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-Reductase Type 1 Caused by Estrogen Excess
Department of Molecular Genetics, University of Texas Southwestern Medical Center, Dallas, Texas 75235-9046
Female mice deficient in steroid 5
-reductase
type 1 have a decreased litter size. The average litter in homozygous
deficient females is 2.7 pups vs. 8.0 pups in wild type
controls. Oogenesis, fertilization, implantation, and placental
morphology appear normal in the mutant animals. Fetal loss occurs
between gestation days 10.75 and 11.0 commensurate with a midpregnancy
surge in placental androgen production and an induction of
5
-reductase type 1 expression in the decidua of wild type mice.
Plasma levels of androstenedione and testosterone are 2- to 3-fold
higher on gestation day 9, and estradiol levels are chronically
elevated by 2- to 3-fold throughout early and midgestation in the
knockout mice. Administration of an estrogen receptor antagonist or
inhibitors of aromatase reverse the high rate of fetal death in the
mutant mice, and estradiol treatment of wild type pregnant mice causes
fetal wastage. The results suggest that in the deficient mice, a
failure to 5
-reduce androgens leads to their conversion to
estrogens, which in turn causes fetal death in midgestation. These
findings indicate that the 5
-reduction of androgens in female
animals plays a crucial role in guarding against estrogen toxicity
during pregnancy.
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