United States Patent Office 3,350,427 Patented Oct

Total Page:16

File Type:pdf, Size:1020Kb

United States Patent Office 3,350,427 Patented Oct United States Patent Office 3,350,427 Patented Oct. 31, 1967 1. 2 3,358,427 By lower alkyl is contemplated hydrocarbon radicals PROCESS FOR THE DEHYDROHALOGENATION having preferably up to four carbon atoms including CF SEROADS methyl, ethyl, n-propyl, iso-propyl, n-butyl, iso-butyl, and WilliamOrange, H. N.J., Gebert, assignors Morris to ScheringPaias, and Corporation, Nathaniel Murrill, Bloom tertiary butyl. field, N.Y., a corporation of New Jersey Our process is particularly valuable when it is desired No Drawing. Fied Jan. 28, 1966, Ser. No. 523,573 to dehydrobrominate a 17-bromo-20-keto-steroid having 10 Claims. (C. 260-397.4) at least one hydrogen at C-16, e.g. 16oz - methyl - 17 oz bromo-5-pregnen-3,6-ol-20-one or the 3-acetate thereof to This invention relates to a novel improved process for the corresponding 16-dehydro-20-keto-steroid, e.g. 5, 16 dehydrohalogenating organic compounds. O pregnadien-36-ol-20-one or the 3-acetate thereof, which In general, the invention sought to be patented is de are known, valuable intermediates in the preparation of scribed as residing in the concept of treating an o-bromo other known therapeutically valuable compounds. For ketone having a hydrogen on the beta carbon with a example, 16-methyl - 5, 16 - pregnadien-3 (3-ol-20-one may dehydrchalogenating agent selected from the group con be catalytically hydrogenated to provide 166-methyl-5- sisting of an alkaline earth oxide, an alkaline earth hy 5 pregnen-36 - ol - 20-one which may be oxidized to 16,3- droxide, and mixtures thereof in a solvent Selected from methylprogesterone. 16 - methyl-5, 16 - pregnadien - 3 3 the group consisting of an N,N-dillower alkyl amide of ol-20-one may also be epoxidized by well-known pro a hydrocarbon carboxylic acid having up to 18 carbon cedures to the valuable 166-methyl - 16a, 17a- Oxido de atoms and an N-lower alkyl-2-pyrrollidone whereby de rivative which, in turn, upon addition of hydrogen bro hydrobromination occurs and there is formed an c.f3-un 20 mide will yield 16-methylene-17 cy-hydroxypregnenolone, saturated ketone. a valuable precursor in the preparation of 16-methylene More specifically, the invention sought to be patented 17 c. - alkanoyloxy-progesterones and 16 - methylene-corti is described as residing in the concept of treating an ox coids. bromo-keto steroid having a hydrogen on the carbon atom Heretofore, a-bromo-keto steroids and, in particular, positioned beta to the keto group, with a dehydrobro 17-bromo steroids such as 16 oz - methyl - 17cc - bromo-5- minating agent selected from the group consisting of pregnen-36-ol-20-one 3-acetate have been dehydrohalo an alkaline earth oxide, an alkaline earth hydroxide, and genated to the corresponding a (3)-unsaturated keto ste mixtures thereof in a solvent selected from the group roid, e.g. 16 - dehydro - 20 - keto - steroids such as 16 consisting of an N,N-dillower alkyl amide of a hydro methyl - 5, 16 - pregnadien - 33 - ol - 20 - one 3-acetate carbon carboxylic acid having up to 18 carbon atoms and 30 by the action of the carbonates of alkali and alkali earth an N-lower alkyl 2-pyrrollidone whereby dehydrobromi