Caswell A M, Higham F C, Bailey E
J Dev Physiol. 1983 Oct;5(5):299-305.
Prolongation of pregnancy for 1.5 days by the injection of progesterone leads to a decrease in maternal liver glycogen content and an increase in blood ketones without alteration in the activity of hepatic hydroxymethylglutaryl-CoA synthase, an enzyme of ketogenesis. Fetal hepatic mitochondrial hydroxymethylglutaryl-CoA synthase activity increases with increasing postmaturity in a similar manner to that observed in normal neonates, suggesting that the factors necessary for enzyme induction are present in utero during postmaturity and that birth and the intake of the milk diet of suckling are not essential for increased enzyme activity. Hepatic in vivo lipogenesis is elevated in both mother and fetus during prolonged pregnancy and the results indicate that progesterone may have a specific effect on hepatic lipogenesis.
注射孕酮使孕期延长1.5天会导致母体肝脏糖原含量降低,血液酮体增加,而酮体生成酶——肝羟甲基戊二酰辅酶A合酶的活性没有改变。随着过期产程度增加,胎儿肝脏线粒体羟甲基戊二酰辅酶A合酶活性增加,其方式与正常新生儿中观察到的相似,这表明在过期产期间子宫内存在诱导该酶所需的因素,并且出生和哺乳时摄入奶类饮食对于酶活性增加并非必不可少。在孕期延长期间,母体和胎儿的肝脏体内脂肪生成均升高,结果表明孕酮可能对肝脏脂肪生成有特定作用。