STEROID BIOSYNTHESIS IN VITRO BY GONADAL TISSUES IN TRUE HERMAPHRODITISM
ABSTRACT Gonadal tissues from a patient with true hermaphroditism were homogenized and incubated both separately and in combination with [4-14C] progesterone and [7α-3H] pregnenolone as substrates. The following metabolites were isolated and identified in the testicular portion from progesterone: 17-hydroxyprogesterone, 16α-hydroxyprogesterone, 20α-hydroxy-pregn-4-en-3-one, androst-4-ene-3,17-dione and testosterone. In addition, 17-hydroxypregnenolone, dehydroepiandrosterone and androst-5-ene-3β,17β-diol were isolated from pregnenolone as substrate. Incubation of the ovarian portion with progesterone gave 17-hydroxyprogesterone and 16α-hydroxyprogesterone. In addition, 17-hydroxypregnenolone and small amounts of dehydroepiandrosterone were isolated from pregnenolone. In these respects, the testicular portion resembled testicular tissue and the ovarian portion resembled the ovarian tissue of normal adults. Analysis of the products obtained suggest that this testicular tissue preferentially uses the Δ5-pregnenolone pathway rather than the Δ4-pro-gesterone pathway in its metabolic conversion to testosterone.