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The development of fetal adrenal function.

J R Challis, E L Manchester, B F Mitchell

    Ciba Foundation Symposium
    |January 1, 1981
    PubMed
    Summary
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    Fetal sheep adrenal glands show varying responses to tropic stimulation during pregnancy. Mid-gestation adrenals have reduced responsiveness, linked to 17 alpha-hydroxylase activity, with function returning near term.

    Area of Science:

    • Endocrinology
    • Developmental Biology
    • Reproductive Science

    Background:

    • Fetal adrenal gland development and function are critical for pregnancy and parturition.
    • Understanding the regulation of fetal adrenal steroidogenesis is essential for managing high-risk pregnancies.

    Purpose of the Study:

    • To investigate the developmental changes in fetal sheep adrenal responsiveness to tropic stimulation.
    • To identify the mechanisms underlying the mid-gestational decrease in adrenal function.

    Main Methods:

    • In vivo and in vitro studies using isolated fetal sheep adrenal cells.
    • Assessment of cortisol production in response to ACTH, dibutyryl cyclic AMP, and GTP.
    • Analysis of steroid precursor conversion to cortisol.

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    Main Results:

    • Adrenal cells from early and late gestation fetuses responded to ACTH, while mid-gestation cells showed minimal response.
    • A mid-gestational loss of 17 alpha-hydroxylase activity was observed.
    • Exogenous ACTH administration in vivo increased the cortisol to corticosterone ratio in fetal plasma.

    Conclusions:

    • The mid-gestational decrease in fetal adrenal responsiveness is associated with post-receptor signaling defects and reduced 17 alpha-hydroxylase activity.
    • Fetal adrenal function can be stimulated by ACTH, impacting steroid hydroxylation.
    • Further research is needed to identify endogenous corticotropin sources and their actions.