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This version published online on March 8, 2005
Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2004-2257
A more recent version of this article appeared on June 1, 2005
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Submitted on November 17, 2004
Accepted on March 2, 2005

Insulin-Like Factor 3 (INSL3) Serum Levels in 135 Normal Men and 85 Men with Testicular Disorders: Relationship to the LH -Testosterone Axis

K Bay*, S Hartung, R Ivell, M Schumacher, D Jürgensen, N Jorgensen, M Holm, NE Skakkebaek, and A-M Andersson

University Department of Growth and Reproduction, GR 5064, Rigshospitalet, Copenhagen, Denmark. Department of Andrology and Institute for Hormone and Fertility Research, University Hospital Hamburg-Eppendorf, Hamburg, Germany. School of Molecular and Biomedical Science, University of Adelaide, Australia

* To whom correspondence should be addressed. E-mail: katrine.bay{at}rh.dk.

Insulin-like factor 3 (INSL3) serum levels were measured in 135 andrologically well-characterized normal men and 85 patients with testicular disorders to investigate how the hormone, which is a major secretory product of human Leydig cells, is related to testosterone (T), LH and semen quality. INSL3 was measured by using a newly developed fluorescence immunoassay.

Median (2.5-97.5 percentiles) INSL3 serum levels were as follows: Normal men (n = 135): 0.99 (0.55-1.73) ng/ml; infertile men (n = 23): 1.11 (0.60-2.07) ng/ml; anorchid men (n = 21): non-detectable (ND); patients with 47, XXY, Klinefelter syndrome (n = 21): 0.12 (ND-0.78) ng/ml; men with hypogonadotropic hypogonadism and T substitution (n = 11): ND; and men with hypogonadotropic hypogonadism and hCG (human chorionic gonadotropin) treatment (n = 5): 0.36 (0.13-0.73) ng/ml. Before testicular biopsy, two infertile men had blood samples drawn directly from vena spermatica. Here the serum INSL3 levels were 15 fold higher than in serum from peripheral blood samples (13.84 and 14.00 ng/ml, respectively). In two unilaterally orchiectomised former testis cancer patients, who underwent hCG stimulation test, INSL3 serum levels were unchanged 72 and 96 h post hCG stimulation. In conclusion we 1) provide a normal range for INSL3 serum levels in adult men and 2) show that the majority, if not all, circulating INSL3 derives from the testes. Furthermore our data strongly indicate that 3) INSL3 secretion is dependent on the differentiating effect of LH on Leydig cells, but independent of the steroidogenic LH-mediated action. Thus even though T and INSL3 are both dependent on LH, these two Leydig cell hormones are regulated differently.


Key words: Insl3 • Leydig cells • Testosterone • LH • normal range • oligozoospermia • anorchism • testicular disorders • Klinefelter syndrome • hypogonadotropic hypogonadism




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