11-Deoxycorticosterone

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Desoxycortone
)

11-Deoxycorticosterone
Names
IUPAC name
21-Hydroxypregn-4-ene-3,20-dione
Systematic IUPAC name
(1S,3aS,3bS,9aR,9bS,11aS)-1-(Hydroxyacetyl)-9a,11a-dimethyl-1,2,3,3a,3b,4,5,8,9,9a,9b,10,11,11a-tetradecahydro-7H-cyclopenta[a]phenanthren-7-one
Other names
Deoxycorticosterone; Desoxycortone; Deoxycortone; Cortexone; 21-Hydroxyprogesterone; 21-Hydroxy-4-pregnene-3,20-dione; Reichstein's substance Q; Kendall's desoxy compound B; NSC-11319
Identifiers
3D model (
JSmol
)
ChEBI
ChEMBL
ChemSpider
ECHA InfoCard
 100.000.543 Edit this at Wikidata
IUPHAR/BPS
UNII
  • InChI=1S/C21H30O3/c1-20-9-7-14(23)11-13(20)3-4-15-16-5-6-18(19(24)12-22)21(16,2)10-8-17(15)20/h11,15-18,22H,3-10,12H2,1-2H3/t15-,16-,17-,18+,20-,21-/m0/s1
    Key: ZESRJSPZRDMNHY-YFWFAHHUSA-N
  • O=C4\C=C2/[C@]([C@H]1CC[C@@]3([C@@H](C(=O)CO)CC[C@H]3[C@@H]1CC2)C)(C)CC4
Properties
C21H30O3
Molar mass 330.461 g/mol
Pharmacology
H02AA03 (WHO)
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).

11-Deoxycorticosterone (DOC), or simply deoxycorticosterone, also known as 21-hydroxyprogesterone, as well as desoxycortone (

deoxy-variant of corticosterone
.

DOCA is the abbreviation for the ester 11-deoxycorticosterone acetate.[5]

Biological activity

DOC is a potent mineralocorticoid but is virtually devoid of glucocorticoid activity.[6][7][8] However, 11β-hydroxylation of DOC produces corticosterone and confers glucocorticoid activity, along with 10-fold reduced mineralocorticoid activity.[8] In addition to its mineralocorticoid activity, DOC has been found to possess one-third to one-tenth the potency of progesterone as a progestogen when administered systematically to rabbits.[9] However, it has no such activity when applied directly to the uterine mucosa of mice.[9] The discrepancy may be related to the fact that DOC can be converted into progesterone in vivo.[9]

Biological role

DOC is a precursor molecule for the production of

11β-hydroxylase. Corticosterone is then converted to aldosterone by aldosterone synthase.[10]

Most of the DOC is secreted by the

tubules (distal).[12] At the same time it is not nearly so rigorous at retaining sodium as aldosterone,[13] more than 20 times less. DOC accounts for only 1% of the sodium retention normally [14] In addition to its inherent lack of vigor there is an escape mechanism controlled by an unknown non steroid hormone [15] which overrides DOC's sodium conserving power after a few days just as aldosterone is overridden also.[16] This hormone may be the peptide hormone kallikrein,[17] which is augmented by DOC and suppressed by aldosterone.[18] If sodium becomes very high, DOC also increases urine flow.[11] DOC has about 1/20 of the sodium retaining power of aldosterone,[19] and is said to be as little as one per cent of aldosterone at high water intakes.[20] Since DOC has about 1/5 the potassium excreting power of aldosterone,[19] it probably must have aldosterone's help if the serum potassium content becomes too high. DOC's injections do not cause much additional potassium excretion when sodium intake is low.[21]
This is probably because aldosterone is already stimulating potassium outflow. When sodium is low DOC probably would not have to be present, but when sodium rises aldosterone declines considerably, and DOC probably tends to take over.

