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1.
Biomed Chromatogr ; 32(12): e4366, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30120785

RESUMO

Coadministration of tamoxifen citrate (TMC) and medroxyprogesterone acetate (MPA) is preferred to increase the response rate and the percentage recovery in patients with endometrial carcinoma. Administration of TMC and MPA and their combination affects estrogen and progestin receptor concentrations in advanced endometrium carcinoma by affecting 17ß-hydroxyl steroid dehydrogenase activity and serum hormone concentrations. A sensitive, accurate and robust thin-layer chromatography method has been established for simultaneous analysis of TMC and MPA. Method development was carried out on silica gel F254 using butanol-acetic acid-water (6:0.5:0.5, v/v/v) as mobile phase. Densitometric scanning was carried out at 241 nm for simultaneous detection of TMC and MPA. Retardation factor (Rf ) values for TMC and MPA were 0.21 and 0.85, respectively. The method was validated according to ICH guidelines. Regression plots revealed linear relationships in the concentration range of 50-500 and 25-250 ng/band for TMC and MPA, successively. Accuracy was ≥99.60 and 98.72% for TMC and MPA, respectively. Forced degradation studies using UV photodegradation was applied on MPA after exposure to UV light for different times and applying a kinetic study for calculating the degradation rate constant (k) and half-life time (t1/2 ).


Assuntos
Cromatografia em Camada Fina/métodos , Densitometria/métodos , Acetato de Medroxiprogesterona/sangue , Tamoxifeno/sangue , Animais , Estabilidade de Medicamentos , Feminino , Cinética , Limite de Detecção , Modelos Lineares , Acetato de Medroxiprogesterona/química , Coelhos , Reprodutibilidade dos Testes , Tamoxifeno/química , Raios Ultravioleta
2.
Luminescence ; 31(6): 1242-50, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26818697

RESUMO

To further understand the mechanism of action and pharmacokinetics of medroxyprogesterone acetate (MPA), the binding interaction of MPA with bovine serum albumin (BSA) under simulated physiological conditions (pH 7.4) was studied using fluorescence emission spectroscopy, synchronous fluorescence spectroscopy, circular dichroism and molecular docking methods. The experimental results reveal that the fluorescence of BSA quenches due to the formation of MPA-BSA complex. The number of binding sites (n) and the binding constant for MPA-BSA complex are ~1 and 4.6 × 10(3)  M(-1) at 310 K, respectively. However, it can be concluded that the binding process of MPA with BSA is spontaneous and the main interaction forces between MPA and BSA are van der Waals force and hydrogen bonding interaction due to the negative values of ΔG(0) , ΔH(0) and ΔS(0) in the binding process of MPA with BSA. MPA prefers binding on the hydrophobic cavity in subdomain IIIA (site II'') of BSA resulting in a slight change in the conformation of BSA, but BSA retaining the α-helix structure. Copyright © 2016 John Wiley & Sons, Ltd.


Assuntos
Acetato de Medroxiprogesterona/química , Simulação de Acoplamento Molecular , Soroalbumina Bovina/química , Animais , Sítios de Ligação , Bovinos , Dicroísmo Circular , Espectrometria de Fluorescência
3.
J Biol Chem ; 289(45): 31136-49, 2014 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-25202013

RESUMO

Medroxyprogesterone acetate (MPA), designed to mimic the actions of the endogenous hormone progesterone (P4), is extensively used by women as a contraceptive and in hormone replacement therapy. However, little is known about the steroid receptor-mediated molecular mechanisms of action of MPA in the female genital tract. In this study, we investigated the regulation of the pro-inflammatory cytokine, interleukin (IL)-12, and the anti-inflammatory cytokine IL-10, by MPA versus P4, in an in vitro cell culture model of the female ectocervical environment. This study shows that P4 and MPA significantly increase the expression of the IL-12p40 and IL-12p35 genes, whereas IL-10 gene expression is suppressed in a dose-dependent manner. Moreover, these effects were abrogated when reducing the glucocorticoid receptor (GR) levels with siRNA. Using a combination of chromatin immunoprecipitation (ChIP), siRNA, and re-ChIP assays, we show that recruitment of the P4- and MPA-bound GR to the IL-12p40 promoter requires CCAAT enhancer-binding protein (C/EBP)-ß and nuclear factor κB (NFκB), although recruitment to the IL-10 promoter requires signal transducer and activator of transcription (STAT)-3. These results suggest that both P4 and MPA may modulate inflammation in the ectocervix via this genomic mechanism.


