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Intrafollicular and Circulating Concentrations of Leptin Do Not Predict the Outcome in IVF-ICSI Cycles

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Abstract

Leptin is involved not only in the regulation of food intake but also in other functions including reproduction. Because leptin has been demonstrated to influence ovarian steroidogenesis directly and leptin levels vary during the menstrual cycle and in stimulated cycles, we tested the hypothesis that serum or intrafollicular concentrations of leptin would correlate with reproductive outcomes in intracytoplasmic sperm injection cycles. Serum and follicular fluid samples were collected from 77 women undergoing ovarian stimulation, intracytoplasmic sperm injection and embryo transfer due to male factor infertility. The concentrations of total leptin, both in serum and in pooled follicular fluid samples, did not correlate with the number of oocytes, the fertilization rate or the embryo quality. Additionally, leptin concentrations did not differ between cycles that resulted in pregnancy and those that failed. These results raise objections to the prognostic value of leptin for the outcome of in vitro fertilization/intracytoplasmic sperm injection cycles.

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References

  1. Mantzoros CS, Moschos SJ. Leptin: in search of role(s) in human physiology and pathophysiology. Clin Endocrinol. 1998;49:551–567.

    Article  CAS  Google Scholar 

  2. Mantzoros CS. The role of leptin in human obesity and disease: a review of current evidence. Ann Int Med. 1999;130:671–680.

    Article  CAS  PubMed  Google Scholar 

  3. Caprio M, Fabbrini E, Isidori AM, Aversa A, Fabbri A. Leptin in reproduction. Trends Endocrinol Metab. 2001;12:65–72.

    Article  CAS  PubMed  Google Scholar 

  4. Goumenou AG, Matalliotakis IM, Koumentakis GE, Panidis DK. The role of leptin in fertility. Eur J Obstet Gynecol Reprod Biol. 2003;106:118–124.

    Article  CAS  PubMed  Google Scholar 

  5. Karlsson C, Lindell K, Svensson E, et al. Expression of functional leptin receptors in the human ovary. J Clin Endocrinol Metab. 1997;82:4144–4148.

    CAS  PubMed  Google Scholar 

  6. Antczak M, Van Blerkom J. Oocyte influences on early development: the regulation proteins leptin and STAT3 are polarized in mouse and human oocytes and differentially distributed within the cells of the preimplantation stage embryo. Mol Hum Reprod. 1997;3:1067–1086.

    Article  CAS  PubMed  Google Scholar 

  7. Agarwal SK, Vogel K, Weitsman SR, Magoffin DA. Leptin antagonizes the insulin-like growth factor-I augmentation of steroidogenesis in granulosa and theca cells of the human ovary. J Clin Endocrinol Metab. 1999;84:1072–1076.

    CAS  PubMed  Google Scholar 

  8. Brannian JD, Zhao Y, McElroy M. Leptin, inhibits gonadotrophin-stimulated granulosa cell progesterone production by antagonizing insulin action. Hum Reprod. 1999;14: 1445–1448.

    Article  CAS  PubMed  Google Scholar 

  9. Kitawaki J, Kusuki I, Koshiba H, Tsukamoto K, Honjo H. Leptin directly stimulates aromatase activity in human luteinized granulosa cells. Mol Hum Reprod. 1999;5:708–713.

    Article  CAS  PubMed  Google Scholar 

  10. Tsai EM, Yang CH, Chen SC, et al. Leptin affects pregnancy outcome of in vitro fertilization and steroidogenesis of human granulosa cells. J Assist Reprod Genet. 2002;19:169–176.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ludwig M, Klein HH, Diedrich K, Ortmann O. Serum leptin concentrations throughout the menstrual cycle. Arch Gynecol Obstet. 2000;263:99–101.

    Article  CAS  PubMed  Google Scholar 

  12. Geisthovel F, Jochmann N, Widjaja A, Horn R, Brabant G. Serum pattern of circulating free leptin, bound leptin and soluble leptin receptor in the physiological menstrual cycle. Fertil Steril. 2004;81:398–402.

    Article  PubMed  Google Scholar 

  13. Maheshwari A, Stofberg L, Bhattacharya S. Effect of overweight and obesity on assisted reproductive technology—a systematic review. Hum Reprod Update. 2007;13:433–444.

    Article  CAS  PubMed  Google Scholar 

  14. Bützow TL, Moilanen JM, Lehtovirta M, et al. Serum and follicular fluid leptin during in vitro fertilization: relationship among leptin increase, body fat mass, and reduced ovarian response. J Clin Endocrinol Metab. 1999;84:3135–3139.

    Article  PubMed  Google Scholar 

  15. Mantzoros CS, Cramer DW, Liberman RF, Barbieri RL. Predictive value of serum and follicular fluid leptin concentrations during assisted reproductive cycles in normal women and in women with polycystic ovarian syndrome. Hum Reprod. 2000;15:539–544.

    Article  CAS  PubMed  Google Scholar 

  16. Brannian JD, Schmidt SM, Kreger DO, Hansen KA. Baseline non fasting serum leptin concentration to body mass index ratio is predictive of IVF outcomes. Hum Reprod. 2001;16: 1819–1826.

