Steroids Hormones

Embed Size (px)

Citation preview

  • 8/6/2019 Steroids Hormones

    1/15

    STEROIDS HORMONES

    A Steroid Hormone (abbreviated as Sterone) is a steroid that acts as a hormone.

    Steroid hormones can be grouped into five groups by the receptors to which they

    bind: glucocorticoids, mineralocorticoids, androgens, estrogens, and progestagens.

    Vitamin D derivatives are a sixth closely related hormone system with homologous

    receptors, though technically sterols rather than steroids.

    Steroid hormones are crucial substances for the proper function of the body. The

    steroid hormones are all derived from Cholesterol and all contain the same

    cyclopentanophenanthrene ring.

    They mediate a wide variety of vital physiological functions ranging from anti-

    inflammatory agents to regulating events during pregnancy. They are synthesized and

    secreted into the bloodstream by endocrine glands such as the adrenal cortex and the

    gonads (ovary and testis). Steroid hormones are all characterized by the steroid

    nucleus which is composed of three six member rings and one five member ring,

    ingeniously labeled A, B, C, and D respectively. The steroid nucleus has thefollowing Structure:

    The endocrine glands are responsible for the production of steroid hormones, the

    adrenal gland, the ovary, and the testies, commonly known as the gonads. Many but

    not all steroids are hormones, however, not all steroids are hormones. They are target

    organ hormones meaning they exert a direct effect in peripheral tissue. Some

    examples of steroid hormones are 1) Estrogens, 2) Androgens (testosterone), 3)

    Progesterone, 4) Corticoids {Glucocorticoids and Mineral corticoids}.

    Steroid hormones are composed of three six membered rings and one five membered

    ring. These organic compounds are easily identified from a visual stand point by their

    "steroid nucleus", which is called cyclopentanophenanthrene. This nucleus looks likethis (show transparency), all hormones have an oxygen at C-3 and a varied substituent

    at C-17. This substituent varies according to the different kind of steroid hormones at

    hand and can be either Alpha or Beta depending on where they are situated below the

    plane of the molecule. There are 6-centers of asymmetry; as a result, there are 64

    possible compounds (stereoisomers) with this structure. They are located at C-5, C-

    10, C-8, C-9, C-14, and C-13. The rings adopt or puckered conformation over the boat

    form because its more stable (steric factor).

    Steroid hormones are made on a basis of need. Whenever the body needs a certain

    process done or needs a certain protein synthesized, the brain releases a signal to

    produce a certain type of hormone. The funny thing is that the signals are transmittedthrough intermediary hormones. I would like to touch briefly on steroid hormones

    wide variety of uses. Progesterone- Regulates events during pregnancy Corticoids-

    Suppress inflammation reactions and regulates mineral and sugar metabolism.

    Androgens- Promote male sex development and maintain male sex characteristics.

    1

  • 8/6/2019 Steroids Hormones

    2/15

    Estrogens- Promote female sex development In plants, auxin is an example of a

    steroid hormone that regulates longitudinal cell structure so as to allow bending of the

    stalk or stem in phototrophic response. Most steroid hormones are neither basic nor

    acidic, with estradole being an exception, being slightly acidic due to the phenol

    component.

    Five classes of Steroid Hormones: 1. ANDROGENS

    2. ESTROGENS

    3. PROGESTINS

    4. MINERALOCORTICOIDS

    5. GLUCOCORTICOIDS

    Steroid hormones are cholesterol derivatives in animals that are used for a broad

    range of signaling mechanisms. Cholesterol is hydroxylated and shortened (removing

    the the C6 hydrophobic side chain at position C21) to the C21 intermediates

    pregnenolone and progestagen. The latter is a hormone secreted in the uteruscontrolling ovum implantation. It is also the precursor for the male and female sex

    hormones androgens (C19) and estrogens (C18), respectively. Other hormones for

    both sexes include the mineralcorticoids (e.g. aldosterone; C21) used to control

    kidney function (sodium, potassium, proton absorption), and glucocorticoids (e.g.

    cortisol C21), which are stress activators of gluconeogenesis, glycogen, fat, and

    protein degradation, similar to the peptide hormone glucagon.

