What
are the so called “Growth factors “- in the process of spermatogenesis or
Folliculogenesis ? The unanswered questions are “Do
they have any role in “unexplained subfertility”? “ Ans:-Not impossible either
but the problem is that these growth factors are difficult to estimate in ordinary
Lab settings. It is presumable that such Growth factor deficiency is not
impossible as a causation of male or female subfertility. This imagination
becomes stronger in the days of ever
increasing environmental & food pollution in addition to workplace
toxicity.
Point I:-Definition & introduction: Biochemically these are a group of polypeptides, exert actions both on growth & development
of any cell ,not limited to germ cell division only. These growth factors have
their own separate receptors at the cell surface mm. Their action and dynamics are like Vitamins / hormones but they act like by
exerting paracrine and autocrine modes
Point 2: Total number of Growth factors identified so far :--In fact there are about 43 Growth factors that have been identified for cellular
growth( increase in size) & cell differentiation ( acquision of functional
capacity of any cells be it somatic or
reproductive & development of coordinating
mechanism amongst diff organelle in the cell) .
These are akin to vitamins which are again difficult to estimate in
ordinary Lab and its estimations limited to research settings..
Point 3:-Remembering the Lists of G factors which have so far
identified : - :-Ans; IGF-I & II, (action depends
on IGF-BP-1 & 2), .Epidermal Growth Factors, transforming Growth
factor(TGF) , Fibroblast Growth factor, Platelate derived Growth factor , Angiogenic Growth factor ,The Interleukin –I system, Tumour Necrosis
Factor-α, many other peptides, Bone
morphometric Factors, Pro-renin , Pro-opio-Melanocortin, AMH –which is a transforming Growth factor-β
family , OMI(oocyte Maturation Inhibitors, Preg Associated Plasma proteins,
Endothelin-I, Antral Natriuretic peptide
Inhibin-Activin-Follistatin, Renin angiotensin system, Endogenous opiates GnRH
like peptides, Colony stimulating Factors-though mainly synthesized in placenta
. I hope you can now recollect and affirm what I was narrating this morning so long ,and certainly all these statements are not hangovers. ,.
Point 4:-Such G Factors
are also key proteins in the preg continuation & Rec abortion.
Point 5:-Few points about IGF-II IGF II is synthesised at locally at Granulosa cells, theca cells . IGFII stimulates A) Granulosa cell proliferation, B) promotes Aromatase activity,
C) promotes Progesterone synthesis . We
have to recall that Gonadotrophins stimulates IGF-II synthesis, so we observe less follicular
groeth in WHO anovulation where gonadotrophin ,As a similar in males Hyopogonadotrophic disease like Kallmann’s syndrome there is no or minimal divan of immature or primary spermatocytes ( sperm cells ) .
Point 6: The FSH is the
monitor (Head of the family) which controls the web & tide of few important reproductive
growth factors. FSH makes sure (take
the responsibility) :-that free Growth factors are released locally and this
autocrine action is auto adjusted i.e.
Follicle age matched Growth factors are
made available to Follicles( like automatic gear of car) . Human Follicular fluid has maximum conc. of
IGF-II.
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