metals of groups IA and IIA of the periodic table either nation occurs and there is formed an ox (B)-unsaturated alone or coupled with lithium halide. Lithium carbonate keto-steroid. and lithium bromide in dimethylformamide or dimethyl Included within the dehydrohalogenating agents con acetamide is a well-known reagent mixture used for de templated by this invention are alkaline earth oxides such hydrobrominations of cy-bromo-keto steroids. By our in as magnesium oxide, strontium oxide, barium oxide, and vention, we have found that suspension of the oxides calcium oxide; alkaline earth hydroxides, Such as magne and/or hydroxides of magnesium, barium, strontium, cal sium hydroxide, strontium hydroxide, barium hydroxide, cium, and other alkaline earth metals of group IIA and calcium hydroxide; and mixtures of the foregoing, of the periodic table, in a solvent selected from the group in particular, a mixture of magnesium oxide and mag 4) consisting of N,N-dillower alkyl amides of hydrocarbon nesium hydroxide, said mixture preferably containing carboxylic acids and N-lower alkyl - 2 - pyrrollidones are about 70% magnesium oxide and about 30% magnesiulin excellent dehydrohalogenating agents and are particularly hydroxide (by weight). The aforementioned alkaline earth useful for dehydrohalogenating an ox-bromo-keto steroid oxides and/or hydroxides may be used alone or, if it Such as 16 oz - methyl - 17a - bromo - 5 - pregnen-3,3-ol-20 is desired to increase the speed of the dehydrohalogena one 3-acetate, whereby there is obtained the corresponding tion, they may be used together with a lithium halide, ck (g)-unsaturated keto steroid, e.g. 16-methyl-5, 16-preg e.g., lithium bromide. nadien - 3 3-ol - 17 - one 3-acetate, of high purity and The approximately 70/30 weight mixture of magne in yields at least equal to the yields produced when uti sium oxide and magnesium hydroxide is a preferred de 50 lizing prior art reagents such as the lithium carbonate/ hydrohalogenating agent of this invention. This reagent lithium bromide couple. The alkaline earth metal oxides mixture may be prepared by mixing weighed portions and/or hydroxides of our invention are advantageously of magnesium oxide and magnesium hydroxide. Alterna less expensive and more readily available than the prior tively, this reagent mixture is contained in a readily avail art alkali metal carbonate/lithium bromide couple. Our able commercial product called Sea Sorb (registered novel process thus represents an improvement over known trademark of FMC Corporation, New York City), one processes for dehydrohalogenating an o-bromo-keto ste form of which, Sea Sorb 53, is particularly effective when roid to an cz (3)-unsaturated steroid. used in our process. Included among the ox-bromo-keto steroids having a included within the N,N-disubstituted amides useful hydrogen on the carbon positioned beta to the keto group as solvents in our process are N,N-dillower alkyl amides 60 which are dehydrobrominated by our process are par of hydrocarbon carboxylic acids having up to 18 carbon ticularly those of the cholestane, spirostane, androstane, atoms such as N,N-dimethylformamide, N,N- diethyl estrane and pregnane series, having ox-bromo-keto systems formamide,caproamide, N.NN,N-dimethylcaprylamide, - dimethylacetamide, N,N