    One important enzyme type in sterol metabolism are the monooxygenases. They

    catalyze an oxidation-reduction step in the presence of molecular oxygen. One oxygen

    atom is used for hydroxyl (or epoxide) formation, while the other is reduced to H2O.

    Monooxygenases are also known as cytochrome or mixed function oxygenases.The following steroid hormones will be defined according to their origin and their

    major effects.

    Androgens

    Androgen, also called androgenic hormone or testoid, is the generic term for any

    natural or synthetic compound, usually a steroid hormone, that stimulates or controls

    the development and maintenance of male characteristics in vertebrates by binding to

    androgen receptors. This includes the activity of the accessory male sex organs and

    development of male secondary sex characteristics.

    Androgens were first discovered in 1936. Androgens are also the original anabolic

    steroids and the precursor of all estrogens, the female sex hormones. The primary and

    most well-known androgen is testosterone.

    Androgens originate in the adrenal cortex and gonads and primarily affect maturation

    and function of secondary sex organs (male sexual determination).

    Physiological Effects

    Androgens induce virilization and are responsible for forming the male external

    genitalia in the fetus. Their absence or the absence of testosterone receptors results ina female phenotype, despite the presence of a 46 XY karyotype (eg, androgen

    insensitivity syndrome). Androgens are also responsible for the development of the

    secondary sexual organs and ducts, the seminal vesicles, and the prostate.

    2

  • 8/6/2019 Steroids Hormones

    3/15

    Androgens also are needed for the development of the male reproductive system.

    Males that have been castrated prior to adolescence and sexual maturity require

    injections of testosterone to develop functioning adult reproductive organs.

    Androgens given to normal males tend to increase the size of the reproductive organs.

    Women produce about one-twelfth as much androgen as men. Androgens are essential

    precursors of estrogens, and no estrogens can be produced without them. Whether

    androgens have physiological actions in women is less clear. Some evidence suggeststhat androgens contribute to bone growth and libido. Mild androgen excess in women

    results in excess hair growth (hirsutism) that occurs all over the body but is most often

    noted on the face. With increasing androgen excess, menstrual periods become

    irregular (oligomenorrhea) and eventually cease (amenorrhea), and women are

    virilized.

    Postnatal females are not as sensitive as the fetus to androgens, which induce the

    growth of sexual hair, temporal balding, acne, clitoral growth, sebum production, and

    a deepening of the voice.

    Oral androgens decrease high-density lipoprotein (HDL) cholesterol and increaselow-density lipoprotein (LDL) cholesterol. With androgen excess, the extent of these

    changes is dependent on the level of androgens in the blood.

    Androgens have direct effects on different body systems and also act as precursor

    hormones for ovarian and extragonadal estrogen synthesis. Androgen receptors are

    present in a variety of tissues like skeletal muscles, skin, gastrointestinal tract,

    genitourinary tract, bone, brain, cardiovascular system, placenta, and adipose tissues.

    Androgen actions are not completely understood in all of these tissues.

    Estrogens or Oestrogens

    Estrogen or Oestrogen, is a group of hormones that primarily influence the femalereproductive tract in its development, maturation, and function.

    There are three major hormonesestradiol, estrone, and estriolamong the

    estrogens, and estradiol is the predominant one.

    Estrogens originate in the adrenal cortex and gonads and primarily affect maturation

    and function of secondary sex organs (female sexual determination).

    Physiological Effects

    While oestrogens are present in both men and women, they are usually present at

    significantly higher levels in women of reproductive age. They promote the

    development of female secondary sexual characteristics, such as breasts, and are also

    involved in the thickening of the endometrium and other aspects of regulating the

    menstrual cycle. In males, oestrogen regulates certain functions of the reproductive

    system important to the maturation of sperm and may be necessary for a healthy

    libido.

    Furthermore, there are several other structural changes induced by oestrogen in

    addition to other functions.