    Article  CAS  PubMed  Google Scholar 

  17. Dorn C, Reinsberg J, Kupka M, van der Ven H, Schild RL. Leptin, VEGF, IGF-1 and IGFBP-3 concentrations in serum and follicular fluid of women undergoing in vitro fertilization. Arch Gynecol Obstet. 2003;268:187–193.

    Article  CAS  PubMed  Google Scholar 

  18. Welt CK, Schneyer AL, Heist K, Mantzoros CS. Leptin and soluble leptin receptor in follicular fluid. J Assist Reprod Gen. 2003;20:495–501.

    Article  Google Scholar 

  19. Chen R, Fisch B, Ben-Haroush A, Kaplan B, Hod M, Orvieto R. Serum and follicular fluid leptin levels in patients undergoing controlled ovarian hyperstimulation for in vitro fertilization cycle. Clin Exp Obstet Gynecol. 2004;31: 103–106.

    CAS  PubMed  Google Scholar 

  20. Nikolettos N, Asimakopoulos B, Nicolettos N, Efthimiadou A, Mourvati E, Demirel C. Evaluation of leptin, interleukin-1β, tumor necrosis factor-α and vascular endothelial growth factor in serum and follicular fluids of women undergoing controlled ovarian hyperstimualtion as prognostic markers of ICSI outcome. In Vivo. 2004;18:667–674.

    CAS  PubMed  Google Scholar 

  21. Asimakopoulos B, Nikolettos N, Papachristou DN, Simopoulou M, Al-Hasani S, Diedrich K. Follicular fluid levels of vascular endothelial growth factor and leptin are associated with pregnancy outcome of normal women participating in intracytoplasmic sperm injection cycles. Physiol Res. 2005;54:263–270.

    CAS  PubMed  Google Scholar 

  22. Anifandis G, Koutselini E, Louridas K, et al. Estradiol and leptin as conditional prognostic IVF markers. Reproduction. 2005;129:531–534.

    Article  CAS  PubMed  Google Scholar 

  23. Anifandis G, Koutselini E, Stefanidis I, et al. Serum and follicular fluid leptin levels are correlated with human embryo quality. Reproduction. 2005;130:917–921.

    Article  PubMed  Google Scholar 

  24. Robins JC, Srivastava R, Mershon JL, Thomas MA. Association of leptin with poor ovarian stimulation during in in vitro fertilization. J Reprod Med. 2005;50:356–360.

    CAS  PubMed  Google Scholar 

  25. Wunder DM, Kretschmer R, Bersinger NA. Concentrations of leptin and C-reactive protein in serum and follicular fluid during assisted reproductive cycles. Hum Reprod. 2005;20: 1266–1271.

    Article  CAS  PubMed  Google Scholar 

  26. Gurbuz B, Yalti S, Ficicioglu C, Tasdemir S. The relation of serum and follicular fluid leptin and ovarian steroid levels in response to induction of ovulation in in vitro fertilization cycles. Eur J Obstet Gynecol Reprod Biol. 2005;118:214–218.

    Article  PubMed  Google Scholar 

  27. Asimakopoulos B, Abu-Hassan D, Metzen E, Al-Hasani S, Diedrich K, Nikolettos N. The levels of steroid hormones and cytokines in individual follicles are not associated with the fertilization outcome after intracytoplasmic sperm injection. Fertil Steril. 2008;90:60–64.

    Article  CAS  PubMed  Google Scholar 

  28. Hill MJ, Uyehara CFT, Hashiro GM, Frattarelli JL. The utility of serum leptin and follicular fluid leptin, estradiol, and progesterone levels during an in vitro fertilization cycle. J Assist Reprod Genet. 2007;24:183–188.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Diedrich K, Felberbaum R. New approaches to ovarian stimulation. Hum Reprod. 1998;13:1s–13s.

    Article  Google Scholar 

  30. Asimakopoulos B, Nikolettos N, Al-Hasani S, Diedrich K. An evaluation of the multiple dose protocol of cetrorelix in single ovary women. In Vivo. 2003;17:89–92.

    CAS  PubMed  Google Scholar 

  31. Asimakopoulos B, Nikolettos N, Al-Hasani S. Outcome of cryopreserved pronuclear oocytes obtained after ovarian stimulation with either HMG or recFSH and the GnRH-antagonist cetroerelix. Reprod BioMed Online. 2002;5:52s–56s.

    Article  Google Scholar 

  32. Barroso G, Barrionuevo M, Rao P, et al. Vascular endothelial growth factor, nitric oxide and leptin follicular fluid levels correlate negatively with embryo quality in IVF patients. Fertil Steril. 1999;72:1024–1026.

    Article  CAS  PubMed  Google Scholar 

  33. Wong M-L, Licinio J, Yildiz BO, et al. Simultaneous and continuous 24-hour plasma and cerebrospinal fluid leptin measurements: dissociation of concentrations in central and peripheral compartments. J Clin Endocrinol Metab. 2004;89: 258–265.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Byron Asimakopoulos PhD.

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Asimakopoulos, B., Köster, F., Felberbaum, R. et al. Intrafollicular and Circulating Concentrations of Leptin Do Not Predict the Outcome in IVF-ICSI Cycles. Reprod. Sci. 16, 113–119 (2009). https://doi.org/10.1177/1933719108324139

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  • DOI: https://doi.org/10.1177/1933719108324139

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