Metabolism of Doping Agents Using in Vitro and in Vivo Models

Total Page:16

File Type:pdf, Size:1020Kb

Metabolism of Doping Agents Using in Vitro and in Vivo Models Metabolism of doping agents using in vitro and in vivo models Lore Geldof Thesis submitted in fulfilment of the requirements for the degree of Doctor (PhD) in Biomedical Sciences Promotor Prof. Dr. ir. Peter Van Eenoo Co-promotor Dr. Leen Lootens 2016 Metabolism of doping agents using in vitro and in vivo models Lore Geldof1 Public defence on 1 July 2016 Promotor Prof. Dr. ir. Peter Van Eenoo1 Co-promotor Dr. Leen Lootens1 Examination Committee Chairman: Prof. Dr. Johan Van de Voorde2 Reading Committee: Dr. Pieter Van Renterghem1 Prof. Dr. Alain Verstraete3 Prof. Dr. Veronique Stove4 Prof. Dr. Christophe Stove5 Dr. Wim Van Thuyne6 Prof. Dr. Martial Saugy7 1 Doping Control Laboratory (DoCoLab), Department of Clinical Chemistry, Microbiology and Immunology (GE06), Ghent University, Ghent, Belgium 2 Department of Pharmacology (GE09), Ghent University, Ghent, Belgium 3 Laboratory of Toxicology, Department of Clinical Chemistry, Microbiology and Immunology (GE06), Ghent University, Ghent, Belgium 4 Laboratory of Clinical Biology – Metabolic diseases, Department of Clinical Chemistry, Microbiology and Immunology (GE06), Ghent University, Ghent, Belgium 5 Laboratory of Toxicology, Department of Bio-analysis (FW03), Ghent University, Ghent, Belgium 6 Eastman Chemical Company, Ghent ,Belgium 7 Swiss Laboratory for Doping Analyses, University of Lausanne, Switzerland “De korste weg is een illusie, de langste weg hobbelig traag. Volg je Hart en vindt het pad waar je onderweg lerend geniet…” Patrick Mundus Dankwoord Het ganse traject van mijn doctoraat is een heel boeiende reis geweest die zowel mijn groei als wetenschapper als mijn persoonlijke groei gestimuleerd heeft. Ik ben dan ook ontzettend dankbaar voor deze leerrijke ervaring. Het is niet altijd een even gemakkelijke weg geweest, af en toe werden er enkele omwegen toegevoegd. Gelukkig werd ik steeds omringd door mensen die mij opnieuw de juiste richting konden aangeven. Zonder al hun steun onderweg had ik de eindbestemming zeker niet bereikt! Ik wil hier dan ook iedereen stuk voor stuk oprecht bedanken voor hun, misschien soms onbewuste, bijdrage die ze hebben geleverd aan deze thesis. Als eerste zou ik graag mijn promotor Prof. Peter Van Eenoo willen bedanken om mij de kans te geven om mijn doctoraat te starten na mijn masterproef in DoCoLab. Bovendien stond hij mij telkens opnieuw met raad en daad bij en vormde hij een onuitputbare bron van inspiratie voor zowel nieuwe expermenten als te onderzoeken componenten. Ik ben hem eveneens dankbaar om mij op wetenschappelijk vlak verder te laten ontwikkelen door deelnames aan congressen en de bijhorende presentaties. Ik wel hem ook bedanken om mij de verantwoordelijkheid te geven om studenten te begeleiden tijdens hun masterproef. Het mogen meehelpen met het routine werk, zorgden voor een leuke variatie met het onderzoek. Ik wil eveneens mijn co-promotor Leen bedanken om mij op weg te zetten met de in vitro en in vivo modellen. En mij met haar kennis en ervaring bij te staan voor het uitvoeren van de muizenproeven. Deze gelegenheid wil ik zeker en vast ook aangrijpen om Koen te bedanken om mij zo veel kennis bij te brengen over LC-MS. Ik ben hem eveneens heel dankbaar om mij door zijn aanstekelijk wetenschappelijk enthousiasme telkens te blijven motiveren en me terug op weg te helpen als ik even het noorden kwijt was. Kris en Wim ben ik dankbaar om mij in te leiden in de wondere wereld van LC-MS en GC-MS respectievelijk en om mijn kennis omtrent de toestellen bij te schaven waar nodig. Ze hebben me telkens ook ontzettend goed bijgestaan bij mijn analyses en ze verleenden mij eveneens een uitstekende pechverhelping met de toestellen. Leen en Pieter wil