    Structural.o Promote formation of female secondary sex characteristics

    o Accelerate metabolism

    o Reduce muscle mass

    o Increase fat stores

    3

  • 8/6/2019 Steroids Hormones

    4/15

    o Stimulate endometrial growth

    o Increase uterine growth

    o Increase vaginal lubrication

    o Thicken the vaginal wall

    o Maintenance of vessel and skin

    o Reduce bone resorption, increase bone formation

    o

    Morphic change (endomorphic -> mesomorphic -> ectomorphic) Control Central Nervous System.

    Skeletal System.

    Protein Synthesis.

    o Increase hepatic production of binding proteins

    Coagulation

    o Increase circulating level of factors 2, 7, 9, 10, plasminogen

    o Decrease antithrombin III

    o Increase platelet adhesiveness

    Lipid

    o Increase HDL, triglyceride

    o Decrease LDL, fat deposition Fluid Balance

    o Salt (sodium) and water retention

    o Increase cortisol, SHBG

    Gastrointestinal tract

    o Reduce bowel motility

    o Increase cholesterol in bile

    Melanin

    o Increase pheomelanin, reduce eumelanin

    Cancer

    o Support hormone-sensitive breast cancers.

    Lung function

    o Promotes lung function by supporting alveoli (in rodents but probably

    in humans).

    Sexual desire is dependent on Androgen levels rather than Estrogen levels.

    Progestins

    Progestogens are named for their function in maintaining pregnancy (pro-gestational),

    although they are also present at other phases of the estrous and menstrual cycles. The

    progestogen class of hormones includes all steroids with a pregnane skeleton, that is,both naturally occurring and synthetic ones.

    Progestins originate from both ovaries and placenta, and mediate menstrual cycle and

    maintain pregnancy.

    Physiological Effects

    Within the nervous system, the neuroprotective and promyelinating effects of

    progesterone are promising not only for preventing, but also for reversing, age-

    dependent changes and dysfunctions. There is indeed strong evidence that the aging

    nervous system remains at least to some extent sensitive to these beneficial effects of

    progesterone.

    Estrogen stimulates cells to grow, which can lead to cancer. Progesterone inhibits the

    action of estrogen, hence it is protective against cancer.

    4

  • 8/6/2019 Steroids Hormones

    5/15

    Progesterone prevents lipid peroxidation and confers vascular protection. It has an

    antiatherogenic action by preventing the conversion of cholesterol into cholesteryl

    ester. It prevents vasoconstriction by increasing levels of nitric oxide (NO), which

    causes vasodilation allowing blood vessels to relax, and so widens them allowing

    more blood to flow through and it inhibits platelet aggregation.

    Progesterone helps with both depression and insomnia as it raises serotonin levels in

    the brain. Serotonin is our 'happy' neurotransmitter, it is also the precursor tomelatonin (the 'sleep' hormone).

    One of the little known effects of progesterone is that it has a calming effect by

    activating the GABA receptor sites. GABA is our most calming, inhibitory

    neurotransmitter and effective against some forms of epilepsy.

    Progesterone boosts the immune system. It is also neuroprotective and helps stabilize

    blood sugar.

    Progesterone plays a major role in the body:

    It is not a female hormone

    It is not a sex hormone, it plays no part in the secondary sexual characteristics

    which develop at puberty

    It is secreted primarily by the ovaries in women and the testes in men

    Smaller amounts are produced by the adrenal glands, the brain and glial cells

    (non-neuronal cells that provide support and nutrition)

    There are no quantitative differences between men and women (at least

    outside the luteal phase).

    Here is a more or less comprehensive listing of the effects of progesterone.

    The precursor to the sex hormones estrogen and testosterone.

    Is essential for implantation and pregnancy maintenance.

    Prevents lipid peroxidation.

    Acutely inhibits cholesteryl ester formation which is associated with

    atherosclerosis.

    Confers coronary vascular protection.

    Protects against breast, ovarian and endometrial cancer.

    Increases relaxation in human placental arteries and veins.

    Increases intelligence in utero.

    Inhibits the mitogenic action of estrogen on the endometrium and enhancesdifferentiation.

    Has an inhibitory effect and reduces epileptiform activity in the brain.

    Has immunosuppressive properties.

    Simulates leptin secretion.

    Sleep improvement.

