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Dehydroepiandrosterone impact on smooth muscle contractile activity by a nongenomic action 脱氢表雄酮通过非基因组作用影响平滑肌收缩活动
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-14 DOI: 10.1016/j.steroids.2025.109717
Mercedes Perusquía
Dehydroepiandrosterone (DHEA) is the most abundant steroid hormone in primates; however, its levels decline with age in both men and women. Numerous studies have documented diverse biological activities of DHEA. This article reviews the current understanding of how DHEA regulates the contractile function of vascular and nonvascular smooth muscle (SM), specifically examining its relaxant properties mediated through nongenomic mechanisms. It summarizes both older and recent findings on DHEA and its role in regulating SM contractile activity. Moreover, it also discusses the potential mechanisms underlying its relaxation effects, including the structural–functional differences in the DHEA molecule and its ability to induce relaxation in various types of SM. Overall, DHEA introduces a novel aspect to the regulation of functional processes involved in SM contractile activity.
脱氢表雄酮(DHEA)是灵长类动物体内含量最多的类固醇激素;然而,在男性和女性中,它的水平都会随着年龄的增长而下降。大量研究证明了脱氢表雄酮的多种生物活性。本文综述了目前对DHEA如何调节血管和非血管平滑肌(SM)收缩功能的理解,特别是通过非基因组机制研究其松弛特性。它总结了DHEA的旧的和最近的发现和它在调节SM收缩活动中的作用。此外,它还讨论了其松弛作用的潜在机制,包括DHEA分子的结构-功能差异及其在不同类型SM中诱导松弛的能力。总的来说,脱氢表雄酮引入了一个新的方面,涉及SM收缩活动的功能过程的调节。
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引用次数: 0
The influence of the route of drug administration on the metabolic profile of trenbolone in doping control urine samples 给药途径对尿样中trenbolone代谢谱的影响。
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-11 DOI: 10.1016/j.steroids.2025.109716
Sophia Krombholz , Thomas Piper , Andreas Lagojda , Dirk Kühne , Mario Thevis
Advances in analytical techniques have markedly improved the detection of anabolic–androgenic steroids (AAS) in doping controls. This represents a major success for anti-doping efforts, but at the same times raises concerns about inadvertent exposure – not limited to oral ingestion, but also via dermal contact or mucosal absorption. Evaluating the plausibility of such scenarios can be complex, not least because these routes of drug intake can also be deliberately used for doping purposes. Analytical data on transdermal or mucosal absorption and elimination of AAS can be valuable here, particularly regarding the metabolite pattern in urine samples that might help to assess the route of drug delivery. This study investigated the urinary excretion profile of trenbolone and its metabolites after oral, transdermal and buccal administration in healthy male volunteers. Urine samples collected over a period of one week following the administration of 10  mg of trenbolone were analyzed by LC-HRMS, with regard to potential differences in the metabolite profile across the different routes of drug intake. Major trenbolone metabolites were detectable in the urine samples of all participants, however the detection windows varied strongly: Buccal resorption resulted in faster elimination, whereas transdermal application resulted in prolonged detectability, compared to oral administration. A cysteine-conjugated metabolite (M15-cys) was identified that showed higher abundances following transdermal and buccal administration, suggesting its potential as a marker for non-oral intake. In light of the growing importance of transdermal uptake of doping agents, these results provide valuable data for interpreting doping control findings, potentially also relevant for structurally related AAS.
