Effects of IL 6 on steroidogenesis of human granulosa cells in vitro

Recent studies suggest that in addition to gonadotropins, immunological factors, such as cytokines play an important role in production of steroid hormones. The purpose of this study was to examine effects of IL-6 on basal and FSH stimulated secretions of estradiol and progesterone in the presence of androstendione by human granulosa cells [GC] in vitro. Graunlosa cells were harvested at the time of follicular aspiration after ovarian hyperstimulation according to standard protocols with hMG from patients undergoing IVFET. The cells [2 X 10[4] viable cells per well] were cultured with HAM and # 101; s F-10 without any supplements [control] or increasing concentrations of recombinant human [rh] IL-6, [8,16,32,64,128 pg/ml] added in the absence or presence of FSH [96 IU/ml]. Media were collected after 24,48,72 and 96 hours at a 24h interval and estradiol and progesterone levels were measured by an enzyme immunoassay [EIA] with automated system. Results of this study showed that leuteinized GC in the absence of FSH and the presence of androgen was able to produce estradiol and progesterone in vitro. This production was significantly increased in the presence of FSH. Basal and FSH stimulated productions of estradiol were significantly [P < 0.05] inhibited by increasing amounts of IL-6. Although this inhibitory effect on basal production of progesterone was not significant. IL-6 in a dose-dependent manner significantly [P < 0.05] inhibited FSH stimulated production of progesterone by GC. These results suggest that IL-6 may play an important role in the production of estradiol and progesterone and any disorders in level of IL-6 may cause estradiol and progesterone release disturbances

[Serum and follicular fluid IL-6 and sex steroid hormone levels and their correlation of undergoing IVF-ET with endometriosis and pregnancy rate in women.]

Cytokines Not only do rcgulate physiological processes, but also play important roles in immunopathological reactions. The aim of this study was to evaluate the correlation between IL-6 and sex hormone levels with endometriosis and pregnancy rate at the time of oocyte retrieval. In infertile women undergoing IVF-ET Eighty patients received ovulation induction drugs and underwent IVF-ET. IL-6 levels in serum and follicular fluid [FF] were measured by ELISA and FSH. estradiol and progesterone by RIA. In 36 out of 80 patients embryos were transferred and pregnancy rate were evaluated after two weeks. The result showed no significant correlation between serum and FF levels of estradiol. progesterone and FSH with pregnancy rate in IVF patients. Similar levels of lL-6 in serum and FE of pregnant and non pregnant patients after embryo transfer were observed [P> 0.05]. However there was a significant correlation between FF levels of IL-6 in pregnant and non pregnant endometriosis patients [P<0.05]. These results indicate that increase of FE levels of IL-6 may be accompanied by pregnancy rate reduction in endometriosis patients