al., 1995</xref>). However, the long t<sub>1/2</sub> and superb
signal:noise of &#x003b2;-gal labeling allows sensitive detection of PR
expression. Together, the <italic>PR<sup>PL</sup></italic> reporter mouse
confirms and extends previous reports of PR expression in the mouse brain.</p></sec><sec id="S4"><title>Widespread sex differences in the distribution and cell number of PR+
neurons</title><p id="P8">We observed previously unreported as well as known sex differences in PR+
cells in the adult <italic>PR<sup>PL</sup></italic> brain (<xref ref-type="fig" rid="F2">Figures 2</xref>, <xref ref-type="supplementary-material" rid="SD4">S2A</xref>, and <xref ref-type="supplementary-material" rid="SD1">Table
S1</xref>). We found more PR+ cells in the female preoptic area (POA), the
adjacent anteroventral periventricular hypothalamic nucleus (AVPV), arcuate
nucleus, and VMHvl (<xref ref-type="fig" rid="F2">Figure 2A&#x02013;L</xref>).
The VMHvl contains cells expressing the estrogen receptor alpha (ER&#x003b1; or
Esr1) (<xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>), and we find
that &#x0003e;92% PR+ neurons co-label for ER&#x003b1; in both sexes
(<xref ref-type="supplementary-material" rid="SD4">Figure S2B</xref>). We
asked whether PR+ VMHvl neurons expressed Cckar, a GPCR required for sexual
receptivity and expressed in the female but essentially absent in the male VMHvl
(<xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>). We observed that
67% &#x000b1; 3 (Mean &#x000b1; SEM) of PR+ VMHvl cells co-labeled with
Cckar whereas 96% &#x000b1; 0.2 of Cckar+ VMHvl cells were PR+ (n = 3
<italic>PR<sup>PL/PL</sup></italic> females, &#x02265;500 cells
analyzed/brain) (<xref ref-type="supplementary-material" rid="SD4">Figure
S2C&#x02013;E</xref>). Thus PR+ neurons represent the vast majority of VMHvl
neurons that express <italic>Cckar</italic>, a gene required for female
mating.</p><p id="P9">We observed many clusters of PR+ cells (~15&#x02013;40
cells/cluster) in the male but not female basal forebrain (<xref ref-type="fig" rid="F2">Figure 2M&#x02013;P</xref>). Together with a sex difference in
androgen receptor expression in this region (<xref rid="R93" ref-type="bibr">Shah et al., 2004</xref>), our findings suggest an unappreciated role of
the basal forebrain in responding to sex hormones. We also found more PR+ cells
in the male BNSTmpm and MeApd (<xref ref-type="fig" rid="F2">Figure
2Q&#x02013;X</xref>). This increased PR expression is surprising because
there is little circulating progesterone in males; our findings are nevertheless
consistent with studies indicating a role of PR in male behaviors (<xref rid="R78" ref-type="bibr">Phelps et al., 1998</xref>; <xref rid="R90" ref-type="bibr">Schneider et al., 2005</xref>, <xref rid="R91" ref-type="bibr">2009</xref>; <xref rid="R105" ref-type="bibr">Witt et al., 1995</xref>). As
suggested previously (<xref rid="R55" ref-type="bibr">Mani et al., 1994a</xref>;
<xref rid="R81" ref-type="bibr">Power et al., 1991</xref>; <xref rid="R98" ref-type="bibr">Tsutsui, 2012</xref>), PR may function in a
progesterone- independent manner or locally synthesized progesterone may
activate PR in males. Consistent with these sex differences in PR expression,
the POA, BNSTmpm, MeApd, arcuate nucleus, and VMHvl have been implicated in sex
differences in behavior or physiology (<xref rid="R17" ref-type="bibr">Cooke et
al., 1998</xref>; <xref rid="R65" ref-type="bibr">Morris et al.,
2004</xref>; <xref rid="R94" ref-type="bibr">Simerly, 2002</xref>), and PR+
neurons in these regions could contribute to such sexually dimorphic output.</p><p id="P10">We find that the dimorphic PR+ cells co-label with pan-neuronal markers
(<xref ref-type="supplementary-material" rid="SD4">Figure S2F</xref>).
However, within any given brain region expressing PR dimorphically, only a
subset of neurons is PR+. Even within the VMHvl, only 49% &#x000b1; 4 of
NeuN+ cells co-label with PR (n = 3 brains, &#x02265;10<sup>3</sup> NeuN+ cells
analyzed for PR/brain). There is a sex difference in the soma size of
thionin-labeled neurons within the rat VMHvl (<xref rid="R22" ref-type="bibr">Dugger et al., 2007</xref>). However, there was no such sex difference in
PR+ VMHvl neurons (<xref ref-type="supplementary-material" rid="SD4">Figure
S2G</xref>), suggesting a species difference or that other VMHvl neurons
account for this dimorphism. The sex differences in PR expression cannot result
solely from sex differences in neuronal numbers. Indeed, no sex difference in
neuronal number has been reported in the basal forebrain or VMHvl, and in the
POA and arcuate nucleus, which contain more neurons in males (<xref rid="R27" ref-type="bibr">Gorski et al., 1980</xref>; <xref rid="R49" ref-type="bibr">Leal et al., 1998</xref>), we find more PR+ neurons in females.