分析技术的进步显著改善了兴奋剂检测中合成代谢雄激素类固醇(AAS)的检测。这代表了反兴奋剂工作的重大成功,但同时也引起了人们对无意暴露的担忧——不仅限于口服摄入,还包括通过皮肤接触或粘膜吸收。评估这种情况的合理性可能很复杂,尤其是因为这些药物摄入途径也可能被故意用于兴奋剂目的。关于透皮或粘膜吸收和消除AAS的分析数据在这里是有价值的,特别是关于尿液样本中的代谢物模式,这可能有助于评估药物递送途径。本研究调查了健康男性志愿者口服、经皮和口腔给药后,trenbolone及其代谢产物的尿排泄情况。在给药10 mg trenbolone后一周内收集尿液样本,通过LC-HRMS分析不同药物摄入途径中代谢物谱的潜在差异。在所有参与者的尿液样本中均可检测到主要的trenbolone代谢物,但检测窗口差异很大:与口服给药相比,口腔吸收导致更快的消除,而透皮应用导致可检测性延长。一种半胱氨酸结合代谢物(M15-cys)在经皮和口腔给药后显示出更高的丰度,表明其可能作为非口服摄入的标记物。鉴于兴奋剂经皮吸收的重要性日益增加,这些结果为解释兴奋剂检查结果提供了有价值的数据,也可能与结构相关的原子吸收光谱有关。
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引用次数: 0
Etienne Baulieu – In Memorial (1927–2025) 艾蒂安·鲍留——纪念(1927-2025)
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-03 DOI: 10.1016/j.steroids.2025.109684
Trevor M. Penning (Editor-in-Chief STEROIDS)
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引用次数: 0
Cortisol-to-cortisone and testosterone-to-androstenedione concentration ratios in nails: Their determination methods based on LC/MS/MS and differences from the serum concentration ratios in the literature 指甲中皮质醇与可的松、睾酮与雄烯二酮的浓度比:基于LC/MS/MS的测定方法及与文献中血清浓度比的差异
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-02 DOI: 10.1016/j.steroids.2025.109707
Himena Ishikawa, Sakurako Tanaka, Kenjiro Shibata, Tatsuya Higashi
A fingernail clipping is expected to be a specimen suited for the detection of the medium-to-long term abnormal production of steroids. There are reports demonstrating that the concentration ratios of cortisol (F) to cortisone (E) and testosterone (T) to androstenedione (AD) in nails are significantly different from those in serum. However, the concentration ratios in the nails were determined with a small number of samples in some instances and differed from study to study, in addition to which, their gender differences remain poorly understood. Determining the differences in the concentration ratios between the nails and serum with a sufficient number of samples by gender and discussing a factor causing these differences will help for an accurate interpretation of the results in the nail-based steroid tests. In this study, we first developed and validated liquid chromatography/electrospray ionization-tandem mass spectrometry methods for determining the F/E and T/AD ratios in thumbnail clippings, then demonstrated that the F/E (in both sexes) and T/AD (in male) ratios in the nails were significantly lower than those in the serum reported in the literature. We found that steroids which are present at the higher concentrations in the nail than expected from their serum concentrations, such as E and AD, are bound to albumin at a high rate in the serum. As the affinities of corticoids and androgens to albumin are low (Ka, 103–104 M−1), we concluded that the albumin-bound fractions can be the sources of the nail-incorporated steroids as well as the free fractions.
指甲修剪有望成为一个标本适合检测中长期异常生产的类固醇。有报道表明,指甲中皮质醇(F)与可的松(E)和睾酮(T)与雄烯二酮(AD)的浓度比与血清中有显著差异。然而,在某些情况下,指甲中的浓度比是用少量样本确定的,并且在研究中有所不同,除此之外,它们的性别差异仍然知之甚少。在有足够数量的样本的情况下,按性别确定指甲和血清之间的浓度比率差异,并讨论造成这些差异的因素,将有助于准确解释基于指甲的类固醇测试结果。在这项研究中,我们首先建立并验证了液相色谱/电喷雾电离-串联质谱法测定指甲剪报中的F/E和T/AD比值,然后证明指甲中的F/E(两性)和T/AD(男性)比值明显低于文献报道的血清。我们发现,在指甲中存在的类固醇浓度高于其血清浓度,如E和AD,在血清中以高速率与白蛋白结合。由于皮质激素和雄激素对白蛋白的亲和力较低(Ka, 103-104 M−1),我们得出结论,白蛋白结合部分可能是指甲结合类固醇和游离部分的来源。
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引用次数: 0
α-Silyl substituted vinyl carbanions in the synthesis of brassinolide and castasterone α-硅基取代乙烯基碳离子在油菜素内酯和castasterone合成中的应用。
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-28 DOI: 10.1016/j.steroids.2025.109706
Maryia V. Barysevich , Volha V. Kazlova , Natalia M. Chaschina , Maxim D. Akalovich , Vitaly E. Syakhovich , Vladimir N. Zhabinskii , Vladimir A. Khripach
A concise synthesis of brassinolide and castasterone has been accomplished herein. The strategy relies on the addition of α−silyl substituted vinyl carbanions to steroidal C-22 aldehydes with pre-formed functionalities in the cyclic part. Commercially available brassinosteroids were used as a starting material. The key step of the present synthesis was the opening of the 23,24-epoxide with Me3Al in the presence of Ph3P as a Lewis base, which enhances the formation of a more nucleophilic alkylating agent. It was shown why the use of Me3Al is incompatible with the 3α,5-cyclo steroids, which are often employed as intermediates in the synthesis of brassinosteroids.