ik eveneens als mede-eilandbewoners en Nik, Michaël, Simone, Peter J. van het andere eiland bedanken om het bureauwerk aangenamer te maken. Nik wil ik zeker ook nog eens extra bedanken voor al zijn hulp tijdens mijn masterproef en de zo opgebouwde kennis, die een goede basis vormden voor mijn verder onderzoek in DoCoLab. Ik zou Eva ook in het bijzonder een welgemeende dankjewel willen zeggen om haar levensvreugde en –visies met mij te delen. Je hebt me ongelofelijk geïnspireerd, zowel op wetenschappelijk als persoonlijk vlak. Ik wil je dan ook het allerbeste en een mooie toekomst wensen (hier in België of waar dan ook...)!!! Alle andere collega’s van DoCoLab Jan, Dominique, Fiona, Ann, Trui, Monica, Pascaline, Ruth en Steven wil ik bedanken voor alle teamwork en hulp met het labo en administratieve werk. Ik wil hen eveens bedanken voor de leuke sfeer in DoCoLab met de vele fantasierijke pauzes en de bijhorende pronostieken (voorjaarsklassiekers, ronde van Frankrijk en de mol). Het was leuk dat ik in het laatste jaar toch ook eens met de overwinning mocht gaan lopen. Mede dankzij jullie was dit ganse traject een boeiende maar vooral ook leuke ervaring. De studenten Jasper, Wouter en Ann-Sofie die ik heb mogen begeleiden tijdens hun masterproef wil ik bedanken voor hun inzet. Ik vond dit alvast heel leerrijk en leuk om jullie te mogen bijstaan. Dankjewel Lieselot Decroix voor de samenwerking in verband met de prostanozol studie. Ik wil hier eveneens alle andere studenten die in DoCoLab ontmoet heb gedurende hun stage/thesis bedanken. Ik wil hen dan ook het beste wensen bij hun verdere carriére en hoop dat hun ervaring in DoCoLab hierbij nog van pas komt. I want to thank all the people that I met during my stay at DoCoLab: Lance, Vinicius, Vinod, Juliana and many more. My thanks go also to all participants of the Cologne workshop for their useful contributions in the field of doping and the interesting discussions. This workshop keeps researchers open-minded and encourages researchers, including myself, to perform further research in this field. I am all the co-authors grateful for their cooperation and support. Thank you Prof. Francesco Botrè and Dr. Amy B. Cadwallader for your support to set up the in vitro protocol and Prof. Daniel Eichner, Thane Campbell and Vinod Nair for your cooperation with regard to the methylstenbolone and estradienedione study. Special thanks to Dr. Óscar Pozo for the help with the interpretation of LC-MS/MS product ion scan spectra, the identification of the fragmentation patterns and the corresponding figures. Ik wil hierbij ook Prof. Geert-Leroux Roels en Prof. Philip Meuleman bedanken om ons de mogelijk te bieden om met het chimeer muismodel te werken. Lieven Verhoye wil ik eveneens bedanken voor de assistentie met de muizenproeven en de verzorgsters van het animalarium voor het verzorgen van de muizen en onderhoud van de kooien. Prof. José Martins en Tim Courtin wil ik eveneens bedanken voor het uitvoeren van de NMR analyses. The members of the reading committee, Prof. Johan Van de Voorde, Dr. Pieter Van Renterghem, Prof. Alain Verstraete, Prof. Veronique Stove, Prof. Christophe Stove, Dr. Wim Van Thuyne and Prof. Martial Saugy, are acknowledged for their time to review this thesis and their valuable comments to improve this work. Ik wil bovendien ook mijn (plus)ouders bedanken voor de mogelijkheid die ze me gaven om verder te studeren en zo mijn kennis te laten verruimen. Ik wil hen bedanken voor hun onvoorwaardelijke steun tijdens mijn doctoraat. Mijn mama wil ik eveneens bedanken voor de vele kommetjes soep en kopjes thee met een zoetigheidje tijdens het studeren en bij het schrijven van mijn doctoraat. Ik wil mijn zus Inne ook bedanken voor de vele momenten van steun, leuke praatjes en belevenissen. Ik ben jou eveneens enorm dankbaar voor het ontwerpen van de kaft van mijn