Progestins used in endocrine therapy and the implications for the biosynthesis and metabolism of endogenous steroid hormones.

Abstract:

:Steroidogenesis refers to the de novo synthesis of steroid hormones from cholesterol by a number of sequential enzyme catalysed reactions in the adrenal and the gonads. In addition, circulating steroid hormone precursors are further metabolised in selected peripheral tissues. It has been suggested that the biosynthesis of endogenous steroid hormones can be modulated by progestins, used widely by women in female reproductive medicine. However, as a number of structurally diverse progestins with different pharmacological properties are available, it is possible that these synthetic compounds may vary in their effects on steroidogenesis. This review summarises the evidence indicating that progestins influence the biosynthesis of steroid hormones in the adrenal and gonads, as well as the metabolism of these endogenous hormones in the breast, highlighting the limitations to the current knowledge and directions for future research.

journal_name

Mol Cell Endocrinol

authors

Louw-du Toit R,Storbeck KH,Cartwright M,Cabral A,Africander D

doi

10.1016/j.mce.2016.09.004

subject

Has Abstract

pub_date

2017-02-05 00:00:00

pages

31-45

eissn

0303-7207

issn

1872-8057

pii

S0303-7207(16)30369-0

journal_volume

441

pub_type

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