Assuntos
Células Epiteliais/citologia , Interleucina-10/metabolismo , Subunidade p35 da Interleucina-12/metabolismo , Subunidade p40 da Interleucina-12/metabolismo , Acetato de Medroxiprogesterona/química , Receptores de Glucocorticoides/metabolismo , Proteína beta Intensificadora de Ligação a CCAAT/metabolismo , Linhagem Celular , Colo do Útero/metabolismo , Anticoncepcionais Femininos/química , Feminino , Regulação da Expressão Gênica , Genômica , Humanos , Inflamação , NF-kappa B/metabolismo , Progestinas/metabolismo , RNA Interferente Pequeno/metabolismo , Fator de Transcrição STAT3/metabolismo
4.
Hum Reprod ; 30(5): 1169-77, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25740884

RESUMO

STUDY QUESTION: Does medroxyprogesterone acetate (MPA) impair human dendritic cell (DC) activation and function? SUMMARY ANSWER: In vitro MPA treatment suppressed expression of CD40 and CD80 by human primary DCs responding to Toll-like receptor 3 (TLR3) agonist stimulation (i.e. DC activation). Moreover, this MPA-mediated decrease in CD40 expression impaired DC capacity to stimulate T cell proliferation (i.e. DC function). WHAT IS KNOWN ALREADY: MPA is the active molecule in Depo-Provera(®) (DMPA), a commonly used injectable hormonal contraceptive (HC). Although DMPA treatment of mice prior to viral mucosal tissue infection impaired the capacity of DCs to up-regulate CD40 and CD80 and prime virus-specific T cell proliferation, neither DC activation marker expression nor the ability of DCs to promote T cell proliferation were affected by in vitro progesterone treatment of human DCs generated from peripheral blood monocytes. STUDY DESIGN, SIZE, DURATION: This cross-sectional study examined MPA-mediated effects on the activation and function of human primary untouched peripheral blood DCs. PARTICIPANTS/MATERIALS, SETTING, METHODS: Human DCs isolated from peripheral blood mononuclear cells by negative immunomagnetic selection were incubated for 24 h with various concentrations of MPA. After an additional 24 h incubation with the TLR3 agonist polyinosinic:polycytidylic acid (poly I:C), flow cytometry was used to evaluate DC phenotype (i.e. expression of CD40, CD80, CD86, and HLA-DR). In separate experiments, primary untouched human DCs were sequentially MPA-treated, poly I:C-activated, and incubated for 7 days with fluorescently labeled naïve allogeneic T cells. Flow cytometry was then used to quantify allogeneic T cell proliferation. MAIN RESULTS AND THE ROLE OF CHANCE: Several pharmacologically relevant concentrations of MPA dramatically reduced CD40 and CD80 expression in human primary DCs responding to the immunostimulant poly I:C. In addition, MPA-treated DCs displayed a reduced capacity to promote allogeneic CD4(+) and CD8(+) T cell proliferation. In other DC: T cell co-cultures, the addition of antibody blocking the CD40-CD154 (CD40L) interaction mirrored the decreased T cell proliferation produced by MPA treatment, while addition of recombinant soluble CD154 restored the capacity of MPA-treated DCs to induce T cell proliferation to levels produced by non-MPA-treated controls. LIMITATIONS, REASON FOR CAUTION: While our results newly reveal that pharmacologically relevant MPA concentrations suppress human DC function in vitro, additional research is needed to learn if DMPA similarly inhibits DC maturation and function in the human female genital tract. WIDER IMPLICATIONS OF THE FINDINGS: Identification of a mechanism by which MPA impairs human DC activation and function increases the biological plausibility for the relationships currently suspected between DMPA use and enhanced susceptibility to genital tract infection. STUDY FUNDING/COMPETING INTERESTS: Funding provided by the NIH (grant R01HD072663) and The Ohio State University College of Medicine. The authors have no conflicts of interest to declare.


Assuntos
Células Dendríticas/citologia , Células Dendríticas/efeitos dos fármacos , Acetato de Medroxiprogesterona/química , Antígeno B7-1/metabolismo , Antígenos CD40/metabolismo , Proliferação de Células , Sobrevivência Celular , Anticoncepcionais Femininos/química , Feminino , Humanos , Monócitos/citologia , Linfócitos T/citologia , Receptor 3 Toll-Like/metabolismo
5.
Spectrochim Acta A Mol Biomol Spectrosc ; 230: 118058, 2020 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-32004868

RESUMO

The study involves use of factorial design for optimization of forced degradation conditions and development of stability indicating method for medroxyprogestrone acetate (MPA) or depo-provera as known in the market. MPA is an important contraceptive and anticancer drug especially for treatment of breast cancer and it is the first time to study the different conditions affecting its stability. MPA was subjected to different variables such as solvent type, pH and the time subjected to UV light. Factorial design has been used during forced degradation to determine significant factors responsible for degradation and to optimize degradation conditions reaching maximum degradation. Factors responsible for forced degradation were statistically evaluated using Bubble and Surface plots. Variables proved to be significant (p < 0.05) and the suggested model represented a perfect example for indicating the efficiency of factorial designs in optimizing the degradation conditions that give maximum percent of degradation. We investigated also the solubility and stability profiles of MPA in aqueous solutions. Stability study results showed a very low stability profile of MPA in all the aqueous solutions with rapid degradation rate more than other solvents. The current research may contribute to enrich the knowledge of the physicochemical properties of this drug for exploring its full anticancer potential in the future.


