Women aged less than 40 have higher docosahexaenoic acid (22:6n-3) status( Reference Burdge and Wootton 1 ) and convert more α-linolenic acid (18:3n-3) to longer chain n-3 polyunsaturated fatty acids (PUFA) than men( Reference Burdge, Jones and Wootton 2 ). Sex hormones have been implicated as regulators of PUFA biosynthesis. Hormone replacement therapy and the oral contraceptive pill use has been shown to increase plasma 22:6n-3 concentration in post and pre-menopausal women respectively,( Reference Giltay, Gooren and Toorians 3 ) and to increase 22:6n-3 synthesis( Reference Burdge and Wootton 1 ). The nature of the regulation of PUFA synthesis by sex hormones is unclear, however, there is evidence of an effect on the mRNA expression of FADS2, which encodes the rate limiting enzyme Δ6 desaturase( Reference Burdge 4 , Reference Childs, Hoile and Burdge5 ). Characterisation of the mechanism is important for understanding how hormones influence dietary requirements for n-3 PUFA. Here we investigated the effect of sex hormones on the conversion of 18:3n-3 and on the FADS2 mRNA expression in human hepatic carcinoma cells.
To measure the effect of sex hormones on 18:3n-3 metabolism, HepG2 cells were incubated for 48 hours with 10 μM [d5]18:3n-3 and physiological concentrations of EE2 (7 nM), progesterone (50 nM) or testosterone (50 nM), or no hormone supplement (untreated). [d5] Incorporation into n-3 PUFA was determined by GC( Reference Burdge 6 ) and by GC-MS( Reference Van Pelt and Brenna 7 ). The mass of labelled fatty acids was normalised to total cell protein content. FADS2 mRNA expression was measured by incubating HepG2 cells for 72 hours with hormones at the above concentrations. FADS2 mRNA expression was measured by real-time RT-PCR( Reference Lillycrop, Slater-Jeffries and Hanson 8 ).
Treatment of HepG2 cells with progesterone, but not EE2, decreased the amount of [d5]18: 3n-3 significantly and increased the amount of 20:5n-3, 22:5n-3 and 22:6n-3 (all P<0.0001) compared to untreated cells (Figure). There was a small increase in the amount of 22:5n-3 in testosterone-treated cells. Progesterone, but not EE2 or testosterone, significantly increased mRNA expression of FADS2 (P<0.001), compared to untreated cells (Figure).
Together these findings show that progesterone increases conversion of 18:3n-3 to longer-chain metabolites. This was associated with increased FADS2 mRNA expression, which suggests that this hormone may act by regulating FADS2 transcription. These results are in agreement with a previous reports of the effect of mixed hormone supplements in women( Reference Burdge and Wootton 1 , Reference Giltay, Gooren and Toorians3 ) and with the observation that progesterone concentration was associated positively with FADS2 mRNA expression in pregnant rats( Reference Childs, Hoile and Burdge 5 ). Overall, these findings show, for the first time, a direct effect of a specific sex hormone acting via gene transcription on PUFA metabolism.