Correlation Between Serum Inhibin and FSH Levels in Women with Different Reproductive Disorders

Authors

  • Reem M. Obaid Ph.D. in Physiology (Endocrinology), a lecturer in a Medical Laboratory Techniques Department, Al-Farabi University College, Baghdad- Al-Doura, IRAQ.
  • Sanaa Hussein Ali MS.c. in biochemistry, A Lecturer in a Medical Laboratory Techniques Department, Al-Farabi University College, Baghdad- Al-Doura, IRAQ.
  • Haneen Mushtaq Hameed Ph.D. in Physiology, A Lecturer in Biology Department, Al-Farabi University College, Baghdad- Al-Doura, IRAQ.

Keywords:

Inhibin-B, amenorrhea, polycystic ovary

Abstract

Inhibin was first identified as a gonadal factor that inhibits FSH (inhibin- B) and LH (inhibin- A) synthesis at the pituitary which proved by tissue culture. During the later years, the role of  FSH  was defined and the role of  inhibin to  control FSH biosynthesis and secretion was cleard. Inhibin is a member of the transforming growth factor beta (TGFβ) superfamily which includes molecules like activin . Inhibin is similar to activin in structure with both having β- subunits . Inhibin -B blocks the ability of activin to induce FSH secretion by blocking the activin-receptor interaction. In the female the ovary is the major source of  inhibin synthesis , the granulosa cells in developing follicles , or lutein cells in the corpus luteum are the major source of inhibin. The study aimed to measure the level of inhibin hormone in normal and abnormal adult women, study the changes in inhibin hormone level and to explain the relationship between these changes and different pathological conditions. The experimental groups used consists of 80 women aged between 20-52 years old, which divided into: women with normal menstrual cycle, women with irregular menses, women with polycystic ovary and women with amenorrhea. The study demonstrated that inhibin- B concentrations negatively correlated with FSH concentrations in normal and abnormal patients .However in infertile patients, inhibin– B was significantly decreased and FSH was significantly increased . While in normal patients the result was found to be opposite of abnormal patients . These results suggest that the physiologically important hormone that exerts tonic negative feedback upon FSH secretion is inhibin- B.

Downloads

Download data is not yet available.

References

Abdel Gadir, A.; Khatim, M.S.; Mowafi, R.A.; Alnaser, H.M.; Muharib, N.S. and Shaw, R.W.(1992). Implications of ultrasonically diagnosed polycystic ovaries. I. Correlation with basal hormonal profiles . Hum. Reprod .7: 453-457.

Amer ,SA .; Laird ,S .; Ledger ,WL .and Li ,TC. (2007). Effect of laparoscopic ovarian diathermy on circulating inhibin B in women with anovulatory polycystic ovary syndrome. Hum .Reprod . 22:389–394.

Anderson ,R.A .; Groome ,N.P . and Baird ,D.T.(1998 ). Inhibin A and inhibin B in women with polycystic ovarian syndrome during treatment with FSH to induce mono-ovulation. Clin . Endocrinol . (Oxford) 48 : 577–584.

Burger ,H.G.; McLachlan RI, Bangah M (1988). Serum inhibin concentrations rise throughout normal male and female puberty. J. Clin. Endocrinol. Metab.67:689–694.

Casper, F.W. ;Seufert1,R.J. and Pollow,K. (2000).Inverse correlation between baseline inhibin B and FSH after stimulation with GnRH: a study of serum levels of inhibin A and B, pro alpha-C and activin A in women with ovulatory disturbances before and after stimulation with GnRH .Eur . J. Endocrinol . 143: 77 – 84.

Chang ,M.Y .; Chiang ,C.H .; Hsieh, T.T .; Soong ,Y.K . and Hsu ,K.H. (1998).Use of the antral follicle count to predict the outcome of assisted reproductive technologies. Fertil .Steril. 69:505–510.

DeJong,F.H.(1988). Inhibin. Physiol. Rev. 68:555–607.

deKretser ,D.M ; Meinhardt ,A; Meehan, T; Phillips, DJ; O’ Bryan, M.K. and Loveland, K.A. (2000). The roles of inhibin and related peptides in gonadal function . Mol. Cell. Endocrinol. 161: 43-46.

DeWinter, J.P. ; ten Dijke ,P. ;DeVries ,C.J.M.; Van Achterberg ,T.A.E. ; Sugino,H.; De Waele,P. ; Huylebroeck , D. ; Eijnden ,V.K. and Van Raaij, A.J.M .(1996) . Follistatins neutralize activin bioactivity by inhibition of activin binding to its type ІІ receptors . Mol. Cell. Endocrinol. 116: 105- 114.

Eldar-Geva ,T .; Margalioth, E.J .; Ben-Chetrit ,A .; Gal ,M .; Robertson, D.M .; Healy, D.L .; Diamant ,Y.Z . and Spitz, I.M. (2002).Serum inhibin B levels measured early during FSH administration for IVF may be of value in predicting the number of oocytes to be retrieved in normal and low responders. Hum. Reprod. 17:2331–2337.

Fried,G .; Remaeus, K. and Harlin ,J. (2003). Inhibin B predicts oocyte number and the ratio IGF-I/IGFBP-1 may indicate oocyte quality during ovarian hyperstimulation for in vitro fertilization. Journal of Assisted Reprod. Gen. 20 : 167–176.

Groome, N.P. ; Illingworth ,P.J. ; O’Brien M. ; Cooke , I .; Ganesan , T.S. ; Baird, D.T.and Mc Neilly ,A.S. (1994). Detection of dimeric inhibin throughout the human menstrual cycle by two-site enzyme immunoassay . Clin . Endocrinol. 40: 717-723.