N,N-dimethyl - dimethyl such as the 2-bromo-1-keto-, 3-bromo-2-keto-, 2-bromo capramide, N,N-dimethylauramide, N,N-dimethyl 3-keto-, 3-bromo-4-keto-, 4-bromo-3-keto-, 2,4-dibromo-3- myristamide, N,N-dimethylpalmitamide, N,N-dimethyl 85 keto-, 6-bromo-7-keto-, 7-bromo-6-keto-, 8-bromo-7-keto-, stearamide, and N,N-dimethyloleamide, as well as N 9-bromo-11-keto-, 18-nor-12-bromo-11-keto-, 14-bromo lower alkyl substituted cyclic amides such as N-methyl 15-keto-, 16-bromo-17-keto-, and 17-bromo-20-keto Sys 2-pyrrolidone and N-ethyl 2-pyrrolidone. Preferred sol tems which, upon dehydrobromination, will yield steroids vents for use in the process of this invention are N,N- having the corresponding C(S)-unsaturated-keto Systems, dimethylacetamide and, in particular, N,N-dimethylform 0. i.e. the 2-dehydro-1-keto-, 3-dehydro-2-keto-, 1-dehydro amide. 3-keto-, 2-dehydro-4-keto-, 4-dehydro-3-keto-, 1,4-bis-de hydro-3-keto-, 5-dehydro-7-keto-, 7-dehydro-6-keto-, 8 3,350,427 4. ar Our process finds its greatest usefulness in dehydro dehydro-7-keto-, 8-dehydro-11-keto-, 18-nor-12-dehydro brominating ca-bromo-keto-steroids of the pregnane series 11-keto-, 8-dehydro-15-keto-, 15-dehydro-17-keto-, and 16 to obtain c. (3)-unsaturated-keto steroids of the pregnane dehydro-20-keto-systems. series which are useful as intermediates in preparing Thus, a-bromo-keto steroids of the cholestane series 5 therapeutically valuable progestins and corticoids. Thus, such as for example, 1-keto-2a-bromocholestane, 2a-bromo-pregnane-3,11,20-trione,2a-bromo-17 oz-acetoxy-pregnane-3,20-dione, 2-keto-3oz-bromocholestane,3-keto-2,4-dibromocholestane, 2,2-dibromo-5a-pregnan-36-ol-20-one, 3-keto-2-bromocholestane, O 2,2-dibromo-168-methyl-5oz-pregnane-17a,21-diol 36-acetoxy-7-keto-86-bromocholestane,36-acetoxy-9a-bromo-11-keto-cholestane, 2,2-dibromo-16c-methyl-5-ox-pregnane-173,20-dione 21-acetate, oz,21-diol 3,3-acetoxy-5cy-bromo-6-ketocholestane,3,3-acetoxy-6-keto-7c-bromocholestane, and 40-bromo-17a-hydroxypregnane-3,20-dione,3,20-dione 21-acetate, upon treatment with an alkaline earth metal oxide and/or 5 4-bromopregnane-17 oz,21-diol-3,20-dione 21-acetate, hydroxide, e.g. magnesium hydroxide and/or magnesium 48,17a-dibromopregnan-11,3-ol-3,20-dione 11-acetate, oxide (7:3) (with or without lithium bromide) in reflux 2cy,46-dibromopregnane-170,21-diol-3,20-dione ing dimethylformamide, will undergo dehydrobromination 20,43,21-tribromopregnane-3,20-dione,21-acetate, to give ox (B)-unsaturated-ketocholestanes known in the 20 art, e.g. 2c,46,17o,21-tetrabromopregnane-3,20-dione, 1-keto-2-dehydrocholestane, 17a-bromo-5-pregnen-36-ol-20-one 3-acetate 2-keto-3-dehydrocholestane, 176-bromo-17-iso-5-pregnen-36-ol-20-one(17a-bromopregnenolone acetate), 3-acetate, 3-keto-1,4-bis-dehydrocholestane, 17 oz,21-dibromopregnan-3,6-ol-20-one 3-acetate, and 3-keto-1-dehydrocholestane, 25 17a-bromo-56-pregnan-36-ol-11,20-dione 3-acetate, 3.8-acetoxy-7-keto-8-dehydrocholestane, upon treatment in refluxing dimethylformamide with a 36-acetoxy-11-keto-8-dehydrocholestane, mixture of magnesium oxide and magnesium hydroxide 36-acetoxy-6-keto-4-dehydrocholestane, and (7:3) (with or without the presence of lithium bromide) 36-acetoxy-6-keto-7-dehydrocholestane, respectively.
