UNTERSUCHUNGEN ÜBER DEN STOFFWECHSEL VON 17α-HYDROXY-19-NOR-PROGESTERON-CAPRONAT BEIM MENSCHEN IN VIVO UND VON 17α-HYDROXY-19-NOR-PROGESTERON BEI DER RATTE IN VITRO
ABSTRACT The effect of a single intramuscular injection of 300 mg of 17α-hydroxy-19-nor-progesterone caproate on the urinary excretion of oestrogens, 17-ketosteroids, 17-hydroxycorticosteroids and the »pregnanetriol«-fraction has been studied in two pregnant patients and in two postmenopausal patients. In one postmenopausal patient, small and irregular increases in the excretion of oestrogens, 17-hydroxycorticosteroids and »pregnanetriol«-fraction were observed; in one pregnant patient, there was also an increase in the excretion of oestrone and 17β-oestradiol. Apart from these instances, the excretion of the steroid fractions investigated remained unchanged after administration of 17α-hydroxy-19-nor-progesterone caproate. In addition to a 19-nor-pregnanetriol isomer, a 19-nor-pregnanediol-20-one was found as main metabolite in the »pregnanetriol«-fraction. In comparative studies, the metabolism of 17α-hydroxyprogesterone and 17α-hydroxy-19-nor-progesterone was investigated, using the cytoplasmic and microsomal fractions of rat liver as enzyme preparations. With NADPH2 as cofactor the two steroids yielded predominantly ring A saturated compounds, whereas with NADH2 only 20α- and 20β-hydroxysteroids were formed. After incubation of 17α-hydroxyprogesterone with the microsomal and/or cytoplasmic fractions, the following metabolites were identified: 17α-hydroxy-5α-pregnane-3,20-dione; 17α,20β-dihydroxy-pregn-4-en-3-one; 17α,20α-dihydroxy-pregn-4-en-3-one; 3β,17α-dihydroxy-5α-pregnan-20-one; 3β,17α-dihydroxy-5β-pregnan-20-one; 3α, 17α-dihydroxy-5β-pregnan-20-one. After incubation of 17α-hydroxy-19-nor-progesterone the following metabolites were characterized: 17α-hydroxy-19-nor-5α-pregnane-3,20-dione; 17α,20β-dihydroxy-19-nor-pregn4-en-3-one; 17α,20α-dihydroxy-19-nor-pregn-4-en-3-one; 3β,17α-dihydroxy-19-nor-5α-pregnan-20-one; 3α,17α-dihydroxy-19-nor-5β-pregnan-20-one. These results shows that no qualitative differences exist in the metabolism of 17α-hydroxyprogesterone and 17α-hydroxy-19-nor-progesterone.