Although much remains to be learned with respect to the possible relevance of
IGF-I to ovarian physiology, it may be possible at this time to tentatively formulate possible functions of
IGF-I in this connection: 1. Amplification of
gonadotropin hormonal action--a key requirement given the exponential nature of follicular development. 2. Integration of follicular development--an essential facet concerned with the coordination of granulosa-theca cooperation. 3. Selection of dominant follicle(s)--a speculative proposition assuming timely and selective activation of the
IGF-I system in "chosen" follicles. Aside from its possible role(s) in the course of established follicular cycles,
IGF-I (and/or
IGF-II) may also participate in the very formation of the follicular apparatus during the late fetal/early neonatal period. Although the ovary is
gonadotropin-independent at that time, we previously showed that
IGF-I may well interact with VIPergic input now implicated in the morphodifferentiation of the follicular apparatus. Similarly,
IGF-I may be concerned with the promotion of juvenile and early pubertal follicular
gonadotropin (FSH) levels; ovarian
IGF-I may have a bearing on the puberty-promoting effect of
growth hormone. Indeed, an association appears to exist between
isolated growth hormone deficiency and
delayed puberty in both rodents and human subjects, a process reversed by systemic
growth hormone replacement
therapy. Given that ovarian
IGF-I and its receptor may be
growth hormone-dependent, it is tempting to speculate that the ability of
growth hormone to accelerate pubertal maturation may be due, at least in part, to the promotion of ovarian
IGF-I production and reception with the consequent local potentiation of
gonadotropin action.