Finally, the 3&#x02013;4 fold more PR+ neurons in the male BNSTmpm and MeApd
exceeds the &#x0003c;2-fold more neurons in these regions in males (<xref rid="R66" ref-type="bibr">Morris et al., 2008</xref>; <xref rid="R93" ref-type="bibr">Shah et al., 2004</xref>; <xref rid="R106" ref-type="bibr">Wu et
al., 2009</xref>). Thus, our studies confirm known sex differences (POA,
VMHvl, arcuate nucleus, MeApd) (<xref rid="R9" ref-type="bibr">Blaustein et al.,
1980</xref>; <xref rid="R11" ref-type="bibr">Brown et al., 1996</xref>;
<xref rid="R30" ref-type="bibr">Grgurevic et al., 2012</xref>; <xref rid="R47" ref-type="bibr">Kudwa et al., 2009</xref>; <xref rid="R82" ref-type="bibr">Quadros et al., 2002</xref>) and reveal new sexual dimorphisms in
PR expression (basal forebrain, BNSTmpm) in the mammalian brain.</p></sec><sec id="S5"><title>Visualizing sex differences in projections of PR+ neurons</title><p id="P11">We determined whether sexually dimorphic PR+ neurons projected to
distinct locations in the two sexes. Consistent with PR expression in
interconnected regions such as the POA, BNST, MeA, and VMHvl, we observed a rich
distribution of PLAP+ fibers in the <italic>PR<sup>PL/PL</sup></italic>
forebrain (data not shown) that precluded identification of dimorphic projection
patterns. We devised a genetic strategy to visualize the projections of any
subset of PR+ neurons. We first targeted an <italic>IRES-Cre
recombinase</italic> cassette to the 3&#x02019; UTR of <italic>PR</italic>
(<xref ref-type="fig" rid="F3">Figures 3A</xref>, <xref ref-type="supplementary-material" rid="SD4">S3A, B</xref>). As expected,
these <italic>PR-IRES-Cre</italic> (<italic>PR<sup>Cre</sup></italic>) mice,
like <italic>PR<sup>PL</sup></italic> mice, are viable and fertile, and Cre
expression mirrors that of PR in the brain (<xref ref-type="supplementary-material" rid="SD4">Figure S3C&#x02013;F</xref>). We
also designed a lentiviral vector that expresses PLAP in a Cre-dependent manner
(Lenti-lxlplap, <xref ref-type="fig" rid="F3">Figures 3A</xref>, <xref ref-type="supplementary-material" rid="SD4">S3G</xref>). This lentivirus is
replication-incompetent and integrates into the host genome, properties that
restrict PLAP expression to Cre+ cells for the life of the cells. This virus
infects cells in both WT and <italic>PR<sup>Cre</sup></italic> mice, but we only
observe PLAP expression in <italic>PR<sup>Cre</sup></italic> mice (<xref ref-type="fig" rid="F3">Figure 3B&#x02013;E</xref>).</p><p id="P12">The VMH has been implicated in sex-specific behaviors, and we therefore
traced the projections of PR+ VMHvl neurons in adults. We initially determined
that we could visualize maximal expression of PLAP 7&#x02013;8 days following
delivery of Lenti-lxlplap into the VMH (CFY, unpublished observations). Such
injections revealed the soma and local arbors of PR+ VMHvl neurons (<xref ref-type="fig" rid="F3">Figure 3F&#x02013;I</xref>). In contrast to the
wide-ranging projections of the entire VMH (<xref rid="R89" ref-type="bibr">Saper et al., 1976</xref>; <xref rid="R45" ref-type="bibr">Krieger et al.,
1979</xref>), we observed PLAP+ projections of PR+ VMHvl neurons in the AVPV
and adjacent periventricular area, POA, and periaqueductal gray (PAG) (<xref ref-type="fig" rid="F3">Figure 3J&#x02013;U</xref>). Unlike PR+ VMHvl
projections in the guinea pig (<xref rid="R85" ref-type="bibr">Ricciardi and
Blaustein, 1994</xref>), mouse PR+ VMHvl neurons did not appear to project
appreciably to the BNST or MeA, suggesting subtle species differences in these
cells. Although we observed similar localization of PLAP+ projections of PR+
VMHvl neurons in both sexes (<xref ref-type="fig" rid="F3">Figures
3J&#x02013;W</xref>, <xref ref-type="supplementary-material" rid="SD4">S3H</xref>, and <xref ref-type="supplementary-material" rid="SD1">Table
S2</xref>), there was a striking, previously unreported 7-fold increase in
PLAP+ fibers in the female AVPV (<xref ref-type="fig" rid="F3">Figure
3J&#x02013;M</xref>). This sex difference cannot solely result from the
dimorphism (~30%) in PR+ VMHvl cell number. In fact, we even
observed the dimorphic AVPV projection in <italic>PR<sup>Cre</sup></italic>
females in whom a few PR+ VMHvl neurons had been infected. Thus, more PR+ female
VMHvl neurons project to the AVPV or their axonal termini arborize more
extensively. The AVPV is thought to control ovulation, and the PAG can regulate
sexual receptivity in females (<xref rid="R88" ref-type="bibr">Sakuma and Pfaff,
1979</xref>; <xref rid="R94" ref-type="bibr">Simerly, 2002</xref>). In
summary, PR+ VMHvl neurons project to a subset of VMH targets, their efferents
are sexually dimorphic, and each of their targets can influence sexually
dimorphic behaviors or physiology.</p></sec><sec id="S6"><title>A novel genetic approach to ablate adult neurons in vivo</title><p id="P13">We determined the requirement of PR+ VMHvl neurons in sex-typical
behaviors by targeting Cre-dependent, virally encoded toxins to the VMHvl of
<italic>PR<sup>Cre</sup></italic> mice. Initial studies suggested that
virally encoded diphtheria toxin A or tBid (<xref rid="R36" ref-type="bibr">Jiang and Wang, 2004</xref>; <xref rid="R62" ref-type="bibr">Maxwell et
al., 1986</xref>) were partially effective in ablating PR+ neurons in vivo
even though they were effective in tissue culture cells (CFY, unpublished
observations). We therefore employed a genetically engineered caspase-3, a
caspase whose activation commits a cell to apoptosis, to kill adult neurons in
vivo (<xref ref-type="fig" rid="F4">Figure 4A</xref>) (<xref rid="R29" ref-type="bibr">Gray et al., 2010</xref>). Endogenous caspase-3 normally exists as
pro-caspase-3, and apoptotic signals activate upstream caspases that cleave
pro-caspase-3 into its active form (<xref ref-type="fig" rid="F4">Figure
4A</xref>). Our designer pro-caspase-3, pro-taCasp3, lacks the cleavage site
for upstream caspases and encodes a cleavage site for the heterologous enzyme
Tobacco Etch Virus protease (TEVp). Provision of TEVp activates pro-taCasp3 into
the apoptosis-inducing taCasp3. We generated an adeno-associated virus (AAV) to
drive expression of pro-taCasp3 and TEVp in a Cre-dependent manner (<xref ref-type="fig" rid="F4">Figures 4B</xref>, <xref ref-type="supplementary-material" rid="SD4">S4A</xref>) (<xref rid="R2" ref-type="bibr">Atasoy et al., 2008</xref>). This virus
(AAV-flex-taCasp3-TEVp) utilizes the T2A peptide encoding sequence to ensure
bi-cistronic expression of pro-taCasp3 and TEVp. Importantly, taCasp3 triggers
cell-autonomous apoptosis, thereby minimizing toxicity to adjacent non-Cre+
cells (<xref rid="R29" ref-type="bibr">Gray et al., 2010</xref>).</p><p id="P14">Infection of HEK293T cells with this virus leads to rapid Cre-dependent
cell death (<xref ref-type="fig" rid="F4">Figure 4C, D</xref>). We next tested
whether this virus could ablate adult PR+ neurons by stereotaxically targeting
it to the VMHvl of adult <italic>PR<sup>+/PL</sup></italic> or
<italic>PR<sup>Cre/PL</sup></italic> mice. PR+ VMHvl neurons appeared
unaffected in controls but were essentially completely lost in
<italic>PR<sup>Cre/PL</sup></italic> mice 2&#x02013;4 weeks following
viral delivery (<xref ref-type="fig" rid="F4">Figures 4E, F</xref>, <xref ref-type="supplementary-material" rid="SD4">S4B</xref>). We tested whether
the taCasp3-encoding AAV targeted to the VMHvl diffused to and ablated PR+ cells
in distant hypothalamic regions. We therefore enumerated PR+ cells along the
rostrocaudal extent of the hypothalamus in a cohort of virally injected control
and <italic>PR<sup>Cre</sup></italic> mice. This analysis revealed no difference
in PR+ cell counts between <italic>PR<sup>Cre</sup></italic> and control females
(number of PR+ cells: Control, 619 &#x000b1; 60 and
<italic>PR<sup>Cre</sup></italic>, 679 &#x000b1; 150; n = 5/cohort, p =
0.7). Thus taCasp3-mediated ablation appears restricted to the vicinity of the
injection site. We observed local spread of the virus to the arcuate and present
these findings below. In separate experiments, we found that stereotaxic
delivery of the taCasp3-encoding virus ablated Cre+ neurons in different brain
regions (CFY, EKU, and MC, unpublished observations), indicating that we have
devised a general strategy for targeted ablation of Cre+ cells.</p></sec><sec id="S7"><title>The dimorphic PR+ VMHvl cluster of neurons regulates female sexual
behavior</title><p id="P15">We tested the role of PR+ VMHvl neurons in female mating. We targeted
AAV-flex-taCasp3-TEVp bilaterally to the VMHvl of adult
<italic>PR<sup>Cre</sup></italic> and control females (<xref ref-type="fig" rid="F5">Figure 5A</xref>). To assure optimal sexual receptivity, females
were ovariectomized at the time of viral injection and, following recovery,
hormonally primed to be in estrus when tested with WT males.</p><p id="P16">We observed a marked diminution of female sexual behavior in such
<italic>PR<sup>Cre</sup></italic> females (<xref ref-type="fig" rid="F5">Figure 5B&#x02013;G</xref>, <xref ref-type="supplementary-material" rid="SD2">Movies S1</xref> and <xref ref-type="supplementary-material" rid="SD3">S2</xref>). As in many vertebrates, female mating in mice is
stereotyped and includes permitting the male to approach and mount and
dorsiflexing the neck and back (lordosis) upon sensory stimulation to the dorsum
(<xref rid="R32" ref-type="bibr">Harvey, 1651</xref>; <xref rid="R64" ref-type="bibr">McGill, 1962</xref>). This allows the males to intromit
(penetrate, as determined by his thrust pattern) and attempt ejaculation.