Recommended publications
  • A Thesis Entitled "APPLICATIONS of GAS CHROMATOGRAPHY
    A Thesis entitled "APPLICATIONS OF GAS CHROMATOGRAPHY - MASS SPECTROMETRY IN STEROID CHEMISTRY" Submitted in part fulfilment of the requirements for admittance to the degree of Doctor of Philosophy in The University of Glasgow by T.A. Baillie, B.Sc. University of Glasgow 1973. ProQuest Number: 11017930 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a com plete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. uest ProQuest 11017930 Published by ProQuest LLC(2018). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States C ode Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106- 1346 ACKNOWLEDGEMENTS I would like to express my sincere thanks to Dr. C.3.W. Brooks for his guidance and encouragement at all times, and to Professors R.A. Raphael, F.R.S., and G.W. Kirby, for the opportunity to carry out this research. Thanks are also due to my many colleagues for useful discussions, and in particular to Dr. B.S. Middleditch who was associated with me in the work described in Section 3 of this thesis. The work was carried out during the tenure of an S.R.C. Research Studentship, which is gratefully acknowledged. Finally, I would like to thank Miss 3.H.
    [Show full text]
  • Spectra Library Index SDBS Library
    S p e c t r a L i b r a r y I n d e x SDBS Library KBr ライブラリー名:スタンダードライブラリーKBr 商品番号:40001-40 株式会社 エス・ティ・ジャパン 〒103-0014 東京都中央区日本橋蛎殻町 1-14-10 Tel: 03-3666-2561 Fax:03-3666-2658 http://www.stjapan.co.jp 1 【販売代理店】(株)テクノサイエンス Tel:043-206-0155Fax:043-206-0188 http://www.techno-lab-co.jp/ (((3,4-DIHYDROXY-9,10-DIOXO-9,10-DIHYDRO-2-ANTHRYL)METHYL)IMINO)DIACETIC ACID (((N-BENZYLOXYCARBONYL-L-PHENYLALANYL)-O-ACETYL-L-THREONYL)-L-PROLYL-L-PHENYLALANYL)-N(OMEGA)-NITRO-L-ARGININE 4-NITROBENZYL ESTER ((1,2-DIETHYLETHYLENE)BIS(P-PHENYLENE))DIACETATE ((1-BENZOTRIAZOLYL)OXY)TRIS(DIMETHYLAMINO)PHOSPHONIUM HEXAFLUOROPHOSPHATE ((2-(3-BENZYLSULFONYL-4-METHYLCYCLOHEXYL)PROPYL)SULFONYLMETHYL)BENZENE ((2,4,6-TRIOXOHEXAHYDRO-5-PYRIMIDINYL)IMINO)DIACETIC ACID ((2-BENZOTHIAZOLYL)AMINOMETHYLENE)MALONONITRILE ((2-CARBOXYETHYL)IMINO)DIACETIC ACID ((2-CYANOETHYLAMINO)(3-INDOLYL)METHYLENE)MALONONITRILE ((2-HYDROXYETHYL)IMINO)DIACETIC ACID ((2-HYDROXYETHYLAMINO)(3-INDOLYL)METHYLENE)MALONONITRILE ((2-NITROBENZYL)IMINO)DIACETIC ACID ((2-OXOPROPYL)IMINO)DIACETIC ACID ((2-PYRIDYLAMINO)METHYLENE)MALONONITRILE ((2-QUINOLINYL)AMINOMETHYLENE)MALONONITRILE ((2-SULFOETHYL)IMINO)DIACETIC ACID ((2-THIAZOLYLAMINO)METHYLENE)MALONONITRILE ((3-(1-BROMO-1-METHYLETHYL)-7-OXO-1,3,5-CYCLOHEPTATRIEN-1-YL)OXY)DIFLUOROBORANE ((3-INDOLYL)(1-PYRROLIDINYL)METHYLENE)MALONONITRILE ((3-INDOLYL)(METHYLTHIO)METHYLENE)MALONONITRILE ((3-INDOLYL)MORPHOLINOMETHYLENE)MALONONITRILE ((3-INDOLYL)PIPERIDINOMETHYLENE)MALONONITRILE ((3-METHYL-2-PYRIDYLAMINO)METHYLENE)MALONONITRILE ((4-METHYL-2-PYRIDYLAMINO)METHYLENE)MALONONITRILE
    [Show full text]
  • Evolution of Minimal Specificity and Promiscuity in Steroid Hormone Receptors Geeta N
    Evolution of Minimal Specificity and Promiscuity in Steroid Hormone Receptors Geeta N. Eick, University of Oregon Jennifer K. Colucci, Emory University Michael J. Harms, University of Oregon Eric Ortlund, Emory University Joseph W. Thornton, University of Oregon Journal Title: PLoS Genetics Volume: Volume 8, Number 11 Publisher: Public Library of Science | 2012-11-01, Pages e1003072-e1003072 Type of Work: Article | Final Publisher PDF Publisher DOI: 10.1371/journal.pgen.1003072 Permanent URL: https://pid.emory.edu/ark:/25593/s568v Final published version: http://dx.doi.org/10.1371/journal.pgen.1003072 Copyright information: © 2012 Eick et al. This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/). Accessed October 2, 2021 1:09 AM EDT Evolution of Minimal Specificity and Promiscuity in Steroid Hormone Receptors Geeta N. Eick1,2, Jennifer K. Colucci3, Michael J. Harms1, Eric A. Ortlund3, Joseph W. Thornton1,2,4* 1 Institute of Ecology and Evolution, University of Oregon, Eugene, Oregon, United States of America, 2 Howard Hughes Medical