Assuntos
Anticoncepcionais/química , Acetato de Medroxiprogesterona/química , Solventes/química , Solventes/normas , Feminino , Humanos , Injeções , Suspensões
6.
J Pharm Biomed Anal ; 187: 113352, 2020 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-32480200

RESUMO

Medroxyprogesterone acetate (MPA) injectable products are a key commodity for reproductive health and are available in the global market from a variety of manufacturing sources. Depending on the climatic zone conditions of the destination country for product use, MPA injectables are at risk of exposure to adverse transport and storage conditions. Analytical methods are available that quantify impurity levels in MPA and MPA injectable products, but minimal information is publicly available on the source of impurity and degradation product generation or the safety risk of these compounds. Forced degradation studies were conducted on MPA and MPA injectables to gain a better understanding of potential sources of impurities and degradation products. Furthermore, QSAR analysis was conducted to assess the toxicity risk of known impurities. More impurities were generated under acidic, basic, light, and oxidative forced degradation conditions relative to thermal degradation, however thermal exposure is the most likely adverse condition to be experienced by these products. Even if impurities are present in MPA injectables, QSAR analysis found that known impurities for MPA are apparently no more of a safety risk than MPA.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Contraceptivos Hormonais/análise , Espectrometria de Massas/métodos , Acetato de Medroxiprogesterona/análise , Contraceptivos Hormonais/efeitos adversos , Contraceptivos Hormonais/química , Contaminação de Medicamentos/prevenção & controle , Estabilidade de Medicamentos , Armazenamento de Medicamentos , Injeções , Acetato de Medroxiprogesterona/efeitos adversos , Acetato de Medroxiprogesterona/química , Relação Quantitativa Estrutura-Atividade , Suspensões
7.
Steroids ; 149: 108427, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31228485

RESUMO

Medroxyprogesterone acetate (MPA) (1) has been transformed by two filamentous fungi, including Absidia griseolla var. igachii and Acremonium chrysogenum, into 11α-hydroxy-medroxyprogesterone acetate (2) as the major metabolite. The structure of the product was identified by different spectroscopic methods (1D- and 2D-NMR, EI-MS, and elemental analysis). Moreover, a time course study determined by HPLC showed 63% and 48% yields for the metabolite by using the two mentioned fungi, respectively. Finally, the effect of the temperature and concentration of the substrate were investigated, which the optimal fermentation conditions were found to be 25 °C with a substrate concentration of 0.1% (w/v). This study reports for the first time the production of 11α-hydroxy-medroxyprogesterone acetate as a fungal biotransformation product.


Assuntos
Absidia/metabolismo , Acremonium/metabolismo , Acetato de Medroxiprogesterona/química , Acetato de Medroxiprogesterona/metabolismo , Biotransformação , Hidroxilação
8.
Chem Phys Lipids ; 225: 104810, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31415733

RESUMO

Surface pressure (π) - mean molecular area (A) isotherms of protein (BSA) - lipid (DMPA) mixed films are examined by varying their ratio and altering the spreading order of BSA and DMPA on the water surface to study the protein-lipid interactions and the corresponding structures and patterns at different interfacial conditions. π-A isotherms and compression-decompression isotherm cycles of protein-lipid mixed monolayers below and above of the isoelectric point of BSA (pI ≈ 4.8) are also examined. Below the isoelectric point of BSA (pH ≈ 4.0), i.e., when BSA is weakly hydrophobic and has net positive charge shows low hysteresis irrespective of the spreading order of the molecules. However, at pH ≈ 7.0, i.e., when the overall charge of BSA is negative and is strongly hydrophobic the protein-lipid mixed films display higher hysteresis value. Besides the properties of the isotherms, the surface morphology and secondary conformations of protein inside the mixed films are obtained from X-ray reflectivity, atomic force microscopy (AFM) and Fourier transform infrared (FTIR) spectroscopy respectively after depositing the mixed films on solid substrates. Nearly similar information is obtained after altering the spreading order of BSA and DMPA, which indicates that the spreading of molecules on the water surface is one of the better ways of forming the lipid-protein mixed film at the air-water interface.


