Assessment of the predictive value of follicular fluid insulin, leptin and adiponectin in assisted reproductive cycles.
OBJECTIVE
To assess the correlation of intrafollicular insulin, leptin and adiponectin levels with assisted reproductive technologies (ART) outcome.


METHODS
This was a retrospective study of 46 patients undergoing in vitro fertilisation/intracytoplasmic sperm injection. Follicular fluid (FF) samples collected at oocyte retrieval were assayed for insulin, leptin and adiponectin levels using enzyme-linked immunosorbent assay, and correlations with ART outcome were analysed.


RESULTS
There was no significant correlation between intrafollicular insulin, leptin and adiponectin levels. There was a significant difference in the concentration of insulin (P = 0.007), but not leptin or adiponectin, between pregnant (n = 20) and non-pregnant (n = 26) cycles. Only two pregnancies was observed in the 12 cycles in which the concentration of insulin was greater than 7 mU/l in FF, while 18 pregnancies was observed in the 34 cycles in which the concentration of insulin was less than 7 mU/l (P = 0.043). The significantly high concentration of insulin in FF was observed in non-pregnant cycles of patients with polycystic ovary syndrome (PCOS).


CONCLUSIONS
Our results suggest the possible involvement of intrafollicular insulin in folliculogenesis. Insulin resistance-related substances may affect the reproductive process in patients with PCOS.
Takikawa
Sachiko
S
Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan.
Iwase
Akira
A
Goto
Maki
M
Harata
Toko
T
Umezu
Tomokazu
T
Nakahara
Tatsuo
T
Kobayashi
Hiroharu
H
Suzuki
Kyosuke
K
Manabe
Shuichi
S
Kikkawa
Fumitaka
F
D052242:Adiponectin / Q000032:analysis*; D000328:Adult; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D015571:Follicular Fluid / Q000737:chemistry*; D006801:Humans; D007328:Insulin / Q000032:analysis*; D020738:Leptin / Q000032:analysis*; D011247:Pregnancy; D011256:Pregnancy Outcome; D027724:Reproductive Techniques, Assisted; D012189:Retrospective Studies; D018709:Statistics, Nonparametric
D052242:Adiponectin; D007328:Insulin; D020738:Leptin