| Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | Definition 
 | 
        |  | 
        
        | 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 
 | Definition 
 
        | [image] 5-alpha-dihydrotestosterone
 
 [image]
 
 most metabolites are inactive (as far as androgenic effects) except starred molecules
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | [image] 
 AR = androgen receptor
 PR = progesterone receptor
 
 highly conserved by very selective
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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
 |  | 
        |  |