doctoraat, het ziet er echt prachtig uit! De rest van mijn familie (oma’s, opa’s, plusbroers, tantes, nonkels, neven en nichten,...) wil ik uiteraard ook bedanken voor de interesse in mijn onderzoek, om in mij te blijven geloven en om er steeds voor mij te zijn. Een bijkomende dankjewel aan de sterretjes in de hemel, Freddy en opa Julien. Bedankt Freddy om mij de Hakuna Matata filosofie bij te brengen! Bedankt opa om zo een warme, moedige, liefdevolle opa te zijn! Weet dat ik jullie bewonder en nog steeds naar jullie opkijk! Ik ben ook mijn vrienden en vriendinnen ontzettend dankbaar voor hun luisterend oor en interesse in mijn onderzoek, weet dat dit telkens veel voor mij betekend heeft. Een dikke merci aan Venera om mij te steunen en het vertouwen te geven om jouw getuige te mogen zijn, de paardrijdvrienden die zorgden voor de nodige ontspanning op en naast de paarden, de Izegemse vrienden voor de vele leuke avonden in en buiten het martkaffee, Evelyn voor de toffe etentjes en babbeltjes tussendoor en Marlies, Stephanie en Iréne om mij al vanaf de start aan de UGent te steunen en voor de vele plezante citytrips/etentjes/babbeltjes samen,... Ik wil eveneens de vele personen en vrienden vanop de trein bedanken om het pendelen op te vrolijken met een babbel en een lach. Ik wil de ongetwijfeld vele anderen die ik hierboven nog niet heb vermeld eveneens bedanken voor hun steun! Tenslotte wil ik uiteraard Kris bedanken om zo een geduldig, hulpvaardig en steunend kompas voor mij te zijn. Bedankt om mij zo de juiste richting aan te geven voor het afwerken van deze thesis! Een bijkomende dankjewel voor de vele kleine, muzikale, fietsende, wandelende, reizende afslagen die mijn energiepeil/stressniveau in balans hielden... Hartelijk Dank! Warm Thanks! Lore Table of Contents Table of Contents Table of Contents ................................................................................ I List of Tables .....................................................................................
Recommended publications
  • Androgen Receptor: a Complex Therapeutic Target for Breast Cancer
    cancers Review Androgen Receptor: A Complex Therapeutic Target for Breast Cancer Ramesh Narayanan 1 and James T. Dalton 2,* 1 Department of Medicine, University of Tennessee Health Science Center, Memphis, TN 38103, USA; [email protected] 2 College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA * Correspondence: [email protected] Academic Editor: Emmanuel S. Antonarakis Received: 28 September 2016; Accepted: 23 November 2016; Published: 2 December 2016 Abstract: Molecular and histopathological profiling have classified breast cancer into multiple sub-types empowering precision treatment. Although estrogen receptor (ER) and human epidermal growth factor receptor (HER2) are the mainstay therapeutic targets in breast cancer, the androgen receptor (AR) is evolving as a molecular target for cancers that have developed resistance to conventional treatments. The high expression of AR in breast cancer and recent discovery and development of new nonsteroidal drugs targeting the AR provide a strong rationale for exploring it again as a therapeutic target in this disease. Ironically, both nonsteroidal agonists and antagonists for the AR are undergoing clinical trials, making AR a complicated target to understand in breast cancer. This review provides a detailed account of AR’s therapeutic role in breast cancer. Keywords: androgen receptor; breast cancer; selective androgen receptor modulator (SARM); estrogen receptor; triple-negative breast cancer (TNBC) 1. Introduction Over 240,000 women will develop breast cancer and ~40,000 will die from the disease in the United States in 2016 [1]. Globally, about 1.7 million women were diagnosed with breast cancer in 2012, emphasizing the urgent need for effective and safe therapeutic approaches [2].