本文完成了油菜素内酯和castasterone的简明合成。该策略依赖于在环部分预先形成官能团的甾体C-22醛中加入α -硅基取代的乙烯基碳离子。用市售的油菜素内酯作为起始材料。本合成的关键步骤是在Ph3P作为路易斯碱存在的情况下,Me3Al与23,24-环氧化物开孔,促进了亲核烷基化剂的形成。这表明了为什么使用Me3Al与3α,5-环类固醇不相容,而3α,5-环类固醇通常被用作合成油菜素类固醇的中间体。
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引用次数: 0
Selectivity, stability, and pharmacokinetic profiling of Spongia-derived steroids targeting AChE and BuChE for Alzheimer’s therapy 靶向AChE和BuChE的海绵来源类固醇治疗阿尔茨海默病的选择性、稳定性和药代动力学分析
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-24 DOI: 10.1016/j.steroids.2025.109705
Damião Sampaio de Sousa , Marcus Vinicius Ferreira da Silva , Aluísio Marques da Fonseca , Maria Mabelle Pereira Costa Paiva , Carminda Sandra Brito Salmito Vanderley , Gabrielle Silva Marinho
Alzheimer’s disease (AD) is the leading form of dementia in the world. It presents significant therapeutic challenges, especially in terms of the efficacy and safety of current cholinesterase inhibitors, such as AChE. To explore more effective therapeutic alternatives, this study investigated the potential of steroids derived from Spongia sp. as inhibitors of AChE and BuChE, utilizing in silico approaches. Six compounds (SP1-SP6) were subjected to pharmacokinetic property predictions (ADMET), metabolic stability evaluation, and molecular docking and molecular dynamics studies. The analyses indicated that compounds SP4-SP6 show greater polarity and metabolic stability in the hepatic microsomal system, while SP1-SP3 exhibit greater cell permeability and bioaccumulation potential. Among them, compound SP6 stood out for showing relevant interactions with active residues of BuChE, suggesting selectivity and structural compatibility with this enzyme. The results were reinforced by molecular dynamics simulations, which confirmed the stability of the SP6-BuChE complex, characterized by low structural deviations (RMSD), minimal residual fluctuations (RMSF), maintenance of hydrogen bonds, and a favorable binding free energy (MMGBSA). Thus, the steroids evaluated, especially SP6, have promising characteristics for modulating BuChE, with potential therapeutic application in AD. Additional experimental studies are needed to validate the efficacy and selectivity of these drugs. Additional experimental studies are needed to validate the efficacy and selectivity of these compounds in biological models.
阿尔茨海默病(AD)是世界上痴呆症的主要形式。它提出了重大的治疗挑战,特别是在目前的胆碱酯酶抑制剂,如乙酰胆碱酯酶的有效性和安全性方面。为了探索更有效的治疗方案,本研究利用计算机方法研究了从海绵海绵中提取的类固醇作为AChE和BuChE抑制剂的潜力。对6种化合物(SP1-SP6)进行药代动力学预测(ADMET)、代谢稳定性评价、分子对接和分子动力学研究。分析表明,化合物SP4-SP6在肝微粒体系统中表现出更强的极性和代谢稳定性,而SP1-SP3表现出更强的细胞渗透性和生物蓄积潜力。其中,化合物SP6与BuChE活性残基表现出相关的相互作用,表明其具有选择性和结构相容性。分子动力学模拟结果进一步证实了SP6-BuChE配合物的稳定性,具有低结构偏差(RMSD)、最小残余波动(RMSF)、维持氢键和良好的结合自由能(MMGBSA)的特点。因此,所评估的类固醇,特别是SP6,具有调节BuChE的良好特性,具有潜在的治疗AD的应用。需要进一步的实验研究来验证这些药物的疗效和选择性。需要进一步的实验研究来验证这些化合物在生物模型中的有效性和选择性。
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引用次数: 0
Microbial catalyzed derivatization of canrenone with Glomerella fusarioides, and Cunninghamella blakesleeana, and evaluation of aromatase inhibitory activity of the resulting metabolites 微生物催化镰孢菌和黑坎宁汉菌衍生canrenone,并评价代谢产物的芳香酶抑制活性。
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-23 DOI: 10.1016/j.steroids.2025.109704
Ambreen Aziz , Atia-tul-Wahab , Ghulam Farooq , Nimra Naveed Shaikh , Sammer Yousuf , Humaira Zafar , Zaheer Ahmed , M. Iqbal Choudhary
