The stimulating effect of Insulin-like Growth Factors (IGFs) on ovaria
n folliculogenesis is modulated by binding proteins (IGFBPs). During f
ollicular growth, levels of IGFBP-2, -4 and -5 decrease in follicular
fluid. These changes are a consequence of a decrease in synthesis and
of a degradation by gonadotropin-stimulated specific proteases. They l
ead to an increase in the bioavailability of IGFs and their action on
granulosa cells. By contrast, follicular atresia is characterized by a
high increase in the synthesis and levels of IGFBPs < 40kDa, and by a
dramatic decrease in IGFs bioavailability. Finally, at least part of
intrafollicular IGFs and IGFBP-3 may be derived from the circulatory p
ool. Their levels only change slightly during follicular growth and at
resia.