Halder,A. ; Fauzdar,A .; Ghosh, M. and Kumar,A .(2007). Serum inhibin B: a direct and precise marker of ovarian function . J. clin. diag. res. 1(3) :131-137.

Hayes ,F.J.; Hall, J.E .; Boepple,P. and Crowley, W.F.(1998). Differential control of gonadotropins secreations in the human: endocrine roles of inhibins. J. Clin. Endocrinol. Metab. 83:1835-1841.

Illingworth ,P.J .; Groome, N.P .and Byrd ,W. (1996) .Inhibin-B: a likely candidate for the physiologically important form of inhibin in men. J . Clin . Endocrinol . Metab .81 :1321–1325.

Inge , G. ; Ingnace, V. ; Patrick ,N. and Jaak,B. (2009). The role of inhibins B and antimullerian hormone for diagnosis and follow-up of granulosa cell tumors . Int. J. Gynecol. Cancer. 19 : 847 - 855.

Klein, N.A .; Illingworth, P.J .; Groome, N.P .; McNeilly, A.S .; Battaglia, D.E .and Soules, M.R. (1996). Decreased inhibin B secretion is associated with the monotropic FSH rise in older, ovulatory women: a study of serum and follicular fluid levels of dimeric inhibin A and B in spontaneous menstrual cycles. J .Clin .Endocrinol .Metab . 81:2742–2745.

Lee, S.J.; Lenton, E.A .; Sexton ,L .and Cooke, I.D. (1988) .The effect of age on the cyclical patterns of plasma LH, FSH, oestradiol and progesterone in women with regular menstrual cycles. Hum. Reprod. 3:851–855.

Mc Cullagh , DR. (1932). Dual endocrine activity of the testes . Science. 76 :19-20.

Mc Gee ,E.A . and Hsueh ,A.J. (2000). Initial and cyclic recruitment of ovarian follicles. Endocr .Rev. 21:200–214.

Mottram,J.C.and Cramer,W.(1923). On the general effects of exposure to radium on metabolism and tumor growth in rat and the special effects on the testis and pituitary. Q. J. Exp. Physiol. Cog. Med. Sci. 13 : 209–229.

Pezzani , I .; Luisi, S. ; Florio, P.; Ries, F .M . and Petaglia, F. (2001) . Expression and secretion of activin A : possible physiological and clinical implications.Eur.J.Endocrinol. 145:225-236.

Pierik, F.H .; Abdesselam, S.A .and Vreeburg, J.T .(2001). Increased serum inhibin B concentrations after varicocele treatment. Clin. Endocrinol . (Oxford) 54 : 775–780.

Schipper,I.; de Jong, F.H. and Fauser,B.C. (1998) . Lack of correlation between maximum early follicular phase serum follicle stimulating hormone concentrations and menstrual cycle characteristics in women under the age of 35 years. Hum. Reprod. 13:1442–1

Shideler, S.E.; Gee,N.A.; Chen,J.and Lasley, B.L.(2001). Estrogen and progesterone metabolites and follicle-stimulating hormone in the aged macaque female. Biol.Reprod. 65:1718-1725.

Stefano, L.; Florio, P. ; Reis, F.M. and Petraglia , F. (2005). Inhibins in female and male reproductive physiology :role in gametogenesis , conception , implantation and early pregnancy . Hum. Reprod. 11:123-135.

Suehiro , R.M. ; Borba ,E.F. ; Bonfa ,E. ; Okay , T.S. ; Cocuzza ,M. ; Soares , P.M.F.and Silva ,C.A.A. (2008). Testicular sertoli cell function in male systemic lupus erythematosus . Rheumatol . 47 :1692-1697.

Torgac,M.; Kokcy,A. Cetinkaya,M.B.;Alper,T. and Malatyalioglu,E. (2005). Do basal inhibin A and inhibin B levels have value in the diagnosis of polycystic ovary syndrome. Gynecol. Endocrinol. 20: 322-326.

van Rooij ,I.A .; Broekmans ,F.J.; Scheffer, G.J .; Looman ,C.W .; Habbema ,J.D .; de Jong ,F.H .; Fauser, B.J.; Themmen ,A.P.N.and te Velde, E.R. (2005).Serum antimüllerian hormone levels best reflect the reproductive decline with age in normal women with proven fertility: a longitudinal study. Fertil. Steril .83:979–987.

Wada, M.; Shintani ,Y.; Kosaka, M.; Sano,T.; Hizawa, K. & Saito, S. (1996).Immunohistochemical localization of activin A and follistatin in human tissues. Endocr . J . 43: 375 - 385.

Welt, C. K. ; D. J., McNicholl ; A. E., Taylor and J. E., Hall .(1999). Female reproductive aging Is marked by decreased secretion of dimeric inhibin, J .Clin. Endocrinol. Metab. 84 : 105-111.

Welt,C.K. ; Taylor, A.E. ; Martin, K.A. ;and Hall,J.E.(2003). Serum inhibin B in polycystic ovary syndrome: regulation by insulin and luteinizinghormone. J .Clin. Endocrinol .Metab. 87(12):5559-5565.

Ying,SY.(1988).Inhibins , activins and follistatin :gonadal proteins modulating the secretion of follicle stimulating hormone . Endocr. Rev. 9: 267-293.

Downloads

Published

2022-06-25

How to Cite

Reem M. Obaid, Sanaa Hussein Ali, & Haneen Mushtaq Hameed. (2022). Correlation Between Serum Inhibin and FSH Levels in Women with Different Reproductive Disorders. International Journal for Research in Applied Sciences and Biotechnology, 9(3), 256–261. Retrieved from https://www.ijrasb.com/index.php/ijrasb/article/view/414

Issue

Section

Articles