Assuntos
Acetato de Medroxiprogesterona/química , Soroalbumina Bovina/química , Animais , Bovinos , Concentração de Íons de Hidrogênio , Tamanho da Partícula , Pressão , Propriedades de Superfície
9.
Mol Cell Endocrinol ; 480: 12-35, 2019 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-30308266

RESUMO

Prior to 2002, hormone replacement therapy (HRT) was considered to be an important component of postmenopausal healthcare. This was based on a plethora of basic, epidemiological and clinical studies demonstrating the health benefits of supplementation with human sex steroids. However, adverse findings from the Women's Health Initiative (WHI) studies that examined the 2 major forms of HRT in use in the US at that time - Premarin (conjugated equine estrogens; CEE) and Prempro (CEE + medroxyprogesterone acetate; MPA), cast a shadow over the use of any form of HRT. Here we review the biochemical and physiological differences between the non-human WHI study hormones - CEE and MPA, and their respective human counterparts 17ß-estradiol (E2) and progesterone (P4). Preclinical data from the last 30 years demonstrate clear differences between human and non-human sex steroids on numerous molecular, physiological and functional parameters in brain, heart and reproductive tissue. In contrast to CEE supplementation, which is not always detrimental although certainly not as optimal as E2 supplementation, MPA is clearly not equivalent to P4, having detrimental effects on cognitive, cardiac and reproductive function. Moreover, unlike P4, MPA is clearly antagonistic of the positive effects of E2 and CEE on tissue function. These data indicate that minor chemical changes to human sex steroids result in physiologically distinct actions that are not optimal for tissue health and functioning.


Assuntos
Estrogênios Conjugados (USP)/uso terapêutico , Hormônios Esteroides Gonadais/uso terapêutico , Terapia de Reposição Hormonal , Acetato de Medroxiprogesterona/uso terapêutico , Animais , Combinação de Medicamentos , Estradiol/química , Estradiol/uso terapêutico , Estrogênios Conjugados (USP)/química , Hormônios Esteroides Gonadais/química , Humanos , Acetato de Medroxiprogesterona/química , Progesterona/química
10.
J Pharm Biomed Anal ; 48(4): 1174-80, 2008 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-18947956

RESUMO

A sensitive and specific assay method for the simultaneous quantitation of 17alpha-hydroxyprogesterone caproate (17-OHPC), 17alpha-hydroxyprogesterone (17-OHP), and progesterone (P) in human plasma using high-performance liquid chromatography and tandem mass spectrometry (LC-MS/MS) was developed and validated. Plasma samples were processed by a solid phase extraction (SPE) procedure using Oasis((R)) HLB extraction cartridge prior to chromatography. Medroxyprogestrone acetate (MPA) was used as the internal standard. The compounds were separated using Waters C18 Symmetry analytical column (3.5 microm, 2.1 mm x 50 mm) using a gradient elusion with a mobile phase consisting of 5% methanol in water [A] and methanol [B], with ammonium acetate (2mM) and formic acid (0.1%) being added to both [A] and [B], at a flow rate 0.3 ml/min. The retention times for 17-OHPC, 17-OHP, P and MPA were 4.5, 1.5, 2.5 and 2.2 min, respectively, with a total run time of 7 min. The analytes were detected by a Micromass Quattro Micro triple quadrupole mass spectrometer in positive electron spray ionization (ESI) mode using multiple reaction monitoring (MRM). The extracted ions monitored following MRM transitions were m/z 429.10-->313.10 for 17-OHPC, m/z 331.17-->97.00 for 17-OHP, m/z 315.15-->109.00 for P and m/z 387.15-->327.25 for MPA (IS). The assay was linear over the range 1-200 ng/ml for 17-OHPC and 17-OHP, and 2-400 ng/ml for P, when 0.4 ml of plasma was used in the extraction. The overall intra- and inter-day assay variation was <15%. No significant variation in the concentration of 17-OHPC, 17-OHP or P was observed with different sample processing and/or storage conditions. This method is simple, allows easy, accurate and reproducible measurement of 17-OHPC, 17-OHP and P simultaneously in human plasma, and is used to evaluate the pharmacokinetics of 17-OHPC in pregnant subjects.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Hidroxiprogesteronas/sangue , Progesterona/sangue , Espectrometria de Massas em Tandem/métodos , Caproato de 17 alfa-Hidroxiprogesterona , Estabilidade de Medicamentos , Feminino , Humanos , Acetato de Medroxiprogesterona/química , Metanol/química , Gravidez , Padrões de Referência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Extração em Fase Sólida , Espectrometria de Massas por Ionização por Electrospray/métodos , Água/química
11.
Eksp Klin Farmakol ; 71(2): 36-9, 2008.
Artigo em Russo | MEDLINE | ID: mdl-18488905

RESUMO

Molecular mechanisms of sex hormones (progesterone, medroxyprogesterone acetate (MPA), and new synthetic gestagen 17alpha-acetoxy-3beta-butanoyloxy-6-methylpregna-4,6-dien-20-on (ABMP) with human serum albumin, globulins, and calf embryo serum were studied. The binding of ABMP to albumin and progesterone-binding proteins were investigated using spectroscopic techniques (with the use of 1-anilino-8-naphthalenesulfonate as fluorescent probe) and radiolabeled progesterone, (either progesteron or MPA as comparative progestines). There is no difference between the non-specific binding of ABMP, progesterone, and MPA, but the ABMP binding is much smaller as compared to the binding of progestines, so that the new progestine ABMP will produce a more effective action on the target tissue than comparative progestines.


