Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes

Objective: To study the effect of aging and granulosa cell growth hormone receptor (GHR) expression, and the effect of growth hormone (GH) co-treatment during IVF on receptor expression. Design: Laboratory study. Setting: University. Patient(s): A total of 445 follicles were collected from 62 women...

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Main Authors: Regan, S., Knight, P., Yovich, John, Arfuso, Frank, Dharmarajan, Arunasalam
Format: Journal Article
Published: Elsevier 2018
Online Access:http://hdl.handle.net/20.500.11937/73921
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author Regan, S.
Knight, P.
Yovich, John
Arfuso, Frank
Dharmarajan, Arunasalam
author_facet Regan, S.
Knight, P.
Yovich, John
Arfuso, Frank
Dharmarajan, Arunasalam
author_sort Regan, S.
building Curtin Institutional Repository
collection Online Access
description Objective: To study the effect of aging and granulosa cell growth hormone receptor (GHR) expression, and the effect of growth hormone (GH) co-treatment during IVF on receptor expression. Design: Laboratory study. Setting: University. Patient(s): A total of 445 follicles were collected from 62 women undergoing standard infertility treatment. Intervention(s): Preovulatory ovarian follicle biopsies of granulosa cells and follicular fluid. Main Outcome Measure(s): Older women with a poor ovarian reserve were co-treated with GH to determine the effect of the adjuvant during IVF on the granulosal expression density of FSH receptor (FSHR), LH receptor (LHR), bone morphogenetic hormone receptor (BMPR1B), and GHR. Ovarian reserve, granulosa cell receptor density, oocyte quality, and pregnancy and live birth rates were determined. Result(s): Growth hormone co-treatment increased the receptor density for granulosal FSHR, BMPR1B, LHR, and GHR compared with the non–GH-treated patients of the same age and ovarian reserve. Growth hormone co-treatment increased GHR density, which may increase GHR activity. The GH co-treatment was associated with a significant increase in pregnancy rate. Conclusion(s): Growth hormone co-treatment restored the preovulatory down-regulation of FSHR, BMPR1B, and LHR density of the largest follicles, which may improve the maturation process of luteinization in older patients with reduced ovarian reserve. The fertility of the GH-treated patients improved.
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spelling curtin-20.500.11937-739212019-04-29T08:28:00Z Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes Regan, S. Knight, P. Yovich, John Arfuso, Frank Dharmarajan, Arunasalam Objective: To study the effect of aging and granulosa cell growth hormone receptor (GHR) expression, and the effect of growth hormone (GH) co-treatment during IVF on receptor expression. Design: Laboratory study. Setting: University. Patient(s): A total of 445 follicles were collected from 62 women undergoing standard infertility treatment. Intervention(s): Preovulatory ovarian follicle biopsies of granulosa cells and follicular fluid. Main Outcome Measure(s): Older women with a poor ovarian reserve were co-treated with GH to determine the effect of the adjuvant during IVF on the granulosal expression density of FSH receptor (FSHR), LH receptor (LHR), bone morphogenetic hormone receptor (BMPR1B), and GHR. Ovarian reserve, granulosa cell receptor density, oocyte quality, and pregnancy and live birth rates were determined. Result(s): Growth hormone co-treatment increased the receptor density for granulosal FSHR, BMPR1B, LHR, and GHR compared with the non–GH-treated patients of the same age and ovarian reserve. Growth hormone co-treatment increased GHR density, which may increase GHR activity. The GH co-treatment was associated with a significant increase in pregnancy rate. Conclusion(s): Growth hormone co-treatment restored the preovulatory down-regulation of FSHR, BMPR1B, and LHR density of the largest follicles, which may improve the maturation process of luteinization in older patients with reduced ovarian reserve. The fertility of the GH-treated patients improved. 2018 Journal Article http://hdl.handle.net/20.500.11937/73921 10.1016/j.fertnstert.2018.08.018 Elsevier restricted
spellingShingle Regan, S.
Knight, P.
Yovich, John
Arfuso, Frank
Dharmarajan, Arunasalam
Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
title Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
title_full Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
title_fullStr Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
title_full_unstemmed Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
title_short Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
title_sort growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes
url http://hdl.handle.net/20.500.11937/73921