FORMATION OF 17α-HYDROXY-PREGNENOLONE, 17α-HYDROXY-PROGESTERONE AND PROGESTERONE BY HYDATIDIFORM MOLES IN VITRO
ABSTRACT Vesicles of hydatidiform moles were incubated in the presence of [7α-3H]pregnenolone, After the incubation and extraction of tissues and media, 17α-hydroxy-pregnenolone*, 17α-hydroxy-progesterone and progesterone were identified using a number of TLC systems, followed by crystallization to a constant specific activity. [7α-3H] pregnenolone was not converted to oestrone, 17β-oestradiol and oestriol. The experimental findings indicate that hydatidiform moles, like full term placentas, are deficient in the enzymes necessary to convert C21 to C19 steroids. The production of 17α-hydroxy-progesterone and progesterone in the molar trophoblast in situ may contribute to the considerable urinary excretion of pregnanetriol and pregnanediol in patients with hydatidiform moles.