| Term 
 
        | [image] stereochemistry differences at these points can make significant changes in biological activity
 |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | if the bond is projecting into the plane of the paper, it is designated ( ) if the bond is projecting out of the plane of the paper, it is designated ( )
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | [image] numbering of 5-alpha-cholestane
 C-27 steroid with no double bonds
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | [image] the name of this C-18 steroid
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | [image] the name of this C-19 steroid
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | [image] the name of this C-21 steroid
 |  | 
        |  | 
        
        | Term 
 
        | [image] enzyme catalyzed cleavage of the side chain of cholesterol and the conversion to the C-21 steroid pregnenolone
 pregnenolone serves as the precursor of the adrenocorticoids
 |  | Definition 
 
        | conversion of cholesterol to pregnenolone |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | conversion of pregnenolone to cortisol (glucocorticoid) reaction occurs in the endoplasmic reticulum
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | conversion of pregnenolone to aldosterone |  | 
        |  | 
        
        | Term 
 
        | [image] summary:
 1) oxidation of hydrocortisone to cortisone at the 11 position leads to a biologically active compound (but less active than hydrocortisone)
 2) action on hydrocortisone by 5beta-reductase leads to an inactive metabolite
 3) the 3-keto group of 5beta-dihydrocortisol can be reduced by 3alpha-hydroxysteroid dehydrogenase.  This is a reversible reaction and both metabolites are biologically active
 |  | Definition 
 
        | metabolism of hydrocortisone |  | 
        |  | 
        
        | Term 
 
        | 1) reduction of the 4,5 double bond to the 5alpha and 5beta dihydrosteroids.  This leads to a loss of biological activity. 2) reduction of the 3-keto function to either 3alpha or 3beta.  this leads to loss of biological function
 3) in some cases (cortisone, hydrocortisone), the 11-keto-11beta-OH are metabolically interconvertible
 other routes of metabolism include:
 6 beta hydroxylase (CYP3A4)
 reduction of the C-20 C=O group to 20-OH analogues
 |  | Definition 
 
        | in general, the main routes of metabolites of the glucocorticoids are |  | 
        |  | 
        
        | Term 
 
        | [image] all estrogens have an aromatic ring
 |  | Definition 
 
        | conversion of androstenedione to estrone |  | 
        |  | 
        
        | Term 
 
        | hydrocortisone 11beta-OH
 21-OH
 17alpha-OH
 3-C=O
 |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | testosterone C-19
 no aromatic A ring
 androgen
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | estradiol C-18
 aromatic A ring
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | [image] 18-aldehyde
 no 17alpha-OH
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | [image] cortisol is active form
 cortisol increases lipolysis
 |  | Definition 
 
        | there is a correlation between 11beta-HSD in adipose tissue and degree of obesity.  why is this? |  | 
        |  | 
        
        | Term 
 
        | prevent excessive build up of hydrocortisone (cortisol) and thereby protecting the mineralocorticoid receptors (HC has both mineralocorticoid and glucocorticoid actions) and allowing aldosterone to function normally. |  | Definition 
 
        | what is the function of 11beta-HSD2 in the kidneys, colon, and salivary glands? [image]
 |  | 
        |  | 
        
        | Term 
 
        | introduction of a 1,2 double bond:  increases GC activity, stable towards 5beta-reductase [image]
 11beta-OH essential for GC activity
 [image]
 4,5 double bond, 17alpha-OH, 21-OH present in most clinically used glucocorticoids
 [image]
 introduction of a 9alpha-F dramatically enhances GC activity
 [image]
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | [image] hydrocortisone (GC/MC)
 many mineralocorticoids lack 11-OH
 9alpha-F increases mineralocorticoid activity
 1,2 double bond slight decrease in MC activity
 6alpha-methyl decreases MC activity
 16alpha-OH, 16alpha-methyl, 16beta-methyl decrease MC activity
 |  | Definition 
 
        | SAR of mineralocorticoids |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | K sparing diuretics (aldosterone antagonists) |  | 
        |  | 
        
        | Term 
 
        | [image] C-18 of aldosterone acts as a H-bond donor to the C=O of Asn 770
 C-21 OH of aldosterone acts as a H-bond acceptor for the N-H of Asn 770
 C-21 OH acts as a H-bond donor to the side chain OH of Thr 945
 C-3 C=O of aldosterone acts as a H-bond acceptor to the amide N-H group of Gln 776
 |  | Definition 
 
        | key interactions of aldosterone binding to the active site of a mineralocorticoid receptor |  | 
        |  |