New 5A Inhibitors on the horizon

Jupiter1

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We have some promising results for the following steroid: AKA 2.2.1.2. 3ß-Acetoxy-5-hydroxypregn-16-ene-6,20-dione 6
Steroids Volume 70, Issue 3 , March 2005, Pages 217-224 New 5a-reductase inhibitors: In vitro and in vivo effects

Víctor Pérez-Ornelasa, Marisa Cabezab, , , Eugene Bratoeffa, Ivonne Heuzeb, Mauricio Sánchezb, Elena Ramíreza and Elia Naranjo-Rodrígueza

Abstract The enzyme 5a-reductase is responsible for the conversion of testosterone (T) to its more potent androgen dihydrotestosterone (DHT). This steroid had been implicated in androgen-dependent diseases such as: benign prostatic hyperplasia, prostate cancer, acne and androgenic alopecia. The inhibition of 5a-reductase enzyme offers a potentially useful treatment for these diseases.

In this study, we report the synthesis and pharmacological evaluation of several new 3-substituted pregna-4, 16-diene-6, 20-dione derivatives. These compounds were prepared from the commercially available 16-dehydropregnenolone acetate. The biological activity of the new steroidal derivatives was determined in vivo as well as in vitro experiments.

In vivo experiments, the anti-androgenic effect of the steroids was demonstrated by the decrease of the weight of the prostate gland of gonadectomized hamster treated with T plus finasteride or the new steroids. The IC50 value of these steroids was determined by measuring the conversion of radio labeled T to DHT.

The results of this study carried out with 5a-reductase enzyme from hamster and human prostate showed that four of the six steroidal derivatives (5, 7, 9, 10) exhibited much higher 5a-reductase inhibitory activity, as indicated by the IC50 values than the presently used Proscar 3 (finasteride).

The comparison of the weight of the hamster's prostate gland indicated that compound 5 had a comparable weight decrease as finasteride. The overall data of this study showed very clearly those compounds 5, 7, 9, 10 are good inhibitors for the 5a-reductase enzyme.

NOTE: The most extensively studied class of 5a-reductase inhibitors are the 4-azasteroids [6] and [7], which include the drug finasteride

Recently, our group synthesized several new progesterone derivatives that considerably decreased the prostate growth produced by T

DISCUSSION:

The results from this study with hamster and human prostate enzymes showed very clearly that compounds 5, 7, 9 and 10 (Table 1) are much better inhibitors for the enzyme 5a-reductase than the presently used Proscar 3 (finasteride). These results confirm also the similarity of both hamster and human 5a-reductase enzymes. The fact that the optimum pH for hamster's 5a-reductase activity at 2 nM is 7 [13] whereas that for human is 6.5 at the same concentration indicates very clearly that some differences in their activity are present.

Although the active steroidal derivatives 5, 7, 9 and 10 have different functional groups, they all have one moiety in common, the a,ß-unsaturated C-20-carbonyl group.

The result of the toxicological assays carried out with Artemia salina cultures showed very clearly that steroid 5 did not produce any toxicological and lethal effects, and as a consequence of this it could be considered a save compound with high pharmacological potential.

Since compound 5 (AKA 2.2.1.2. 3ß-Acetoxy-5-hydroxypregn-16-ene-6,20-dione 6) is in human prostate enzyme about 100 times more active as 5a-reductase inhibitor than the commercially available Proscar 3 (finasteride) (Table 1) and does not produce any toxicological effects in the near future, this compound will be evaluated on a clinical level. The synthesis of this compound is very simple and much cheaper than that of finasteride 3, and this steroidal derivative could represent a magnificent alternative for the treatment of androgen-dependent diseases.
 

Aplunk1

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Eli & Lilly (makers of Strattera-- based in Britain) are developing a promising new dual 5AR steroid-based inhibitor.
 

Bryan

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Aplunk1 said:
Eli & Lilly (makers of Strattera-- based in Britain) are developing a promising new dual 5AR steroid-based inhibitor.

Just what we need: yet another 5a-reductase inhibitor! :)

However, I'll have to admit that it would be interesting to see the effect of a drug that could inhibit the type 2 enzyme as effectively as dutasteride, but WITHOUT touching the type 1 enzyme. That would help clarify the precise reason for dutasteride's somewhat better performance against male pattern baldness than finasteride. Of course, we could probably do that just by using much larger doses of finasteride, but I would imagine that that wouldn't be a very popular experiment...

Bryan
 
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