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1.
Langmuir ; 40(20): 10551-10560, 2024 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-38710593

RESUMEN

Although finasteride (FNS) tablets are considered the most effective drug for the treatment of androgenetic alopecia (AGA), their clinical applications are limited due to the associated side effects including decreased libido, breast enlargement, and liver dysfunction. In this study, we have developed a personalized microneedle (PMN) with a double-layer structure that incorporates FNS-loaded microspheres (MPs) to accommodate irregular skin surfaces. This design enables the sustained release of FNS, thereby reducing potential side effects. The needle body was synthesized with high-strength hyaluronic acid (HA) as the base material substrate. The backing layer utilized methacrylate gelatin (GelMA) with specific toughness, enabling PMN to penetrate the skin while adapting to various skin environments. The length of PMN needles (10 × 10) was approximately 600 µm, with the bottom of the needles measuring about 330 µm × 330 µm. The distance between adjacent tips was around 600 µm, allowing the drug to penetrate the stratum corneum of the skin. The results of the drug release investigation indicated the sustained and regulated release of FNS from PMN, as compared to that of pure FNS and FNS-MPs. Further, the cytotoxicity assay demonstrates that PMS displays good cytocompatibility. Altogether, this mode of administration has immense potential for the development of delivery of other drugs, as well as in the medical field.


Asunto(s)
Administración Cutánea , Finasterida , Microesferas , Agujas , Finasterida/administración & dosificación , Finasterida/farmacocinética , Finasterida/química , Ácido Hialurónico/química , Animales , Humanos , Sistemas de Liberación de Medicamentos , Liberación de Fármacos , Piel/metabolismo , Piel/efectos de los fármacos
2.
J Nat Prod ; 83(2): 532-536, 2020 02 28.
Artículo en Inglés | MEDLINE | ID: mdl-32040314

RESUMEN

A chemical investigation of the sponge Verongula cf. rigida led to the isolation of 13 merosesquiterpenes, among which quintaquinone (2), 5-epi-nakijiquinone L (3), and 3-farnesyl-2-hydroxy-5-methoxyquinone (4) were isolated and reported here for the first time. Particularly, compound 2 is the first member of merosesquiterpenes with a polyketide side chain substituted on C-19. All of the isolated compounds were examined for steroid 5α-reductase inhibitory activity. Cyclospongiaquinone 1 (5) showed a strong activity in the same range as that of standard finasteride.


Asunto(s)
Inhibidores de 5-alfa-Reductasa/farmacología , Finasterida/farmacología , Sesquiterpenos/aislamiento & purificación , Inhibidores de 5-alfa-Reductasa/química , Inhibidores de 5-alfa-Reductasa/aislamiento & purificación , Animales , Finasterida/química , Finasterida/aislamiento & purificación , Humanos , Masculino , Estructura Molecular , Poríferos/química , Sesquiterpenos/química , Sesquiterpenos/farmacología
3.
J Labelled Comp Radiopharm ; 61(7): 550-556, 2018 06 15.
Artículo en Inglés | MEDLINE | ID: mdl-29532957

RESUMEN

This investigation aimed to modify finasteride (1) to finasteride dithiocarbamate (2) for subsequent synthesis of the rhenium analogue (3) and [99m Tc]tricarbonyl complexes (4), to assess its prostate cancer (PCa) targeting potential in a rat model. To validate the identity of (4), reference (3) has been synthesized by using fac-[Net4 ]2 [ReBr3 (CO)3 ] precursor and characterized by 1 H-NMR, 13 C-NMR, ESI-MS, and elemental analysis. The analogue (4) was synthesized by using fac-[99m Tc(H2 O)3 (CO)3 ]+ precursor, and its structure was confirmed by comparative HPLC by using (3) as a reference. Further, the suitability of (4) as a PCa imaging agent was investigated in vitro and in vivo. At room temperature, (4) had ≥99% radiochemical purity and remained ≥84% stable in serum. In preclinical studies, biodistribution of (4) in histopathologically established rat model showed adequately high in vivo uptake in the prostate attracting the possibility of using it for noninvasive imaging of PCa.