Assuntos
17-alfa-Hidroxiprogesterona/análogos & derivados , Proteínas Sanguíneas/química , Progestinas/química , Albumina Sérica/química , 17-alfa-Hidroxiprogesterona/química , Animais , Bovinos , Embrião de Mamíferos , Humanos , Acetato de Medroxiprogesterona/química , Progesterona/química , Ligação Proteica
12.
Behav Brain Res ; 322(Pt B): 258-268, 2017 03 30.
Artigo em Inglês | MEDLINE | ID: mdl-27368418

RESUMO

INTRODUCTION: For decades, progestins have been included in hormone therapies (HT) prescribed to women to offset the risk of unopposed estrogen-induced endometrial hyperplasia. However, the potential effects on cognition of subcategories of clinically used progestins have been largely unexplored. METHODS: In two studies, the present investigation evaluated the cognitive effects of norethindrone acetate (NETA), levonorgestrel (LEVO), and medroxyprogesterone acetate (MPA) on the water radial-arm maze (WRAM) and Morris water maze (MM) in middle-aged ovariectomized rats. RESULTS: In Study 1, six-weeks of a high-dose NETA treatment impaired learning and delayed retention on the WRAM, and impaired reference memory on the MM. Low-dose NETA treatment impaired delayed retention on the WRAM. In Study 2, high-dose NETA treatment was reduced to four-weeks and compared to MPA and LEVO. As previously shown, MPA impaired working memory performance during the lattermost portion of testing, at the highest working memory load, impaired delayed retention on the WRAM, and impaired reference memory on the MM. NETA also impaired performance on these WRAM and MM measures. Interestingly, LEVO did not impair performance, but instead enhanced learning on the WRAM. CONCLUSIONS: The current study corroborates previous evidence that the most commonly prescribed FDA-approved progestin for HT, MPA, impairs learning and memory in the ovariectomized middle-aged rat. When progestins from two different additional subcategories were investigated, NETA impaired learning and memory similarly to MPA, but LEVO enhanced learning. Future research is warranted to determine LEVO's potential as an ideal progestin for optimal health in women, including for cognition.


Assuntos
Envelhecimento/efeitos dos fármacos , Terapia de Reposição de Estrogênios , Aprendizagem/efeitos dos fármacos , Memória/efeitos dos fármacos , Progestinas/farmacologia , Envelhecimento/fisiologia , Animais , Relação Dose-Resposta a Droga , Terapia de Reposição de Estrogênios/efeitos adversos , Aprendizagem/fisiologia , Levanogestrel/efeitos adversos , Levanogestrel/química , Levanogestrel/farmacologia , Acetato de Medroxiprogesterona/efeitos adversos , Acetato de Medroxiprogesterona/química , Acetato de Medroxiprogesterona/farmacologia , Memória/fisiologia , Modelos Animais , Noretindrona/efeitos adversos , Noretindrona/análogos & derivados , Noretindrona/química , Noretindrona/farmacologia , Acetato de Noretindrona , Ovariectomia , Progestinas/efeitos adversos , Progestinas/química , Testes Psicológicos , Distribuição Aleatória , Ratos Endogâmicos F344
13.
J Steroid Biochem Mol Biol ; 97(4): 328-41, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16157482

RESUMO

Progesterone (P4) is an essential reproductive steroid hormone required for many aspects of female reproductive physiology. Progestins are compounds that demonstrate progesterone-like activity and are used in oral contraception, hormone therapy, and treatment of some reproductive disorders, but differ widely in their chemical structures, potency, and pharmacokinetics. While numerous studies have assessed progestins on specific endpoints, little is known about the activation of global gene expression by progestins. We used Affymetrix GeneChip U133A expression arrays to examine the action of P4 and six clinically relevant synthetic progestins (3-ketodesogestrel, drospirenone, levonorgestrel, medroxyprogesterone acetate, norethindrone acetate, and trimegestone) on the progesterone receptor (PR)-positive T47Dco and the PR-negative T47D-Y breast cancer cell lines. Excluding drospirenone, one or more of the progestins-regulated 329 genes, with 30 genes regulated by at least 2.0-fold by all progestins in the T47Dco cells. The synthetic progestins show a high degree of similarity in their transcriptional responses, and each progestin regulates between 77 and 91% of the genes regulated by P4. Independent quantitative RT-PCR analysis confirmed a similar regulation for S100P, PPL, IL20RA, NET1, ATP1A1, HIG2, and CXCL12 (SDF-1) by all seven progestins. Attempts to find differentially regulated genes by any progestin compared to all other treatments failed, suggesting any differences are quantitative, not qualitative. This analysis demonstrates a high degree of similarity among these progestins on PR-regulated gene expression in T47D cells, suggesting a similar and fairly specific mode of action.


