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This version published online on November 23, 2004
Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2004-1513
A more recent version of this article appeared on February 1, 2005
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*D-SORBITOL
*FRUCTOSE
*GLUCOSE
*GLYCERIN

Submitted on August 2, 2004
Accepted on November 12, 2004

Polyol concentrations in the fluid compartments of the human conceptus during the first trimester of pregnancy; maintenance of redox potential in a low oxygen environment

ERIC JAUNIAUX, JOANNE HEMPSTOCK, CECILIA TENG, FREDERICK C BATTAGLIA, and GRAHAM J BURTON*

Academic Department of Obstetrics and Gynaecology (E.J.) Royal Free and University College London Medical School, London; Department of Pediatrics (F.C.B, C.T.), University of Colorado School of Medicine, Aurora, USA; and Department of Anatomy (J.H.; G.J.B.), University of Cambridge, Cambridge, United Kingdom

* To whom correspondence should be addressed.
GRAHAM J BURTON, E-mail: gjb2{at}cam.ac.uk

Polyols are sugar alcohols formed by the reduction of aldoses and ketoses. Production is favored under conditions of low oxygenation, when it may provide an alternative means to production of lactate for regulating the oxidation-reduction balance of pyridine nucleotides. Polyols also act as important organic osmolytes, and precursors of cell membrane components. We measured free sugar and polyol concentrations in matched samples of maternal serum, intervillous fluid, coelomic fluid and amniotic fluid from normal human pregnancies at 5-12 weeks gestational age. The concentrations of fructose, inositol, sorbitol, erythritol, and ribitol were significantly higher in coelomic and amniotic fluids than in maternal serum, but the reverse was the case for glucose and glycerol. Intervillous fluid concentrations of inositol, mannitol and sorbitol were also significantly higher than in maternal serum. These results demonstrate that the polyol pathway, considered vestigial in adult tissues, is highly active in the human conceptus during early pregnancy. The pathway may serve to maintain ATP concentrations and cellular redox potential while the embryo develops in a low oxygen environment. Polyols may also play important physiological roles in development of the human conceptus, possibly drawing water and solutes across the placenta and expanding the gestational sac.


Key words: Polyols • carbohydrate metabolism • placenta • early pregnancy • hypoxia




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