Asunto(s)
Finasterida/química , Imagen Molecular/métodos , Compuestos de Organotecnecio/química , Neoplasias de la Próstata/diagnóstico por imagen , Animales , Finasterida/farmacocinética , Masculino , Ratas , Distribución Tisular
4.
Drug Dev Ind Pharm ; 44(4): 652-661, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29139305

RESUMEN

OBJECTIVE: Preparation of an optimized finasteride (FSD) lyophilized tablets loaded with self-nanoemulsifying drug delivery system (SNEDDS). SIGNIFICANCE: Enhance FSD bioavailability in male pattern baldness and benign prostatic hyperplasia. METHODS: Two-step optimization was implemented to achieve the study goals. First; the mixture design was used to develop an optimized SNEDDS through which the effect of cosurfactant number of carbon atoms on SNEDDS particle size and thermodynamic stability has been tested. Second; the different tablet excipients have been used to develop an optimized self-nanoemulsifying lyophilized tablets (SNELTs). The prepared tablets have been fully characterized. Interaction among tablet components has been studied. Finally, FSD clinical pharmacokinetic has been investigated on human volunteers. RESULTS: Anise oil and tween 80 were selected as oily phase and surfactant, respectively while different aliphatic alcohols were studied as cosurfactants. Percentages of oil, surfactant, and cosurfactants were significantly affecting SNEDDS particle size. Increasing cosurfactant number of carbon atoms achieved smaller particle size and higher stability. The optimized SNEDDS was found to contain 10.3455, 45.8972, and 43.7573% of anise oil, tween 80, and butanol, respectively. Variations in FSD cumulative release and disintegration time, from the prepared tablets, were attributed to change in the percent of plasdone XL, Avicel and silica. No interaction among components was noticed. Clinical pharmacokinetics illustrated significant enhancement in the studied parameters from the optimized lyophilized tablets loaded with drug SNEDDS when compared to marketed FSD product. CONCLUSION: Lyophilized tablets could be considered as a good alternative for conventional solid dosage forms especially when loaded with drug nanosystems.


Asunto(s)
Finasterida/administración & dosificación , Finasterida/farmacocinética , Comprimidos , Adulto , Alopecia/tratamiento farmacológico , Disponibilidad Biológica , Composición de Medicamentos , Sistemas de Liberación de Medicamentos , Diseño de Fármacos , Estabilidad de Medicamentos , Emulsiones , Finasterida/química , Liofilización , Humanos , Masculino , Nanopartículas , Aceites , Polisorbatos , Solubilidad , Termodinámica , Adulto Joven
5.
Arch Biochem Biophys ; 614: 41-49, 2017 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-28024836

RESUMEN

We hypothesized that higher blood pressure in males than females could be due to testosterone effects on aquaporin (AQP) expression in kidneys. METHODS: Orchidectomized adult male Sprague-Dawley (SD) rats received seven days subcutaneous testosterone treatment (125 µg/kg/day or 250 µg/kg/day), with or without flutamide or finasteride. Following completion of treatment, MAP was determined in rats under anaesthesia via carotid artery cannulation. In another cohort of rats, kidneys were removed following sacrifice and AQP-1, 2, 3, 4, 6 and 7 protein and mRNA levels were determined by Western blotting and Real-time PCR respectively. Distribution of AQP subunits' protein in the nephrons were visualized by immunofluorescence. RESULTS: Testosterone caused MAP, AQP-1, 2, 4, 6 and 7 protein and mRNA levels in kidneys to increase while AQP-3 protein and mRNA levels in kidneys to decrease (p < 0.05). AQP-1 and 7 were found to be distributed in the proximal convoluted tubule (PCT) while AQP-2, 3, 4 and 6 were found to be distributed in the collecting ducts (CD). Effects of testosterone were antagonized by flutamide and finasteride. CONCLUSIONS: Elevated expression of AQP-1, 2, 4, 6 and 7 under testosterone influence in kidneys could lead to increase H2O reabsorption which eventually lead to increase in blood pressure.


Asunto(s)
Acuaporinas/genética , Acuaporinas/metabolismo , Túbulos Renales Colectores/metabolismo , Túbulos Renales/metabolismo , Testosterona/química , Animales , Presión Sanguínea , Estudios de Cohortes , Finasterida/química , Flutamida/química , Regulación de la Expresión Génica , Masculino , Microscopía Fluorescente , Orquiectomía , ARN Mensajero/metabolismo , Ratas , Ratas Sprague-Dawley
6.
Skin Pharmacol Physiol ; 30(4): 197-204, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28689207

RESUMEN

BACKGROUND/AIMS: Androgenetic alopecia is an extremely common dermatological disorder affecting both men and women. Oral finasteride (FNS), a synthetic 4-aza-3-oxosteroid compound with poor aqueous solubility, blocks the peripheral conversion of testosterone to dihydrotestosterone (DHT) in a significant reduction in DHT concentration, achieving satisfactory results in alopecia treatment. However, its oral intake generally causes severe side effects. Considering that there is currently no scientifically proven treatment, new drug delivery systems able to improve alopecia therapy are urgently required. METHODS: In this study, polymeric nanoparticles have been proposed as a new carrier for topical delivery of FNS in hair follicles. RESULTS AND CONCLUSIONS: Polymeric nanoparticles, prepared by using a modified method of the emulsification/solvent diffusion, showed a mean particle size around 300 nm, which may be sufficient for reaching the dermis and hair follicles and negative zeta potential values. Scanning electron microscope measurements showed that all the polymeric nanoparticles exhibited a spherical shape and a smooth surface regardless of their composition. A high encapsulation efficiency was achieved for FNS (79.49 ± 0.47%). In vitro release assays in physiological conditions demonstrated that nanoparticles yielded a prolonged release of FNS for 3 h. Skin assays through an in vitro permeation study demonstrated that nanoparticles had low levels of penetration of FNS, improving its time residence onto the skin. All excipients used in nanoparticle composition and in 3 different vehicles were safe. These results suggest that the proposed novel formulation presents several good characteristics indicating its suitability for dermal delivery of FNS for alopecia treatment.


