Expression of vascular endothelial growth factor A (VEGFA), placental growth factor (PlGF) and insulin-like growth factor 1 (IGF-1) in serum from women undergoing frozen embryo transfer

Hum Fertil (Camb). 2023 Dec;26(5):987-997. doi: 10.1080/14647273.2022.2040749. Epub 2022 Mar 4.

Abstract

VEGFA, PlGF and IGF-1 are three main angiogenic factors which play significant roles in embryo implantation. However, the relationship between serum expressions of VEGFA, PlGF and IGF-1 and pregnancy outcomes has not been fully illustrated. In this study, serum specimens were collected precisely on day 7 after the LH surge in a natural non-conception cycle from 38 infertile patients who underwent frozen embryo transfer (FET) treatment. ELISA was used to determine the concentrations of VEGFA, PlGF and IGF-1. Serum levels of VEGFA, PlGF and IGF-1 were compared between patients who conceived (n=25) and who did not (n=13). Correlation and linear regression analyses were used to investigate the correlations of serum angiogenic factors and β-hCG MoM levels in the pregnant group. The results demonstrated that no significant difference was found in serum VEGFA, PlGF or IGF-1 concentration between pregnant and non-pregnant women. Spearman correlation analysis revealed a positive correlation between IGF-1 concentration and β-hCG level in pregnant participants (rs = 0.490, p = 0.013). In conclusion, serum IGF-1 level correlated positively with β-hCG level in pregnant women, which may provide information on the prognostic value of IGF-1 in this group of women.

Keywords: Infertility; insulin-like growth factor 1 (IGF-1); placental growth factor (PlGF); pregnancy outcome; vascular endothelial growth factor A (VEGFA).

MeSH terms

  • Biomarkers
  • Embryo Transfer
  • Female
  • Humans
  • Insulin-Like Growth Factor I / metabolism
  • Insulin-Like Peptides*
  • Placenta Growth Factor
  • Pregnancy
  • Vascular Endothelial Growth Factor A*
  • Vascular Endothelial Growth Factor Receptor-1

Substances

  • Placenta Growth Factor
  • Vascular Endothelial Growth Factor A
  • Insulin-Like Peptides
  • Insulin-Like Growth Factor I
  • Vascular Endothelial Growth Factor Receptor-1
  • Biomarkers
  • VEGFA protein, human