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Men's and Women's Health EXAM 1
Men's and Women's Health EXAM 1 - Nieto Sex Hormones
29
Pharmacology
Graduate
10/21/2011

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Term
steroid structure
Definition
[image]
the 6 member rings are in the chair conformation and are trans fused

methyl group at 18 and 19 are on the same side of the molecule (beta)

[image]

up = beta (18 and 19 are always beta)
down = alpha

axial = outside the plane of the ring system
equatorial = on the same plane of the ring system

[image]
the rings are trans fused; each of the substituents on the fused system (bolded back bone) are opposite of each other (alpha, beta, alpha, beta...)
structure shown is in the anti conformation

the conformation of steroids is sterospecific
Term
conformation of progesterone
[image]
[image]
Definition
rings are trans fused (anti)

double bond at 4-5
Term
general structures of the sex steroids
Definition
[image]
estriol

estrogens are defined as having 18 carbons
ring A is aromatic so there cannot be a carbon 19
position 17 has an OH group

[image]
testosterone

androgens are defined as having 19 carbons
position 17 has an OH group

[image]
progesterone

progesterones are defined as having 21 carbons
Term
steroid hormones: estrogens
Definition
[image]

18 carbons
aromatic ring A (exclusive to estrogens)
anti conformation
substituents at 3, 16, and 17

estradiol is the most potent, then estrone, then estriol

the receptor can accommodate different ring D conformations, but the structure does matter because binding is better for estradiol with a 17-OH

estradiol has low concentration
estrone has the highest concentration
Term
female hormones: biosynthesis of estrogen
Definition
[image]

pregnenolone is the precursor to all the sex hormones
pregnenolone has a double bond in ring B

[image]

estrone is the precursor to estradiol and estriol
because of this, estrone is the most abundant
Term
estrogen metabolism
Definition
[image]

ALL of these molecules form congugates!

estriol and estradiol can be thought of as metabolites of estrone
Term
female hormones: mode of action
Definition
reproductive tract, breast, and CNS

female reproductive system

estrogen receptor -> target cells
high affinity and low capacity: not many estrogen molecules can gain assess to the receptor
stereospecific
increase RNA synthesis in target cells

affect various enzyme systems

breast tissue:
stimulates proliferation of breast cells
promote growth of hormone-dependent carcinoma - estradiol stimulates gene expression and production of several proteins in breast cancer cells; progesterone receptors are induced by estrogens in breast cells

enzymatic activity increases in:
lactic dehydrogenase
beta-glucuronidase
alkaline phosphatase
peroxidase
glucose-6-phosphate dehydrogenase
plasminogen activator
Term
estrogen receptors
Definition
[image]

4 defined regions:
transcription activation factor 1
DNA binding domain
ligand binding domain
transcription activating factor 2

2 estrogen receptors: alpha and beta

alpha is longer than beta, but both have the same regions

present in the whole body in different ratios, estrogens have the same binding affinity for both receptors

drugs may have different affinity for alpha or beta

located in the nucleus
Term
binding of estrogens to the estrogen receptor
Definition
[image]

binding with estrogens:
electrostatic, hydrophobic, and dispersional interactions
Term
estrogen's actions within a cell
Definition
[image]

estrogen enters the cell and interacts with the receptor (phosphorylation, conformational changes) forming the estrogen receptor complex
estrogen binds at the ligand binding domain of the estrogen receptor causing a conversion to homo and heterodimeric states

complex moves towards the nucleus and binds the estrogen responsive elements

ERE will form another complex (ERC = estrogen receptor complex)

ERC will bind DNA (or the ERC is part of the DNA)

transcription activation factor will be exposed and transcription will begin -> increased protein synthesis
Term
estrogens SAR
Definition
[image]

order of activity when administered SUBCUTANEOUSLY: estradiol > estrone > estriol

order of activity when administered ORALLY: estriol > estradiol > estrone
orally, estradiol is metabolized very fast, so the bioavailability is very low

b/c of aromatic ring, estrogens are more planar than other sex hormones
Term
progesterone biosynthesis
Definition
[image]

pregnenolone is the precursor

dehydrogenase and isomerase enzymes convert pregnenolone to progesterone
Term
progesterone metabolism
Definition
[image]

