Utero-tubo-ovarian units obtained from the cases of myomatous uteri or uterine tumor with pregnancy, or uteri with cancer were perfused in vitro. The detailed method of perfusion was already reported (Tojo et al. 1970, 1972, 1974). The perfusion medium was prepared with 100ml of blood, 25ml of Dextran and 350ml of Hanks solution. The pH of this medium was adjusted at 7.4 by sodium bicarbonate and oxygenated by 95% O
2 and 5% CO
2. Progesterone was extracted by the method of Jahansson and assayed by the competitive protein binding method with pregnant guinea pig's serum. The limit of sensitivity was 0.5ng. Progesterone was measured in various conditions.
1) Basic experiment for the perfusion of these units.
a) When progesterone was added to the perfusate and circulated without the unit, the progesterone concentration in the perfusate was almost constant for 3 hours.
b) When progesterone was exogenously injected into the unit, then the progesterone appeared very quickly in the perfusate and rapidly became undetectable.
2) Base line level of progesterone in various units. Progesterone was detectable only in the perfusate of the luteal phase or of pregnancy. In both cases, progesterone concentration was already high at 15 min of perfusion and then gradually decreased but still could be detectable at the end of 3 hours of perfusion. The concentration was higher in the units of pregnancy than in that of luteal phase. Progesterone was not detectable in the units of menstrual period, follicular phase and postmenopausal cases.
3) Perfusion of the units with hCG. 3, 000 to 30, 000IU of hCG were administerd to the various units. Then progesterone was markedly increased only in the unit of luteal phase and the lag time was within 3 min.
4) Perfusion of the unit with pregnenolone. When 40μg of pregnenolone was injected in the perfusate in the luteal phase, progesterone was increased promptly.
5) Perfusion of the unit with pregnenolone, and hCG. When 40μg of pregnenolone was injected at 90min and then 3, 000IU of hCG was administered to the units of luteal phase at 120min, it appeared that progesterone was increased.
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