Study of the relationship between estrogen, leptin and TNF-alpha in low fertility women in Iraq

Main Article Content

Zahraa Ch. Hameed

Abstract

fertility is one of the problems facing women and men.  Estrogen (E2),  leptin  level  disorders,  and tumor  necrosis  factor –α (TNF-α) are  among  the  risk  factors  that  cause  infertility. The aim of the research is to study the relationship between the three criteria and their relationship to infertility or low fertility in Iraqi women in compared with fertile women (control). The current study included (120) Participating, divided into two groups. The first group (60) infertile women) who visit outpatient infertility clinics, and (60) fertile women). The study samples were collected from September 2023 to December 2024 from outpatient infertility clinics in Iraq. All participants were between the ages of (22-38) years. The Results showed that leptin and tumor necrosis factor –α levels increased significantly in infertile women compared to fertile women in the luteal phase of the menstrual cycle, while estrogen levels decreased significantly. The conclusion: TNF-alpha, estrogen (E2), and leptin levels may be biomarkers for decreased fertility in women and may be helpful in identifying those who are at a high risk of low fertility


Article Details

How to Cite
Hameed, Z. C. (2025). Study of the relationship between estrogen, leptin and TNF-alpha in low fertility women in Iraq. Technium BioChemMed, 13, 27–33. https://doi.org/10.47577/biochemmed.v13i.12648
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References

Abdullah, A. A., Ahmed, M., & Oladokun, A. (2022). Leptin levels in women with unexplained infertility: A systematic review and meta-analysis. World Journal of Meta-Analysis, 10(1), 37-45.‏

Quaas, A., & Dokras, A. (2008). Diagnosis and treatment of unexplained infertility. Reviews in obstetrics and gynecology, 1(2), 69.‏

Findlay, J. K., Liew, S. H., Simpson, E. R., & Korach, K. S. (2010). Estrogen signaling in the regulation of female reproductive functions. Fertility control, 29-35.‏

Hameed, Z. C., Al-Ali, I. A., & Al-Alaq, M. M. (2024). Effect of dydrogesterone drug on physiological parameters in women with recurrent pregnancy loss. Romanian Journal of Medical Practice, 19(2).‏

Baig, M., Azhar, A., Rehman, R., Syed, H., Tariq, S., & Gazzaz, Z. J. (2019). Relationship of serum leptin and reproductive hormones in unexplained infertile and fertile females. Cureus, 11(12).‏

Salem, A. M. (2021). Variation of leptin during Menstrual cycle and its relation to the hypothalamic–pituitary–gonadal (HPG) axis: A systematic review. International journal of women's health, 445-458.‏

Ajala, O. M., Ogunro, P. S., Elusanmi, G. F., Ogunyemi, O. E., & Bolarinde, A. A. (2012). Changes in serum leptin during phases of menstrual cycle of fertile women: relationship to age groups and fertility. International journal of endocrinology and metabolism, 11(1), 27.‏

Ahrens, K., Mumford, S. L., Schliep, K. C., Kissell, K. A., Perkins, N. J., Wactawski-Wende, J., & Schisterman, E. F. (2014). Serum leptin levels and reproductive function during the menstrual cycle. American journal of obstetrics and gynecology, 210(3), 248-e1.‏

Šrámková, M., Dušková, M., Vítků, J., Včelák, J., Matucha, P., Bradnová, O., ... & Stárka, L. (2015). Levels of adipokines and some steroids during the menstrual cycle. Physiological research, 64.‏

Jang, D. I., Lee, A. H., Shin, H. Y., Song, H. R., Park, J. H., Kang, T. B., ... & Yang, S. H. (2021). The role of tumor necrosis factor alpha (TNF-α) in autoimmune disease and current TNF-α inhibitors in therapeutics. International journal of molecular sciences, 22(5), 2719.‏

Liang, J. X., Zhang, Y., Xiao, C. H., Cao, S., Tian, Y., Wang, N. N., & Liu, C. (2023). Application value of tumor necrosis factor inhibitors in in vitro fertilization-embryo transfer in infertile women with polycystic ovary syndrome. BMC Pregnancy and Childbirth, 23(1), 247.‏

Zhong, Z., Wang, Y., Wang, G., & Zhou, F. (2022). Case report: TNF-alpha inhibitors to rescue pregnancy in women with potential pregnancy loss: a report of ten cases. Frontiers in Immunology, 13, 900537.‏‏

Pérez-Pérez, A., Sánchez-Jiménez, F., Maymó, J., Dueñas, J. L., Varone, C., & Sánchez-Margalet, V. (2015). Role of leptin in female reproduction. Clinical Chemistry and Laboratory Medicine (CCLM), 53(1), 15-28.‏

Khan, S. M., Hamnvik, O. P. R., Brinkoetter, M., & Mantzoros, C. S. (2012). Leptin as a modulator of neuroendocrine function in humans. Yonsei medical journal, 53(4), 671-679.‏

Ashrafi Mahabadi, S., & Tafvizi, F. (2020). Reduction of soluble leptin receptor levels in women with unexplained infertility and the effect of Leptin Receptor gln223arg polymorphism on its serum level. Journal of Obstetrics, Gynecology and Cancer Research, 5(4), 149-158.‏

Tafvizi, F., & Masomi, M. (2016). Comparison of serum leptin level in women with unexplained infertility and fertile women in Iran. The Journal of Obstetrics and Gynecology of India, 66, 466-470.‏

Kumari, P., Jaiswar, S. P., Shankhwar, P., Deo, S., Ahmad, K., Iqbal, B., & Mahdi, A. A. (2017). Leptin as a predictive marker in unexplained infertility in north indian population. Journal of clinical and diagnostic research: JCDR, 11(3), QC28.‏

Baig, M., Azhar, A., Rehman, R., Syed, H., Tariq, S., & Gazzaz, Z. J. (2019). Relationship of serum leptin and reproductive hormones in unexplained infertile and fertile females. Cureus, 11(12).‏

Rudnicka, E., Suchta, K., Grymowicz, M., Calik-Ksepka, A., Smolarczyk, K., Duszewska, A. M., ... & Meczekalski, B. (2021). Chronic low grade inflammation in pathogenesis of PCOS. International journal of molecular sciences, 22(7), 3789.‏

Sayin, N. C., Gücer, F., Balkanli-Kaplan, P., Yüce, M. A., Ciftci, S., Kücük, M., & Yardim, T. (2003). Elevated serum TNF-alpha levels in normal-weight women with polycystic ovaries or the polycystic ovary syndrome. The Journal of Reproductive Medicine, 48(3), 165-170.‏

Aboeldalyl, S., James, S.C., Seyam, E., Ibrahim, E.M., Shawki, H.E., Amer, S. (2021). The Role of Chronic Inflammation in Polycystic Ovarian Syndrome—A Systematic Review and Meta-Analysis. Int J Mol Sci, 22(5), 2734.

Rudnicka, E., Kunicki, M., Suchta, K., Machura, P., Grymowicz, M., & Smolarczyk, R. (2020). Inflammatory markers in women with polycystic ovary syndrome. BioMed research international, 2020(1), 4092470.‏

Zhong, Z., Wang, Y., Wang, G., & Zhou, F. (2022). Case report: TNF-alpha inhibitors to rescue pregnancy in women with potential pregnancy loss: a report of ten cases. Frontiers in Immunology, 13, 900537.‏

Lee, S. M., Choi, H. J., Oh, C. H., Oh, J. W., & Han, J. S. (2014). Leptin increases TNF-α expression and production through phospholipase D1 in Raw 264.7 cells. PloS one, 9(7), e102373.‏

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