Valproate is an anti-androgen and anti-progestin (original) (raw)

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dc.contributor.author Death, AK en_US
dc.contributor.author McGrath, KCY ORCID badge https://orcid.org/0000-0002-6244-3929 en_US
dc.contributor.author Handelsman, DJ en_US
dc.date.available 2005-07-13 en_US
dc.date.issued 2005-12-15 en_US
dc.identifier.citation Steroids, 2005, 70 (14), pp. 946 - 953 en_US
dc.identifier.issn 0039-128X en_US
dc.identifier.uri http://hdl.handle.net/10453/16875
dc.description.abstract Anti-convulsant treatment is associated with a high prevalence of reproductive dysfunction compared with age-matched non-epileptics. We examined the widely used anti-convulsants valproate (VPA) and carbamazepine (CBZ) for steroidal bioactivity using a yeast-based steroid receptor-β-galactosidase reporter assay for the androgen receptor (AR), progesterone receptor (PR) or estrogen receptor (ER). Bioassays were performed (a) to detect agonist activity by exposing yeast to 100 μM CBZ or VPA or (b) to detect antagonist activity by exposing yeast stimulated with testosterone (5 × 10-9 M, AR), progesterone (1.6 × 10-9 M, PR) or estradiol (2.6 × 10-11 M, ER) together with either VPA or CBZ for 4 (PR) or 16 (AR, ER) hours. VPA showed dose-dependent (1-800 μM) inhibition of progesterone-induced PR- and testosterone-induced AR activity but had no ER antagonist bioactivity and no significant PR, AR or ER agonist bioactivity. VPA also showed a dose-dependent (1-200 μM) blockade of DHT's suppression of AR-mediated NF-κB activation in human mammalian cells. By contrast, CBZ had no significant PR, AR or ER agonist or AR and ER antagonist bioactivity but at the highest concentration tested (800 μM) it did antagonize PR activity. We conclude that VPA is a non-steroidal antagonist for human AR and PR but not ER. VPA's androgen and progesterone antagonism at concentrations within therapeutic blood levels (350-700 μM) seems likely to contribute to the frequency of reproductive endocrine disturbances among patients treated with VPA. © 2005 Elsevier Inc. All rights reserved. en_US
dc.relation.ispartof Steroids en_US
dc.relation.isbasedon 10.1016/j.steroids.2005.07.003 en_US
dc.subject.classification Endocrinology & Metabolism en_US
dc.subject.mesh Humans en_US
dc.subject.mesh Yeasts en_US
dc.subject.mesh Valproic Acid en_US
dc.subject.mesh Carbamazepine en_US
dc.subject.mesh Testosterone en_US
dc.subject.mesh Estradiol en_US
dc.subject.mesh Progesterone en_US
dc.subject.mesh Androgen Antagonists en_US
dc.subject.mesh Gonadal Steroid Hormones en_US
dc.subject.mesh NF-kappa B en_US
dc.subject.mesh Receptors, Progesterone en_US
dc.subject.mesh Progestins en_US
dc.subject.mesh Biological Assay en_US
dc.subject.mesh Dose-Response Relationship, Drug en_US
dc.subject.mesh Androgen Receptor Antagonists en_US
dc.title Valproate is an anti-androgen and anti-progestin en_US
dc.type Journal Article
utslib.citation.volume 14 en_US
utslib.citation.volume 70 en_US
utslib.for 1103 Clinical Sciences en_US
dc.location.activity ISI:000234549400004 en_US
pubs.embargo.period Not known en_US
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Science
pubs.organisational-group /University of Technology Sydney/Faculty of Science/School of Life Sciences
pubs.organisational-group /University of Technology Sydney/Faculty of Science/School of Medical and Molecular Sciences
pubs.organisational-group /University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status open_access
pubs.issue 14 en_US
pubs.publication-status Published en_US
pubs.volume 70 en_US