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Δ4-Tibolone
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{{short description|Chemical compound}} {{Drugbox | Verifiedfields = | Watchedfields = | verifiedrevid = | IUPAC_name = (7''R'',8''R'',9''S'',10''R'',13''S'',14''S'',17''R'')-17-Ethynyl-17-hydroxy-7,13-dimethyl-1,2,6,7,8,9,10,11,12,14,15,16-dodecahydrocyclopenta[''a'']phenanthren-3-one | image = Δ4-Tibolone.svg | width = 225px | image2 = Δ4-Tibolone molecule ball.png | width2 = 235px <!--Clinical data--> | tradename = | pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X --> | pregnancy_US = <!-- A / B / C / D / X --> | pregnancy_category = | legal_AU = <!-- Unscheduled / S2 / S3 / S4 / S5 / S6 / S7 / S8 / S9 --> | legal_CA = | legal_UK = | legal_US = | legal_status = | routes_of_administration = | class = <!--Pharmacokinetic data--> | bioavailability = | protein_bound = | metabolism = | elimination_half-life = | excretion = <!-- Identifiers --> | CAS_number_Ref = {{cascite|correct|CAS}} | CAS_number = 1162-60-3 | UNII_Ref = {{fdacite|correct|FDA}} | UNII = LHZ8R2OW0M | ATC_prefix = | ATC_suffix = | ATC_supplemental = | PubChem = 22814761 | IUPHAR_ligand = | DrugBank_Ref = | DrugBank = | ChemSpiderID_Ref = | ChemSpiderID = 18532860 | KEGG = | ChEBI = | ChEMBL = | synonyms = ORG-OM-38; Delta-4-Tibolone; 7α-Methylnorethisterone; 7α-Methyl-17α-ethynyl-19-nortestosterone; 17α-Ethynyl-17β-hydroxy-7α-methyl-4-estren-3-one <!--Chemical data--> | C=21 | H=28 | O=2 | SMILES = C[C@@H]1CC2=CC(=O)CC[C@@H]2[C@@H]3[C@@H]1[C@@H]4CC[C@]([C@]4(CC3)C)(C#C)O | StdInChI_Ref = | StdInChI = 1S/C21H28O2/c1-4-21(23)10-8-18-19-13(2)11-14-12-15(22)5-6-16(14)17(19)7-9-20(18,21)3/h1,12-13,16-19,23H,5-11H2,2-3H3/t13-,16+,17-,18+,19-,20+,21+/m1/s1 | StdInChIKey_Ref = | StdInChIKey = WAOKMNBZWBGYIK-KIURNNQRSA-N }} '''δ<sup>4</sup>-Tibolone''' (developmental code name '''ORG-OM-38'''), also known as '''7α-methylnorethisterone''' or as '''7α-methyl-17α-ethynyl-19-nortestosterone''', is a [[synthetic compound|synthetic]] [[androgen]] and [[progestin]] which was never marketed.<ref name="pmid16112947">{{cite journal | vauthors = Kuhl H | title = Pharmacology of estrogens and progestogens: influence of different routes of administration | journal = Climacteric | volume = 8 | pages = 3–63 | year = 2005 | issue = Suppl 1 | pmid = 16112947 | doi = 10.1080/13697130500148875 | s2cid = 24616324 | url = http://hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1313155660.pdf}}</ref><ref name="pmid19464167">{{cite journal | vauthors = Escande A, Servant N, Rabenoelina F, Auzou G, Kloosterboer H, Cavaillès V, Balaguer P, Maudelonde T | title = Regulation of activities of steroid hormone receptors by tibolone and its primary metabolites | journal = J. Steroid Biochem. Mol. Biol. | volume = 116 | issue = 1–2 | pages = 8–14 | year = 2009 | pmid = 19464167 | doi = 10.1016/j.jsbmb.2009.03.008 | s2cid = 18346113 | url = http://www.hal.inserm.fr/inserm-00396319/document}}</ref> The compound is a major [[active metabolite]] of [[tibolone]], which itself is a [[prodrug]] of δ<sup>4</sup>-tibolone along with [[3α-hydroxytibolone]] and [[3β-hydroxytibolone]] (which, in contrast to δ<sup>4</sup>-tibolone, are [[estrogen (medication)|estrogen]]s).<ref name="pmid16112947" /> Tibolone and δ<sup>4</sup>-tibolone are thought to be responsible for the androgenic and progestogenic activity of tibolone, while 3α-hydroxytibolone and 3β-hydroxytibolone are thought to be responsible for its [[estrogen (medication)|estrogenic]] activity.<ref name="pmid16112947" /> ==See also== * [[List of androgens/anabolic steroids]] * [[List of progestogens]] ==References== {{Reflist}} {{Androgen receptor modulators}} {{Progesterone receptor modulators}} {{DISPLAYTITLE:δ<sup>4</sup>-Tibolone}} {{DEFAULTSORT:Tibolone, delta4-}} [[Category:Abandoned drugs]] [[Category:Tertiary alcohols]] [[Category:Alkene derivatives]] [[Category:Ethynyl compounds]] [[Category:Anabolic–androgenic steroids]] [[Category:Estranes]] [[Category:Human drug metabolites]] [[Category:Ketones]] [[Category:Progestogens]] {{Genito-urinary-drug-stub}} {{Steroid-stub}}
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