Asunto(s)
Inhibidores de 5-alfa-Reductasa/administración & dosificación , Portadores de Fármacos/administración & dosificación , Finasterida/administración & dosificación , Ácido Láctico/administración & dosificación , Nanopartículas/administración & dosificación , Ácido Poliglicólico/administración & dosificación , Inhibidores de 5-alfa-Reductasa/química , Adulto , Alopecia/tratamiento farmacológico , Cosméticos , Portadores de Fármacos/química , Liberación de Fármacos , Femenino , Finasterida/química , Humanos , Ácido Láctico/química , Nanopartículas/química , Tamaño de la Partícula , Poloxámero/administración & dosificación , Poloxámero/química , Ácido Poliglicólico/química , Copolímero de Ácido Poliláctico-Ácido Poliglicólico , Saccharomyces cerevisiae/efectos de los fármacos , Saccharomyces cerevisiae/crecimiento & desarrollo , Piel/efectos de los fármacos , Pruebas Cutáneas , Adulto Joven
7.
Behav Genet ; 45(3): 341-53, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25416204

RESUMEN

The neuroactive steroid allopregnanolone (ALLO) is a positive modulator of GABAA receptors, and manipulation of neuroactive steroid levels via injection of ALLO or the 5α-reductase inhibitor finasteride alters ethanol self-administration patterns in male, but not female, mice. The Srd5a1 gene encodes the enzyme 5α-reductase-1, which is required for the synthesis of ALLO. The current studies investigated the influence of Srd5a1 deletion on voluntary ethanol consumption in male and female wildtype (WT) and knockout (KO) mice. Under a continuous access condition, 6 and 10 % ethanol intake was significantly greater in KO versus WT females, but significantly lower in KO versus WT males. In 2-h limited access sessions, Srd5a1 deletion retarded acquisition of 10 % ethanol intake in female mice, but facilitated it in males, versus respective WT mice. The present findings demonstrate that the Srd5a1 gene modulates ethanol consumption in a sex-dependent manner that is also contingent upon ethanol access condition and concentration.


Asunto(s)
3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/genética , Consumo de Bebidas Alcohólicas/genética , Etanol/sangre , Proteínas de la Membrana/genética , Mutación , Alelos , Animales , Biopsia , Femenino , Finasterida/química , Genotipo , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Pregnanolona , Receptores de GABA-A/metabolismo , Recombinación Genética , Sacarina/química , Factores Sexuales , Esteroides
8.
AAPS PharmSciTech ; 15(1): 44-51, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24222268

RESUMEN

The aim of this study was to investigate the capability of two surfactants, Cremophor RH 40 (RH) and Cremophor EL (EL), to prepare liquid crystalline nanoparticles (LCN) and to study its influence on the topical delivery of finasteride (FNS). FNS-loaded LCN was formulated with the two surfactants and characterized for size distribution, morphology, entrapment efficiency, in vitro drug release, and skin permeation/retention. Influence of FNS-loaded LCN on the conformational changes on porcine skin was also studied using attenuated total reflectance Fourier-transform infrared spectroscopy. Transmission electron microscopical image confirmed the formation of LCN. The average particle size of formulations was in the range of 165.1-208.6 and 153.7-243.0 nm, respectively. The formulations prepared with higher surfactant concentrations showed faster release and significantly increased skin permeation. Specifically, LCN prepared with RH 2.5% presented higher permeation flux (0.100 ± 0.005 µgcm(-2)h(-1)) compared with lower concentration (0.029 ± 0.007 µgcm(-2)h(-1)). Typical spectral bands of lipid matrix of porcine skin were shifted to higher wavenumber, indicating increased degree of disorder of the lipid acyl chains which might cause fluidity increase of stratum corneum. Taken together, Cremophor surfactants exhibited a promising potential to stabilize the LCN and significantly augmented the skin permeation of FNS.