    [Show full text]
  • Cancer Palliative Care and Anabolic Therapies
    Cancer Palliative Care and Anabolic Therapies Aminah Jatoi, M.D. Professor of Oncology Mayo Clinic, Rochester, Minnesota USA • 2 Androgens • Creatine • Comments von Haehling S, et al, 2017 Oxandrolone: androgen that causes less virilization oxandrolone RANDOMIZE megestrol acetate #1: Oxandrolone (Lesser, et al, ASCO abstract 9513; 2008) • N=155 patients receiving chemotherapy • oxandrolone (10 mg twice a day x 12 weeks) versus megestrol acetate (800 mg/day x 12 weeks) • oxandrolone led to – a non-statistically significant increase in lean body mass (bioelectrical impedance) at 12 weeks (2.67 versus 0.82 pounds with megestrol acetate, p = 0.12), but – a decrease in overall weight as compared with megestrol acetate (-3.3 versus +5.8 pounds, respectively). • more oxandrolone patients dropped out prior to completing 12 weeks (63% versus 39 %). #2: Oxandrolone (von Roenn, et al, ASCO, 2003) • N=131 • Single arm • 81% of patients gained/maintained weight • Safe (PRIMARY ENDPOINT): 19% edema; 18% dyspnea; mild liver function test abnormalities #3: Oxandrolone: placebo controlled trial • results unknown SUMMARY OF OXANDROLONE: • Multiple studies (not yet peer-reviewed) • Hints of augmentation of lean tissue • High drop out in the phase 3 oxandrolone arm raises concern Enobosarm: selective androgen receptor modulator (less virilizing) ENOBOSARM RANDOMIZE* PLACEBO *All patients had non-small cell lung cancer, and chemotherapy was given concomittantly. percentage of subjects at day 84 with stair climb power change >=10% from their baseline value percentage of subjects at day 84 with lean body mass change >=0% from their baseline value SUMMARY OF ENOBOSARM: • Leads to incremental lean body mass, but functionality not demonstrated • Pivotal registration trial (not yet peer- reviewed (but FDA-reviewed….)) • 2 Androgens • Creatine • Comments Creatine: an amino acid derivative This study was funded by R21CA098477 and the Alliance for Clinical Trials NCORP grant.
    [Show full text]
  • 5 Part 1300—Definitions
    PART 1300—DEFINITIONS (7) 5-androstenediol (3b,17b-dihydroxy- androst-5-ene) Sec. (8) 1-androstenedione ([5a]-androst-1- 1300.01 Definitions relating to controlled en-3,17-dione) substances. (9) 4-androstenedione (androst-4-en- 1300.02 Definitions relating to listed chemi- 3,17-dione) cals. (10) 5-androstenedione (androst-5-en- 1300.03 Definitions relating to electronic or- 3,17-dione) ders for controlled substances and elec- tronic prescriptions for controlled sub- (11) bolasterone (7a,17a-dimethyl-17b- stances. hydroxyandrost-4-en-3-one) 1300.04 Definitions relating to the dis- (12) boldenone (17b-hydroxyandrost-1,4- pensing of controlled substances by diene-3-one) means of the Internet. (13) boldione (androsta-1,4-diene-3,17- 1300.05 Definitions relating to the disposal dione) of controlled substances. (14) calusterone (7b,17a-dimethyl-17b- AUTHORITY: 21 U.S.C. 802, 821, 822, 829, hydroxyandrost-4-en-3-one) 871(b), 951, 958(f). (15) clostebol (4-chloro-17b- SOURCE: 62 FR 13941, Mar. 24, 1997, unless hydroxyandrost-4-en-3-one) otherwise noted. (16) dehydrochloromethyltestosterone (4-chloro-17b-hydroxy-17a-methyl- § 1300.01 Definitions relating to con- androst-1,4-dien-3-one) trolled substances. (17) desoxymethyltestosterone (17a- (a) Any term not defined in this part methyl-5a-androst-2-en-17b-ol) shall have the definition set forth in (a.k.a. ‘madol‘) section 102 of the Act (21 U.S.C. 802), (18) D1-dihydrotestosterone (a.k.a.‘1- except that certain terms used in part testosterone‘) (17b-hydroxy-5a- 1316 of this chapter are defined at the androst-1-en-3-one) beginning of each subpart of that part.