The purpose of this study was to identify potential aromatase inhibitors, which might play a role in preventing breast cancer. The fungal-catalyzed microbial transformation of an anti-mineralocorticoid, canrenone (1), was catalyzed by Glomerella fusarioides, and Cunninghamella blakesleeana. Bioconversion of canrenone (1) with G. fusarioides provided a new polar metabolite 2, and two known metabolites 3 and 4, while C. blakesleana transformed compound 1 into two known polar metabolites 4, and 5. Modern spectroscopic techniques were employed to identify the structures of metabolites as 1-dehydro-11α-hydroxycanrenone (2), 1-dehydrocanrenone (3), 11α-hydroxycanrenone (4), and 11β-hydroxycanrenone (5). The SingleCrystal X-ray Diffraction (SCXRD) based structures of metabolites 2, and 3 are reported here for the first time. Canrenone (1) and the resulting metabolites 24 were evaluated for their human aromatase inhibitory activity. Compounds 14 showed the IC50 values of 0.288 ± 0.0392, 0.372 ± 0.002, 0.328 ± 0.0083, and 1.102 ± 0.099, µM comparable to the standard drug, exemestane (0.26 ± 0.011 µM). All transformed products were found non-cytotoxic to human fibroblast (BJ) cell line. Furthermore, the docking studies predicted the interaction of potential inhibitors with the active site residues of the enzyme via hydrogen bonding and other non-covalent interactions. Simulation studies predicted the formation of stable enzyme-inhibitor complexes with no or insignificant perturbation during the simulation time of 100 nsec. Hence, these inhibitors may serve as preliminary hits for drug discovery against ER+ breast cancer.
这项研究的目的是确定潜在的芳香化酶抑制剂,它可能在预防乳腺癌中发挥作用。对于这种真菌催化的抗矿物质皮质激素的微生物转化,canrenone(1)是由镰状球状肾小球和黑色坎宁哈默氏菌催化的。卡龙酮(1)与镰孢梭菌的生物转化提供了一个新的极性代谢物2和两个已知的代谢物3和4,而黑孢梭菌将化合物1转化为两个已知的极性代谢物4和5。基本设计基于现代光谱技术的应用,确定了所有产品的结构为1-脱氢-11α-羟基canrenone(2), 1-脱氢canrenone (3), 11α-羟基canrenone(4)和11β-羟基canrenone(5)。本文首次报道了代谢物2和3的单晶x射线衍射(SCXRD)结构。对Canrenone(1)及其代谢产物2-4进行了人芳香酶抑制活性的评估。 代谢物1 - 4显示的IC50值0.288±0.0392 ,0.372 ± 0.002,0.328 ± 0.0083,和1.102 ±0.099  µM与标准药物,依西美坦(0.26 ±0.011  µM)。所有转化产物2-5对人成纤维细胞(BJ)细胞系均无细胞毒性。此外,对接研究预测了潜在抑制剂与酶的活性位点残基通过氢键相互作用。模拟研究预测在100 nsec的模拟时间内形成稳定的酶抑制剂复合物,没有或微不足道的扰动。因此,这些抑制剂可能作为初步打击药物发现雌激素受体阳性乳腺癌。
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引用次数: 0
Soy isoflavone Daidzein resembling the vertebrate steroid structure exhibits neuroprotection via mitochondrial biogenesis in rotenone induced Parkinson’s disease in preclinical model 类似脊椎动物类固醇结构的大豆异黄酮大豆苷元在鱼藤酮诱导的帕金森病的临床前模型中通过线粒体生物发生显示出神经保护作用。
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-20 DOI: 10.1016/j.steroids.2025.109703
Vaibhavi Peshattiwar , Suraj Muke , Aakruti Kaikini , Sneha Bagle , Vikas Dighe , Sadhana Sathaye
Parkinson’s disease (PD) ranks as the second most prevalent neurodegenerative disorder but is still devoid of neuroprotective treatment. Although approaches with disease modifying ability along with symptomatic relief has become an utmost necessity, the multifactorial nature of PD presents challenges for efficacy evaluation of potential test compound. This study attempts to address these issues by employing a rotenone induced PD model involving intranigral rotenone injection for evaluation of the neuroprotective efficacy of Daidzein (DZ) a soy isoflavone and a phytoestrogen. In this study, male Sprague Dawley rats after bilateral intranigral rotenone (12 μg) injection, were treated with DZ at a dose of 5, 10 and 20 mg/kg for 30 days. The neurobehavioral evaluation comprised of Rota-rod, Open field and Barnes maze test. The biochemical analysis constituting oxidative stress (Reduced glutathione, superoxide dismutase, catalase and lipid peroxidation), inflammation (TNF-α), mitochondrial alteration (complex I activity and biogenesis) was conducted on mid-brain tissue after 30 days of treatment. The Substantia nigra and striatum were subjected to immunohistochemical analysis (IHC) for TH positive neurons and Glial Fibrillary Acidic Protein. The analysis revealed significant improvement by daidzein in motor co-ordination and attenuation in cognitive deficits due to rotenone. The biochemical assessment exhibited significant decrement in oxidative stress as well as inflammation. DZ treatment also prevented complex I inhibition and promoted mitochondrial biogenesis eventually contributing to the neuroprotection apparent in IHC. Thus, the results strongly corroborate the neuroprotective potential of DZ against rotenone induced model of PD.
