Research output per year
Research output per year
SE1 1UL
United Kingdom
Kevin O’Byrne is Professor of Reproductive Neuroendocrinology in the Department of Women and Children’s Health. Graduate of Physiology, Chelsea College London (1980) and PhD, University of Bristol (1984). Joined the MRC Reproductive Biology Unit, Edinburgh, as Non-Clinical Scientist (1986-1988). Assistant Professor, Department of Physiology, University of Texas, Houston to 1994 before joining the Department of Anatomy at King’s College London.
Selected recent PUBLICATIONS
https://www.researchgate.net/profile/Kevin-Obyrne-3
Publications: 132.
Reads: 11,734
Citations: 4,500
Stress and Infertility
The GnRH pulse generator
Research effort is directed at the operation of a neural oscillator, or pulse generator, located in the hypothalamus that controls the pulsatile secretion of gonadotrophin-releasing hormone (GnRH) into the pituitary portal circulation. This, in turn, governs the secretion of luteinising hormone (LH) and follicle stimulating hormone from the pituitary gland and, therefore, all of reproduction. Deviations from the normal physiological frequency range of this pulse generator are commonly associated with major disruptions in follicular development and ovulation resulting in infertility.
The discovery that humans and rodents with an inactivating mutation in kisspeptin or its receptor fail to progress through puberty or show normal pulsatile LH secretion, suggested that kisspeptin is a key regulator of pulsatile GnRH secretion. Attention has focused on the kisspeptin expressing neuronal population in the hypothalamic arcuate nucleus (ARC), the location of the GnRH pulse generator. These neurones, known as KNDy, because they co-express neurokinin B (NKB) and dynorphin A (Dyn), innervate the distal processes of the GnRH neurones at the level of the median eminence, and were recently shown to display calcium oscillations in synchrony with LH pulses. It is hypothesised that NKB acting on its receptor (NK3R) functions as an excitatory signal to depolarise KNDy cells postsynaptically in the network, resulting in kisspeptin output to the GnRH neurones to initiate each GnRH pulse. The co-released Dyn functions as an inhibitory signal within the KNDy network, acting presynaptically on kappa opioid receptors (KOR) to inhibit the release of NKB, thus terminating kisspeptin release and ceasing the signal for GnRH secretion. Additionally, we discovered that the endogenous glutamatergic transmission in the KNDy network is essential for pulse generation. There is unequivocal evidence that the KNDy neural network comprises the major component of the hypothalamic GnRH pulse generator, and we are interrogating this with a unique combination of world class in-vitro experimentalists (Martin Kelly, Oline Ronnekleiv, Jian Qui and colleagues at OHSU, USA), computational mathematical modellers (Krasimira Tsaneva-Atanosova and Margaritis Voliotis, University of Exeter) and the in-vivo experimentalist team at King’s. We have developed the first ever mathematical model of the KNDy network.
The Amygdala, a key upstream regulator of the GnRH pulse generator
The amygdala, a key limbic brain structure commonly known for its role in higher-order emotional processing, is implicated in reproduction and we have shown the medial amygdala underlies psychological stress-induced suppression of pulsatile LH secretion. The finding of extra-hypothalamic kisspeptin and its receptor in the medial amygdala, and more specifically its posterodorsal subnucleus (MePD) has opened up new possibilities concerning its role as an upstream regulator of the GnRH pulse generator. Indeed, we have recently shown that kisspeptin signalling in the MePD is a key regulator of pubertal timing, sexual motivation behaviour and anxiety. Critically, in collaboration with Waljit Dhillo and colleagues at Imperial, we have discovered that kisspeptin signalling in the MePD per se, robustly regulates hypothalamic GnRH pulse generator frequency, but the underlying mechanisms and pathways are not well understood. The MePD comprises primarily GABAergic but also prominent glutamatergic neuronal populations and we have shown an interaction with amygdala kisspeptin to control the GnRH pulse generator via projections to the hypothalamus. The MePD is also rich in the stress neuropeptide urocortin-3, which is activated by psychological stress. Our computational modelling of the neurocircuitry in the amygdala has greatly enhanced our understanding of its key role in normal and stress related conditions.
Using an integrative neuroscience approach, including the latest cutting-edge technologies of combined targeted optogenetic manipulations with in-vivo GRadient-INdex (GRIN) lens microendoscopic systems to monitor in real time neurone calcium dynamics, a proxy for neuronal activity, of selective GCaMP-expressing neurones, and computational modelling we are primarily interested in establishing the neural basis of the GnRH pulse generator and stress-induced reproductive disorders, including infertility.
Early life programming and Puberty
Puberty is a key event in development and its onset is governed by a complex neuronal and glial network within the hypothalamus that regulates the secretion of GnRH, more specifically increasing GnRH pulse generator frequency, driving gonadotrophic hormone secretion, promoting gonadal steroidogenesis and sexual maturation. Despite the recent unprecedented progress in our understanding of the neural control of puberty, especially the critical role of hypothalamic kisspeptin, there has been very little advancement in our understanding of the actual timing mechanism of puberty and the mechanism underlying its modulation by stress. Although the essential role of hypothalamic kisspeptin in GnRH secretion and therefore puberty is unequivocal, the finding of extra-hypothalamic kisspeptin and its receptor in the MePD opens up new possibilities concerning the central control of puberty. Our recent discovery that this population is developmentally upregulated at puberty raises the possibility that MePD kisspeptin is key to triggering accelerated pulsatile GnRH release to drive puberty onset. Critically, this novel hypothesis is supported by our recent data showing that (i) endogenous kisspeptin signalling within the MePD per se regulates hypothalamic GnRH pulse generator frequency and (ii) that selective optogenetic activation of MePD kisspeptin neurones accelerated LH pulse frequency and advanced puberty.