    Influences spermiogenesis, sperm capacitation/acrosome reaction and

    testosterone biosynthesis in the Leydig cells in men

    Significant reductions in menopausal symptoms

    Significant improvement in vasomotor symptoms

    Acts indirectly to increase aldosterone by mechanisms similar to sodiumrestriction

    Is effective in reducing the risk of spontaneous abortions in high-risk patients

    5

  • 8/6/2019 Steroids Hormones

    6/15

    Prevents recurrent miscarriage and reduces implantation failure in assisted

    reproduction cycles

    Reduces the frequency of uterine contractions and the rate of preterm delivery

    in women at high risk for prematurity

    Inhibits in-vitro embryotoxic Th1 cytokine production to trophoblast in

    women with recurrent pregnancy loss.

    Promotes regeneration and myelination of axons.

    Has a neuroprotective and antioxidant effect in injured nervous system

    Has multiple effects on glial cells.

    It influences growth, differentiation and increases the expression of myelin-

    specific proteins in oligodendrocytes, and potentiates the formation of new

    myelin sheaths by Schwann cells in vivo.

    The loss of progesterone may contribute to the deficits observed after

    ovariectomy or the increased risk for Alzheimer's disease seen after the

    menopause.

    The metabolite allopreganolone potentiates the action of GABA.

    It appears to act directly on bone by engaging an osteoblast receptor or

    indirectly through competition for a glucocorticoid osteoblast receptor

    It increases cell number in human osteoblastic cells.

    Induces the increase of the parasiticide activity of the leukocytes involved in

    the mechanisms of Trichinella spiralis newborn larvae death.

    significantly lower levels of progesterone are found in women with PCO in the

    early luteal phase which may contribute to the delay in conception in these

    patients.

    The abnormal capacity to synthesize progesterone in PCOS may explain the

    anovulation and miscarriage that occurs in these patients.

    Lower levels of the anxiolytic progesterone metabolite allopregnanolone are

    found in the luteal phase of women with PMS. Serum allopregnanolone levels are significantly lower in women experiencing

    postpartum "blues".

    It is shown to be efficacious when continuation of pregnancy is hampered by

    immunological factors, luteinic and neuroendocrine deficiencies and

    myometrial hypercontractility, this may explain the reduction in the incidence

    of preterm birth in high-risk pregnant women using high-dosage prophylactic

    progesterone.

    It reduces the frequency of uterine contractions and the rate of preterm

    delivery in women at high risk for prematurity.

    Evidence suggests that HLA-G plays a critical role in maternal immunetolerance to the fetus, it was found that progesterone has an up-regulatory

    effect on HLA-G gene expression in first trimester trophoblasts.

    Conservative treatment with high-dose progesterone for endometrial

    hyperplasia and well-differentiated early-stage adenocarcinoma followed by

    assisted reproductive technologies is an appropriate means for achieving

    pregnancy.

    In assisted reproduction, luteal support is mandatory and progesterone is the

    most widely used hormone, it can be delivered orally, intramuscularly and

    vaginally. The oral route is the least efficient but the intramuscular route is as

    efficient as the vaginal route; however, the latter is more acceptable, especially

    during prolonged treatments, such as oocyte donation and frozen embryotransfer cycles, is used effectively to prevent threatened abortion in the first

    trimester.

    6

  • 8/6/2019 Steroids Hormones

    7/15

    Higher serum concentrations of progesterone but not oestradiol, in early

    pregnancy were related to lower mean systolic blood pressures in the second

    and third trimesters.

    A progesterone/testosterone cream was able to help correct the hormonal

    imbalance commonly found in men with erectile dysfunction

    Used in the treatment of benign prostate hyperplasia (BPH) in men via a

    transscrotal delivery system. Used to lower dihydrotestosterone levels in men, the progesterone metabolite

    17-0H-progesterone was found to have the highest inhibitory effect on 5-alpha

    reductase.

    Low allopregnanolone levels in premenopausal women with PTSD (post

    traumatic stress disorder) might contribute to an imbalance in inhibitory versus

    excitatory neurotransmission, resulting in increased PTSD re-experiencing and

    depressive symptoms.

