PMID- 1955541 OWN - NLM STAT- MEDLINE DCOM- 19911230 LR - 20190510 IS - 0268-1161 (Print) IS - 0268-1161 (Linking) VI - 6 IP - 3 DP - 1991 Mar TI - Concentrations of free oestradiol and progesterone in human preovulatory follicular fluid. PG - 359-64 AB - This study describes the distribution, based on computer calculations, of the total concentration of oestradiol (E2) and progesterone (P4) between a free and a protein-bound fraction in each of 98 preovulatory follicular fluids (FF). The FFs were obtained from 30 women undergoing in-vitro fertilization--embryo transfer (IVF-ET) treatment. The concentrations of free and total steroid were correlated to oocyte cleavage and establishment of pregnancies. In the FF, 4.3% of E2 was free, 1.5% was bound to sex-hormone-binding-globulin (SHBG), 94.2% to albumin and less than 0.1% was bound to cortisol-binding-protein (CBP). The distribution of P4 in FF was 4.1% free, 5.6% bound to CBP, 90.3% bound to albumin and less than 0.1% was bound to SHBG. These results demonstrate that albumin plays a central role in maintaining the concentration gradient of steroids between the preovulatory FF and the circulation. The concentration of free E2 in fluid from follicles in which the oocyte cleaved was significantly lower in patients who achieved pregnancy (133 +/- 9 nM) (+/- SEM) than in fluid from follicles in which the oocyte cleaved but where the patient did not become pregnant (169 +/- 13 nM: P less than 0.05). Comparing the same two groups, the total concentration of E2 was also significantly lower in FF from patients who became pregnant. By contrast, no such correlation was found for either the free or the total concentrations of P4 in FF.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Andersen, C Y AU - Andersen CY AD - Department of Obstetrics and Gynaecology, Rigshospitalet, Copenhagen, Denmark. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Hum Reprod JT - Human reproduction (Oxford, England) JID - 8701199 RN - 0 (Albumins) RN - 0 (Carrier Proteins) RN - 0 (Sex Hormone-Binding Globulin) RN - 0 (cortisol binding globulin) RN - 4G7DS2Q64Y (Progesterone) RN - 4TI98Z838E (Estradiol) SB - IM MH - Albumins/metabolism MH - Body Fluids/*metabolism MH - Carrier Proteins/metabolism MH - Cleavage Stage, Ovum/metabolism MH - Estradiol/*metabolism MH - Female MH - Follicular Phase/*physiology MH - Humans MH - Ovarian Follicle/*metabolism MH - Pregnancy/metabolism MH - Progesterone/*metabolism MH - Sex Hormone-Binding Globulin/metabolism EDAT- 1991/03/01 00:00 MHDA- 1991/03/01 00:01 CRDT- 1991/03/01 00:00 PHST- 1991/03/01 00:00 [pubmed] PHST- 1991/03/01 00:01 [medline] PHST- 1991/03/01 00:00 [entrez] AID - 10.1093/oxfordjournals.humrep.a137339 [doi] PST - ppublish SO - Hum Reprod. 1991 Mar;6(3):359-64. doi: 10.1093/oxfordjournals.humrep.a137339.