Assuntos
Neoplasias da Mama/patologia , Regulação Neoplásica da Expressão Gênica , Progesterona/metabolismo , Receptores de Progesterona/metabolismo , Fosfatase Alcalina/metabolismo , Androstenos/química , Linhagem Celular Tumoral , Análise por Conglomerados , Desogestrel/química , Relação Dose-Resposta a Droga , Regulação da Expressão Gênica , Humanos , Levanogestrel/química , Ligantes , Acetato de Medroxiprogesterona/química , Análise de Sequência com Séries de Oligonucleotídeos , Progesterona/química , Progestinas/química , Promegestona/análogos & derivados , Promegestona/química , RNA/metabolismo , Receptores de Estrogênio/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transcrição Gênica
14.
Sci Transl Med ; 7(270): 270ra4, 2015 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-25589630

RESUMO

Long-acting GSK1265744 (GSK744 LA) is a strand transfer inhibitor of the HIV/SIV (simian immunodeficiency virus) integrase and was shown to be an effective preexposure prophylaxis (PrEP) agent in a low-dose intrarectal SHIV (simian-human immunodeficiency virus) rhesus macaque challenge model. We examined the pharmacokinetics and efficacy of GSK744 LA as PrEP against repeat high-dose intravaginal SHIV challenge in female rhesus macaques treated with Depo-Provera (depot medroxyprogesterone acetate), which promotes viral transmission vaginally. When Depo-Provera-treated female rhesus macaques were dosed with GSK744 LA (50 mg/kg) monthly, systemic and tissue drug concentrations were lower than previously observed in male rhesus macaques. GSK744 concentrations were fivefold lower on average in cervical tissues than in rectal tissues. Eight female rhesus macaques were treated with GSK744 LA at week 0, and four female rhesus macaques served as controls. All animals received a high-dose challenge of SHIV162P3 at week 1. No infection was detected in GSK744 LA-treated rhesus macaques, whereas viremia was detected 1 to 2 weeks after SHIV challenge in all control animals. The GSK744 LA-treated rhesus macaques were given a second administration of drug at week 4 and further challenged at weeks 5 and 7. GSK744 LA treatment protected six of eight female rhesus macaques against three high-dose SHIV challenges, whereas all control animals became infected after the first challenge (P = 0.0003, log-rank test). These results support further clinical development of GSK744 LA for PrEP.


Assuntos
Antirretrovirais/uso terapêutico , Inibidores de Integrase/uso terapêutico , Síndrome de Imunodeficiência Adquirida dos Símios/prevenção & controle , Vírus da Imunodeficiência Símia/efeitos dos fármacos , Administração Intravaginal , Animais , Antirretrovirais/farmacocinética , Feminino , Genoma Viral , Inibidores de Integrase/farmacocinética , Funções Verossimilhança , Macaca , Acetato de Medroxiprogesterona/química , Dados de Sequência Molecular , Mutação , Piridonas/química , Síndrome de Imunodeficiência Adquirida dos Símios/virologia , Vagina/virologia , Carga Viral
15.
Int J Pharm ; 270(1-2): 139-48, 2004 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-14726130

RESUMO

A micro-capillary rheometer consisted of a fine needle with an internal diameter of 347 microm attached to a 1 ml removable-needle syringe within an Instron device that operated in compression mode to provide various crosshead speeds ranging from 150 to 950 mm min(-1) covering typical clinical injection rates, and that determined the resulting force on the plunger. The crosshead speed and the resulting force were used to calculate the shear rate and the shear stress respectively. These were used in standard capillary flow expressions together with an independent measurement of the wall frictional force and allowed the viscosity of parenteral Newtonian solutions and non-Newtonian suspensions to be measured quantitatively and their rheological behaviour in needles of clinical dimensions to be established. Commercial pharmaceutical parenteral formulations consisting of three oil-based solutions and three aqueous suspensions were chosen for this study. The net injection forces were also obtained and it was shown that both the oil-based solutions and the aqueous suspensions covered similar ranges. The viscosities for the parenteral solutions were determined from the slope of the linear regression (R(2)>0.97) between shear stress and shear rate and ranged between 0.029 and 0.060 Pas. For the aqueous suspensions examined, viscosities decreased from low shear rate to high shear rate, following a power-law model and indicating a pseudo plastic behaviour. Standardisation of the micro-capillary rheometer with Newtonian silicone oils calibrated with a Rheometrics Fluids Spectrometer showed viscosity values consistent between the rotational flow measurements and capillary flow measurements which were within 5% and showed very high degrees of reproducibility between replicate samples. This degree of reproducibility allowed differences in the contribution of the wall frictional force to the required plunger force for both the oil-based and aqueous parenteral formulations to be determined reliably. The wall frictional force values for all formulations were similar (0.6-1.6 N) but the frictional forces of aqueous systems were found to decline significantly with plunger speed. The micro-capillary rheometer has been used to evaluate the impact of concentration changes due to sedimentation on the injectability of one of the aqueous suspensions, where it was shown that not only the viscosity increased but the shear thinning behaviour ceased at higher shear rates. The micro-capillary rheometer which was able to operate in clinical shear rate ranges has been shown to detect deteriorations in the injectable rheology of suspensions, which in the case here was due to pre-injection sedimentation.