<italic>PR<sup>Cre</sup></italic> females rejected mount attempts by
kicking or running away (<xref ref-type="fig" rid="F5">Figure 5B</xref>),
thereby reducing the fraction of mounts that progressed to intromission
(receptivity index, <xref ref-type="fig" rid="F5">Figure 5C</xref>). In sharp
contrast to controls, <italic>PR<sup>Cre</sup></italic> females walked around
during intromission, lordosed rarely, and with a &#x0003e;20-fold reduction in
lordosis duration (<xref ref-type="fig" rid="F5">Figures 5D&#x02013;F</xref>).
This reduced sexual behavior of <italic>PR<sup>Cre</sup></italic> females
affected the WT male partner&#x02019;s performance (<xref ref-type="fig" rid="F5">Figure 5H&#x02013;J</xref>). Males were interested in both
<italic>PR<sup>Cre</sup></italic> and control females, initiating
anogenital sniffing, mounting, and intromission equivalently, but were less
successful in ejaculating with the former (<xref ref-type="fig" rid="F5">Figures
5H</xref>, <xref ref-type="supplementary-material" rid="SD4">S5A,
S5B</xref>). Accordingly, males intromitted only briefly with
<italic>PR<sup>Cre</sup></italic> females even though they mounted the
females more and for longer duration (<xref ref-type="fig" rid="F5">Figure 5I,
J</xref>). Correspondingly the total duration of intromission per assay was
also reduced (Control, 279 s &#x000b1; 41 and <italic>PR<sup>Cre</sup></italic>,
121 s &#x000b1; 19; n &#x02265; 10, p = 3&#x000d7;10<sup>&#x02212;3</sup>). In
summary, targeted ablation of adult PR+ VMHvl neurons leads to a significant
diminution in female mating.</p><p id="P17">We next assessed the ablation of PR+ VMHvl cells in these
<italic>PR<sup>Cre</sup></italic> females. We observed that most
(97% &#x000b1; 1; n = 10 control and 16
<italic>PR<sup>Cre</sup></italic> females) PR+ VMHvl neurons were ablated
upon injection of the taCasp3-encoding AAV into
<italic>PR<sup>Cre</sup></italic> females (<xref ref-type="fig" rid="F5">Figure 5G</xref>). Co-injection of this AAV and a constitutively expressed
EGFP-encoding AAV revealed spread to the adjacent arcuate nucleus, which
contains PR+ neurons (<xref ref-type="fig" rid="F2">Figure 2I&#x02013;L</xref>)
and controls feeding and the estrous cycle (<xref rid="R3" ref-type="bibr">Atasoy et al., 2012</xref>; <xref rid="R94" ref-type="bibr">Simerly,
2002</xref>). Consistent with the lack of estrous cycle or body weight
phenotypes in <italic>PR<sup>Cre</sup></italic> mice (see below and <xref ref-type="supplementary-material" rid="SD4">Figure S5</xref>), our
injections spared most PR+ arcuate neurons in <italic>PR<sup>Cre</sup></italic>
females (74% &#x000b1; 12 of controls). There was no correlation in the
extent of loss of PR+ arcuate neurons and reduced sexual receptivity
(R<sup>2</sup> = 5&#x000d7;10<sup>&#x02212;3</sup>, p = 0.8). Moreover, we
found that <italic>PR<sup>Cre</sup></italic> females (n = 7) in whom the number
of PR+ arcuate neurons was indistinguishable from controls also rejected males
and displayed reduced sexual receptivity (Rejections/assay: Controls, 1
&#x000b1; 1 and <italic>PR<sup>Cre</sup></italic> females, 35 &#x000b1; 7; p
&#x02264; 6 &#x000d7; 10<sup>&#x02212;5</sup>, n &#x02265; 7; Receptivity Index:
Controls, 0.5 and <italic>PR<sup>Cre</sup></italic> females 0.2 &#x000b1; 0.1, p
&#x02264; 3 &#x000d7; 10<sup>&#x02212;3</sup>, n &#x02265; 7). Thus PR+ VMHvl
neurons are required for normal female sexual behavior.</p><p id="P18">We tested the specificity of the behavioral deficit in
<italic>PR<sup>Cre</sup></italic> females following ablation of PR+
VMHvl neurons. Despite their reduced sexual receptivity, these mice sniffed and
groomed males normally (<xref ref-type="supplementary-material" rid="SD4">Figure
S5C, D</xref>) (Groom duration: Control, 2 s &#x000b1; 1 and
<italic>PR<sup>Cre</sup></italic>, 5 s &#x000b1;1, n &#x02265; 10, p
&#x02265; 0.3). There were no overt deficits in tests of anxiety, motivated
behavior, motor coordination, and locomotor activity (<xref ref-type="supplementary-material" rid="SD4">Figure S5E&#x02013;H</xref>). In
contrast to the weight gain subsequent to a VMH lesion (<xref rid="R21" ref-type="bibr">Dhillon et al., 2006</xref>; <xref rid="R34" ref-type="bibr">Hetherington and Ranson, 1940</xref>; <xref rid="R40" ref-type="bibr">King,
2006</xref>; <xref rid="R54" ref-type="bibr">Majdic et al., 2002</xref>),
<italic>PR<sup>Cre</sup></italic> females maintained body weight similar
to controls upon ablation of PR+ VMHvl neurons (<xref ref-type="supplementary-material" rid="SD4">Figure S5I</xref>). Thus, we
have partitioned the VMHvl to reveal that PR+ VMHvl neurons are required for
normal levels of female sexual receptivity but not for all social or other
behaviors and physiology.</p><p id="P19">In separate studies we ablated PR+ VMHvl neurons but left the ovaries
intact to examine whether other female-typical behaviors are regulated by these
neurons. This ablation did not disrupt the estrous cycle as assayed by vaginal
cytology (<xref ref-type="supplementary-material" rid="SD4">Figure S5J</xref>).