    [Show full text]
  • UFC PROHIBITED LIST Effective June 1, 2021 the UFC PROHIBITED LIST
    UFC PROHIBITED LIST Effective June 1, 2021 THE UFC PROHIBITED LIST UFC PROHIBITED LIST Effective June 1, 2021 PART 1. Except as provided otherwise in PART 2 below, the UFC Prohibited List shall incorporate the most current Prohibited List published by WADA, as well as any WADA Technical Documents establishing decision limits or reporting levels, and, unless otherwise modified by the UFC Prohibited List or the UFC Anti-Doping Policy, Prohibited Substances, Prohibited Methods, Specified or Non-Specified Substances and Specified or Non-Specified Methods shall be as identified as such on the WADA Prohibited List or WADA Technical Documents. PART 2. Notwithstanding the WADA Prohibited List and any otherwise applicable WADA Technical Documents, the following modifications shall be in full force and effect: 1. Decision Concentration Levels. Adverse Analytical Findings reported at a concentration below the following Decision Concentration Levels shall be managed by USADA as Atypical Findings. • Cannabinoids: natural or synthetic delta-9-tetrahydrocannabinol (THC) or Cannabimimetics (e.g., “Spice,” JWH-018, JWH-073, HU-210): any level • Clomiphene: 0.1 ng/mL1 • Dehydrochloromethyltestosterone (DHCMT) long-term metabolite (M3): 0.1 ng/mL • Selective Androgen Receptor Modulators (SARMs): 0.1 ng/mL2 • GW-1516 (GW-501516) metabolites: 0.1 ng/mL • Epitrenbolone (Trenbolone metabolite): 0.2 ng/mL 2. SARMs/GW-1516: Adverse Analytical Findings reported at a concentration at or above the applicable Decision Concentration Level but under 1 ng/mL shall be managed by USADA as Specified Substances. 3. Higenamine: Higenamine shall be a Prohibited Substance under the UFC Anti-Doping Policy only In-Competition (and not Out-of- Competition).
    [Show full text]
  • Download (PDF 277.63
    PROJECT REVIEW “Characterization of the main metabolites of 17-methylstenblone and 17 methylmethenolone produced by human hepatocytes and liver fractions” Prof C. Ayotte, (INRS-Institut Armand-Frappier, Canada) New steroids openly appear on the market in products labelled with a rather confusing nomenclature. Once characterized, pharmaceutical grade products not being available, knowledge of the biotransformation pathways essential to an efficient detection of utilization by athletes is difficult to gain since administration to human volunteers should be restricted to the minimum. The alternative is a reliable in vitro model. Human hepatocytes, fresh or cryopreserved are now available commercially. We have successfully produced and identified phase I metabolites from incubations of human hepatocytes with different steroids, such as 17-methyldrostanolone and desoxymethyltestosterone (DMT). The aim of this project is to produce in vitro from human hepatocytes and liver fractions the metabolites of two steroids, the 17-methylated derivatives of stenbolone and its isomer methenolone. The principal metabolites will be synthesized and characterized by NMR and mass spectrometry. The characterization of metabolites will enable the identification of markers of utilization to be incorporated in routine testing methods. The approach for the chemical synthesis of metabolites will be shared with NMI insuring the distribution to other doping control laboratories. Improving the knowledge of steroid biotransformation is a further benefit from these studies. Characterization of 17-Methylstenbolone and 17-Methylmethenolone and Identification of Metabolites Produced by Human Hepatocytes and Liver Fractions WADA Project no. 11A16CA Christiane Ayotte, Philippe Räss, Alexandre Sylvestre, INRS-Institut Armand-Frappier Summary We have synthesized and characterized two designer steroids, 17α-methylmethenolone and 17α- methylstenbolone; the latter is proposed on the internet and two groups have reported different and contradictory results.
