Aldosterone bound to its receptor promotes sodium reabsorption in the distal
nephron of the kidney. Elevated sodium in the blood leads to hypertension
which can be a serious problem in pregnancy. In some cases, hypertension that
appears in early pregnancy and increases with time has been shown to be caused
by a mutation in the mineralocorticoid receptor. The mutation allows
progesterone to bind with the same affinity as aldosterone and thus act as an
agonist. Because of the high levels of progesterone during pregnancy, the
mutated receptor remains saturated and blood pressure can become dangerously
high. Spironolactone, which acts as an antagonist of aldosterone with a normal
receptor, acts as an agonist with the mutated receptor and should not be used
to treat this kind of hypertension.
Once ovulation occurs, the pathway followed differs when the egg is fertilized
and when it is not. Which of the following statements about this process
is/are correct?
A. FSH, via cAMP as a second messenger, stimulates the follicle to release \(17
\beta\) -estradiol.
B. Blood levels of progesterone fall as pregnancy progresses as the corpus
luteum dies.
C. Inhibin produced by the follicle prevents release of LH.
D. The primary influence for the corpus luteum to produce progesterone and
estradiol is \(\mathrm{FSH}\).
E. All of the above.