To test for maternal behaviors, we obtained litters from
<italic>PR<sup>Cre</sup></italic> and control females by co-housing them
with WT males. Similar to control females, <italic>PR<sup>Cre</sup></italic>
females displayed various elements of maternal care toward their litters,
including pup retrieval and aggression toward unfamiliar intruders in their cage
(<xref ref-type="supplementary-material" rid="SD4">Figure
S5K&#x02013;O</xref>). Our results therefore show that ablation of PR+ VMHvl
neurons reduced female sexual displays without overt disruption of other
female-typical behaviors and physiology.</p><p id="P20">PR regulates female mating (<xref rid="R53" ref-type="bibr">Lydon et
al., 1995</xref>), and our findings suggest that it functions in the VMHvl
to do so, consistent with prior work (<xref rid="R55" ref-type="bibr">Mani et
al., 1994a</xref>, <xref rid="R56" ref-type="bibr">1994b</xref>; <xref rid="R71" ref-type="bibr">Ogawa et al., 1994</xref>; <xref rid="R80" ref-type="bibr">Pollio et al., 1993</xref>). Cckar is also required for female
mating (<xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>). Most Cckar+
VMHvl neurons are PR+ (<xref ref-type="supplementary-material" rid="SD4">Figure
S2C&#x02013;E</xref>), resulting in a near-complete loss of these cells upon
ablation of PR+ VMHvl neurons (<xref ref-type="fig" rid="F5">Figure 5K,
L</xref>). It is possible that PR or Cckar act elsewhere to control female
mating, and these genes only mark a pool of VMHvl neurons that controls this
behavior. We favor a more parsimonious model in which PR and Cckar function in
the VMHvl to regulate female mating. In any event, our findings show that PR+,
Cckar+ VMHvl neurons are essential for high, WT levels of female sexual
behavior.</p></sec><sec id="S8"><title>The dimorphic PR+ VMHvl cluster of neurons regulates mating and aggression in
males</title><p id="P21">The VMHvl has been implicated in regulating female mating and male
fighting. PR+ neurons represent ~50% of VMHvl neurons and these
regulate female mating (<xref ref-type="fig" rid="F5">Figure 5</xref>), but
fighting could be controlled by PR+ or PR- VMHvl cells. We tested whether PR+
VMHvl neurons regulate male behaviors by ablating them with the taCasp3-encoding
AAV (<xref ref-type="fig" rid="F6">Figure 6A</xref>).
<italic>PR<sup>Cre</sup></italic> and control males were allowed to recover
for 4 weeks following viral delivery, singly housed, and tested for mating and
fighting.</p><p id="P22"><italic>PR<sup>Cre</sup></italic> and control males initiated mounting
intruder females equivalently, but <italic>PR<sup>Cre</sup></italic> males were
less likely to intromit (<xref ref-type="fig" rid="F6">Figures 6B</xref> and
<xref ref-type="supplementary-material" rid="SD4">S6A</xref>). The reduced
intromissions likely resulted from the fewer mounts exhibited by
<italic>PR<sup>Cre</sup></italic> males (<xref ref-type="fig" rid="F6">Figure 6C</xref>). Even when these males intromitted, there was a decrease
in the number and duration of intromissions (<xref ref-type="fig" rid="F6">Figures 6C, D</xref>, <xref ref-type="supplementary-material" rid="SD4">S6B</xref>). The decreased intromission count was significant (n &#x02265;
16/cohort; p = 5&#x000d7;10<sup>&#x02212;3</sup>) even when normalized to the
fewer mounts. Thus, ablation of male PR+ VMHvl neurons leads to specific
deficits in consummatory elements of mating. This phenotype is not accompanied
by deficits in presumptively appetitive behaviors such as sniffing (<xref ref-type="fig" rid="F6">Figure 6B</xref>, <xref ref-type="supplementary-material" rid="SD4">S6C&#x02013;E</xref>), sex
discrimination, or territory marking. There was no difference between
<italic>PR<sup>Cre</sup></italic> and control males in sex
discrimination as shown by predominantly female-directed ultrasonic vocalization
(<xref ref-type="fig" rid="F6">Figure 6E</xref>) (<xref rid="R70" ref-type="bibr">Nyby et al., 1977</xref>). Both <italic>PR<sup>Cre</sup></italic>
and control males also marked their territory equivalently (<xref ref-type="fig" rid="F6">Figure 6F, G</xref>) (<xref rid="R19" ref-type="bibr">Desjardins et
al., 1973</xref>; <xref rid="R39" ref-type="bibr">Kimura and Hagiwara,
1985</xref>). Together, PR+ VMHvl neurons are essential for the normal
display of male sexual behavior.</p><p id="P23">We tested whether ablation of PR+ VMHvl neurons disrupted aggression
toward a WT male intruder. <italic>PR<sup>Cre</sup></italic> males exhibited a
&#x0003e;2-fold reduction in the probability of initiating aggression compared
to controls (<xref ref-type="fig" rid="F7">Figure 7A</xref>). Even when
<italic>PR<sup>Cre</sup></italic> males fought, they attacked less, for
a shorter duration, and with a longer inter-attack interval (<xref ref-type="fig" rid="F7">Figure 7B&#x02013;D</xref>). Male fighting includes
tail rattles and overt attacks such as biting. Control and
<italic>PR<sup>Cre</sup></italic> residents rattled their tails
equivalently, but <italic>PR<sup>Cre</sup></italic> males bit the intruders over
3-fold less (<xref ref-type="fig" rid="F7">Figure 7E</xref>). Thus ablation of
PR+ VMHvl neurons significantly reduces male aggression.</p><p id="P24">We assessed the ablation of PR+ VMHvl neurons in males tested
behaviorally. Most of these neurons (95% &#x000b1; 1; n = 14 control and
35 <italic>PR<sup>Cre</sup></italic> males) were ablated in
<italic>PR<sup>Cre</sup></italic> males (<xref ref-type="fig" rid="F7">Figure 7F&#x02013;H</xref>) whereas PR+ arcuate neurons were largely spared
(92% &#x000b1; 12 of controls). There was no correlation in the extent
of loss of PR+ neurons in the arcuate and the reduced mating or fighting
(mating, R<sup>2</sup> = 4 &#x000d7;10<sup>&#x02212;4</sup>, p = 0.9; fighting,
R<sup>2</sup> = 2 &#x000d7; 10<sup>&#x02212;2</sup>, p = 0.7).
