In the ovary, insulin-like growth factors (IGFs) enhance both prolifer
ation and differentiation of follicular cells by potentiating gonadotr
opin's actions. The biological effects of IGFs are strikingly modulate
d by IGF-binding proteins (IGFBPs), whose levels in follicular fluid d
ramatically change during folliculogenesis. Indeed, in most mammalian
species, follicular growth and atresia are characterized by an increas
e and a great decrease in the IGFBP-3/IGFBPs <40 kD (IGFBP-2, -4 and -
5) ratio in follicular fluid, respectively. These variations result fr
om both changes in expression of these IGFBPs by follicular cells, and
in local degradation by specific intrafollicular proteases. Such chan
ges in IGFBP levels lead to great decrease and increase in IGF bioavai
lability in atretic and growing healthy follicles, respectively. Hence
intrafollicular IGFBPs play a key role in the regulation of follicula
r development by modulating IGFs and therefore gonadotropin's actions.