anything that has beta 5 gives an inactive compound; this region is very sensitive

all the compounds form conjugates (except progesterone b/c it doesn't have any OH groups)
Term
progesterone MOA
Definition
[image]

progesterone binds to the receptor; undergoes conformational changes; binds to the responsive elements; expose the transcription activation factor; initiates transcription and protein synthesis
Term
progesterone pharmacology
Definition
in the endometrium induces the secretory phase

in the myometrium stops the spontaneous rhythmic contractions of the uterus
Term
properties of androgens
Definition
androgens are synthesized in the testes and adrenal cortex

the most important androgen is testosterone
other male sex hormones: 5 alpha-dehydrotestosterone (more potent than testosterone)

FSH stimulates testosterone biosynthesis
Term
androgen biosynthesis
Definition
[image]
Term
hypothalamus-pituitary-testicular axis
Definition
[image]

testosterone is secreted by the Leydig's cells and can act in a negative feedback fashion in the hypothalamus and pituitary to decrease the release of gonadotropins

testosterone is the precursor for DHT

testosterone is auto-regulated; increased synthesis when concentration is low, decreased synthesis when concentration is high
Term
androgen metabolism
Definition
[image]
5-alpha-dihydrotestosterone

[image]

most metabolites are inactive (as far as androgenic effects) except starred molecules
Term
the androgen receptor
Definition
[image]

AR = androgen receptor
PR = progesterone receptor

highly conserved by very selective
Term
androgens MOA
Definition
[image]

testosterone enters and interacts with receptors (testosterone can be converted to DHT); complex interacts with DNA through responsive element; activates transcription and protein synthesis
Term
androgen pharmacology
Definition
normal growth and development of male sex organs

retention of nitrogen and other inorganic substances (K, Ca, Cl, P, Na) = the anabolic effect

the actions of androgens (prostate, seminal vesicles, testis, and accessory structures) = the androgenic effect

androgens have 2 different functions: anabolic (related to cell growth/size) and androgenic (related to male characteristics)
Term
androgen therapy
Definition
physiological (androgen replacement therapy):
hypogonadism

pharmacological (non-gonadal disease):
anemia
osteoporosis
estrogen-receptor positive breast cancer
hereditary angioedema
immunological
pulmonary and muscular diseases
Term
non-steroidal hormones (peptide hormones)
Definition
pituitary hormones:
growth and development
reproduction
responses to stress
intermediary metabolism

hypothalamic hormones and peripheral endocrine system

somatotropic hormones:
growth hormone
prolatin
placental lactogen

glycoprotein hormones:
luteinizing hormone
follicle stimulating hormone
human chorionic gonadotropin
thyroid stimulating hormone

POMC-derived hormones:
corticotropin
A-melanocyte-stimulating hormone
Term
prolactin secretion
Definition
synthesized by:
lactotrophs in the anterior pituitary
brain
placenta, amnion, decidua, and uterus
mammary gland and milk
the immune system

3D structure is not elucidated

50% of aa are alph-helices, the rest form loops

secretion starts in the 5th week of gestation

low levels in males

levels elevate in normal cycling females
Term
prolactin biological actions
Definition
reproduction:
lactation
luteal function
reproductive behavior

homeostasis:
immune response
osmoregulation
angiogenesis
Term
hyperprolactinemia
Definition
hypothalamic or pituitary disease:
inhibitory dopaminergic signals
dopamine agonists cause a decrease in prolactin

hyperprolactinemia by prolactin-secreting adenomes:
in women - galactorrhea, amenorrhea, and infertility
in men - loss of libido, impotence, and infertility
Term
follicle stimulating hormone
Definition
[image]

FSH receptor is a GPCR

signaling cascade activates adenylyl cyclase and PKA -> activation of aromatase (transforms testosterones into estrogens)

FSH is directly related to the production of estrogens

FSH increases mitosis and production of the LH receptor

FSH is a stimulator of granulosa cell proliferation
Term
luteinizing hormone
Definition
[image]

LH receptor is a GCPR

LH binds and will initiate a cascade that will increase the expression of PKA -> increase production of progesterone

LH will increase progesterone and will stimulate the production of androgens

FSH is mainly related to estrogens; LH is mainly related to progesterones and androgens
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