Asunto(s)
Finasterida/química , Glicéridos/química , Glicerol/análogos & derivados , Nanopartículas/química , Polietilenglicoles/química , Tensoactivos/química , Administración Cutánea , Animales , Sistemas de Liberación de Medicamentos/métodos , Finasterida/administración & dosificación , Glicerol/administración & dosificación , Glicerol/química , Cristales Líquidos/química , Nanopartículas/administración & dosificación , Tamaño de la Partícula , Permeabilidad , Polietilenglicoles/administración & dosificación , Piel/metabolismo , Absorción Cutánea , Tensoactivos/administración & dosificación , Porcinos
9.
Bioorg Med Chem Lett ; 21(1): 475-8, 2011 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-21094046

RESUMEN

Finasteride and epristeride both inhibit 5α-reductase with high potency via competitive and non-competitive mechanism, respectively. A new hybrid of finasteride and epristeride was designed as a new 5α-reductase inhibitor based on combination principles in medicinal chemistry. Human 5ß-reductase was chosen as a plausible surrogate of 5α-reductase type II and the results indicate that although the hybrid compound possesses the main bulk of epristeride, its inhibitory mechanism is same as of finasteride. The hybrid turned out to be a potent 5α-reductase inhibitor in low IC(50) ranges.


Asunto(s)
3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/química , Inhibidores de 5-alfa-Reductasa/química , Androstadienos/química , Finasterida/análogos & derivados , 3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/metabolismo , Inhibidores de 5-alfa-Reductasa/síntesis química , Inhibidores de 5-alfa-Reductasa/farmacología , Sitios de Unión , Dominio Catalítico , Simulación por Computador , Evaluación Preclínica de Medicamentos , Finasterida/síntesis química , Finasterida/química , Finasterida/farmacología , Humanos
10.
Bioorg Med Chem Lett ; 21(11): 3439-42, 2011 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-21515045

RESUMEN

Finasteride is a synthetic 4-azasteroid compound that acts by inhibiting type II 5α-reductase, the enzyme that converts the androgen testosterone to 5α-dihydrotestosterone. It was approved by the US FDA for the treatment of benign prostatic hyperplasia and male pattern baldness. Here the acylation product of Finasteride C-18 amide N-polimod was synthesized by employing acylation reaction with polimod amide as a pivotal intermediate. The structure of the key intermediate and target molecule was confirmed by infrared spectrum, (1)H NMR and (13)C NMR spectra and mass spectrum, and the inhibition of the steroid 5α-reductase and the rats' benign prostatic hyperplasia by the new Finasteride conjugate and Finasteride was also determined. The inhibition of the Finasteride conjugate on 5α-reductase was stronger than that of Finasteride. Prostate hyperplasia of rats was reduced by Finasteride conjugate treatment similar to the Finasteride treatment. However, the Finasteride conjugate treated animals showed better viable condition than the Finasteride treated ones, suggesting the new compound may have improved toxicity profile than Finasteride.


Asunto(s)
Inhibidores de 5-alfa-Reductasa/síntesis química , Inhibidores de 5-alfa-Reductasa/farmacología , Finasterida , Inhibidores de 5-alfa-Reductasa/química , Acilación , Animales , Proliferación Celular/efectos de los fármacos , Modelos Animales de Enfermedad , Finasterida/síntesis química , Finasterida/química , Finasterida/farmacología , Concentración 50 Inhibidora , Espectroscopía de Resonancia Magnética , Masculino , Hiperplasia Prostática/patología , Ratas
11.
J Med Chem ; 64(8): 4553-4566, 2021 04 22.
Artículo en Inglés | MEDLINE | ID: mdl-33843213

RESUMEN

Finasteride, a 5-alpha reductase (5α-R) inhibitor, is a widely used drug for treating androgen-dependent conditions. However, its use is associated with sexual, psychological, and physical complaints, suggesting that other mechanisms, in addition to 5α-R inhibition, may be involved. Here, a multidisciplinary approach has been used to identify potential finasteride off-target proteins. SPILLO-PBSS software suggests an additional inhibitory activity of finasteride on phenylethanolamine N-methyltransferase (PNMT), the limiting enzyme in formation of the stress hormone epinephrine. The interaction of finasteride with PNMT was supported by docking and molecular dynamics analysis and by in vitro assay, confirming the inhibitory nature of the binding. Finally, this inhibition was also confirmed in an in vivo rat model. Literature data indicate that PNMT activity perturbation may be correlated with sexual and psychological side effects. Therefore, results here obtained suggest that the binding of finasteride to PNMT might have a role in producing the side effects exerted by finasteride treatment.