Although genetic factors are considered to explain 50-80% of the variance of age at puberty, links between environmental factors and the genetic control of pubertal timing, where epigenetic mechanisms play a crucial role, are increasingly realised. We are interested in the neural systems susceptible to programming by early life stressors and the neural mechanisms that underlie vulnerability to stress-induced disruption of pubertal development. Much attention has focused on the impact of nutritional status on pubertal timing, in particular the rising problem of childhood obesity as a major risk factor for early onset of puberty. However, there is an emerging realisation that psychosocial stressors can unequivocally advance or delay puberty independent of adiposity, which is disconcerting since both ends of the puberty timing-spectrum appear to have a profound impact on later health in men and women. Familial stressors such as absence of a father, parental conflict and mother-daughter conflict accelerate pubertal development, and there are striking parallels in animal models of weak parent-offspring bonding. However, childhood psychological abuse, neglect and post-traumatic stress disorder (eg. After hurricanes Katrina and Rita) are associated with delayed puberty. Psychosocial stress can also delay puberty in animal models; eg. social subordination in monkeys and exposure to predator odour in rats. Despite this substantial evidence, the underlying mechanisms are unknown. Although we have shown that overexpression of CRF in the central nucleus of the amygdala, a model of chronic stress, advances puberty, intracerebro-ventricular administration of CRF delays puberty in the rat. Moreover, CRF receptor antagonism advances puberty, suggesting a key endogenous CRF inhibitory tone. We are currently investigating the role of the stress neuropeptide Unocrotin-3, which is extensively expressed within the MePD, on pubertal timing and have recently shown that chemogenetic activation of this population suppresses LH pulse frequency and delays puberty.
Feeding and Sex Behaviour
Stress-induced feeding or ‘comfort eating’ is common and characterised by an increase in food intake when faced with emotionally or physically challenging events. It is a likely contributor to the increased prevalence of obesity in those suffering from stress. Major depressive disorder and generalised anxiety disorder in adolescence are linked to an increased risk of obesity in adulthood. Despite the commonality of comfort eating, the responsible mediators remain elusive. The amygdala plays a central role in higher-order emotional processing and the MePD, in particular, is involved in food intake. Extra-hypothalamic CRF is well recognised for mediating behavioural responses to stress. We have shown that endogenous CRF signalling in the MePD is involved in stress-induced food intake and thus the amygdala CRF system may be a mediator of comfort eating.
Kisspeptin and its receptor are extensively distributed throughout key cortico-limbic brain structures in rodents and humans, with evidence that amygdala kisspeptin signalling has important roles in both male and female sexual behaviour. We are utilising partner preference testing as an animal model to study low sexual desire, a not insignificant and distressing disorder in humans.
Hot flushes
Hot flushes are one of the most distressing symptoms of the menopausal syndrome, affecting over 80% of women, many of whom require medical treatment because their severity greatly impact on their quality of life. With our ageing population in the UK and increased retirement age for women, the health, social and economic implications of this menopausal symptom are enormous. Although HRT is the mainstay of treatment for this symptom, contraindication, such as breast cancer, stroke and thrombo-embolism have raised serious concerns and anxiety, and dictate the need for continued search for non-hormonal therapies to alleviate hot flushes. We are studying the central and peripheral effects of oestrogen receptor alpha and beta analogues, and kisspeptins on the vasomotor disturbances that underlie hot flushes. We are also interested in the potential use of plant derived or phytoestrogens as “alternative” therapies for hot flushes.
Research colleagues
Senior Research Fellows
Xiao Feng Li (MD, PhD)
Postdoctoral Fellow
Pete Sully (PhD)
Technical Support
Sumi Mathew
PhD Students
Lin, Yanyan (MD)
Women & Children's Health
First/primary/lead supervisor
1/10/2022 → …
Ye, Jinbin (MD)
Women & Children's Health
First/primary/lead supervisor
1/10/2022 → …
Yu, Junru (MD)
Women & Children's Health
First/primary/lead supervisor
1/10/2021 → …
Sadia Batool (BSc) – Commonwealth Commission Split-site Ph.D. Studentship
In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):
Research output: Contribution to journal › Article › peer-review
Research output: Contribution to journal › Article › peer-review
Research output: Contribution to journal › Article › peer-review
Research output: Contribution to journal › Article › peer-review
Research output: Contribution to journal › Article › peer-review
O'Byrne, K. (Primary Investigator)
BBSRC Biotechnology and Biological Sciences Research Council
1/06/2022 → 30/11/2025
Project: Research
O'Byrne, K. (Primary Investigator) & Li, X. (Co-Investigator)
BBSRC Biotechnology and Biological Sciences Research Council
1/04/2019 → 31/03/2025
Project: Research
O'Byrne, K. (Primary Investigator)
BSN British Society for Neuroendocrinology
1/12/2022 → 31/01/2023
Project: Research
O'Byrne, K. (Primary Investigator)
EPSRC Engineering and Physical Sciences Research Council
1/02/2021 → 30/09/2021
Project: Research
O'Byrne, K. (Primary Investigator)
1/01/2020 → 31/01/2023
Project: Research
O'Byrne, K. (President)
Activity: Other › Types of External academic engagement - Membership of external research organisation
O'Byrne, K. (Member)
Activity: Other › Types of External academic engagement - Contribution to the work of national or international committees and working groups
O'Byrne, K. (Peer reviewer)
Activity: Publication peer-review and editorial work › Publication peer-review
O'Byrne, K. (Editor)
Activity: Publication peer-review and editorial work › Publication peer-review
O'Byrne, K. (Editor)
Activity: Publication peer-review and editorial work › Publication peer-review