The results of comparing serum metabolites with those of follicular fluid obtained from small, medium and large ovarian follicles of she-camels are presented in Table 1.
There were significant differences between serum and FF groups in total protein values (p<0.0001). The total protein values were significantly decreased with increasing follicle’ size. The serum group had the highest total protein value, followed by values of small FF, medium FF and large FF groups, respectively. Urea and creatinine parameters showed the highest levels in the small FF group compared to the lowest levels in serum group. Urea and creatinine levels then progressively decreased with increasing follicle size but they were still higher than serum group values. The serum group had the highest glucose level compared to lowest level in small FF group, which then progressively increased in the medium FF and large FF groups. Both HDL and triglycerides values were highest in the serum group and FF groups showed a significant decrease as follicles’ size increased. AST levels were significantly higher in the small FF, medium FF and large FF groups compared to the serum group. In addition, ALT levels were highest in the small FF group compared to those of serum, medium FF and large FF groups. Furthermore, serum and FF small groups had the highest LDH levels compared to those of medium FF and large groups. No significant differences among serum and FF groups in iron values.
The follicular fluid biochemical metabolites of ovarian follicles are essential for oocytes’ maturation and further fertilization processes. Hence, the changes of these metabolites may affect oocytes’ growth and quality. Results of the present experiments are shown in Table 1 to compare the metabolites of serum versus follicular fluid collected from small, medium and large camel follicles. Collectively, the obtained results indicated differences between serum versus follicular fluid metabolites. Follicular fluid is a complex mixture derived from both transudation of serum across the blood-follicle barrier and secretions from follicular cells (
Abdulrahman Alrabiah et al., 2022). It contains proteins, amino acids, sugars, enzymes, hormones, growth factors and other molecules crucial for oocyte development
(Mo et al., 2023; Pytel et al., 2024; Mohammed and Alshaibani 2025). In addition, the metabolic properties of blood-follicle barriers changed significantly during follicle growth and development.
Total protein
The serum group had the highest total protein values (p<0.0001), followed by values of small FF, medium FF and large FF groups, respectively. Consequently, the total protein values were significantly decreased with increasing follicle’ size. The total protein values in serum and follicular fluid are related but distinct, reflecting different physiological compartments and functions. In camels, the normal range for total protein in serum is typically 6.0 to 8.3 g/dL (
Mohammed and Mahmoud, 2011;
Dowelmadina et al., 2012). Serum total protein levels are used to assess general health status and can be affected by various conditions, including liver disease, kidney disease, malnutrition, dehydration and inflammatory conditions
(Abdoslam et al., 2018). The blood-follicle barrier regulates the passage of molecules from serum into the follicular fluid. This barrier is selective, meaning that not all serum molecules pass through equally. Smaller proteins tend to have higher concentrations in follicular fluid relative to serum compared to larger proteins
(Paes et al., 2020). A decrease in total protein concentration as follicles grow larger might be due to utilization by follicular cells or changes in barrier permeability
(Pan et al., 2024).
Urea and creatinine
Urea and creatinine parameters showed the highest levels in the small FF group compared to the lowest levels in serum group. Urea and creatinine levels then progressively decreased with increasing follicle size but they were still higher than serum group values as indicated in other studies
(Nandi et al., 2007; Mohammed and Mahmoud 2011;
Aller et al., 2013; Nandi et al., 2016). Urea is a small, water-soluble molecule that is the primary nitrogenous waste product in mammals
(Weerakoon et al., 2023). Because of its small size, urea can readily diffuse across biological membranes, including the blood-follicle barrier. The differences could be attributed to dilution effect and metabolic activity of ovarian follicles (
Baker and Wolfe, 2020). Larger follicles contain a greater volume of follicular fluid. Furthermore, smaller follicles might have a relatively less efficient mechanism for the clearance or exchange of these waste products compared to larger, more developed follicles with potentially better vascularization or transport systems
(Zhu et al., 2023). Urea concentrations were higher in fluid aspirated from developing follicles than in serum, most likely due to active transport or local urea synthesis by follicular cells
(Nandi et al., 2007; Aller et al., 2013). The values of creatinine in serum and follicular fluid are related due to the exchange of substances between the blood and the follicular environment, but their concentrations were increased in follicular fluid due to follicle metabolic activity and specific fluid dynamics within the follicle
(Bekkouche et al., 2022).
Glucose
The current finding recorded that serum group had the highest glucose level compared to lowest level in small FF group, which then progressively increased in the medium FF and large FF groups. Serum and follicular fluid glucose levels are related, as glucose is a small molecule that can cross the blood-follicle barrier. However, the concentrations in each ovarian follicle sizes were differed and influenced by various factors. Glucose in follicular fluid originates from the blood plasma
via transport across the blood-follicle barrier. It is also utilized by the cells within the follicle (oocyte, granulosa cells and theca cells) for energy and metabolic processes. Generally, the glucose concentration in follicular fluid is lower than that in serum. Studies across different species, including humans, buffaloes, cows, sheep and she-camels have reported follicular fluid glucose levels ranging from 30% to 80% of the corresponding serum glucose levels
(Leroy et al., 2004; Arshad et al., 2005; El-Bahr et al., 2015). Glucose enters the follicular cells
via glucose transporter (GLUT) proteins. GLUT1 and GLUT4 are among the transporters found in ovarian tissues
(Nishimoto et al., 2006). Some studies have observed that glucose levels in follicular fluid increase with increasing follicle size in species like buffaloes and camels, while other studies have not found a significant correlation or have reported variable results (
El-Bahr et al., 2015). The increased volume of follicular fluid in large follicle may be attributed to a decrease in glucose values involved in metabolic activities. This result might be attributed to decrease in metabolic processes in large follicles
.
High-density lipoprotein and triglycerides
Both HDL and triglycerides values were highest in the serum group and FF groups showed a significant decrease as follicles’ size increased. This finding could suggest a potential relationship between follicle development and lipid metabolism. Different stages of follicle development have varying metabolic demands that influence HDL and triglycerides levels. Factors within the follicular fluid or local production by follicles of different sizes could affect HDL and triglycerides concentrations in the surrounding environment or systemically
(Arias et al., 2022). As follicles mature and grow, there might be a greater utilization or lower transport of HDL and triglycerides into the follicular fluid. The changing metabolic needs or the composition of the follicular fluid during different stages of follicle development could influence HDL and triglyceride levels.
Aspartate and alanine aminotransferases and lactate dehydrogenase
Aspartate aminotransferase levels were significantly higher in the small FF, medium FF and large FF groups compared to the serum group. In addition, ALT levels were highest in the small FF group compared to those of serum, medium FF and large FF groups. Furthermore, serum and FF small groups had the highest LDH levels compared to those of medium FF and large groups. Similar AST values were found in serum and follicular fluid of dromedary camel breeds
(Bekkouche et al., 2022). The role of AST in follicular fluid is not fully understood, but it is involved in amino acid metabolism, specifically the reversible transfer of an α-amino group between aspartate and glutamate (
Holeček, 2023). The higher concentrations of AST and ALT in follicles may suggest that aspartic and glutamine might be important during the stages of ovarian follicular development. The serum and FF small groups had the highest LDH levels compared to medium FF and large groups. Lactate dehydrogenase is an enzyme played a crucial role in anaerobic glucose metabolism and converting pyruvate to lactate. LDH is present in ovarian follicular fluid, originating from serum transudation and the metabolic activity of follicular cells and the oocyte. LDH in follicular fluid plays a role in the metabolic environment of the developing oocyte and may serve as an indicator of follicular health. Iron value is comparable in both serum and follicular fluid groups.