Assuntos
Flupentixol/química , Flufenazina/análogos & derivados , Flufenazina/química , Haloperidol/química , Acetato de Medroxiprogesterona/química , Ação Capilar , Química Farmacêutica , Análise de Injeção de Fluxo , Infusões Parenterais , Reologia/instrumentação , Reologia/métodos , Suspensões , Viscosidade
16.
Int J Gynaecol Obstet ; 62 Suppl 1: S31-6, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9806236

RESUMO

Cyclo-Provera, the original name of the combination of 25 mg medroxyprogesterone acetate and 5 mg estradiol cypionate, later known as Cyclofem and hereafter referred to MPA/E2C, has proven its use-effectiveness (pregnancy rate less than 1%) in routine service delivery conditions. Overall, the life-table discontinuation rates at 1 year ranged from 33.5% to 71.8%. Only a third of total discontinuations were attributable to the injectable contraceptive method, thus raising the importance of service delivery issues related to its continued use. The results of introductory trials in Mexico, Indonesia, Thailand, Tunisia, Jamaica and, more recently, Brazil, Colombia, Chile and Peru have demonstrated that MPA/E2C is a highly effective contraceptive that could be offered as an alternative to current fertility regulation methods for many women around the world. In addition, the results of studies were the basis for the approval of MPA/E2C by local health authorities and its inclusion in the Ministries of Health Family Planning Programs.


Assuntos
Anticoncepcionais Femininos , Países em Desenvolvimento , Estradiol/análogos & derivados , Conhecimentos, Atitudes e Prática em Saúde , Acetato de Medroxiprogesterona , Anticoncepcionais Femininos/efeitos adversos , Anticoncepcionais Femininos/química , Anticoncepcionais Orais Combinados/efeitos adversos , Anticoncepcionais Orais Combinados/química , Preparações de Ação Retardada , Combinação de Medicamentos , Estradiol/efeitos adversos , Estradiol/química , Serviços de Planejamento Familiar/métodos , Feminino , Humanos , Injeções Intramusculares , Tábuas de Vida , Acetato de Medroxiprogesterona/efeitos adversos , Acetato de Medroxiprogesterona/química , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Gravidez/estatística & dados numéricos , Estudos Prospectivos , Fatores Socioeconômicos
17.
Nihon Rinsho ; 52(3): 672-8, 1994 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-8164366

RESUMO

NMR is so convenient way to get stereochemical information of an organic compound that organic chemists have readily taken advantage of its spectra to investigate its stereochemistry by means of chemical shifts, coupling constants, nuclear Overhauser effect, etc. Especially in the steroid field, there have been reported many studies for determination of chemical structure and analysis of conformation. It is exemplified how NMR is in steroid chemistry.


Assuntos
Dexametasona/química , Levanogestrel/química , Espectroscopia de Ressonância Magnética , Aldosterona/química , Animais , Humanos , Acetato de Medroxiprogesterona/química , Conformação Molecular
18.
Mol Cell Endocrinol ; 382(2): 899-908, 2014 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-24239616

RESUMO

Medroxyprogesterone acetate (MPA) has widely been used in hormone replacement therapy (HRT), and is associated with an increased risk of breast cancer, possibly due to disruption of androgen receptor (AR) signaling. In contrast, the synthetic HRT Tibolone does not increase breast density, and is rapidly metabolized to estrogenic 3α-OH-tibolone and 3ß-OH-tibolone, and a delta-4 isomer (Δ(4)-TIB) that has both androgenic and progestagenic properties. Here, we show that 5α-dihydrotestosterone (DHT) and Δ(4)-TIB, but not MPA, stabilize AR protein levels, initiate specific AR intramolecular interactions critical for AR transcriptional regulation, and increase proliferation of AR positive MDA-MB-453 breast cancer cells. Structural modeling and molecular dynamic simulation indicate that Δ(4)-TIB induces a more stable AR structure than does DHT, and MPA a less stable one. Microarray expression analyses confirms that the molecular actions of Δ(4)-TIB more closely resembles DHT in breast cancer cells than either ligand does to MPA.


