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52 Cards in this Set

  • Front
  • Back
What are the two types of adrenal corticoids?
Glucocorticoids, & Mineralcorticoids
What are the steroid hormones made from?
Cholesterol
What do the mineralocorticoids do?
Control cellular electrolytes (Na, K) and water balance
What do glucocorticoids do? (3)
1) regulate carbohydrates, fat, and protein metabolism
2) regulate the inflammatory response
3) involved in reaction to stress, allergic response
What are the therapeutic uses of estrogens? (3)
1) birth control, 2) HRT, & 3) Treatment of estrogen deficiency from ovarian failure
Where are estrogens and progestins synthesized?
ovaries and placenta
What are the three functions of estrogen?
1) reproduction and development of female sex organs
2) role in ovulation and pregnancy
3) increase bone density
Function of progestins (3)
1) maintains pregnancy, 2) inhibits follicular maturation and ovulation, & 3) prevents spontaneous uterine contraction
Therapeutic uses of progestins (3)
1) birth control, 2) reduction of risk of endometrial cancer, & 3) breast or endometrial carcinoma
Therapuetic uses of androgens (3)
1) androgen replacement therapy (anabolic use), 2) osteoporosis treatment- relieve bone pain, & 3) metastatic breast carcinoma
Where are androgens synthesized?
Testes and andrenal cortex
What are the two androgenic activities of androgens?
1) growth and development of male sex organs & 2) development of secondary sexual characteristics
Two anabolic activities of androgens
1) development of muscle mass
2) reverse catabolic or tissue-depleting processes
Beta stereochemistry
point OUT towards the reader
Alpha stereochemistry
point AWAY from the reader
Number of carbons in cholestanes?
27
Number of carbons in cholanes?
24
Number of carbons in pregnanes?
21
Number of carbons in androstanes?
19
Number of carbons in estranges?
18
hydroxysteroid dehydrogenase
oxides alcohol to ketone
3-oxosteroid-4,5-isomerase
isomerizes the double bond from the 5-6 to the 4-5 position
When are aromatase inhibitors used?
For the treatment of estrogen-dependent cancers
dehydrogenase
depends on the environment (NADP+ or NADPH)
Lyase
cleaves c-c bonds
What is another name for reductant dehydrogenase?
oxioreductase
What is the effect of glucocorticoids?
Greatly turns down immune activity
What is one of the key differences in mineralocorticoid activity?
It is NOT anti-inflammatory
Luteinizing hormone
Heterodimeric glycoprotein hormone that stimulates the synthesis of testosterone and progesterone
Mechanism of action of LH
LH binds to its cell surface receptor and increase the intracellular cAMP level via activation of a G-protein, then cAMP activates cholesterol esterase's, which generates free cholesterol.
G:M of cortisone
0.8:0.8
G:M of hydrocortisone
1:1
G:M of prednisone
3.5:0.6
G:M of prednisolone
4:0.6
G:M of methyprednisone
5:0
G:M of dexamethasone
30:0
Effect of the 1-2 double bond
increases the G activity
Effect of 6-Me
Abolishes the M activity
Effect of a 9-F
No M activity and very high G
Effect of 16-Me
No M activity and very high G
Estradiol
the most potent endogenous estrogen
Estradiol dehydrogenase reaction
Interconvertible by estrone and estradiol
What is the most active anti-inflammatory steroid with NO minerocorticoid activity?
Dexmethasone
How do you block the oxidation of estradiol?
Block C-17 alkyne- makes it more potent than estradiol
What are the structural requirements for non-steroidal estrogens?
rigid structure, fixed distance between the -OH's or -OMe's
How is estrogen metabolized?
hydroxylated at the ortho position to the 3-OH group (2/4-hydroxylase) to produce catechol estrogens
Is the C-19 group necessary for pro gestational activity?
NO
Does the 17alpha group maintain progestin activity?
YES
Requirements for anabolic activity (2)
1) steroid skeleton, & 2) alkyl group at 17 alpha
Requirements for adrogenic activity? (2)
1) steroid skeleton, 2) ketone on 17 position
19-norandrogens structural activity
removal of the 19-CH3 group reduces androgenic properties and maintains anabolic activity
19-norandrogens (2 examples)
Ethylestrenol & Norethandrolone