Effects of progesterone, progestogens, and danazol on the specific cortisol binding in human plasma.

Abstract:

:The interaction of medroxyprogesterone acetate (MPA) with cortisol binding to corticosteroid-binding globulin (CBG) was studied with the use of an aqueous two-phase system with polyethylene glycol and dextran for equilibrium partition. Competitive binding analyses were also performed for progesterone (P), levonorgestrel, norethisterone, danazol, and tamoxifen. P and danazol were found to exert cortisol displacing activity, whereas MPA and the other tested compounds had no such effect. The glucocorticoid effects reported for MPA could not be explained by displacement. In general, P serum concentrations are lower than those of cortisol, and most binding sites on CBG are occupied by the glucocorticoid. At high P levels displacement and an increase in free cortisol may occur. Danazol displacement of cortisol is hampered by its pronounced albumin binding. In conclusion, none of the tested compounds should increase free and biologically active cortisol during normal clinical treatment.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Ottosson UB,Nilsson B,Södergård R,von Schoultz B

doi

10.1016/s0015-0282(16)48612-7

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

856-60

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)48612-7

journal_volume

43

pub_type

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  • Evidence-based approach to unexplained infertility: a systematic review.

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    更新日期:1985-08-01 00:00:00

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    authors: Zegers-Hochschild F,Nygren KG,Adamson GD,de Mouzon J,Lancaster P,Mansour R,Sullivan E,International Committee Monitoring Assisted Reproductive Technologies.

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    doi:10.1016/s0015-0282(16)53473-6

    authors: Beck P,Silverman M,Oehninger S,Muasher SJ,Acosta AA,Rosenwaks Z

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    doi:

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    journal_title:Fertility and sterility

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    更新日期:2002-07-01 00:00:00

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    更新日期:2008-10-01 00:00:00

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    journal_title:Fertility and sterility

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

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    更新日期:1986-12-01 00:00:00

  • Prospective randomized study on the cryopreservation of human embryos with dimethylsulfoxide or 1,2-propanediol protocols.

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

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    更新日期:2000-11-01 00:00:00

  • Requirement of heart and neural crest derivatives-expressed transcript 2 during decidualization of human endometrial stromal cells in vitro.

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    journal_title:Fertility and sterility

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    更新日期:2014-06-01 00:00:00

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    journal_title:Fertility and sterility

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    doi:

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    更新日期:1996-11-01 00:00:00

  • Induction of midtrimester abortion by the combined method of continuous extravovular infusion of prostaglandin F2alpha and intracervical laminaria tents.

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    pub_type: 杂志文章

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  • Testicular histology following chronic gonadotropin-releasing hormone agonist treatment.

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    doi:10.1016/s0015-0282(16)48205-1

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  • Local effects of mifepristone on the nonhuman primate endometrium.

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    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.06.008

    authors: Tek M,Cayan S,Yilmaz N,Oğuz I,Erdem E,Akbay E

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    doi:10.1016/s0015-0282(97)00274-4

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