    It demonstrates a significant increase of the elastic skin properties, a greater

    reduction in wrinkle counts and wrinkle depth around the right eye, a greater

    decrease in nasolabial wrinkle depth and a significantly higher increase in skin

    firmness in peri- and postmenopausal women. Topically applied progesterone is rapidly absorbed transdermally and its

    patterns of distribution and metabolism are comparable to those previously

    reported for intravascularly administered progesterone.

    The progesterone metabolite allopregnanolone reduces the brain's response to

    stress.

    Progesterone regulates the secretion of catecholamines during stress, modifies

    positively the cardiovascular and catecholamine response to mental stress in

    menopausal women.

    It reduces programmed cell death and the synthesis of inflammatory factors

    that can kill neurons hours to days after traumatic brain injury. As an anti-inflammatory agent progesterone has been shown to reduce the

    response of natural killer cells as well as other known initiators of

    inflammation.

    Systemic injections of the neurosteroid progesterone given after traumatic

    brain injury (TBI) have been shown to improve cognitive, sensory and motor

    recovery, enhancing both short and long term recovery.

    Readily crosses the blood brain barrier (BBB) reducing oedema to barely

    measurable levels.

    Reduces lipid peroxidation and the generation of isoprostanes, which

    contribute to post-injury ischaemic conditions.

    Produces metabolites which decrease pro-apoptotic and increase anti-apoptotic

    enzymes.

    Reduces the expression of pro-inflammatory genes and their protein products.

    Reduces the area of necrotic cell death and improve behavioural outcomes.

    Protects neurons distal to the site of injury which would normally die after

    TBI.

    Enhances remyelination in degenerative disorders.

    Produces significant sparing of cognitive, sensory and spatial learning

    performance after bilateral brain injury.

    TBI yielded extremely promising results and found no adverse events

    attributable to progesterone. Unlike estrogen which can exacerbate brain injury, especially in animal

    models of ischaemic stroke, progesterone can be given to both males and

    females without affecting gender and sexual functions.

    7

  • 8/6/2019 Steroids Hormones

    8/15

    Progesterone, unlike the synthetic progesterone medroxyprogesterone acetate

    (MPA), cannot increase infectibility to sexually transmitted diseases. MPA

    also increases susceptibility to genital herpes (HSV-2) ten times more than

    does natural progesterone.

    Progesterone brings about relaxation of smooth muscle in the urinary system.

    Glucocorticoids

    Glucocorticoids originate in the adrenal cortex and affect mainly metabolism in

    diverse ways; decrease inflammation and increase resistance to stress.

    Mineralocorticoids

    Mineralocorticoids originate in adrenal cortex and maintain salt and water balance.

    Regulation and ControlHormones are needed throughout the body for various functions, however, just as

    important as this function is the regulation and control of these steroids.

    Androgens and estrogens play a major role in the development of both sexes

    secondary characteristics. Androgens, or testosterone and androsterone give the male

    its sex characteristics during puberty and for promoting tissue and muscle growth.

    Estrogens, or estrone and estradiol are forms of testosterone synthesized in the

    ovaries, which control female secondary characteristics and regulation of the

    menstrual cycle. Another sex hormone is needed for preparing the uterus for

    implantation of the ovum, this hormone is progesterone

    Estrogene and testosterone are very useful steroid hormones, however, excessive

    amounts of both can have serious effects. For example; we are aware that estrogen

    regulates female characteristics just as testosterone does for males. However, estrogen

    is also a crucial risk factor in breast cancer. There is a component known as indole-3-

    carbinol (I3C for short) that regulates the production of the malignant estrogen by

    altering the process by which the body synthesizes this. I3C causes the body to

    produce the benign byproduct instead of the highly estrogenic and potentially

    carcinogenic one. I3C is found in cabbage and broccoli, so better eat your vegetables.

    Effects Of Steroids Hormones

    Steroids exert a wide variety of effects mediated by slow genomic as well as by rapid

    nongenomic mechanisms. They bind to nuclear receptors in the cell nucleus for

    genomic actions. Membrane-associated steroid receptors activate intracellular

    signaling cascades involved in nongenomic actions.

