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- W3092908922 abstract "OBJECTIVE: Anti-Mullerian Hormone (AMH) and progesterone are used as biomarkers in assessing fertility and readiness for assisted reproductive procedures, usually measured in blood samples. The objective of this study was to determine if biologically relevant quantities of AMH and progesterone in human hair samples could be assessed. DESIGN: The study design was prospective in nature. A total of (n=152) human female participants between the ages of 18-65 years were included in the study over a period of 10 months (recruitment ongoing). Sample collection was performed in a clinical setting, with blood and hair samples collected from patients. Hair follicles were not required, with a minimum of 100mg of hair cut from the participants. A doctor or a clinical technician measured the antral follicle count (AFC) by ultrasound. Biologically active AMH and progesterone was extracted from hair using a proprietary method. Hormone presence in hair extract was confirmed in a set of samples using Western Blotting. Hormones were measured in plasma and hair extract by ELISA. AMH was detected via ELISA (n=95 in hair, 42 in plasma), and confirmed on a set of samples via western blots on denatured gel with bands at 70kDa. An average level of 9.37 pg/ml (95%CI 6.77-12) was detected in hair and 3.68 ng/ml (95%CI 2.79-4.56) in plasma in age-group <25 yrs. This is in contrast to the age group >39 years, within which a mean of 3.02 pg/ml (95%CI 2.19-3.85) AMH detected in hair and 0.92 ng/ml (95%CI 0.43-1.41) in plasma samples. AMH in hair did not significantly associate with measurements in plasma (effect size 0.19, p value 0.0852). AMH measured in hair correlated with age more strongly than plasma AMH (p-value =1.26 x10-5 (hair), p-value 0.088 (plasma)). AMH levels in hair were also strongly associated with AFC when corrected for hair weight, with an effect size of 3.75 (95% CI: 1.7; 5.8), and P value of 0.0168. Progesterone was measured via ELISA (n=76 in hair, n=91 in plasma) via ELISA. The association between progesterone in plasma and hair was significant (p value of 0.0298, p value of 0.013 when adjusted for hair weight). We found that progesterone and AMH could be detected in human hair samples, and levels of AMH in hair were positively associated with maternal age and antral follicle count. The stronger association of AMH in hair versus plasma with age and AFC suggests that, though AMH is relatively stable during the monthly cycle, acute measurements of AMH may have variability that may make measurement via hair samples of greater utility for assessing reproductive health. Hair is a medium that can accumulate biomarkers over several weeks, while serum is an acute matrix that can represent only current levels. Detection of steroid hormones in hair has been used in neuroendocrinological studies in human and animals. However AMH measurements in hair are not currently employed for clinical purposes. In addition to this benefit, assessing reproductive hormone via a non-invasive method may allow an increased adoption of the use of these hormones in addressing reproductive health." @default.
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- W3092908922 date "2020-09-01" @default.
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- W3092908922 title "QUANTITATIVE DETECTION OF BIOLOGICALLY RELEVANT ANTI-MULLERIAN HORMONE (AMH) AND PROGESTERONE IN HUMAN HAIR SAMPLES" @default.
- W3092908922 doi "https://doi.org/10.1016/j.fertnstert.2020.09.037" @default.
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