DOC has a similar feedback with respect to potassium as aldosterone. A rise in serum potassium causes a rise in DOC secretion.

red cells would have been possible, but that would not change the blood volume. Potassium, on the other hand, can be moved into the large intracellular space, and apparently it is by DOC in rabbits.[24] Thus, a problem in high blood potassium can be resolved somewhat without jettisoning too much of what is sometimes a dangerously scarce mineral that can not be pumped actively independently from sodium. It is imperative to keep total potassium adequate because a deficiency causes the heart to lose force.[25] Movement of potassium into the cells would intensify the sodium problem somewhat because when potassium moves into the cell, a somewhat smaller amount of sodium moves out.[26] Thus, it is desirable to resolve the blood pressure problem as much as possible by the fall in renin
above, therefore avoiding loss of sodium, which was usually in very short supply on the African savannas where human ancestors probably evolved.

The resemblance of the pattern of the electromotive forces produced by DOC in the kidney tubules to normal potassium intake, and the total dissimilarity of their shape as produced by potassium deficient tubules,[11] would tend to support the above view. The above attributes are consistent with a hormone which is relied upon to unload both excess sodium and potassium. DOC's action in augmenting kallikrein, the peptide hormone thought to be the sodium "escape hormone," and aldosterone's action in suppressing it,[18] is also supportive of the above concept.

ACTH has more effect on DOC than it does on aldosterone. This may be to give the immune system control over the electrolyte regulation during diarrhea since during dehydration, aldosterone virtually disappears [27]
even though renin and angiotensin rise high. It is because aldosterone disappears that potassium supplements are very dangerous during dehydration and must not be attempted until at least one hour after rehydration so the hormones can reach the nucleus.

DOC's primary purpose is to regulate electrolytes. However, it has other effects, such as to remove potassium from leucocytes [28] and muscle,[29] depress glycogen formation [30] and to stimulate copper containing lysyl oxidase enzyme and connective tissue,[31] which attributes may be used by the body to help survive during potassium wasting intestinal diseases. The greater efficiency of DOC in permitting sodium excretion (or perhaps it should be expressed as inefficiency at retention) must be partly through morphological changes in the kidney cells because escape from DOC's sodium retention takes several days to materialize, and when it does, these cells are much more efficient at unloading sodium if sodium is then added than cells accustomed to a prior low intake. Thus, paradoxically, a low salt intake should be protective against loss of sodium in perspiration.

Progesterone prevents some of the loss of potassium by DOC.[32]

Additional images

See also

References

  1. ^ Buckingham, MacDonald & Heilbron 1995.
  2. ^ Swiss Pharmaceutical Society 2011.
  3. ^ Costanzo 2014.
  4. ^ Harper's Illustrated Biochemistry 30th Edition
  5. PMID 28851937
    .
  6. PMID 6274900
    .
  7. S2CID 1423344
    .
  8. ^
    ISBN 978-0-08-092055-9
    .
  9. ^
    ISBN 978-3-642-88385-9
    .
  10. ^ Lieberman, Marks & Peet 2012.
  11. ^ a b c O'Neil & Helman 1977.
  12. ^ Peterson & Wright 1977.
  13. ^ Ellinghaus 1971.
  14. ^ Ruch & Fulton 1960.
  15. ^ Pearce et al. 1969.
  16. ^ Schacht, Lowenstein & Baldwin 1971.
  17. ^ Majima et al. 1999.
  18. ^ a b Bönner et al. 1981.
  19. ^ a b c Oddie, Coghlan & Scoggins 1972.
  20. ^ Desaulles 1958.
  21. ^ Bauer & Gauntner 1979.
  22. ^ a b Brown, Strott & Liddle 1972.
  23. ^ Schambelan & Biglieri 1972.
  24. ^ a b Grekin, Terris & Bohr 1980.
  25. ^ Abbrecht 1972.
  26. ^ Rubini & Chojnacki 1972.
  27. ^ Merrill, Skelton & Cowley 1986.
  28. ^ Wilson 1957.
  29. ^ Tobian & Binion 1954.
  30. ^ Bartlett & MacKay 1949.
  31. ^ Pospísilová & Pospísil 1970.
  32. ^ Wambach & Higgins 1979.

Sources

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