Synthesis of sterically encumbered 11¦Â-aminoprogesterone derivatives and evaluation as 11¦Â-hydroxysteroid dehydrogenase inhibitors and mineralocorticoid receptor antagonists
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文摘
11¦Â-Hydroxyprogesterone is a well-known nonselective inhibitor of 11¦Â-hydroxysteroid dehydrogenase (11¦ÂHSD) types 1 and 2. It also activates the mineralocorticoid receptor (MR). Modulation of corticosteroid action by inhibition of 11¦ÂHSDs or blocking MR is currently under consideration for treatment of electrolyte disturbances, metabolic diseases and chronic inflammatory disorders. We established conditions to synthesize sterically demanding 11¦Â-aminoprogesterone, which following subsequent nucleophilic or reductive amination, allowed extension of the amino group to prepare amino acid derivatives. Biological testing revealed that some of the 11¦Â-aminoprogesterone derivatives selectively inhibit 11¦ÂHSD2. Moreover, two compounds that did not significantly inhibit 11¦ÂHSDs had antagonist properties on MR. The 11¦Â-aminoprogesterone derivatives form a basis for the further development of improved modulators of corticosteroid action.

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