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Journal of Ovarian Research | open access | Insulin and insulin-like growth factor signaling increases proliferation and hyperplasia of the ovarian surface epithelium and decreases follicular integrity through upregulation of the PI3-kinase pathway
Background
The ovarian surface epithelium responds to cytokines and hormonal cues to initiate
proliferation and migration following ovulation. Although insulin and IGF are potent
proliferative factors for the ovarian surface epithelium and IGF is required for follicle
development, increased insulin and IGF activity are correlated with at least two gynecologic
conditions: polycystic ovary syndrome and epithelial ovarian cancer. Although insulin
and IGF are often components of in vitro culture media, little is known about the
effects that these growth factors may have on the ovarian surface epithelium morphology
or how signaling in the ovarian surface may affect follicular health and development......
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