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| Other names | 7α-TS; SC-24813; Deacetylspironolactone; Mercaptospironolactone; 17α-Hydroxy-7α-mercapto-3-oxopregn-4-ene-21-carboxylic acid γ-lactone |
| Drug class | Antimineralocorticoid;Antiandrogen |
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| Formula | C22H30O3S |
| Molar mass | 374.54 g·mol−1 |
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7α-Thiospironolactone (7α-TS; developmental code nameSC-24813; also known asdeacetylspironolactone) is asteroidalantimineralocorticoid andantiandrogen of thespirolactone group and a minoractive metabolite ofspironolactone.[1][2] Other importantmetabolites of spironolactone include7α-thiomethylspironolactone (7α-TMS; SC-26519),6β-hydroxy-7α-thiomethylspironolactone (6β-OH-7α-TMS), andcanrenone (SC-9376).[1][2][3][4]
Spironolactone is aprodrug with a shortterminal half-life of 1.4 hours.[5][6][7] The active metabolites of spironolactone have extended terminal half-lives of 13.8 hours for 7α-TMS, 15.0 hours for 6β-OH-7α-TMS, and 16.5 hours for canrenone, and accordingly, these metabolites are responsible for the therapeutic effects of the drug.[5][6]
7α-TS and 7α-TMS have been found to possess approximately equivalentaffinity for the ratventral prostateandrogen receptor (AR) relative to that of spironolactone.[8] The affinity of 7α-TS, 7α-TMS, and spironolactone for the rat prostate AR is about 3.0 to 8.5% of that ofdihydrotestosterone (DHT).[8]
7α-TS, via a reactivemetabolite formed by17α-hydroxylase, is asuicide inhibitor of 17α-hydroxylase, and is thought to be involved in the inhibition of 17α-hydroxylase by spironolactone.[9][10][11]
| Compound | Cmax (ng/mL) (day 1) | Cmax (ng/mL) (day 15) | AUC (ng•hr/ml) (day 15) | t1/2 (hr) |
|---|---|---|---|---|
| Spironolactone | 72 | 80 | 231 | 1.4 |
| Canrenone | 155 | 181 | 2173 | 16.5 |
| 7α-TMSTooltip 7α-Thiomethylspironolactone | 359 | 391 | 2804 | 13.8 |
| 6β-OH-7α-TMSTooltip 6β-Hydroxy-7α-thiomethylspironolactone | 101 | 125 | 1727 | 15.0 |
A study assessed the interaction of spironolactone and 7α-TS withsex hormone-binding globulin and found that they had very low affinity for thiscarrier protein.[13]
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