Institute, Eugene, Oregon, United States of America, 3 Biochemistry Department, Emory University School of Medicine, Atlanta, Georgia, United States of America, 4 Department of Human Genetics and Department of Ecology and Evolution, University of Chicago, Chicago, Illinois, United States of America Abstract Most proteins are regulated by physical interactions with other molecules; some are highly specific, but others interact with many partners. Despite much speculation, we know little about how and why specificity/promiscuity evolves in natural proteins. It is widely assumed that specific proteins evolved from more promiscuous ancient forms and that most proteins’ specificity has been tuned to an optimal state by selection.
    [Show full text]
  • Information to Users
    INFORMATION TO USERS This manuscript has been reproduced from the microfilm master. UMI films the text directly from the original or copy submitted. Thus, some thesis and dissertation copies are in typewriter free, while others may be from any type of computer printer. The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. Oversize materials (e.g., maps, drawings, charts) are reproduced by sectioning the original, beginning at the upper left-hand comer and continuing from left to right in equal sections with small overlaps. Each original is also photographed in one exposure and is included in reduced form at the back of the book. Photographs included in the original manuscript have been reproduced xerographically in this copy. Higher quality 6” x 9” black and white photographic prints are available for any photographs or illustrations appearing in this copy for an additional charge. Contact UMI directly to order. UMI A Bell & Howell Information Company 300 North Zeeb Road, Ann Arbor MI 48106-1346 USA 313/761-4700 800/521-0600 DEVELOPMENT OF STEROIDAL INHIBITORS OF CYTOCHROME P450-DEPENDENT ANDROGEN AND ESTROGEN BIOSYNTHESIS DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Patrick John Ward, A.B.
    [Show full text]
  • Evolution of Minimal Specificity and Promiscuity in Steroid Hormone Receptors
    Evolution of Minimal Specificity and Promiscuity in Steroid Hormone Receptors Geeta N. Eick1,2, Jennifer K. Colucci3, Michael J. Harms1, Eric A. Ortlund3, Joseph W. Thornton1,2,4* 1 Institute of Ecology and Evolution, University of Oregon, Eugene, Oregon, United States of America, 2 Howard Hughes Medical Institute, Eugene, Oregon, United States of America, 3 Biochemistry Department, Emory University School of Medicine, Atlanta, Georgia, United States of America, 4 Department of Human Genetics and Department of Ecology and Evolution, University of Chicago, Chicago, Illinois, United States of America Abstract Most proteins are regulated by physical interactions with other molecules; some are highly specific, but others interact with many partners. Despite much speculation, we know little about how and why specificity/promiscuity evolves in natural proteins. It is widely assumed that specific proteins evolved from more promiscuous ancient forms and that most proteins’ specificity has been tuned to an optimal state by selection. Here we use ancestral protein reconstruction to trace the evolutionary history of ligand recognition in the steroid hormone receptors (SRs), a family of hormone-regulated animal transcription factors. We resurrected the deepest ancestral proteins in the SR family and characterized the structure-activity relationships by which they distinguished among ligands. We found that that the most ancient split in SR evolution involved a discrete switch from an ancient receptor for aromatized estrogens—including xenobiotics—to a derived receptor that recognized non-aromatized progestagens and corticosteroids. The family’s history, viewed in relation to the evolution of their ligands, suggests that SRs evolved according to a principle of minimal specificity: at each point in time, receptors evolved ligand recognition criteria that were just specific enough to parse the set of endogenous substances to which they were exposed.