<italic>PR<sup>Cre</sup></italic> males (n = 15) in whom the number of
PR+ arcuate neurons was indistinguishable from controls also exhibited deficits
in mating and fighting (Percent males intromitting: Controls, 67% and
<italic>PR<sup>Cre</sup></italic> males, 27%, n &#x02265; 15, p
= 0.02; Percent males attacking: Controls, 75% and
<italic>PR<sup>Cre</sup></italic> males, 20%, n &#x02265; 15, p
= 1 &#x000d7; 10<sup>&#x02212;3</sup>). Taken together, our findings demonstrate
that PR+ VMHvl neurons control the normal display of male mating and
fighting.</p><p id="P25">We tested the specificity of the deficits in
<italic>PR<sup>Cre</sup></italic> males following ablation of PR+ VMHvl
neurons. Despite deficits in mating and fighting, these males sniffed and
groomed intruders in a WT manner (<xref ref-type="fig" rid="F6">Figures
6B</xref>, <xref ref-type="fig" rid="F7">7A</xref>, <xref ref-type="supplementary-material" rid="SD4">S6C&#x02013;E,
S7A&#x02013;C</xref>). <italic>PR<sup>Cre</sup></italic> males performed at
WT levels in assays of anxiety, motivated behavior, motor coordination, and
locomotor activity (<xref ref-type="supplementary-material" rid="SD4">Figure
S7D&#x02013;G</xref>). These males maintained normal body weight, and there
was no change in the weight of gonads, seminal vesicles, and serum testosterone
titers (<xref ref-type="supplementary-material" rid="SD4">Figure
S7H&#x02013;J</xref>). Thus, PR+ VMHvl neurons are specifically required in
males for the high, WT levels of mating and aggression.</p></sec></sec><sec sec-type="discussion" id="S9"><title>DISCUSSION</title><p id="P26">We have identified a small, sexually dimorphic cluster of ~2,000 PR+
hypothalamic neurons that is essential for the normal display of sexual receptivity
in females and sexual and aggressive behaviors in males. Our findings directly
demonstrate that sexually dimorphic neurons in the brain influence dimorphic
behaviors. Moreover these PR+ neurons are functionally bivalent in that they
regulate distinct dimorphic behaviors in the two sexes.</p><sec id="S10"><title>Control of social behaviors by the VMH</title><p id="P27">Experimental studies and clinical observations have suggested that the
VMH or adjacent hypothalamic regions regulate aggression and female mating
(<xref rid="R4" ref-type="bibr">Bard, 1928</xref>; <xref rid="R7" ref-type="bibr">Blaustein, 2008</xref>; <xref rid="R14" ref-type="bibr">Clemente
and Chase, 1973</xref>; <xref rid="R16" ref-type="bibr">Colpaert and
Wiepkema, 1976</xref>; <xref rid="R31" ref-type="bibr">Grossman,
1972</xref>; <xref rid="R33" ref-type="bibr">Hess and Akert, 1955</xref>; <xref rid="R44" ref-type="bibr">Kow et al., 1985</xref>; <xref rid="R46" ref-type="bibr">Kruk et al., 1979</xref>; <xref rid="R52" ref-type="bibr">Lin et
al., 2011</xref>; <xref rid="R72" ref-type="bibr">Olivier and Wiepkema,
1974</xref>; <xref rid="R76" ref-type="bibr">Pfaff and Sakuma, 1979a</xref>,
<xref rid="R77" ref-type="bibr">1979b</xref>; <xref rid="R84" ref-type="bibr">Reeves and Plum, 1969</xref>; <xref rid="R97" ref-type="bibr">Swaab, 2003</xref>; <xref rid="R99" ref-type="bibr">La Vaque and Rodgers,
1975</xref>; <xref rid="R104" ref-type="bibr">Wheatley, 1944</xref>).
Despite intense scrutiny, the neurons that control these behaviors remained
unidentified. In fact, whether separate or overlapping neuronal groups control
these innate behaviors was also unknown. Our studies reveal the molecular
identity of the long sought-after neurons in or around the VMH that influence
male fighting and female mating. While other neighboring neurons may also
influence these behaviors, we show that PR+ VMHvl neurons are required for the
normal display of mating in females and fighting in males. These PR+ neurons
also regulate male mating. Non-targeted inhibition of neurons in this region
disrupts male fighting but not mating (<xref rid="R52" ref-type="bibr">Lin et
al., 2011</xref>), suggesting partial inactivation or incomplete targeting
of the neurons that regulate male mating. By contrast, our ablation of the PR+
VMHvl population revealed a role for these cells in male mating. Generalized
arousal systems may feed into the VMH to enhance social interactions (<xref rid="R92" ref-type="bibr">Schober et al., 2011</xref>). We do not observe
altered locomotor activity, sensorimotor coordination, or general social
interactions in mice lacking PR+ VMHvl neurons, suggesting that these neurons
are unlikely to exert a major influence on neural pathways that increase such
arousal. In summary, we show that PR+ VMHvl neurons are required for the normal
display of mating in both sexes and fighting in males. Given the conservation of
genes and neuroanatomy across placental mammals, these VMHvl neurons may
regulate mating and aggression in many mammals, including humans.</p></sec><sec id="S11"><title>Distributive neural control of sexually dimorphic behaviors</title><p id="P28">It is curious that ablation of a highly restricted, molecularly defined
set of neurons results in deficits in male mating and fighting. These PR+
neurons may integrate social cues relevant to both behaviors, allowing males to
mate or fight appropriately. Such dual control could also reflect further
diversity within PR+ VMHvl neurons such that subsets of these neurons regulate
one or the other behavior. In fact, in vivo recordings and c-Fos studies (<xref rid="R52" ref-type="bibr">Lin et al., 2011</xref>) reveal male VMHvl neurons
that are activated during encounters with both sexes as well as neurons that
appear responsive to either male or female encounters.</p><p id="P29">We find that different components of male behaviors require distinct
neuronal populations. Males lacking PR+ VMHvl neurons have a male behavioral
repertoire: they distinguish between the sexes with vocalizations (<xref rid="R96" ref-type="bibr">Stowers et al., 2002</xref>), attack males, and
mate with females. Moreover, these males mark territory like WT males, thereby
providing an objective indicator that their internal representation of sexual
identity is masculine. Nevertheless these males display specific deficits in
mating and fighting, indicating that ablation of PR+ VMHvl neurons dissociates
the repertoire of masculine behaviors. Such partial behavioral deficits could
reflect compensatory mechanisms activated upon the loss of these neurons.
However, acute inactivation of the VMH mimics the behavioral deficits we observe
(<xref rid="R52" ref-type="bibr">Lin et al., 2011</xref>), suggesting a
minimal role of compensatory mechanisms. Thus, male mating and fighting are
encoded in a distributive or redundant manner in the brain. Similarly, ablation
of these neurons reduces female sexual receptivity without overtly disrupting
estrous cyclicity or maternal care, indicating that these behaviors and
physiology may also be controlled by distinct neuronal groups. Together, our
findings show that sex-typical behaviors are represented distributively, and
different neuronal populations in the underlying neural circuit control specific
components of these behaviors. In fact genes such as <italic>Cckar</italic> also
control these behaviors in a modular manner; for instance,
<italic>Cckar<sup>&#x02212;/&#x02212;</sup></italic> females show
reduced sexual receptivity without alterations in other behaviors or physiology
(<xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>). Thus modular
control of sexually dimorphic behaviors across multiple levels, including genes
and neurons, may be a general organizational principle of the underlying neural
circuits.</p></sec><sec id="S12"><title>Control of sex-typical behaviors by sexually dimorphic VMHvl neurons</title><p id="P30">Studies in diverse animals have defined the relevance of particular
brain regions to sex-typical behaviors (<xref rid="R10" ref-type="bibr">Brenowitz, 1991</xref>; <xref rid="R17" ref-type="bibr">Cooke et al.,
1998</xref>; <xref rid="R23" ref-type="bibr">Ferveur et al., 1995</xref>;
<xref rid="R38" ref-type="bibr">Kelley, 1997</xref>; <xref rid="R43" ref-type="bibr">Konishi, 1989</xref>; <xref rid="R65" ref-type="bibr">Morris et
al., 2004</xref>). However, within a brain region only specific subsets of
neurons are sexually dimorphic (<xref rid="R69" ref-type="bibr">Ng et al.,
2009</xref>; <xref rid="R103" ref-type="bibr">De Vries and Panzica,
2006</xref>; <xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>), and
with rare exceptions in invertebrates (<xref rid="R41" ref-type="bibr">Kohatsu
et al., 2011</xref>; <xref rid="R79" ref-type="bibr">von Philipsborn et al.,
2011</xref>), the function of sexually dimorphic neurons is unknown.
