Effect of a gonadotropin-releasing hormone agonist on luteinizing hormone receptors and steroidogenesis in ovarian cells.

Abstract:

OBJECTIVE:To examine the effect of a gonadotropin-releasing hormone agonist (GnRH-a), leuprolide acetate (LA), on human chorionic gonadotropin/luteinizing hormone (LH) receptors content and progesterone (P) and estradiol (E2) production in cultured granulosa or luteal cells. DESIGN:Prospective. SETTING:Private Fertility Clinic and National Research Institute. PATIENTS:Twenty patients undergoing in vitro fertilization or gamete intrafallopian transfer programs. RESULTS:Human chorionic gonadotropin/LH receptors in human granulosa cells increased after 48 hours of culture, and LA inhibited such effect. Leuprolide acetate, 1 ng/mL, in the cultures produced an increase in P production. On the contrary, LA inhibited E2 production. Additionally, the in vivo effect of LA (2 micrograms/rat per 7 days) was studied in corpus luteum of superovulated rats. Luteal cells from LA-treated rats in culture produced lower P than the controls but showed an increase in aromatase activity. Luteal LH receptors declined after 48 hours of culture with LA. CONCLUSION:The high doses of gonadotropin necessary to induce ovarian hyperstimulation when GnRH-a is administered could be related with an inhibitory effect of these agonists on LH receptors and aromatase activity.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Guerrero HE,Stein P,Asch RH,de Fried EP,Tesone M

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

803-8

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)55863-4

journal_volume

59

pub_type

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