    [Show full text]
  • Acne and Its Therapy Basic and Clinical Dermatology
    ACNE AND ITS THERAPY BASIC AND CLINICAL DERMATOLOGY Series Editors ALAN R. SHALITA, M.D. Distinguished Teaching Professor and Chairman Department of Dermatology SUNY Downstate Medical Center Brooklyn, New York DAVID A. NORRIS, M.D. Director of Research Professor of Dermatology The University of Colorado Health Sciences Center Denver, Colorado 1. Cutaneous Investigation in Health and Disease: Noninvasive Methods and Instrumentation, edited by Jean-Luc Le´veˆque 2. Irritant Contact Dermatitis, edited by Edward M. Jackson and Ronald Goldner 3. Fundamentals of Dermatology: A Study Guide, Franklin S. Glickman and Alan R. Shalita 4. Aging Skin: Properties and Functional Changes, edited by Jean-Luc Le´veˆque and Pierre G. Agache 5. Retinoids: Progress in Research and Clinical Applications, edited by Maria A. Livrea and Lester Packer 6. Clinical Photomedicine, edited by Henry W. Lim and Nicholas A. Soter 7. Cutaneous Antifungal Agents: Selected Compounds in Clinical Practice and Development, edited by John W. Rippon and Robert A. Fromtling 8. Oxidative Stress in Dermatology, edited by Ju¨rgen Fuchs and Lester Packer 9. Connective Tissue Diseases of the Skin, edited by Charles M. Lapie`re and Thomas Krieg 10. Epidermal Growth Factors and Cytokines, edited by Thomas A. Luger and Thomas Schwarz 11. Skin Changes and Diseases in Pregnancy, edited by Marwali Harahap and Robert C. Wallach 12. Fungal Disease: Biology, Immunology, and Diagnosis, edited by Paul H. Jacobs and Lexie Nall 13. Immunomodulatory and Cytotoxic Agents in Dermatology, edited by Charles J. McDonald 14. Cutaneous Infection and Therapy, edited by Raza Aly, Karl R. Beutner, and Howard I. Maibach 15.
    [Show full text]
  • United States Patent (19) [11] 3,956,348 Hilscher (45) May 11, 1976
    United States Patent (19) [11] 3,956,348 Hilscher (45) May 11, 1976 54 STERODETHER SPLTTING 58 Field of Search....................... 260/.397.4, 397.5 75 Inventor: Jean-Claude Hilscher, Berlin, Germany 56 References Cited (73) Assignee: Schering Aktiengesellschaft, Berlin UNITED STATES PATENTS & Bergkamen, Germany 3,818,056 6/1974 Pierdet ct al.................. 260/.397.45 3,845,084 i0/1974 Stein................................ 260/.397.5 22 Filed: Feb. 25, 1975 (21 Appl. No. 552,960 Primary Examiner-Elbert L. Roberts Attorney, Agent, or Firm-Millen, Raptes & White (30) Foreign Application Priority Data 57 ABSTRACT Feb. 27, 1974 Germany............................ 240999 Ethers of aromatic steroids are cleaved to regenerate 52 U.S. Cl........................... 260/397.5; 260/.397.4; i.E. it is hydride dialkylalu 260/239.55 C 51 Int. Cl.’............................................. C07J 1100 10 Claims, No Drawings 3,956,348 2 1 group is in the 1, 2 or 3-position thereof, especially the STEROD ETHER SPLTTING 3-position. Specific examples of alkyl aluminum compounds of BACKGROUND OF THE INVENTION the formula AlR,R,Rs are triisobutylaluminum, diethyl This invention relates to a process for cleaving aro 5 aluminum hydride, di-n-butylaluminum hydride, and matic steroid ethers. diisobutylaluminum hydride. Aluminum hydride is also The splitting of ethers of aromatic alcohls requires, as suitable. is known, more vigorous conditions and reagents than The reaction is conducted in an inert solvent in which the splitting of purely aliphatic ethers. Frequently, alkyl the starting steroid is at least partially soluble. Solvents ethers are utilized in steroid syntheses for the protec 10 which can be used for the process of this invention are tion of hydroxy groups, because this grouping with those which are inert with respect to the reactants and stands almost all reactions.