Ablation of the ~2000 sexually dimorphic PR+ VMHvl neurons, a fraction
of the ~10<sup>8</sup> neurons in the mouse brain, results in specific
deficits in complex social behaviors. Such specificity likely results from
manipulation of a molecularly defined subset of neurons. Indeed PR+ neurons
represent only ~50% of VMHvl neurons that, in turn, represent a
fraction of VMH neurons.</p><p id="P31">The mechanisms whereby sexually dimorphic neurons control dimorphic
behaviors are poorly understood. It is possible that PR+ VMHvl neurons represent
unrelated cell types in the two sexes, as evidenced by the sex differences in
cell number and distribution, projection targets, and expression of Cckar. This
is unlikely because PR+ VMHvl neurons also share many features, including
location, projection targets, gene expression (PR, ER&#x003b1;), and
developmental lineage (<xref rid="R30" ref-type="bibr">Grgurevic et al.,
2012</xref>). Thus, it appears that a common pool of PR+ VMHvl neurons is
present in both sexes, but their sex differences may allow them to transform
synaptic inputs in a sex-specific manner or to relay either male or
female-specific input to drive sexually dimorphic behavioral output.</p><p id="P32">Most behaviors are common to the sexes, suggesting that each sex
possesses the motor pathways to display dimorphic behaviors of the opposite sex.
Most sex differences in the brain represent quantitative and not all-or-none
cellular or molecular sex differences. It is unknown whether these shared but
dimorphic neurons regulate sex-typical behaviors in both sexes. Alternately,
such neurons may regulate a dimorphic output in one sex, and in the other sex,
they may be functionally vestigial, subserve a non-dimorphic function, or
suppress a function of the opposite sex (<xref rid="R102" ref-type="bibr">De
Vries and Boyle, 1998</xref>). We show that PR+ VMHvl neurons are
functionally bivalent in the sense that they control sex-typical behaviors in
both males and females. This dual function may prove adaptive if such neurons
can generate a dimorphic behavior of the opposite sex in the appropriate
context; in addition, bivalence may permit facile interchange of sex-typical
behaviors between the sexes during speciation. Such flexibility may underlie the
rapid evolution of sexually dimorphic traits (<xref rid="R18" ref-type="bibr">Darwin, 1871</xref>), including behaviors such as allocation of parental
care and social dominance hierarchies. Given such evolutionary considerations,
it remains to be seen whether all sexually dimorphic neuronal populations
control sex-typical behaviors in both sexes.</p></sec></sec><sec sec-type="methods" id="S13"><title>EXPERIMENTAL PROCEDURES</title><sec id="S14"><title>Viruses</title><sec id="S15"><title>AAV-flex-taCasp3-TEVp</title><p id="P33">The plasmid encoding AAV-flex-taCasp3-TEVp (<xref ref-type="supplementary-material" rid="SD4">Figure S4A</xref>) was
generated using routine subcloning. High titer virus of serotype 2/1
(3&#x000d7;10<sup>12</sup> IU/mL) was generated from the plasmid at the
UNC, Chapel Hill Vector Core.</p></sec><sec id="S16"><title>Lenti-lxlplap</title><p id="P34">The plasmid encoding this VSVG pseudo-typed lentivirus was generated
using standard subcloning (<xref ref-type="supplementary-material" rid="SD4">Figure S3G</xref>). High titer virus (~10<sup>8</sup> IU/mL)
was generated using standard protocols (<xref rid="R5" ref-type="bibr">Barde
et al., 2001</xref>).</p></sec></sec><sec id="S17"><title>Stereotaxic surgery</title><p id="P35">The virus was stereotaxically delivered under anesthesia to the VMHvl
(Coordinates: rostrocaudal, &#x02212;1.48 mm; mediolateral, &#x000b1;0.78 mm;
depth, 5.8 mm; see also <xref ref-type="supplementary-material" rid="SD1">Supplemental Procedures</xref>) (<xref rid="R75" ref-type="bibr">Paxinos and Franklin, 2003</xref>). Injections of taCasp3-encoding
AAV were spiked (9:1) with constitutive EGFP-encoding AAV to verify accuracy of
the injection placement in control and <italic>PR<sup>Cre</sup></italic>
mice.</p></sec><sec id="S18"><title>Behavior</title><p id="P36">Testing was performed as described previously (<xref rid="R37" ref-type="bibr">Juntti et al., 2010</xref>; <xref rid="R106" ref-type="bibr">Wu et
al., 2009</xref>; <xref rid="R107" ref-type="bibr">Xu et al., 2012</xref>)
(see also Supplemental Procedures). To test for sexual receptivity, females were
castrated and, subsequent to estrus induction with estrogen and progesterone,
inserted singly into the home cage of a sexually experienced WT male. Lordosis
was defined as the female holding still with a dorsiflexed neck while being
intromitted. Each experimental cohort included a set of control and
<italic>PR<sup>Cre</sup></italic> mice.</p></sec><sec id="S19"><title>Supplemental Experimental Procedures</title><p id="P37">Details regarding animals, histology, data analyses, and the procedures
described above can be found in the Supplemental Information. All animal studies
were in accordance with IACUC protocols at UCSF.</p></sec></sec><sec sec-type="supplementary-material" id="SM"><title>Supplementary Material</title><supplementary-material content-type="local-data" id="SD1"><label>01</label><media xlink:href="NIHMS487842-supplement-new_supplemental_material.pdf" mimetype="application" mime-subtype="pdf" orientation="portrait" xlink:type="simple" id="d36e1416" position="anchor"/></supplementary-material><supplementary-material content-type="local-data" id="SD2"><label>02</label><media xlink:href="NIHMS487842-supplement-02.mov" mimetype="video" mime-subtype="quicktime" orientation="portrait" xlink:type="simple" id="d36e1420" position="anchor"/></supplementary-material><supplementary-material content-type="local-data" id="SD3"><label>03</label><media xlink:href="NIHMS487842-supplement-03.mov" mimetype="video" mime-subtype="quicktime" orientation="portrait" xlink:type="simple" id="d36e1424" position="anchor"/></supplementary-material><supplementary-material content-type="local-data" id="SD4"><label>04</label><media xlink:href="NIHMS487842-supplement-04.pdf" mimetype="application" mime-subtype="pdf" orientation="portrait" xlink:type="simple" id="d36e1428" position="anchor"/></supplementary-material></sec></body><back><fn-group><fn id="FN1"><p id="P38" content-type="publisher-disclaimer">This is a PDF file of an unedited
manuscript that has been accepted for publication. As a service to our customers
we are providing this early version of the manuscript. The manuscript will
undergo copyediting, typesetting, and review of the resulting proof before it is
published in its final citable form. Please note that during the production
process errors may be discovered which could affect the content, and all legal
disclaimers that apply to the journal pertain.</p></fn></fn-group><ack id="S20"><title>ACKNOWLEDGMENTS</title><p id="P39">We thank C. Saper for sharing reagents; A. Lasek and U. Heberlein for a
practical on stereotaxis; R. Axel for discussions; T. Clandinin, H. Ingraham, S.