帕金森病(PD)是第二常见的神经退行性疾病,但仍然缺乏神经保护治疗。尽管具有疾病改变能力和症状缓解能力的方法已经成为当务之急,但帕金森病的多因素特性给潜在试验化合物的疗效评估带来了挑战。本研究试图通过鱼藤酮诱导PD模型来解决这些问题,该模型涉及鱼藤酮内注射,以评估大豆异黄酮大豆苷元(DZ)和植物雌激素的神经保护作用。雄性大鼠双侧注射鱼藤酮(12 μg)后,分别给予5、10和20 mg/kg剂量的DZ治疗30 天。神经行为评估包括旋转棒、开放场和巴恩斯迷宫测试。治疗30 d后,对中脑组织进行氧化应激(还原性谷胱甘肽、超氧化物歧化酶、过氧化氢酶和脂质过氧化)、炎症(TNF-α)、线粒体改变(复合体I活性和生物发生)的生化分析。对大鼠黑质和纹状体进行TH阳性神经元和胶质纤维酸性蛋白的免疫组化分析。分析显示,大豆苷元在运动协调和减轻鱼藤酮引起的认知缺陷方面有显著改善。生化评估显示氧化应激和炎症显著降低。DZ治疗还可以阻止复合物I的抑制,促进线粒体的生物发生,最终促进IHC中明显的神经保护。因此,结果有力地证实了DZ对鱼藤酮诱导的PD模型的神经保护作用。
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引用次数: 0
Potential of betulinic acid in the Antiformation and eradication of bacterial biofilms and pharmacokinetic and toxicological analysis 白桦酸在抗细菌生物膜形成和根除中的潜力以及药代动力学和毒理学分析。
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-17 DOI: 10.1016/j.steroids.2025.109702
Camila Aparecida Pereira da Silva , Nara Juliana Santos Araújo , Maria do Socorro Costa , Ana Raquel Pereira da Silva , Cícera Laura Roque Paulo , José Bezerra de Araújo Neto , José Maria Barbosa Filho , Thiago Sampaio de Freitas , Juliete Bezerra Soares , Josefa Sayonara dos Santos , Maria Flaviana Bezerra Morais Braga , Henrique Douglas Melo Coutinho , Jacqueline Cosmo Andrade-Pinheiro
Bacterial biofilms are complex, organized structures that adhere to surfaces, protected by a self-produced extracellular matrix. This conformation makes it difficult to eradicate infections with conventional treatments. In view of this, natural compounds have emerged as promising therapeutic alternatives. This study evaluated the potential of betulinic acid, a pentacyclic triterpene, in inhibiting the formation and eradication of bacterial biofilms, as well as predicting its pharmacokinetic properties and toxicity by means of in silico analyses. Six bacterial strains were tested. The crystal violet test was used to evaluate the antibiofilm activity, with chlorhexidine and the antibiotics norfloxacin, ampicillin and gentamicin as controls. The results showed that betulinic acid had moderate to good activity in inhibiting biofilm formation and a variable response in eradication, depending on the strain. In silico analyses indicated favorable physicochemical and pharmacokinetic properties, with emphasis on good intestinal absorption, oral bioavailability and absence of inhibition of cytochrome P450 enzymes, although potential toxicity risks were identified. These findings suggest that betulinic acid is a promising candidate for the development of new therapeutic strategies to combat infections associated with biofilms.
