THE POLYCYSTIC OVARY. VIII.
ABSTRACT Tissue from one normal (cycle day 10) and 5 polycystic ovaries was incubated with radioactive pregnenolone, progesterone, testosterone, androstenedione or oestrone, and the metabolites isolated in radiochemically pure form. The patterns of pregnenolone metabolites with polycystic tissue differed from one another and from that of normal ovarian mince. Conversion of the substrate was generally much greater with the former, and in one instance the cortical portion was much more active than the medulla. 3β-ol dehydrogenase activity was markedly decreased in one case. 19-Oxygenation was seen infrequently and no aromatization was observed. On the other hand, 16-hydroxylation and 20-reduction were occasionally very prominent. Incubation of normal tissue with C19 precursors yielded oestrogen whereas polycystic tissue did not. The pathways androstenedione→testosterone→oestradiol and testosterone→16-hydroxy-testosterone→oestriol are suggested by the metabolites of the normal tissue. Under the experimental conditions, the reduction of oestrone to oestradiol was much more prominent than the reduction of androstenedione to testosterone by the polycystic tissue.