Reduced neurotrophin receptor tropomyosin-related kinase A expression in human granulosa cells: A novel marker of diminishing ovarian reserve

Erkan Buyuk, Nanette Santoro, Hillel W. Cohen, Maureen J. Charron, Sangita Jindal

Research output: Contribution to journalArticle

5 Scopus citations


Objective: To determine whether human mural and cumulus granulosa cell neurotrophin and neurotrophin receptor content correlate to ovarian reserve markers. Design: Prospective, laboratory-based study. Setting: Academic assisted reproductive technology (ART) program. Patient(s): Twenty-three women undergoing ART. Intervention(s): Mural and cumulus granulosa cells were collected from women undergoing oocyte retrieval during ART cycles. Relative messenger RNA (mRNA) levels of neurotrophins and their receptors were measured by quantitative reverse transcription-polymerase chain reaction and correlated to serum antimüllerian hormone (AMH) levels and the number of oocytes retrieved. Main Outcome Measure(s): Number of oocytes retrieved. Result(s): Mural and cumulus granulosa cell nerve growth factor receptor tropomyosin-related kinase A (TrkA) mRNA correlated strongly to the number of oocytes retrieved. Similarly, higher serum AMH was associated with higher cumulus granulosa cell TrkA mRNA. Both mural and cumulus granulosa cell p75 NTR/TrkA ratios were lower in women with higher serum AMH, and the number of oocytes retrieved was greater among women with low p75 NTR/TrkA ratio. No significant associations were found between brain-derived neurotrophic factor (BDNF) and its specific receptor tropomyosin-related kinase B (TrkB) and ovarian reserve markers. Although BDNF and TrkB expression were higher in cumulus compared with mural granulosa cells, no such association was found between TrkA and granulosa cells. Antimüllerian hormone and cumulus TrkA mRNA, in a model incorporating both, correlated strongly to the number of oocytes retrieved (R2 = 0.84). Conclusion(s): Cumulus TrkA and p75NTR mRNA correlate to ovarian reserve, whereas BDNF and TrkB are associated with the type of granulosa cell.

Original languageEnglish (US)
Pages (from-to)474-478.e4
JournalFertility and Sterility
Issue number2
StatePublished - Aug 2011



  • TrkA
  • antimüllerian hormone
  • cumulus granulosa cell
  • diminished ovarian reserve
  • mural

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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