Lomvardas, C. Saper, and Shahlab members for comments on the manuscript; and N.
Agarwal, A. Wang, and M. Borius for technical support. This work was supported by a
Genentech Graduate Fellowship (CFY); NSF Graduate Fellowship (SAJ); NIH (EKU,
F31NS078959); NARSAD, Program in Biomedical Breakthrough Research, Ellison Medical
Foundation, and NIH (R01NS049488, R01NS083872, and DP1MH099900) (NMS).</p></ack><ref-list><title>REFERENCES</title><ref id="R1"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Allen</surname><given-names>E</given-names></name></person-group><article-title>The oestrous cycle in the mouse</article-title><source>American Journal of Anatomy</source><year>1922</year><volume>30</volume><fpage>297</fpage><lpage>371</lpage></element-citation></ref><ref id="R2"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Atasoy</surname><given-names>D</given-names></name><name><surname>Aponte</surname><given-names>Y</given-names></name><name><surname>Su</surname><given-names>HH</given-names></name><name><surname>Sternson</surname><given-names>SM</given-names></name></person-group><article-title>A FLEX switch targets Channelrhodopsin-2 to multiple cell types
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genes in mice</article-title><source>Genome Res</source><year>2006</year><volume>16</volume><fpage>995</fpage><lpage>1004</lpage><pub-id pub-id-type="pmid">16825664</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><title>Visualizing PR+ neurons in the mouse brain</title><p id="P40">(A) Generating the <italic>PR<sup>PL</sup></italic> allele. ACN is a
self-excising neomycin selection cassette (<xref rid="R12" ref-type="bibr">Bunting et al., 1999</xref>). Orange rectangles are exons and the red line
in the 3&#x02019; exon denotes the stop codon.</p><p id="P41">(B) PCR to detect homologous recombination at the <italic>PR</italic>
locus. Primers used to detect integration of the 5&#x02019; (F1, R1) and
3&#x02019; (F2, R2) arms of the targeting vector. ACN precludes detection of the
3&#x02019; recombination event in ES cells.</p><p id="P42">(C, D) No difference between WT and <italic>PR<sup>PL/PL</sup></italic>
females in litter size and frequency.</p><p id="P43">(E&#x02013;G) No difference in titers of sex hormones between WT and
<italic>PR<sup>PL/PL</sup></italic> adults.</p><p id="P44">(H&#x02013;M) Boxed areas in Nissl-stained coronal sections (<xref rid="R75" ref-type="bibr">Paxinos and Franklin, 2003</xref>) through the
adult brain depict locations of the regions shown in panels to the right. PR
expression in <italic>PR<sup>PL/+</sup></italic>female as labeled by
&#x003b2;-gal activity mirrors expression of PR mRNA in adjacent sections.</p><p id="P45">Scale bars = 50 &#x000b5;m.</p><p id="P46">Mean &#x000b1; SEM; n &#x02265; 12/genotype (C&#x02013;G); n = 3
(H&#x02013;M).</p><p id="P47">See also <xref ref-type="supplementary-material" rid="SD4">Figure
S1</xref> and <xref ref-type="supplementary-material" rid="SD1">Table
S3</xref>.</p></caption><graphic xlink:href="nihms487842f1"/></fig><fig id="F2" orientation="portrait" position="float"><label>Figure 2</label><caption><title>Sexual dimorphism in PR-expression in the adult brain</title><p id="P48">Boxed areas in Nissl-stained coronal sections through the adult brain
depict regions of <italic>PR<sup>PL/PL</sup></italic>mice labeled for
&#x003b2;-gal activity in the panels to the right.</p><p id="P49">(A&#x02013;L) More PR+ cells in the female AVPV/POA, VMHvl, and arcuate
nucleus.</p><p id="P50">(M&#x02013;X) More PR+ cells in the male basal forebrain, BNSTmpm, and
MeApd.</p><p id="P51">(Y) Representation of sexually dimorphic PR expression in different
brain regions as projected on to a mid-sagittal section. c, caudal, d, dorsal,
r, rostral, v, ventral.</p><p id="P52">Scale bars = 50 &#x000b5;m (C, K) and 100 &#x000b5;m (G, O, S, W). Inset
scale bars = 25 &#x000b5;m.</p><p id="P53">Mean &#x000b1; SEM; n &#x02265; 4/sex; *p &#x0003c; 0.04, **p &#x0003c;
0.01.</p><p id="P54">See also <xref ref-type="supplementary-material" rid="SD4">Figure
S2</xref> and <xref ref-type="supplementary-material" rid="SD1">Table
S1</xref>.</p></caption><graphic xlink:href="nihms487842f2"/></fig><fig id="F3" orientation="portrait" position="float"><label>Figure 3</label><caption><title>PR+ VMHvl neurons project in a sexually dimorphic manner</title><p id="P55">(A) Strategy to visualize projections of PR+ neurons.</p><p id="P56">(B&#x02013;E) Lenti-lxlplap targeted to the VMH infects cells in
<italic>PR<sup>Cre/+</sup></italic> and WT mice as visualized by EGFP+
cells. Only a few cells are PR+ in this region so there is no apparent
difference in the number of EGFP+ cells in <italic>PR<sup>Cre</sup></italic> and
WT mice. PLAP+ soma and local arbors of VMHvl neurons are only observed in
<italic>PR<sup>Cre</sup></italic> mice.</p><p id="P57">(F&#x02013;U) Boxed areas in Nissl-stained coronal sections depict
regions shown in panels to the right. Lenti-lxlplap targeted to the VMHvl of
adult <italic>PR<sup>Cre/+</sup></italic> mice labels PLAP+ soma and local
arbors of VMHvl neurons (F&#x02013;I). The lentiviral titer limits the number of
infected Cre+ neurons and does not highlight the sex difference in the number of
these neurons. The variable multiplicity of infection can lead to apparent size
differences in PLAP-labeled soma. However, there is no sex difference in the
soma size of these neurons (<xref ref-type="supplementary-material" rid="SD4">Figure S2G</xref>). PR+ VMHvl neurons project to the AVPV, POA, and PAG
(J&#x02013;U). There are more PLAP+ projections to the AVPV in females
(J&#x02013;M).</p><p id="P58">(V, W) Schematic summarizing projections of PR+ VMHvl neurons. No
difference in anatomical extent of projections in different regions, but female
AVPV receives more innervation from these neurons.</p><p id="P59">Scale bars = 100 &#x000b5;m (C), 50 &#x000b5;m (H,P,T), 25 &#x000b5;m
(L).</p><p id="P60">Mean &#x000b1; SEM; n &#x02265; 7/sex; *p &#x0003c; 0.001.</p><p id="P61">See also <xref ref-type="supplementary-material" rid="SD4">Figure
S3</xref>, <xref ref-type="supplementary-material" rid="SD1">Tables S2,
S3</xref>.</p></caption><graphic xlink:href="nihms487842f3"/></fig><fig id="F4" orientation="portrait" position="float"><label>Figure 4</label><caption><title>Genetic strategy to ablate neurons in a Cre-dependent manner</title><p id="P62">(A) Intramolecular cleavage of endogenous pro-caspase-3 by upstream
caspases activates caspase-3, which then induces apoptosis. This intramolecular
cleavage site has been replaced by a TEV linker domain (black bar) in inactive
taCasp3 (pro-taCasp3) such that only TEV protease activates taCasp3, which then
induces apoptosis.</p><p id="P63">(B) Viral strategy to ablate PR+ neurons conditionally.</p><p id="P64">(C, D) Cell death 1 week following infection of Cre:EGFP+ HEK293T cells
with AAV-flex-taCasp3-TEVp. n = 3 experiments.</p><p id="P65">(E, F) Ablation of PR+ VMHvl neurons in a
<italic>PR<sup>PL/Cre</sup></italic> but not
<italic>PR<sup>PL/+</sup></italic> female injected with
AAV-flex-taCasp3-TEVp. n &#x02265; 10/experimental group.</p><p id="P66">Scale bar = 100 &#x000b5;m (C, D) and 25 &#x000b5;m (E, F).</p><p id="P67">See also <xref ref-type="supplementary-material" rid="SD4">Figure
S4</xref>.</p></caption><graphic xlink:href="nihms487842f4"/></fig><fig id="F5" orientation="portrait" position="float"><label>Figure 5</label><caption><title>PR+ VMHvl neurons regulate female sexual receptivity</title><p id="P68">(A) Experimental design to test the role of PR+ VMHvl neurons in female
behaviors. Mating was tested with ovariectomized females primed to be in estrus.
