Diminished α-inhibin messenger ribonucleic acid in in vitro fertilization-embryo transfer poor responders reflects declining follicle reserve

W. N. Burns, K. H. Oktay, R. R. Tekmal, J. F. Nelson, R. S. Schenken

Research output: Contribution to journalArticle

4 Scopus citations


Objectives: To quantitate and compare granulosa cell α-inhibin messenger RNA (mRNA) levels in IVF-ET poor and good responders and thereby learn how α-inhibin mRNA levels change in states of diminished ovarian responsiveness. Design: Ribonucleic acid analysis of stored luteinized granulosa cell samples. Setting: Academic tertiary care institution. Patients: Fifty-three women undergoing follicle aspiration for IVF-ET were studied. Patients were classified as poor responders (n = 16) or good responders (n = 37) according to their E2 concentration on the day of hCG; the E2 of poor responders was < 1,OO0 pg/mL (3,671 pmol/L) and that of good responders was ≥1,000 pg/mL (3,671 pmol/L). Main Outcome Measures: Messenger RNA levels were measured using dot blot RNA analysis. The following parameters were determined or derived: total mRNA levels, total α-inhibin mRNA levels, α-inhibin mRNA per follicle, and proportional α-inhibin mRNA as the ratio of α-inhibin mRNA:total mRNA. Results: Proportional α-inhibin mRNA and α-inhibin mRNA per follicle were not significantly different between poor responders and good responders. Total mRNA and total α-inhibin mRNA levels, however, were diminished significantly in poor responders. Conclusions: The observations that proportional α-inhibin mRNA and α-inhibin mRNA per follicle do not significantly change in poor responders, whereas total α-inhibin mRNA does, indicate that the decrease in total α-inhibin mRNA in poor responders reflects a decreased pool of total mRNA, likely because of a reduction in follicle number. These findings are in contrast to other recent reports that describe a change in granulosa cell function accompanying states of decreased ovarian responsiveness.

Original languageEnglish (US)
Pages (from-to)394-399
Number of pages6
JournalFertility and sterility
Issue number2
StatePublished - Jan 1 1996



  • Granulosa cell function
  • IVF- ET
  • aging
  • follicle reserve
  • messenger RNA
  • poor responders
  • α-inhibin

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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