title: Insulin-like growth factors and their binding proteins in human follicular fluid.
abstract: Increasing evidence suggests that insulin-like growth factors I and II (IGF-I, IGF-II) have a regulatory role in animal granulosa cells. This study was undertaken to investigate the presence of IGF-I and IGF-II, as well as that of their binding proteins (BP), IGFBP-1 and IGFBP-3 in human serum and follicular fluid (FF). Preovulatory FF was obtained from 51 patients undergoing in-vitro fertilization. The IGFBP-1 level was found to be significantly higher (P less than 0.01) in FF than in serum, whereas IGF-I and IGFBP-3 values remained markedly lower (P less than 0.01) in FF. Serum IGF-II levels were slightly but not significantly elevated compared to values obtained in the FF of patients. A positive correlation (P less than 0.001) between individual serum and FF levels was observed only for IGF-I. When a group of poor responders was compared to patients with normal stimulation characteristics, no significant difference was found in either IGF or IGFBP levels in the FF. It is concluded that IGFBP-1 is produced locally, whereas the serum may possibly be the major source of IGF-I. No clear conclusions can be drawn regarding the source of FF IGF-II and IGFBP-3. Neither the absolute level nor the relationship of IGFs to their transport proteins could explain the poor response to ovarian stimulation.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Tübingen, FRG.
authors.forename: M
authors.initials: M
authors.lastname: Hamori
authors.forename: W F
authors.initials: WF
authors.lastname: Blum
authors.forename: A
authors.initials: A
authors.lastname: Török
authors.forename: R
authors.initials: R
authors.lastname: Stehle
authors.forename: E
authors.initials: E
authors.lastname: Waibel
authors.forename: P
authors.initials: P
authors.lastname: Cledon
authors.forename: M B
authors.initials: MB
authors.lastname: Ranke
mesh_terms: D001826:Body Fluids / Q000737:chemistry*; D002352:Carrier Proteins / Q000032:analysis*; D005260:Female; D006801:Humans; D018969:Insulin-Like Growth Factor Binding Proteins; D007334:Insulin-Like Growth Factor I / Q000032:analysis*; D007335:Insulin-Like Growth Factor II / Q000032:analysis*; D006080:Ovarian Follicle / Q000737:chemistry*; D011863:Radioimmunoassay; D012016:Reference Values; D013002:Somatomedins
chemical_list: D002352:Carrier Proteins; D018969:Insulin-Like Growth Factor Binding Proteins; D013002:Somatomedins; D007334:Insulin-Like Growth Factor I; D007335:Insulin-Like Growth Factor II