Steroid D-ring glucuronides: characterization of a new class of cholestatic agents.

Abstract:

:In summary, we have shown that steroid D-ring, but not steroid A-ring, glucuronide conjugates act at the level of the bile canaliculus to decrease bile-acid-dependent flow, initially; and subsequently, bile-acid-independent flow. These data indicate that glucuronide conjugates are not necessarily inactive; the present glucuronides clearly possess toxicological activity. The cholestatic glucuronides are all natural, endogenously formed products of metabolism. The critical questions which remain are whether metabolism of steroids to D-ring glucuronides is an obligatory step in the etiology of steroid-induced cholestasis and whether these glucuronides, at concentrations attained in humans, are capable of decreasing hepatic excretory function and inducing morphological and biochemical changes of clinical importance.

journal_name

Drug Metab Rev

journal_title

Drug metabolism reviews

authors

Vore M,Montgomery C,Meyers M

doi

10.3109/03602538308991419

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

1005-19

issue

5

eissn

0360-2532

issn

1097-9883

journal_volume

14

pub_type

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