Other behaviors were tested with gonadally-intact females.</p><p id="P69">(B&#x02013;J) <italic>PR<sup>Cre</sup></italic> and control females were
injected with AAV-flex-taCasp3-TEVp and tested for sexual behavior with WT
males.</p><p id="P70">(B) <italic>PR<sup>Cre</sup></italic> females spend more time rejecting
male mating attempts, walking away when the male approaches.</p><p id="P71">(C&#x02013;E) <italic>PR<sup>Cre</sup></italic> females display lower
receptivity index (mounts leading to intromission/total mounts) and reduced
number and duration of lordosis events.</p><p id="P72">(F) <italic>PR<sup>Cre</sup></italic> females spend more time moving
about and being unreceptive during intromission.</p><p id="P73">(G) Fewer than 20% of PR+ neurons remain in the VMHvl of
<italic>PR<sup>Cre</sup></italic> females, who reject male mating
attempts more than control females.</p><p id="P74">(H) Males sniff and initiate mating equivalently with
<italic>PR<sup>Cre</sup></italic> and WT females but ejaculate in fewer
assays with <italic>PR<sup>Cre</sup></italic> females.</p><p id="P75">(I) Males mount <italic>PR<sup>Cre</sup></italic> females more but
without a corresponding increase in intromission.</p><p id="P76">(J) Males mount <italic>PR<sup>Cre</sup></italic> females longer, but
intromit for shorter duration.</p><p id="P77">(K, L) Ablation of PR+ VMHvl neurons in
<italic>PR<sup>Cre</sup></italic> females results in loss of Cckar
expression.</p><p id="P78">Mean &#x000b1; SEM; n &#x02265; 10/experimental group (B&#x02013;J); n =
3 (K, L); *p &#x0003c; 0.02, ** p &#x0003c; 0.005. Scale bar = 50
&#x000b5;m.</p><p id="P79">See also <xref ref-type="supplementary-material" rid="SD4">Figure
S5</xref>, <xref ref-type="supplementary-material" rid="SD1">Table
S3</xref>, <xref ref-type="supplementary-material" rid="SD2">Movies S1</xref>,
<xref ref-type="supplementary-material" rid="SD3">S2</xref>.</p></caption><graphic xlink:href="nihms487842f5"/></fig><fig id="F6" orientation="portrait" position="float"><label>Figure 6</label><caption><title>PR+ VMHvl neurons regulate male sexual behavior</title><p id="P80">(A) Experimental design to test the role of PR+ VMHvl neurons in male
behaviors.</p><p id="P81">(B&#x02013;G) <italic>PR<sup>Cre</sup></italic> and control males were
injected with AAV-flex-taCasp3-TEVp and tested for mating, ultrasonic
vocalizations toward male or female intruders, and territory marking.</p><p id="P82">(B) <italic>PR<sup>Cre</sup></italic> males intromit females in fewer
assays.</p><p id="P83">(C, D) <italic>PR<sup>Cre</sup></italic> males mount and intromit
females less and have shorter bouts of intromissions.</p><p id="P84">(E) Both <italic>PR<sup>Cre</sup></italic> and control males emit more
vocalizations to females.</p><p id="P85">(F, G) No difference between <italic>PR<sup>Cre</sup></italic> and
control males in the number and distribution of urine</p><p id="P86">marks. % marks in center = 100*(# urine marks not
abutting cage perimeter/# of all urine marks).</p><p id="P87">Mean &#x000b1; SEM; n &#x02265; 24/experimental group (B&#x02013;D,
F,G), n &#x02265; 5/experimental group (E); *p &#x0003c; 0.008, **p &#x0003c;
0.001.</p><p id="P88">See also <xref ref-type="supplementary-material" rid="SD4">Figures S6
and S7</xref>.</p></caption><graphic xlink:href="nihms487842f6"/></fig><fig id="F7" orientation="portrait" position="float"><label>Figure 7</label><caption><title>PR+ VMHvl neurons regulate male aggression</title><p id="P89">(A&#x02013;F) <italic>PR<sup>Cre</sup></italic> and control resident
males were injected with AAV-flex-taCasp3-TEVp targeted to the VMHvl and tested
for aggression toward a WT male intruder.</p><p id="P90">(A) All residents sniff intruders equivalently, but
<italic>PR<sup>Cre</sup></italic> males attack less.</p><p id="P91">(B&#x02013;D) When <italic>PR<sup>Cre</sup></italic> males fight, they
attack less, for a shorter duration, and with longer intervals between
attacks.</p><p id="P92">(E) <italic>PR<sup>Cre</sup></italic> males bite less.</p><p id="P93">(F) Fewer than 20% of PR+ neurons remain in the VMHvl of
<italic>PR<sup>Cre</sup></italic> males, who attack intruders less.</p><p id="P94">Mean &#x000b1; SEM; n &#x02265; 24/experimental group; *p &#x0003c;
0.04, **p &#x02264; 0.009.</p><p id="P95">(G, H) Ablation of PR+ VMHvl neurons in a
<italic>PR<sup>PL/Cre</sup></italic> male injected with
AAV-flex-taCasp3-TEVp. Scale bar = 25 &#x000b5;m.</p><p id="P96">See also <xref ref-type="supplementary-material" rid="SD4">Figure
S7</xref>.</p></caption><graphic xlink:href="nihms487842f7"/></fig><boxed-text id="BX1" position="float" orientation="portrait"><caption><title>HIGHLIGHTS</title></caption><list list-type="bullet" id="L1"><list-item><p id="P97">Widespread adult sex differences in progesterone receptor (PR)
expressing neurons</p></list-item><list-item><p id="P98">Ventrolateral compartment of ventromedial hypothalamus (VMHvl)
contains PR+ neurons</p></list-item><list-item><p id="P99">PR+ VMHvl neurons exhibit cellular and molecular dimorphisms between
the sexes</p></list-item><list-item><p id="P100">PR+ VMHvl neurons essential for normal mating in both sexes and
fighting in males</p></list-item></list></boxed-text></floats-group></article>