Lecture 13 - chemistry of potency of steroids Flashcards

1
Q

what are adrenoreceptors used in treatment of?

A

stress response, immune response, regulation of inflammatory response, carbohydrate metabolism, protein catabolism, control of blood electrolyte levels and behaviour.

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2
Q

where are the alpha and beta in the steroid nomenclature

A

substituents above the plane are beta

substituents below the plane are alpha

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3
Q

what is the steroid backbone primary up of?

A

four cyclic rings and two methyl groups

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4
Q

what has an impact on overall molecular shape?

A

ring geometry

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5
Q

what is cortisol?

A

the primary stress hormone

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6
Q

what does cortisol do in the bloodstream?

A

increases sugars (glucose) in the bloodstream, enhances your brain’s use of glucose and increases the availability of substances that repair tissues. Cortisol also curbs functions that would be nonessential or harmful in a fight-or-flight situation.

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7
Q

what are the three classes of adrenocorticosteroids?

A

glucocorticoids, mineralocorticoids and sex hormones

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8
Q

what do glucorticoids do?

A

regulate carbohydrate, lipid and protein metabolism. used for the treatment of rheumatoid diseases, symptomatic relief forms them and allergic reaction and topical application for dermatologic disorders and cancer therapy (by preventing phospholipid release amongst other mechanisms)

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9
Q

what do mineralocorticoids do?

A

salt balance and water retention

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10
Q

what do sex hormones do?

A

steroid hormones that interact with vertebrae androgen or oestrogen receptors

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11
Q

what are natural and synthetic glucocorticoids?

A

natural: hydrocortisone, cortisone

synthetic : prednisolone, beclomethasone, dexamethasone, flucilonone, budesonide, betamethasone, fluticasone

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12
Q

what do glucocorticoids require in their structure?

A

all biologically active adrenocorticosteroids require a 3-keto group and 4,5 unsaturation

Glucocorticoid activity can be increased by introducing a double bond between C1 and C2 (anti-inflammatory effect enhances)
e.g.
cortisone→ prednisone,
hydrocortisone → prednisolone

An α-hydroxyl group at C17 is found in glucocorticoids but not mineralocorticoids

Glucocorticoid activity can be increased by introducing an 11 β-hydroxyl (OH) group

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13
Q

what are requirements for mineralocorticoid structure?

A

The 3-keto group and 4,5 unsaturation as all adrenocorticoids

Hydroxyl group on 21st position on ring D for mineralocorticoid activity

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14
Q

what are requirements for sex hormones structure?

A

Natural sex steroids are made by the gonads, by adrenal glands, or by conversion from other sex steroids
C20 & C21 are usually absent

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15
Q

what are adsorption and distribution considerations?

A

Requires significant lipophilicity to reach target receptors in cell nuclei (although transport mechanisms exist too)
Hydrophilic molecules are more readily absorbed in the lung

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16
Q

what are metabolism and excretion considerations

A

Short elimination half-life (t1/2)
Clearance from lungs can be reduced by increasing lipophilicity (as a result of delayed initial absorption)