Progesterone plays a central coordinate role in regulating reproductive eve
nts associated with the establishment and maintenance of pregnancy includin
g ovulation, uterine and mammary gland development and tumorigenesis, and n
eurobehavioral expression associated with sexual responsiveness. The effect
s of progesterone are mediated by two receptor proteins (PR), termed A and
B, that arise from a single gene and act as ligand-activated transcription
factors to regulate the expression of reproductive target genes. Null mutat
ion of both proteins in mice leads to pleiotropic reproductive abnormalitie
s. This review summarizes the structure and functional properties of the PR
isoforms and how functional differences between these proteins are likely
to impact on the overall physiologic role of the receptor in reproductive s
ystems. (J Soc Gynecol Investig 2000;7:S25-32) Copyright (C) 2000 by the So
ciety for Gynecologic Investigation.