Asunto(s)
Inhibidores de 5-alfa-Reductasa/química , Finasterida/química , Feniletanolamina N-Metiltransferasa/metabolismo , Inhibidores de 5-alfa-Reductasa/metabolismo , Inhibidores de 5-alfa-Reductasa/farmacología , Animales , Sitios de Unión , Unión Competitiva , Catecolaminas/análisis , Catecolaminas/metabolismo , Cromatografía Líquida de Alta Presión , Bases de Datos de Proteínas , Epinefrina/metabolismo , Finasterida/metabolismo , Finasterida/farmacología , Humanos , Masculino , Simulación del Acoplamiento Molecular , Simulación de Dinámica Molecular , Feniletanolamina N-Metiltransferasa/química , Unión Proteica , Ratas , Ratas Sprague-Dawley , Espectrometría de Masas en Tándem , Termodinámica
12.
J Urol ; 183(5): 2085-9, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20303529

RESUMEN

PURPOSE: Complementary and alternative medicine, including phytotherapeutic agents, or those derived from plant or herb extracts to treat symptoms, is widely accepted in the community. Men with bothersome lower urinary tract symptoms due to benign prostatic hyperplasia increasingly use such preparations. Phytotherapeutic agent quality is unregulated and in most instances the contents are unknown while erectile dysfunction and prostate cancer treatments have shown contamination with standard pharmaceuticals. Since trial results for benign prostatic hyperplasia phytotherapeutic agents are inconsistent, they may also be contaminated. Thus, we determined whether pharmacological doses of alpha-blockers and/or 5alpha-reductase inhibitors were present in a sample of phytotherapeutic agents for benign prostatic hyperplasia. MATERIALS AND METHODS: We analyzed 15 phytotherapeutic products marketed for benign prostatic hyperplasia. Only oral tablets or capsules were considered with teas, tonics and foods excluded from study. We made random purchases from shop front health stores and Internet retailers. All batches of commercial phytotherapy were analyzed by high performance liquid chromatography. Analysis was semiquantitative using extracts from alfuzosin, doxazosin, terazosin, tamsulosin, dutasteride and finasteride. RESULTS: In the 15 batches of different phytotherapeutic agents tested no interference secondary to contamination with alpha-blockers or 5alpha-reductase inhibitors was observed. CONCLUSIONS: All phytotherapeutic agents for benign prostatic hyperplasia in this study tested negative for alpha-blockers and 5alpha-reductase inhibitors. Inconsistent results in trials using phytotherapeutic agents are probably not explained by the presence of standard pharmaceuticals.


Asunto(s)
Antagonistas Adrenérgicos alfa/química , Contaminación de Medicamentos , Inhibidores Enzimáticos/química , Fitoterapia , Hiperplasia Prostática/tratamiento farmacológico , Administración Oral , Azaesteroides/química , Cápsulas , Colestenona 5 alfa-Reductasa/antagonistas & inhibidores , Cromatografía Líquida de Alta Presión , Doxazosina/química , Dutasterida , Finasterida/química , Humanos , Masculino , Prazosina/análogos & derivados , Prazosina/química , Quinazolinas/química , Sulfonamidas/química , Comprimidos , Tamsulosina
13.
Biomater Sci ; 8(10): 2797-2813, 2020 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-32080688

RESUMEN

Benign prostatic hyperplasia (BPH) is a prevalent urological disease affecting elders. Currently, the prostatic artery embolization (PAE) is considered as a minimally invasive and safe technique to treat BPH. However, various drug-loaded embolic agents have not been thoroughly investigated in BPH therapy. In this study, finasteride/poly(3-hydroxybutyrate-3-hydroxyvalerate)@polyvinyl alcohol/chitosan (FNS/PHBV@PVA/CS) reservoir-type microspheres were prepared via the solid-in-water-in-oil (S/W/O) emulsion crosslinking method with the aim to reduce the burst effect and control localized drug delivery. The structure and properties of the drug and resultant microspheres were characterized via field emission scanning electron microscopy (FESEM), Fourier-transform infrared (FTIR) spectroscopy, X-ray diffraction (XRD), and thermogravimetric analysis (TGA). The results showed that the drug-loaded hybrid microspheres were well-dispersed and spherical with a mean diameter of 238.1 ± 27.3 µm. All samples exhibited excellent thermal stability. The FNS/PHBV microspheres were successfully encapsulated inside the PVA/CS polymeric matrix, which effectively suppressed the burst effect and prolonged the drug release up to 51 days. In vitro biocompatibility assessment indicated that the microspheres possessed excellent cytocompatibility and hemocompatibility. Furthermore, in vivo studies performed in the rabbit ear embolization model showed the formation of progressive ischemic necrosis after treatment for various periods. Histopathological studies revealed that the microspheres completely occluded the blood vessels with minimal foreign body response and formed the fibrotic area at the periphery of embolized arteries. Furthermore, the auricular vascular endothelial cells showed acute ultrastructural changes, associated with the ischemic necrosis induced by the embolization procedures. All these findings suggest that the FNS/PHBV@PVA/CS hybrid microspheres could be used as a promising drug delivery system for potential applications in BPH therapy.