    [Show full text]
  • NICE Guideline Template
    National Institute for Health and Care Excellence DocumentDraft for consultation information (version number/stage of process) Addendum to Clinical Guideline 44, Heavy menstrual bleeding: assessment and management Clinical Guideline Addendum 44.1 Methods, evidence and recommendations May 2016 Draft for Consultation Developed by the National Institute for Health and Care Excellence Clinical Guideline 44.1 Heavy menstrual bleeding Contents Disclaimer Healthcare professionals are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of each patient, in consultation with the patient and, where appropriate, their guardian or carer. Copyright © National Institute for Health and Care Excellence, 2016. Clinical guideline 44.1 Heavy menstrual bleeding Contents Contents Clinical guidelines update .................................................................................................. 6 1 Summary section.......................................................................................................... 7 1.1 Update information ................................................................................................ 7 1.2 Recommendations ................................................................................................ 8 1.3 Patient-centred care ...........................................................................................
    [Show full text]
  • Synthesis and 5Α-Reductase Inhibitory Activity of C21 Steroids Having 1,4-Diene Or 4,6-Diene 20-Ones and 4-Azasteroid 20-Oximes
    Molecules 2012, 17, 355-368; doi:10.3390/molecules17010355 OPEN ACCESS molecules ISSN 1420-3049 www.mdpi.com/journal/molecules Article Synthesis and 5α-Reductase Inhibitory Activity of C21 Steroids Having 1,4-diene or 4,6-diene 20-ones and 4-Azasteroid 20-Oximes Sujeong Kim 1, Yong-ung Kim 2,* and Eunsook Ma 1,* 1 College of Pharmacy, Catholic University of Daegu, Hayang, 712-702, Korea 2 College of Herbal Bio-industry, Daegu Hany University, Gyeongsangbuk-do 712-715, Korea * Authors to whom correspondence should be addressed; E-Mails: [email protected] (Y.-U.K.); [email protected] (E.M.); Tel.: Tel. +82-53-819-1404 (Y.-U.K.); +82-53-850-3621 (E.M.); Fax: Fax: +82-53-819-1272 (Y.-U.K.); +82-53-850-3602(E.M.). Received: 1 November 2011; in revised form: 14 December 2011 / Accepted: 16 December 2011 / Published: 30 December 2011 Abstract: The synthesis and evaluation of 5α-reductase inhibitory activity of some 4-azasteroid-20-ones and 20-oximes and 3β-hydroxy-, 3β-acetoxy-, or epoxy-substituted C21 steroidal 20-ones and 20-oximes having double bonds in the A and/or B ring are described. Inhibitory activity of synthesized compounds was assessed using 5α-reductase enzyme and [1,2,6,7-3H]testosterone as substrate. All synthesized compounds were less active than finasteride (IC50: 1.2 nM). Three 4-azasteroid-2-oximes (compounds 4, 6 and 8) showed good inhibitory activity (IC50: 26, 10 and 11 nM) and were more active than corresponding 4-azasteroid 20-ones (compounds 3, 5 and 7).
    [Show full text]