Assuntos
Androgênios/farmacologia , Di-Hidrotestosterona/farmacologia , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Proteínas de Neoplasias/genética , Norpregnenos/farmacologia , Receptores Androgênicos/genética , Androgênios/química , Androgênios/metabolismo , Biotransformação , Linhagem Celular Tumoral , Di-Hidrotestosterona/química , Di-Hidrotestosterona/metabolismo , Feminino , Perfilação da Expressão Gênica , Humanos , Acetato de Medroxiprogesterona/química , Acetato de Medroxiprogesterona/farmacologia , Simulação de Dinâmica Molecular , Proteínas de Neoplasias/metabolismo , Norpregnanos/metabolismo , Norpregnenos/química , Norpregnenos/metabolismo , Análise de Sequência com Séries de Oligonucleotídeos , Receptores Androgênicos/metabolismo , Relação Estrutura-Atividade
19.
Free Radic Res ; 47(3): 219-32, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23297859

RESUMO

This study aimed to evaluate whether natural or synthetic steroid hormones could directly modulate the activity of the different superoxide dismutase (SOD) isoforms found in human blood fractions without changing enzyme expression. Enzyme samples of human erythrocytes, the human platelet-rich plasma fraction (PRP) or isolated CuZnSOD, which was purified from human erythrocytes were pre-incubated with natural steroids (17ß-estradiol 17-acetate and progesterone) and their synthetic derivatives (ß-estradiol 3-benzoate and medroxyprogesterone 17-acetate). Then, CuZn and MnSOD activities were measured using the xanthine/xanthine oxidase/nitroblue tetrazolium method. Hormones had no effect on MnSOD activity from the PRP, but we show for the first time that natural and synthetic steroid hormones have a direct, bell-shaped effect on the activity of CuZnSOD from both male and female human erythrocytes. Low (physiological) hormone concentrations caused a dose-dependent increase in enzyme activity, which disappeared at higher hormone concentrations. In addition, the combination of synthetic and natural estrogens and progestins had a synergistic stimulatory effect on the activity of CuZnSOD from human erythrocytes. The molecular interaction between CuZnSOD and steroid hormones was preliminarily studied. Natural hormones did not change the electrophoretic mobility of SOD under denaturing conditions, but they did increase the absorption spectra of SOD in the 230-290 nm range. These data suggest that hormone-mediated modulation of CuZnSOD is related to subtle changes in protein conformation, possibly related to Trp and Phe residues. We propose that this effect may account for the physiological regulation of enzyme activity during conditions where steroid hormones undergo alterations as the ovulatory cycle.


Assuntos
Eritrócitos/enzimologia , Estradiol/análogos & derivados , Acetato de Medroxiprogesterona/farmacologia , Superóxido Dismutase/sangue , Adulto , Ensaios Enzimáticos , Eritrócitos/efeitos dos fármacos , Estradiol/química , Estradiol/farmacologia , Estradiol/fisiologia , Feminino , Humanos , Isoenzimas/sangue , Isoenzimas/química , Masculino , Acetato de Medroxiprogesterona/química , Progesterona/química , Progesterona/farmacologia , Progesterona/fisiologia , Ligação Proteica , Superóxido Dismutase/química , Superóxido Dismutase-1 , Adulto Jovem
20.
Artigo em Inglês | MEDLINE | ID: mdl-22634415

RESUMO

The intermolecular interactions between medroxyprogesterone acetate (MPA) and CHCl(3) and CCl(4) solvent in CHCl(3)/cyclo-C(6)H(12) and CCl(4)/cyclo-C(6)H(12) binary solvent systems have been studied by Fourier transform infrared spectroscopy (FT-IR). The experimental results showed that there are hydrogen bonding interactions between oxygen atoms of all carbonyl groups in MPA and hydrogen atom of CHCl(3) so as to form 1:3 complex of MPA with CHCl(3) and produce three new absorption bands at 1728.9-1736.1, 1712.7-1717.4 and 1661.9-1673.8 cm(-1), respectively. And, 1:1 complex of MPA with CCl(4) is formed in CCl(4)/cyclo-C(6)H(12) binary solvent as a result of hydrogen bonding interaction between C3 carbonyl group and empty d-orbital in chlorine atom of CCl(4) leading to producing new absorption band at 1673.2-1674.2 cm(-1). However, all free carbonyl and associated carbonyl stretching vibrations of MPA in CHCl(3)/cyclo-C(6)H(12) and CCl(4)/cyclo-C(6)H(12) binary solvent systems shift to lower wavenumbers with the increasing of volume fraction of CHCl(3) and CCl(4) in binary solvent systems owing to the dipole-dipole interaction and the dipole-induced dipole interaction between MPA and solvents.


Assuntos
Tetracloreto de Carbono/química , Clorofórmio/química , Cicloexanos/química , Acetato de Medroxiprogesterona/química , Solventes/química , Ligação de Hidrogênio , Soluções , Espectroscopia de Infravermelho com Transformada de Fourier , Vibração
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