Inhibition of human placental progesterone and estrogen synthesis in early human gestation by aminoglutethimide in vivo

作者: T. Rabe , R. Mösch , C. Franke , N. Nobakht , B. Runnebaum

DOI: 10.1016/0022-4731(83)90105-X

关键词:

摘要: Abstract The inhibitory effect of d,l-aminoglutethimide (AG) on the synthesis progesterone and estradiol in early human pregnancy (8th–12th week gestation) was investigated volunteers; control group (n = 11), AG [1000 mg orally at test begin 6)]. Venous blood samples were taken beginning 0.5, 1, 2, 4, 8 24 h thereafter. In controls, no significant changes serum could be observed during h. group, a decrease within 1 after began; lowest steroid concentrations reached 4 Relative to initial values as 100%, greatest ranged between 37 83%, 62 15% (x SD) 6); 32 78%, 51 17% 6). Twenty four hours treatment, both steroids similar those found begin. No clinical signs (e.g. uterine bleeding, contractions) for abortifacient action observed. conclusion, single dose (1000mg given orally) cannot induce therapeutic abortion pregnancy. accordance with vitro studies, placental formation is due an inhibition mitochondrial cholesterol side chain cleavage. thought related aromatase.

参考文章(20)
S.I. Sulimovici, G.S. Boyd, The Cholesterol Side-Chain Cleavage Enzymes in Steroid Hormone-Producing Tissues Vitamins and Hormones Series. ,vol. 27, pp. 199- 234 ,(1970) , 10.1016/S0083-6729(08)61127-9
RALPH CASH, A. JOSEPH BROUGH, MARGO N. P. COHEN, PAUL S. SATOH, Aminoglutethimide (Elipten-Ciba) as an Inhibitor of Adrenal Steroidogenesis: Mechanism of Action and Therapeutic Trial The Journal of Clinical Endocrinology and Metabolism. ,vol. 27, pp. 1239- 1248 ,(1967) , 10.1210/JCEM-27-9-1239
David E. Schteingart, Amino-Glutethimide and Metastatic Adrenal Cancer JAMA. ,vol. 198, pp. 1007- 1010 ,(1966) , 10.1001/JAMA.1966.03110220091030
Arpad I. Csapo, Martti Pulkkinen, Indispensability of the human corpus luteum in the maintenance of early pregnancy. Luteectomy evidence. Obstetrical & Gynecological Survey. ,vol. 33, pp. 69- 81 ,(1978) , 10.1097/00006254-197802000-00001
GUILLERMO O. DEVILLA, KENNETH ROBERTS, WALTER G. WIEST, GEORGE MIKHAIL, GEORGE FLICKINGER, A specific radioimmunoassay of plasma progesterone. The Journal of Clinical Endocrinology and Metabolism. ,vol. 35, pp. 458- 460 ,(1972) , 10.1210/JCEM-35-3-458
KAREL HORKÝ, OTO KÜCHEL, INGE GREGORVÁ, LUBOŠ STÁRKA, Qualitative alterations in urinary 17-ketosteroid excretion during aminoglutethimide administration. The Journal of Clinical Endocrinology and Metabolism. ,vol. 29, pp. 297- 299 ,(1969) , 10.1210/JCEM-29-2-297
LAWRENCE M. FISHMAN, GRANT W. LIDDLE, DONALD P. ISLAND, NORMAN FLEISCHER, OTO KÜCHEL, Effects of amino-glutethimide on adrenal function in man. The Journal of Clinical Endocrinology and Metabolism. ,vol. 27, pp. 481- 490 ,(1967) , 10.1210/JCEM-27-4-481
O. Jänne, U. Pastore, H. Timonen, R. Vihko, Plasma and urinary steroids in pregnant women during p-aminoglutethimide treatment Contraception. ,vol. 9, pp. 239- 247 ,(1974) , 10.1016/0010-7824(74)90015-8