    [Show full text]
  • Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017
    Q UO N T FA R U T A F E BERMUDA PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 BR 111 / 2017 The Minister responsible for health, in exercise of the power conferred by section 48A(1) of the Pharmacy and Poisons Act 1979, makes the following Order: Citation 1 This Order may be cited as the Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017. Repeals and replaces the Third and Fourth Schedule of the Pharmacy and Poisons Act 1979 2 The Third and Fourth Schedules to the Pharmacy and Poisons Act 1979 are repealed and replaced with— “THIRD SCHEDULE (Sections 25(6); 27(1))) DRUGS OBTAINABLE ONLY ON PRESCRIPTION EXCEPT WHERE SPECIFIED IN THE FOURTH SCHEDULE (PART I AND PART II) Note: The following annotations used in this Schedule have the following meanings: md (maximum dose) i.e. the maximum quantity of the substance contained in the amount of a medicinal product which is recommended to be taken or administered at any one time. 1 PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 mdd (maximum daily dose) i.e. the maximum quantity of the substance that is contained in the amount of a medicinal product which is recommended to be taken or administered in any period of 24 hours. mg milligram ms (maximum strength) i.e. either or, if so specified, both of the following: (a) the maximum quantity of the substance by weight or volume that is contained in the dosage unit of a medicinal product; or (b) the maximum percentage of the substance contained in a medicinal product calculated in terms of w/w, w/v, v/w, or v/v, as appropriate.
    [Show full text]
  • Us Anti-Doping Agency
    2019U.S. ANTI-DOPING AGENCY WALLET CARDEXAMPLES OF PROHIBITED AND PERMITTED SUBSTANCES AND METHODS Effective Jan. 1 – Dec. 31, 2019 CATEGORIES OF SUBSTANCES PROHIBITED AT ALL TIMES (IN AND OUT-OF-COMPETITION) • Non-Approved Substances: investigational drugs and pharmaceuticals with no approval by a governmental regulatory health authority for human therapeutic use. • Anabolic Agents: androstenediol, androstenedione, bolasterone, boldenone, clenbuterol, danazol, desoxymethyltestosterone (madol), dehydrochlormethyltestosterone (DHCMT), Prasterone (dehydroepiandrosterone, DHEA , Intrarosa) and its prohormones, drostanolone, epitestosterone, methasterone, methyl-1-testosterone, methyltestosterone (Covaryx, EEMT, Est Estrogens-methyltest DS, Methitest), nandrolone, oxandrolone, prostanozol, Selective Androgen Receptor Modulators (enobosarm, (ostarine, MK-2866), andarine, LGD-4033, RAD-140). stanozolol, testosterone and its metabolites or isomers (Androgel), THG, tibolone, trenbolone, zeranol, zilpaterol, and similar substances. • Beta-2 Agonists: All selective and non-selective beta-2 agonists, including all optical isomers, are prohibited. Most inhaled beta-2 agonists are prohibited, including arformoterol (Brovana), fenoterol, higenamine (norcoclaurine, Tinospora crispa), indacaterol (Arcapta), levalbuterol (Xopenex), metaproternol (Alupent), orciprenaline, olodaterol (Striverdi), pirbuterol (Maxair), terbutaline (Brethaire), vilanterol (Breo). The only exceptions are albuterol, formoterol, and salmeterol by a metered-dose inhaler when used
    [Show full text]
  • Vargas KEA, Et Al. Hepatotoxicity Associated with Methylstenbolone and Copyright© Vargas KEA, Et Al
    1. Medical Journal of Clinical Trials & Case Studies ISSN: 2578-4838 Hepatotoxicity Associated with Methylstenbolone and Stanozolol Abuse Vargas KEA*, Guaraná TA, Biccas BN, Agoglia LV, Carvalho ACG, Case Report Gismondi R and Esberard EBC Volume 2 Issue 5 Received Date: July 27, 2018 Department of Gastroenterology/Hepatology, Department of Clinical Medicine, and Published Date: September 03, 2018 Department of Pathology, Antônio Pedro University Hospital, Federal Fluminense DOI: 10.23880/mjccs-16000176 University, Rio de Janeiro, Brazil *Corresponding author: Vargas Karen Elizabeth Arce, Department of Gastroenterology/Hepatology, Department of Clinical Medicine, and Department of Pathology, Antônio Pedro University Hospital, Federal Fluminense University, Rio de Janeiro, Ernani do Amaral Peixoto Avenue, 935. Ap.901 / Cep.24020043, Brazil, Tel: 005521981584624; Email: [email protected] Abstract Background & Objectives: Drug hepatotoxicity is a major cause of liver disease. Many drugs are well known to induce liver damage. Some toxic products, like anabolic androgenic steroids, that are pharmaceutical preparations since they contain pharmaceutically active substance, are available as nutritional supplements. Many patients are used to consume these like dietary stuff. Methods: We introduce a case series of two patients who developed hepatic damage after the consumption of anabolic- androgenic steroids, accompanied by a detailed bibliographic research on this topic. Results: We present two young men who developed significant liver damage, both with hyperbilirubinemia pattern after consumption of anabolic-androgenic steroids. This was associated with considerable morbidity, although both recovered without liver transplantation. The two anabolic-androgenic steroids were being marketed as dietary supplements. Conclusions: Although not well controlled substances in Brazil, anabolic-androgenic steroids are cause of severe hepatotoxicity.