Asunto(s)
Quitosano/química , Embolización Terapéutica , Finasterida/uso terapéutico , Poliésteres/química , Alcohol Polivinílico/química , Hiperplasia Prostática/tratamiento farmacológico , Animales , Sistemas de Liberación de Medicamentos , Liberación de Fármacos , Finasterida/química , Masculino , Microesferas , Conejos
14.
Drug Des Devel Ther ; 14: 951-959, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32184564

RESUMEN

The currently approved treatment for female pattern hair loss (FPHL) includes topical minoxidil administration; however, this treatment fails to achieve hair regrowth in some patients. Finasteride, a selective 5α-reductase inhibitor (5-ARI), may be considered as an alternative treatment. However, because of its potential teratogenic effects, clinical studies and use of finasteride for FPHL are limited. In this review, we aim to summarize the literature regarding the pharmacology, clinical efficacy, and adverse effects of oral finasteride for the treatment of FPHL and to provide novel therapeutic options including topical finasteride and dutasteride, a new generation 5-ARI, for the treatment of FPHL.


Asunto(s)
Inhibidores de 5-alfa-Reductasa/efectos adversos , Alopecia/tratamiento farmacológico , Finasterida/efectos adversos , Inhibidores de 5-alfa-Reductasa/administración & dosificación , Inhibidores de 5-alfa-Reductasa/química , Administración Oral , Animales , Femenino , Finasterida/administración & dosificación , Finasterida/química , Cabello/efectos de los fármacos , Humanos , Estructura Molecular
15.
Nat Commun ; 11(1): 5430, 2020 10 27.
Artículo en Inglés | MEDLINE | ID: mdl-33110062

RESUMEN

Human steroid 5α-reductase 2 (SRD5A2) is an integral membrane enzyme in steroid metabolism and catalyzes the reduction of testosterone to dihydrotestosterone. Mutations in the SRD5A2 gene have been linked to 5α-reductase deficiency and prostate cancer. Finasteride and dutasteride, as SRD5A2 inhibitors, are widely used antiandrogen drugs for benign prostate hyperplasia. The molecular mechanisms underlying enzyme catalysis and inhibition for SRD5A2 and other eukaryotic integral membrane steroid reductases remain elusive due to a lack of structural information. Here, we report a crystal structure of human SRD5A2 at 2.8 Å, revealing a unique 7-TM structural topology and an intermediate adduct of finasteride and NADPH as NADP-dihydrofinasteride in a largely enclosed binding cavity inside the transmembrane domain. Structural analysis together with computational and mutagenesis studies reveal the molecular mechanisms of the catalyzed reaction and of finasteride inhibition involving residues E57 and Y91. Molecular dynamics simulation results indicate high conformational dynamics of the cytosolic region that regulate NADPH/NADP+ exchange. Mapping disease-causing mutations of SRD5A2 to our structure suggests molecular mechanisms for their pathological effects. Our results offer critical structural insights into the function of integral membrane steroid reductases and may facilitate drug development.


Asunto(s)
3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/química , Antagonistas de Andrógenos/química , Finasterida/química , Proteínas de la Membrana/química , 3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/genética , 3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/metabolismo , Secuencias de Aminoácidos , Dutasterida/química , Humanos , Proteínas de la Membrana/antagonistas & inhibidores , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Simulación de Dinámica Molecular , NADP/química , NADP/metabolismo
16.
Mater Sci Eng C Mater Biol Appl ; 115: 111107, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32600710

RESUMEN

Prostatic artery embolization (PAE) has been a well-established treatment for benign prostatic hyperplasia (BPH). To enhance the therapeutic efficacy, a strategy is to use embolic agent preloaded with 5α-reductase inhibitors for localized drug delivery. In this study, finasteride (FNS) was encapsulated into the polyvinyl alcohol (PVA) nanofibers via co-electrospinning technique, followed by heat treatment and cryogenic grinding to convert them into nanofibrous particles as a drug-loaded embolic agent. The FNS was found to be distributed uniformly in PVA nanofibers, and the processed FNS/PVA nanofibrous particles were 272 µm in mean particle size. Besides, the studies on the composition, thermal properties, swelling ratio, and water stability of the nanofibers and drug showed that the FNS remained its crystalline state in PVA nanofibers. The heat treatment increased the crystallinity of nanofibers and rendered them water stability. Both FNS and PVA possessed excellent thermal stability at high temperature (150 °C). In addition, in vitro drug release studies suggested the FNS followed a favorable sustained release up to 744 h. Furthermore, the cell viability and hemocompatibility assays indicated the nanofibers possessed excellent cytocompatibility and with no evidence of hemolysis. More importantly, the in vivo PAE procedures on beagles demonstrated the crosslinked FNS/PVA nanofibrous particles exhibited higher embolization efficacy with more obvious prostate volume (PV) reduction compared to crosslinked PVA nanofibrous particles after embolization for 1, 3, and 6 months (P < 0.05). Therefore, such drug-loaded PVA nanofibrous particles combined physical embolization and localized medical therapy together, which offer great potential to be used as an effective embolic agent for BPH therapy.


