G. Kaufmann et al. / Steroids 64 (1999) 535–540
539
Table 3
Receptor binding affinities of dienogest derivatives
Steroid (Code)
Structure
Relative molar binding affinity (RBA) [%]
(see Fig. 1)
Mean Ϯ SD (n)
Progesterone receptor
Estrogen receptor
(progesterone ϭ 100)
(estradiol ϭ 100)
J 540
J 1201
IIa
IIb
3.4 Ϯ 0.2 (4)
1.0 Ϯ 0.1 (4)
Ͻ0.1 (3)
Ͻ0.1 (4)
Ͻ0.2 (5)
30 Ϯ 3 (5)
28 Ϯ 4 (5)
0.28 Ϯ 0.04 (5)
0.12 Ϯ 0.01 (4)
Ͻ0.01 (3)
IIIa, in mixture with IIIb (c. 1:1)
J 1358
J 1113 (not found as metabolite)
For comparison: Dienogest
IIIb
I
DNG
10.5 Ϯ 2.5 (10)
0.65 Ϯ 0.25 (4)
Ͻ0.1 (5)
Ͻ0.01 (3)
STS 528 (17␣-hydroxymethyl-17-hydroxyestr-4-en-3-one)
the side chain. It was tentatively identified as a lactone
resulting from complete hydrolysis of the 17␣-cyanom-
ethyl group to the carboxyl acid and from 15- (or 16-)
hydroxylation [15]. This compound is analogous to a
lactone metabolite of 17␣-cyanomethylestradiol 3-methyl
ether produced in the rat [17].
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The metabolization of the side chain of DNG to 17␣-
acetamido compounds, as found here, is a possible, but
probably not important pathway. It does not result in hor-
monally active metabolites which would exhibit high recep-
tor binding affinities. On the contrary, the 17␣-acetamido
compounds exhibit negligible receptor binding, and even
the synthetically prepared 17␣-acetamido analog of dieno-
gest J 1113 (compound I), is inactive at the hormone recep-
tor level and in mice. This finding is not surprising. The
mammalian progesterone receptor preferentially binds nort-
estosterone derivatives bearing hydrophobic 17␣-substitu-
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romethyl [19], or 17␣-iodovinyl substituents [20] were
tolerated. More polar 17␣-substituents were barely toler-
ated. Correspondingly, the 17␣-hydroxymethyl compound
STS 528, another potential DNG metabolite tentatively
characterized in rabbit urine [14], exhibited only marginal
receptor affinity.
Thus, the high efficacy of dienogest as a progestin in
vivo cannot be explained by hormonal activity of metabo-
lites with a hydrolyzed 17␣-cyanomethyl side chain. Rather,
it may be explained by the high levels of free, meaning
active, DNG in plasma [16], by the influence of the conju-
gated 9(10) double bond inhibiting some metabolization
pathways [21], and by the pharmacokinetic parameters of
this progestin.
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HG. Studies on the biotransformation of the progestagen dienogest in
the rabbit. Exp Clin Endocrinol 1989;94:203–10.
Acknowledgments
We are most grateful to Dr Barbara Ha¨fner, Research
Centre of Biotechnics GmbH, Berlin, for growing and pro-
viding us with the Rhodococcus erythropolis cells.