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 9,642,912 B2 Kisak Et Al
    USOO9642912B2 (12) United States Patent (10) Patent No.: US 9,642,912 B2 Kisak et al. (45) Date of Patent: *May 9, 2017 (54) TOPICAL FORMULATIONS FOR TREATING (58) Field of Classification Search SKIN CONDITIONS CPC ...................................................... A61K 31f S7 (71) Applicant: Crescita Therapeutics Inc., USPC .......................................................... 514/171 Mississauga (CA) See application file for complete search history. (72) Inventors: Edward T. Kisak, San Diego, CA (56) References Cited (US); John M. Newsam, La Jolla, CA (US); Dominic King-Smith, San Diego, U.S. PATENT DOCUMENTS CA (US); Pankaj Karande, Troy, NY (US); Samir Mitragotri, Santa Barbara, 5,602,183 A 2f1997 Martin et al. CA (US); Wade A. Hull, Kaysville, UT 5,648,380 A 7, 1997 Martin 5,874.479 A 2, 1999 Martin (US); Ngoc Truc-ChiVo, Longueuil 6,328,979 B1 12/2001 Yamashita et al. (CA) 7,001,592 B1 2/2006 Traynor et al. 7,795,309 B2 9/2010 Kisak et al. (73) Assignee: Crescita Therapeutics Inc., 8,343,962 B2 1/2013 Kisak et al. Mississauga (CA) 8,513,304 B2 8, 2013 Kisak et al. 8,535,692 B2 9/2013 Pongpeerapat et al. (*) Notice: Subject to any disclaimer, the term of this 9,308,181 B2* 4/2016 Kisak ..................... A61K 47/12 patent is extended or adjusted under 35 2002fOOO6435 A1 1/2002 Samuels et al. 2002fOO64524 A1 5, 2002 Cevc U.S.C. 154(b) by 204 days. 2005, OO 14823 A1 1/2005 Soderlund et al. This patent is Subject to a terminal dis 2005.00754O7 A1 4/2005 Tamarkin et al.
    [Show full text]
  • List of Drugs
    LIST OF DRUGS NOTE: A natural athlete DOES NOT consume any of these substances in any form at any point of his/her life. Anabolic Steroids • Anadrol • Anavar • Anderone • Andropen • 1-Androstendiol • 1-Androstendione • 4-Androstendiol • 4-Androstendione • 5-Androstendiol • 5-Androstendione • Bolazine • Bolandiol o (19-Norandrostendiol) • Bolasterone • Boldebal – Equipose • Boldenone • Boldione • Calusterone • Cardarine (PPAR) • Chioroxomesterone o (dyhdrochlormethyltesterone) • Clenbuterol o (Anabolic Agent) • Clostebol • Danazol • Deca Durabolin • Dehydrochlormethyltestosterone • Desoxymethyltestosterone • Dianabol • Dymethazine/azine (DMZ) • 5a-Dihydrostestosterone • Drostanolone • Epitestosterone o (masking agent) • Equipose • Ethisterone • Ethylestrenol • Fluoxymesterone • Formebolone • Formestane o (anti-estrogen) • Furazabol • Halodrol • 4-Hydroxy-testosterone • Mebolazine • Mestanolone • Mesterolone • Methandienone • Methandriol • Methyltestosterone • Oxandrolone • Primobolin • Stanozolol • Sustanon 250 • Winstrol • Testosterone and related compounds o Testosterone Cypionate o Testosterone Enanthate Testosterone **In any form, including injections, patches, or gels, for any reason, even if physician prescribed, No Exceptions! Growth Hormones • Pharmaceutical HGH, HCG and any other related compounds, including Insulin-Like Growth Factor 1 (IGF-1) • Oral, spray or sublingual GH compounds of pharmaceutical origin (recombinant DNA technology) Pro-Hormones, Precursors and Metabolites, Derivatives, and Related Compounds • 5-Etioallocholen-3b,7b,17b-triol.