Asunto(s)
Inhibidores de 5-alfa-Reductasa/administración & dosificación , Embolización Terapéutica/métodos , Finasterida/administración & dosificación , Alcohol Polivinílico/química , Hiperplasia Prostática/terapia , Inhibidores de 5-alfa-Reductasa/química , Inhibidores de 5-alfa-Reductasa/farmacología , Animales , Supervivencia Celular/efectos de los fármacos , Terapia Combinada , Preparaciones de Acción Retardada , Modelos Animales de Enfermedad , Perros , Estabilidad de Medicamentos , Finasterida/química , Finasterida/farmacología , Masculino , Nanofibras/química , Tamaño de la Partícula , Resultado del Tratamiento
17.
BJU Int ; 104(9): 1191-7, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19624596

RESUMEN

OBJECTIVE: The inhibition of 5alpha-reductase (5AR) blocks the synthesis of the most powerful intracellular androgen, dihydrotestosterone (DHT). The prostate has two 5AR isoenzymes (5AR1 and 5AR2) that change in expression and cellular location during the development of prostate cancer and tumour progression. The objective of this review is to provide an understanding of the pharmacological properties and the potential clinical benefits of 5AR inhibition. METHODS: We searched Pubmed for data obtained from pharmacological, preclinical and clinical studies. RESULTS: 5AR1 expression increases with increasing aggressiveness and extension of malignant prostatic disease. Conversely, 5AR2 expression decreases from benign prostatic tissue to localized prostate cancer. The efficacy of 5AR2 monotherapy with finasteride alone or in combination with an androgen receptor antagonist on more final outcome measures seems to be limited. Combining an androgen receptor antagonist with a 5AR inhibitor in patients with asymptomatic, locally advanced or recurrent prostate cancer might be a reasonable first therapeutic hormonal approach. As plasma testosterone levels are maintained, beneficial effects on quality of life, potency and sexual function are expected. From studies on the dual 5AR inhibitor dutasteride, the drug produces a biochemical response in some men who progressed under androgen-deprivation therapy, and is generally well tolerated. CONCLUSIONS: Achieving more potent suppression of intracellular DHT synthesis by 5AR inhibition is expected to provide clinical benefit to patients. Previous studies have shown that 5AR inhibition, by dutasteride in particular, halts/delays the progression of disease, and might even cause regression of disease in patients with advanced prostate cancer.


Asunto(s)
Inhibidores de 5-alfa-Reductasa , Antagonistas de Receptores Androgénicos , Antineoplásicos Hormonales/uso terapéutico , Neoplasias Hormono-Dependientes/tratamiento farmacológico , Neoplasias de la Próstata/tratamiento farmacológico , 3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/metabolismo , Azaesteroides/química , Azaesteroides/uso terapéutico , Ensayos Clínicos como Asunto , Dutasterida , Finasterida/química , Finasterida/uso terapéutico , Humanos , Masculino , Neoplasias de la Próstata/enzimología
18.
Bioorg Med Chem ; 17(7): 2718-23, 2009 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-19282187

RESUMEN

The aim of this study was to determine whether inclusion complexes between 2-hydroxypropyl-beta-cyclodextrin (HPbetaCD) and finasteride (FIN) are formed, and to characterize these. Equimolar FIN/HPbetaCD solid systems in the presence or absence of 0.1% (w/v) of polyvinylpyrrolidone K30 (PVP K30) or 0.3% of chitosan were prepared by coevaporation and freeze-drying methods. The systems were characterized by phase solubility, NMR, DSC, and XRD analysis. The results suggest that true binary and ternary inclusion complexes were formed.


Asunto(s)
Finasterida/química , Polímeros/química , beta-Ciclodextrinas/química , 2-Hidroxipropil-beta-Ciclodextrina , Rastreo Diferencial de Calorimetría , Quitosano/química , Finasterida/síntesis química , Liofilización , Espectroscopía de Resonancia Magnética , Povidona/química , Solubilidad , Difracción de Rayos X , beta-Ciclodextrinas/síntesis química
19.
J Steroid Biochem Mol Biol ; 111(3-5): 275-81, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18644453

