Age-related analysis of inhibin A, inhibin B, and activin a relative to the intercycle monotropic follicle-stimulating hormone rise in normal ovulatory women

J Clin Endocrinol Metab. 2004 Jun;89(6):2977-81. doi: 10.1210/jc.2003-031515.

Abstract

Previous studies have reported that the monotropic rise in FSH in older women is associated with decreased inhibin B and/or A levels and increased levels of activin A. Whereas most investigators have found decreased follicular-phase inhibin B, the roles of inhibin A and activin A as modulators of the FSH rise are unclear. The objectives of this study were to determine whether deficiencies in circulating levels of inhibin A, inhibin B, and/or activin A exist during the intercycle interval in ovulatory older (age, 40-45 yr; n = 16), compared with younger women (age, 20-25 yr; n = 13). Blood samples were obtained daily throughout one menstrual cycle and the follicular phase of the subsequent cycle and were analyzed for LH, FSH, estradiol, inhibin A and B, and activin A. Despite significant FSH elevation, no deficiencies in inhibin A, activin A, or estradiol were detected in older subjects. In fact, inhibin A was significantly higher in older participants during the intercycle phase (P = 0.01), whereas inhibin B was significantly lower. Thus, the monotropic rise in FSH does not appear to result from changes in inhibin A or activin A, supporting the concept that inhibin B plays a critical role in mediating the FSH rise in older women.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activins / blood*
  • Adult
  • Aging / metabolism*
  • Biomarkers
  • Estradiol / blood
  • Female
  • Follicle Stimulating Hormone / blood*
  • Follicular Phase / metabolism*
  • Humans
  • Inhibin-beta Subunits / blood*
  • Inhibins / blood*
  • Luteinizing Hormone / blood
  • Middle Aged
  • Progesterone / blood

Substances

  • Biomarkers
  • activin A
  • inhibin A
  • inhibin B
  • Activins
  • Progesterone
  • Estradiol
  • Inhibins
  • Luteinizing Hormone
  • Follicle Stimulating Hormone
  • Inhibin-beta Subunits