    [Show full text]
  • A10 Anabolic Steroids Hardcore Info
    CONTENTS GENERAL INFORMATION 3 Anabolic steroids – What are they? 4 How do they Work? – Aromatisation 5 More molecules – More problems 6 The side effects of anabolic steroids 7 Women and anabolic steroids 8 Injecting steroids 9 Abscesses – Needle Exchanges 10 Intramuscular injection 11 Injection sites 12 Oral steroids – Cycles – Stacking 13 Diet 14 Where do steroids come from? Spotting a counterfeit 15 Drug Information – Drug dosage STEROIDS 16 Anadrol – Andriol 17 Anavar – Deca-Durabolin 18 Dynabolon – Durabolin – Dianabol 19 Esiclene – Equipoise 20 Primobolan Depot – Proviron – Primobolan orals – Pronobol 21 Sustanon – Stromba, Strombaject – Testosterone Cypionate Testosterone Enanthate 22 Testosterone Propionate – Testosterone Suspension 23 Trenbolone Acetate – Winstrol OTHER DRUGS 24 Aldactone – Arimidex 25 Clenbuterol – Cytomel 26 Ephedrine Hydrochloride – GHB 27 Growth Hormone 28 Insulin 30 Insulin-Like Growth Factor-1 – Human Chorionic Gonadotrophin 31 Tamoxifen – Nubain – Recreational Drugs 32 Steroids and the Law 34 Glossary ANABOLIC STEROIDS People use anabolic steroids for various reasons, some use them to build muscle for their job, others just want to look good and some use them to help them in sport or body building. Whatever the reason, care needs to be taken so that as little harm is done to the body as possible because despite having muscle building effects they also have serious side effects especially when used incorrectly. WHAT ARE THEY? Anabolic steroids are man made versions of the hormone testosterone. Testosterone is the chemical in men responsible for facial hair, deepening of the voice and sex organ development, basically the masculine things Steroids are in a man. used in medicine to treat anaemia, muscle weakness after These masculine effects surgery etc, vascular are called the androgenic disorders and effects of testosterone.
    [Show full text]
  • 2010 Prohibited List
    The World Anti-Doping Code THE 2010 PROHIBITED LIST INTERNATIONAL STANDARD The official text of the Prohibited List shall be maintained by WADA and shall be published in English and French. In the event of any conflict between the English and French versions, the English version shall prevail. This List shall come into effect on 1 January 2010 The Prohibited List 2010 19 September 2009 THE 2010 PROHIBITED LIST WORLD ANTI-DOPING CODE Valid 1 January 2010 All Prohibited Substances shall be considered as “Specified Substances” except Substances in classes S1, S2.1 to S2.5, S.4.4 and S6.a, and Prohibited Methods M1, M2 and M3. SUBSTANCES AND METHODS PROHIBITED AT ALL TIMES (IN- AND OUT-OF-COMPETITION) PROHIBITED SUBSTANCES S1. ANABOLIC AGENTS Anabolic agents are prohibited. 1. Anabolic Androgenic Steroids (AAS) a. Exogenous* AAS, including: 1-androstendiol (5α-androst-1-ene-3β,17β-diol ); 1-androstendione (5α- androst-1-ene-3,17-dione); bolandiol (19-norandrostenediol); bolasterone; boldenone; boldione (androsta-1,4-diene-3,17-dione); calusterone; clostebol; danazol (17α-ethynyl-17β-hydroxyandrost-4-eno[2,3-d]isoxazole); dehydrochlormethyltestosterone (4-chloro-17β-hydroxy-17α-methylandrosta- 1,4-dien-3-one); desoxymethyltestosterone (17α-methyl-5α-androst-2-en- 17β-ol); drostanolone; ethylestrenol (19-nor-17α-pregn-4-en-17-ol); fluoxymesterone; formebolone; furazabol (17β-hydroxy-17α-methyl-5α- androstano[2,3-c]-furazan); gestrinone; 4-hydroxytestosterone (4,17β- dihydroxyandrost-4-en-3-one); mestanolone; mesterolone; metenolone; methandienone
    [Show full text]