RESUMEN

In this study, we report the synthesis and biological evaluation of several new 3-substituted pregna-4,16-diene-6,20-dione derivatives (11a-11d). These compounds were prepared from the commercially available 16-dehydropregnenolone acetate. The biological effect of these steroids was demonstrated in in vivo and in vitro experiments. In the in vivo experiments, we measured the activity of the 11a-11d on the weight of the prostate gland of gonadectomized hamsters treated with testosterone plus finasteride or with the new steroids. For the studies in vitro, we determined the IC50 values by measuring the steroid concentration that inhibits 50% of the activity of 5alpha-reductase present in human prostate. In order to study the mechanism of action of 11a-11d, we also determined the capacity of these steroids to bind to the androgen receptor (AR) present in the rat prostate cytosol using labeled mibolerone as a tracer. The results from this work indicated that compounds 11a-11d significantly decreased the weight of the prostate as compared to testosterone treated animals and this reduction of the weight of the prostate was comparable to that produced by the finasteride. On the other hand 11a-11d exhibited a high inhibitory activity for the human 5alpha-reductase enzyme with IC50 values of 1.4 x 10(-8), 1.8 x 10(-9), 1.0 x 10(-8) and 4 x 10(-5) respectively. However the IC50 value of 11a (1.8 x 10(-9)) was the only one lower than that of finasteride (8.5 x 10(-9)). Nevertheless this compound did not show a higher potency in vivo as compared to that of compounds 11b-11d. The competition analysis for the androgen receptor indicated that the IC50 value of non-labeled mibolerone used in this experiment was 1nM, whereas steroids 10, 11a-11d did not inhibit the labeled mibolerone binding to the androgen receptor. On the other hand, steroid 10 did not show any activities in vitro or in vivo, and for this reason these steroidal derivatives (11a-11d) cannot be considered as prodrugs of compound 10. In conclusion, the compounds containing chlorine 11a, bromine 11b, iodine 11c atoms, and 11d (without any substituent in the ester moiety) at C-3 produce a significant decrease of the prostate weight in castrated animals treated with T and inhibits the activity of the 5alpha-reductase. Apparently the presence of the halogen atoms in compounds 11a-11c enhances the inhibitory activity for the 5alpha-reductase enzyme.


Asunto(s)
Inhibidores de 5-alfa-Reductasa , Pregnadienos , Pregnenolona/análogos & derivados , 3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/metabolismo , Animales , Azaesteroides/química , Azaesteroides/metabolismo , Cricetinae , Cricetulus , Dihidrotestosterona/química , Dihidrotestosterona/metabolismo , Dutasterida , Inhibidores Enzimáticos/química , Inhibidores Enzimáticos/metabolismo , Finasterida/química , Finasterida/metabolismo , Humanos , Masculino , Estructura Molecular , Nandrolona/análogos & derivados , Nandrolona/química , Nandrolona/metabolismo , Pregnadienos/síntesis química , Pregnadienos/química , Pregnadienos/metabolismo , Pregnenolona/química , Próstata/anatomía & histología , Próstata/química , Próstata/metabolismo , Ratas , Testosterona/química , Testosterona/metabolismo , Congéneres de la Testosterona/química , Congéneres de la Testosterona/metabolismo
20.
J Pharm Biomed Anal ; 161: 273-279, 2018 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-30176524

RESUMEN

A preformulation study with finasteride (FIN) was conducted to enable the development of a topical matrix system to treat androgenic alopecia. The compatibility of the drug with hidroxypropyl-ß-cyclodextrin (HPßCD) and the hydrophilic polymers Klucel EXF (KLU) and Soluplus (SOL) were evaluated according to a simplex centroid mixture design. An extensive analytical arsenal was used to encompass the stability of the drug in the different mixtures. The selected excipients showed to have intense thermal interaction with FIN, which was dependent on the composition of the sample, shifting FIN melting peak to reduced temperatures along with the decrease of its associated enthalpy. The mixture design allowed measuring the interactions between components, showing that KLU enhanced the ability of the drug to form inclusion complexes with HPßCD, while SOL exhibited the opposite effect. The stability of samples was preserved even after a thermal treatment used to simulate pharmaceutical processing. Indeed, no drug content decaying was observed, which corroborates the chemical stability of the systems as indicated by thermogravimetry, chromatographic, morphological and spectroscopic assays. The original crystalline phase of the drug (orthorhombic form I) did not change after the heating treatment of the samples, demonstrating its physical stability. Thus, these series of experiments may guide the development of delivery systems for topical use of FIN, showing which combinations and proportions of components can lead to better results in terms of stability and drug delivery.


Asunto(s)
2-Hidroxipropil-beta-Ciclodextrina/química , Sistemas de Liberación de Medicamentos/métodos , Finasterida/química , Polímeros/química , Administración Tópica , Estabilidad de Medicamentos , Excipientes/química , Finasterida/administración & dosificación , Calor , Interacciones Hidrofóbicas e Hidrofílicas
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