    Because steroids and sterols are lipid-soluble, they can diffuse fairly freely from the

    blood through the cell membrane and into the cytoplasm of target cells. In the

    cytoplasm, the steroid may or may not undergo an enzyme-mediated alteration such

    as reduction, hydroxylation, or aromatization. In the cytoplasm, the steroid binds to

    the specific receptor, a large metalloprotein. Upon steroid binding, many kinds of

    steroid receptor dimerize: Two receptor subunits join together to form one functionalDNA-binding unit that can enter the cell nucleus.

    In some of the hormone systems known, the receptor is associated with a heat shock

    protein, which is released on the binding of the ligand, the hormone. Once in the

    8

  • 8/6/2019 Steroids Hormones

    9/15

    nucleus, the steroid-receptor ligand complex binds to specific DNA sequences and

    induces transcription of its target genes.

    Synthesis Of Steroids Hormones

    The natural steroid hormones are generally synthesized from cholesterol in the gonads

    and adrenal glands. These forms of hormones are lipids. They can pass through the

    cell membrane as they are fat-soluble, and then bind to steroid hormone receptors

    which may be nuclear or cytosolic depending on the steroid hormone, to bring about

    changes within the cell. Steroid hormones are generally carried in the blood bound to

    specific carrier proteins such as sex hormone-binding globulin or corticosteroid-

    binding globulin. Further conversions and catabolism occurs in the liver, in other

    "peripheral" tissues, and in the target tissues.

    Synthetic steroids and sterols

    A variety of synthetic steroids and sterols have also been contrived. Most are steroids,

    but some non-steroidal molecules can interact with the steroid receptors because of a

    similarity of shape. Some synthetic steroids are weaker, and some much stronger, than

    the natural steroids whose receptors they activate.

    Some examples of synthetic steroid hormones:

    Glucocorticoids: prednisone, dexamethasone, triamcinolone.

    Mineralocorticoid: fludrocortisone.

    Vitamin D: dihydrotachysterol.

    Androgens: oxandrolone, testosterone, nandrolone (also known as anabolic

    steroids).

    Estrogens: diethylstilbestrol (DES).

    9

  • 8/6/2019 Steroids Hormones

    10/15

    Progestins: norethindrone, medroxyprogesterone acetate.

    (

    St

    er

    oi

    d

    o

    g

    e

    n

    es

    is

    with enzymes and intermediates)

    Synthesis Of Androgens

    Androsterone C19 H30 O2 m.p. 183

    Androsterone isolated from male urine. It behaves as a saturated compound and

    forms Mono esters. One Oxygen is present as Oxo Group and other as Hydroxyl

    Group.

    10

  • 8/6/2019 Steroids Hormones

    11/15

    Testosterone C19 H28 O2 m.p. 155

    Testosterone contain one Hydroxyl Group and an , -unsaturated ketone Group. Itcan be produced commercially by the following method:

    11

  • 8/6/2019 Steroids Hormones

    12/15

    Synthesis Of Oestrogens or Estrogens

    Oestrone C18 H22 O2 m.p. 259

    Oestrone is isolated from the urine of pregnant woman. After its discovery two other

    hormones were isolated: Oestriol [C18 H24 O3] and Oestradiol [C18 H24 O2].Oestrone behaves as a ketone (forms an Oxime etc) and contains one Hydroxyl Group

    which is Phenolic, one less Methyl Group, containing one Aromatic Ring.

    12

  • 8/6/2019 Steroids Hormones

    13/15

    13

  • 8/6/2019 Steroids Hormones

    14/15

    Synthesis Of Gestrogens

    Progesterone C21 H30 O2 m.p. 128

    Progesterone is isolated from the Corpora Lutea of pregnant sows.

    There are two Keto Groups and one double bond. On catalytical hydrogenation it

    gives Dialcohol (Four Hydrogen atoms are used to convert the two Keto Groups into

    Alcoholic Group).

    Progestrone can be synthesized from Cholestrol, Stigmasterol, Diosgenin,

    Pregnanediol and Ergosterol.

    14

  • 8/6/2019 Steroids Hormones

    15/15

    15