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Inhibin-B is a heterodimeric glycoprotein produced by Sertoli cells. While inhibin-B levels are low when seminiferous tubules are damaged, studies in normal monkeys reveal that inhibin-B levels also correlate positively with Sertoli cell number. In this study, we measured inhibin-B levels in healthy young adult men age 18-24 years and in prepubertal boys age 5-9 yrs in relation to BMI. Inhibin-B levels declined with increasing obesity in young adult men; values were 26% lower in men who were obese compared to normal weight men. SHBG and total testosterone, but not free testosterone, were also lower with increasing BMI; serum FSH and LH levels were unaffected by obesity. In prepubertal boys by contrast, inhibin-B was unaffected by obesity. We propose that reduced levels of inhibin-B indicate that obese men have fewer Sertoli cells than men of normal weight. Moreover, normal values in obese prepubertal boys suggest that the effect of obesity on inhibin-B is established during puberty. Finally, because each Sertoli cell is thought to support a finite number of germ cells, fewer Sertoli cells in obesity may predispose to a lower sperm count in adulthood. We speculate that the escalating prevalence of obesity and insulin resistance among adolescents might negatively influence male reproductive function for the next generation.
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