细菌生物膜是一种复杂的、有组织的结构,附着在表面上,由自我产生的细胞外基质保护。这种构象使得常规治疗难以根除感染。鉴于此,天然化合物已成为有希望的治疗替代品。本研究评估了白桦酸(一种五环三萜)在抑制细菌生物膜形成和根除方面的潜力,并通过硅分析预测了其药代动力学特性和毒性。对6株细菌进行了检测。以氯己定、诺氟沙星、氨苄西林、庆大霉素为对照,采用结晶紫法评价其抗菌膜活性。结果表明,白桦酸具有中等到良好的抑制生物膜形成的活性,对根除的反应因菌株而异。硅分析表明其具有良好的物理化学和药代动力学特性,具有良好的肠道吸收、口服生物利用度和不抑制细胞色素P450酶的特性,但也发现了潜在的毒性风险。这些发现表明,白桦酸是开发新的治疗策略来对抗与生物膜相关的感染的有希望的候选者。
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引用次数: 0
Exploring the relationship between endogenous steroids and nausea and vomiting in pregnancy: A longitudinal prospective study 探索内源性类固醇与妊娠期恶心呕吐之间的关系:一项纵向前瞻性研究。
IF 2.3 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-17 DOI: 10.1016/j.steroids.2025.109701
Jana Benešová , Martin Hill , Daniela Dlouhá , Kateřina Roberts , Jana Ullmann , Peter Koliba , Marta Velíková , Šárka Kaňková
Nausea and vomiting in pregnancy (NVP) affect approximately 70 % of women worldwide. It is thought to have an adaptive function in the first trimester, when it protects the mother and the fetus against potential dangers from the diet. Proximate causes of NVP include hormonal changes during pregnancy. This longitudinal prospective study examined associations between various endogenous steroids and NVP. In the first and third trimester, pregnant women (N = 179) completed the Index of Nausea, Vomiting, and Retching questionnaire (92.1 % of women reported at least some symptoms of NVP in the first trimester and 37.4 % in the third trimester) and we analyzed their blood serum concentrations of 91 endogenous steroids. In the first trimester, NVP intensity was significantly positively associated with progesterone metabolites from the C21 5α/β-reduced steroid group (e.g., allopregnanolone sulfate) and with conjugated 5α-androstane-3α,17β-diol and conjugated 5α-androstane-3β,17β-diol. In the third trimester, we found significant negative associations between NVP and progesterone, conjugated testosterone, 7-oxo-DHEA, 5-androstene-3β,16α,17β-triol sulfate, some C21 Δ5 steroids (e.g., pregnenolone sulfate, 17-hydroxypregnenolone sulfate), and C21 5α/β-reduced steroids (such as allopregnanolone sulfate and conjugated pregnanolone). Our findings suggest that sulfated 3α-hydroxy-5α-steroids may contribute to NVP in early pregnancy by affecting brainstem regions involved in the vomiting reflex. In late pregnancy, higher levels of immunomodulatory androstanes and progesterone may reduce NVP severity via immune regulation and smooth muscle relaxation.
妊娠期恶心和呕吐(NVP)影响全世界约70% %的妇女。它被认为在怀孕的前三个月具有适应功能,保护母亲和胎儿免受饮食的潜在危险。NVP的直接原因包括怀孕期间激素的变化。这项纵向前瞻性研究考察了各种内源性类固醇与NVP之间的关系。在妊娠早期和晚期,孕妇(N = 179)完成了恶心、呕吐和干呕指数问卷调查(92.1% %的妇女在妊娠早期报告了至少一些NVP症状,37.4% %在妊娠晚期报告了至少一些NVP症状),我们分析了她们的血清91种内源性类固醇浓度。在妊娠早期,NVP强度与C21 - 5α/β-还原类固醇组(如硫酸异孕酮)的孕酮代谢物、偶联的5α-雄烷-3α,17β-二醇和偶联的5α-雄烷-3β,17β-二醇显著正相关。在妊娠晚期,我们发现NVP与孕酮、偶联睾酮、7-氧-脱氢表雄酮、5-雄烯-3β、16α、17β-硫酸三醇、一些C21 Δ5类固醇(如硫酸孕烯醇酮、17-羟基硫酸孕烯醇酮)和C21 5α/β-还原类固醇(如硫酸异孕烯醇酮和偶联孕烯醇酮)之间存在显著负相关。我们的研究结果表明,硫酸酸化的3α-羟基-5α-类固醇可能通过影响参与呕吐反射的脑干区域而导致妊娠早期NVP。在妊娠后期,较高水平的免疫调节雄甾酮和孕酮可能通过免疫调节和平滑肌松弛来降低NVP的严重程度。
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引用次数: 0
期刊
Steroids
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