Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls

Objective: To elucidate the natural course of circulating insulin-like peptide 3 (INSL3) levels according to puberty as well as its relation to other reproductive hormones. Design: Population-based cohort study. Setting: Not applicable. Patient(s): Healthy peripubertal girls (n¼10) examined every...

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Main Authors: Hagen, Casper P., Mieritz, Mikkel G., Nielsen, John E., Anand-Ivell, Ravinder, Ivell, Richard, Juul, Anders
Format: Article
Published: Elsevier 2015
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Online Access:https://eprints.nottingham.ac.uk/41445/
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author Hagen, Casper P.
Mieritz, Mikkel G.
Nielsen, John E.
Anand-Ivell, Ravinder
Ivell, Richard
Juul, Anders
author_facet Hagen, Casper P.
Mieritz, Mikkel G.
Nielsen, John E.
Anand-Ivell, Ravinder
Ivell, Richard
Juul, Anders
author_sort Hagen, Casper P.
building Nottingham Research Data Repository
collection Online Access
description Objective: To elucidate the natural course of circulating insulin-like peptide 3 (INSL3) levels according to puberty as well as its relation to other reproductive hormones. Design: Population-based cohort study. Setting: Not applicable. Patient(s): Healthy peripubertal girls (n¼10) examined every 6 months; total number of examinations was 84; median (range) per girl:9 (4–10), including staging of pubertal breast development and blood samples. Intervention(s): None. Main Outcome Measure(s): Serum levels of INSL3, inhibin B, E2, antim€ullerian hormone, LH, and FSH (validated immunoassays), and T and androstenedione (liquid chromatography–tandem mass spectrometry). Result(s): Serum levels of INSL3 varied considerably between girls (range, 0.01–0.27 ng/mL) and within each girl as puberty progressed; intraindividual variation, median (range) 102% (65%–143%). Insulin-like peptide 3 increased in late puberty (B1 to B4þB5); geometric mean 0.03 ng/mL to 0.15 ng/mL. Insulin-like peptide 3 levels reflected markers of large follicles (T, androstendione, inhibin B, and E2) better than markers of small follicles (antim€ullerian hormone), and INSL3 staining was localized in theca interna cells of antral follicles. Conclusion(s): Insulin-like peptide 3 increased in late puberty, albeit inter- and intraindividual variations were substantial. Immunohistochemistry and intraindividual variation, as well as relations to other ovarian hormones, reveal that INSL3 in girls is a unique and specific marker of theca cells surrounding antral follicles. The potential clinical use of INSL3 for evaluation of ovarian function in girls remains to be elucidated.
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spelling nottingham-414452020-05-04T17:01:38Z https://eprints.nottingham.ac.uk/41445/ Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls Hagen, Casper P. Mieritz, Mikkel G. Nielsen, John E. Anand-Ivell, Ravinder Ivell, Richard Juul, Anders Objective: To elucidate the natural course of circulating insulin-like peptide 3 (INSL3) levels according to puberty as well as its relation to other reproductive hormones. Design: Population-based cohort study. Setting: Not applicable. Patient(s): Healthy peripubertal girls (n¼10) examined every 6 months; total number of examinations was 84; median (range) per girl:9 (4–10), including staging of pubertal breast development and blood samples. Intervention(s): None. Main Outcome Measure(s): Serum levels of INSL3, inhibin B, E2, antim€ullerian hormone, LH, and FSH (validated immunoassays), and T and androstenedione (liquid chromatography–tandem mass spectrometry). Result(s): Serum levels of INSL3 varied considerably between girls (range, 0.01–0.27 ng/mL) and within each girl as puberty progressed; intraindividual variation, median (range) 102% (65%–143%). Insulin-like peptide 3 increased in late puberty (B1 to B4þB5); geometric mean 0.03 ng/mL to 0.15 ng/mL. Insulin-like peptide 3 levels reflected markers of large follicles (T, androstendione, inhibin B, and E2) better than markers of small follicles (antim€ullerian hormone), and INSL3 staining was localized in theca interna cells of antral follicles. Conclusion(s): Insulin-like peptide 3 increased in late puberty, albeit inter- and intraindividual variations were substantial. Immunohistochemistry and intraindividual variation, as well as relations to other ovarian hormones, reveal that INSL3 in girls is a unique and specific marker of theca cells surrounding antral follicles. The potential clinical use of INSL3 for evaluation of ovarian function in girls remains to be elucidated. Elsevier 2015-03-01 Article PeerReviewed Hagen, Casper P., Mieritz, Mikkel G., Nielsen, John E., Anand-Ivell, Ravinder, Ivell, Richard and Juul, Anders (2015) Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls. Fertility and Sterility, 103 (3). pp. 780-786. ISSN 0015-0282 INSL3 puberty theca girl follicle http://www.sciencedirect.com/science/article/pii/S0015028214023607 doi:10.1016/j.fertnstert.2014.11.014 doi:10.1016/j.fertnstert.2014.11.014
spellingShingle INSL3
puberty
theca
girl
follicle
Hagen, Casper P.
Mieritz, Mikkel G.
Nielsen, John E.
Anand-Ivell, Ravinder
Ivell, Richard
Juul, Anders
Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
title Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
title_full Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
title_fullStr Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
title_full_unstemmed Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
title_short Longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
title_sort longitudinal assessment of circulating insulin-like peptide 3 levels in healthy peripubertal girls
topic INSL3
puberty
theca
girl
follicle
url https://eprints.nottingham.ac.uk/41445/
https://eprints.nottingham.ac.uk/41445/
https://eprints.nottingham.ac.uk/41445/