title: Serum bioactive luteinizing and follicle-stimulating hormone concentrations in girls increase during puberty.
abstract: FSH plays an essential role in folliculogenesis and ovarian growth. However, cross-sectional studies have not shown an increase in bioactive FSH (B-FSH) during puberty. To eliminate intersubject variability, we used a longitudinal design and tested the hypothesis that B-FSH increases during puberty. Thirty normal, healthy girls were enrolled in a longitudinal study from pubertal stages I to IV. The subjects were evaluated at 6-mo intervals; each visit consisted of pubertal staging, bone age determination by x-ray, measurements of serum immunoreactive FSH (I-FSH) and B-FSH (n = 14) or immunoreactive LH (I-LH) and bioactive LH (B-LH) (n = 18), and adrenal and ovarian steroids. All girls had clinical and hormonal characteristics of puberty. Both I-FSH and B-FSH levels were relatively elevated before puberty, whereas serum I-LH and B-LH were low. From pubertal stages I to III, there was a modest yet significant rise in serum I-FSH (p < 0.001) and serum B-FSH (p < 0.01). Serum I-LH and B-LH concentrations showed the expected increases with puberty (p < 0.001), with serum B-LH concentrations exhibiting a greater rise than I-LH (p < 0.001). Our results demonstrate that serum B-FSH and I-FSH increase during puberty. Relatively elevated B-FSH concentrations from early to midpuberty may be an important factor for ovarian growth while circulating LH and estrogen are still low. As puberty progresses, the continued and selective increase in LH induces a rise in estradiol and ultimately leads to ovulation.
authors.affiliation: Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor 48109-0718.
authors.forename: J Z
authors.initials: JZ
authors.lastname: Kasa-Vubu
authors.forename: V
authors.initials: V
authors.lastname: Padmanabhan
authors.forename: G B
authors.initials: GB
authors.lastname: Kletter
authors.forename: M B
authors.initials: MB
authors.lastname: Brown
authors.forename: E O
authors.initials: EO
authors.lastname: Reiter
authors.forename: P C
authors.initials: PC
authors.lastname: Sizonenko
authors.forename: I Z
authors.initials: IZ
authors.lastname: Beitins
mesh_terms: D000293:Adolescent; D001681:Biological Assay / Q000379:methods; D002648:Child; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood*; D006801:Humans; D007334:Insulin-Like Growth Factor I / Q000378:metabolism; D007986:Luteinizing Hormone / Q000097:blood*; D011627:Puberty / Q000097:blood*; D011863:Radioimmunoassay; D013997:Time Factors
chemical_list: D004958:Estradiol; D007334:Insulin-Like Growth Factor I; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone