During the periimplantation period of pregnancy, pig blastocysts undergo morphological changes and differentiation requiring secretion and transport of nutrients (histotroph) into the uterine lumen. Of these nutrients, glucose is converted to fructose, an isomer of glucose, by conceptus trophectoderm. Although glucose is an energy source for proliferation and growth of mammalian cells, the role of fructose in uterine histotroph is unclear although it is the most abundant hexose sugar in fetal blood and fluids of ungulate mammals (e.g., cows, sheep, and pigs). In this study, we used porcine trophectoderm cells to determine that fructose increased cell proliferation, as did glucose. Western blot analyses of porcine trophectoderm cell extracts revealed that fructose increased the abundance of phosphorylated-RPS6K, -EIF4EBP1, and -RPS6 over basal levels within 30 min, and those levels remained elevated to 120 min. Phosphorylation of both RPS6K and EIF4EBP1 proteins in response to fructose was inhibited by inhibitors of both PI3K and MTOR. Further, when we investigated the inhibition of glutamine-fructose-6-phosphate transaminase 1 (GFPT1) by azaserine (an inhibitor of GFPT1) and GFPT1 siRNA, we found that MTOR-RPS6K and MTOR-EIF4EBP1 signaling in response to fructose is mediated via GFPT1 activation and the hexosamine pathway. We further demonstrated that fructose stimulates the production of hyaluronic acid via GFPT1 and the hexosamine biosynthesis pathway. Collectively, these results demonstrate critical roles for fructose that are mediated via the hexosamine biosynthesis pathway to stimulate MTOR cell signaling, proliferation of porcine trophectoderm cells, and synthesis of hyaluronic acid, a significant glycosaminoglycan in the pregnant uterus.trophoblast | glycosaminoglycans D omestic livestock species are invaluable animal models used extensively in research relevant to human and veterinary reproductive medicine as well as basic biological and biomedical sciences (1, 2). In particular, the ewe is an established animal model for studies of intrauterine growth restriction during fetal life that is a predisposition for the adult onset of metabolic disease (3). Ewes have a protracted periimplantation period of pregnancy, a relatively short period of gestation, and are well suited for metabolic studies to assess temporal and cell-specific changes in gene expression in response to various hormones, growth factors, and nutrients that are relevant to human and veterinary medicine and basic aspects of reproductive biology. Although fructose clearly is the major hexose sugar in fetal blood and fetal fluids of ungulate species such as sheep and pigs, it is largely ignored with respect to function because it is not metabolized via the glycolytic pathway or the Krebs cycle as an energy source. Here we provide evidence that fructose affects multiple metabolic pathways critical to pregnancy and metabolism in multiple organ systems.Fructose is the most abundant hexose sugar in fetal fluids of ungulate mammals (4-6). Fructose ...