5β-Dihydroprogesterone and steroid 5β-reductase decrease in association with human parturition at term
Abstract
The role of progesterone withdrawal in human parturition continues to provoke controversy. One possible mechanism by which functional progesterone withdrawal may be achieved is by a decrease in the circulating concentration of its bioactive metabolites. The progesterone metabolite 5beta-dihydroprogesterone (5betaDHP) has been shown to be a potent tocolytic in vitro. We quantified plasma concentrations of 5betaDHP in association with the onset of spontaneous labour in women at term and steroid 5beta-reductase mRNA expression in placenta, myometrium, chorion and amnion in relation to parturition, using real time RT-PCR. Serial blood samples were obtained from patients late in pregnancy, before term labour, during term labour and within the first 24 h postpartum. Following organic solvent extraction, steroids including 5betaDHP were separated by high-performance liquid chromatography (HPLC) and then quantified by radioimmunoassay (RIA). 5betaDHP concentration decreased two-fold (P = 0.00001, n = 25) from 0.317 +/- 0.039 nmol/ml to 0.178 +/- 0.017 nmol/ml in association with active labour. Tissue 5beta-reductase mRNA-relative abundance was determined in placenta, myometrium, chorion and amnion obtained from labouring and non-labouring women. In placenta and myometrium, relative expression decreased significantly in association with labour, by about two-fold and 10-fold, respectively. These data are consistent with a possible role for 5betaDHP in the onset of spontaneous human labour. Further studies exploring this hitherto unrecognized endocrinological pathway are indicated.
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In liver and some peripheral tissues such as placenta and myometrium, AKR1D1 reduces progesterone to 5β-DHP, while SRD5A1 and SRD5A2 form 5α-DHP.
“In liver and some peripheral tissues (e.g. placenta and myometrium) AKR1D1 catalyzes reduction of progesterone to 5β-dihydroprogesterone (5β-DHP) while the 5α-reductases SRD5A1 and SRD5A2 form 5α-dihydroprogesterone (5α-DHP)”
From Role of aldo-keto reductase family 1 (AKR1) enzymes in human steroid metabolism (2014) · cites this paper as [40]
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Young, I. R., Renfree, M. B., Mesiano, S. A., Shaw, G., Jenkin, G., & Smith, R. (2011) · Elsevier eBooks · doi:10.1016/b978-0-443-15986-2.00004-6
- Authors
- Sheehan, P. M., Rice, G. E., Moses, E. K., & Brennecke, S. P.
- Affiliations
- Royal Women's Hospital (AU)
- Mercy Hospital for Women (AU)
- The University of Melbourne (AU)
- Venue
- MHR: Basic science of reproductive medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-07-01
- Volume
- 11
- Issue
- 7
- Pages
- 495-501
- ISSN
- 1360-9947 (ISSN-L)
- 1460-2407
- OpenAlex
- W2106243661
- Cited by
- 52
- References
- 53
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2019: 3 · 2018: 1 · 2016: 1 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 4
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Hospital Research Foundation
- Royal Australian and New Zealand College of Obstetricians and Gynaecologists
- Topics
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- progesterone withdrawal, childbirth, labor onset, term labor, tocolysis, progesterone metabolites, placenta, myometrium, chorion, amniotic membrane, gene expression
- MeSH terms
- Amnion, Chorion, Female, Humans, Labor, Obstetric, Myometrium, Oxidoreductases, Placenta, Pregnancy, RNA, Messenger, Parturition, 5-alpha-Dihydroprogesterone
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