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Estrone sulfate (medication)

From Wikipedia, the free encyclopedia
Chemical compound

This article is about estrone sulfate as a medication. For its role as a hormone, seeEstrone sulfate.
Pharmaceutical compound
Estrone sulfate (medication)
Clinical data
Other namesE1S; Oestrone sulfate; Estrone 3-sulfate; Estra-1,3,5(10)-trien-17-one 3-sulfate
Routes of
administration
By mouth, others[1][2][3]
Drug classEstrogen;Estrogen ester
Pharmacokinetic data
Protein binding90%, toalbumin, and not toSHBGTooltip sex hormone-binding globulin[4]
MetabolismDesulfation (viaSTSTooltip steroid sulfatase)[6]
MetabolitesEstrone[1]
Estradiol[1]
Eliminationhalf-life12 hours[5]
Identifiers
  • [(8R,9S,13S,14S)-13-methyl-17-oxo-7,8,9,11,12,14,15,16-octahydro-6H-cyclopenta[a]phenanthren-3-yl] hydrogen sulfate
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
ChEBI
ChEMBL
Chemical and physical data
FormulaC18H22O5S
Molar mass350.43 g·mol−1
3D model (JSmol)
  • O=S(=O)(O)Oc1cc4c(cc1)[C@H]3CC[C@@]2(C(=O)CC[C@H]2[C@@H]3CC4)C
  • InChI=1S/C18H22O5S/c1-18-9-8-14-13-5-3-12(23-24(20,21)22)10-11(13)2-4-15(14)16(18)6-7-17(18)19/h3,5,10,14-16H,2,4,6-9H2,1H3,(H,20,21,22)/t14-,15-,16+,18+/m1/s1 checkY
  • Key:JKKFKPJIXZFSSB-CBZIJGRNSA-N checkY
  (verify)

Estrone sulfate (E1S) is anestrogen medication and naturally occurringsteroid hormone.[1] It is used inmenopausal hormone therapy among other indications.[1][2] As thesodiumsalt (sodium estrone sulfate), it is the major estrogen component ofconjugated estrogens (Premarin) andesterified estrogens (Estratab, Menest).[1][3] In addition, E1S is used on its own as thepiperazine saltestropipate (piperazine estrone sulfate; Ogen).[1][3] The compound also occurs as a major and importantmetabolite ofestradiol andestrone.[1] E1S is most commonly takenby mouth, but in the form of Premarin can also be taken byparenteral routes such astransdermal,vaginal, andinjection.[1][2]

Medical uses

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E1S is used inmenopausal hormone therapy among other indications.[1][2]

Pharmacology

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Pharmacodynamics

[edit]
See also:Pharmacodynamics of estradiol

E1S itself is essentiallybiologically inactive, with less than 1% of therelative binding affinity ofestradiol for theestrogen receptors (ERs),ERα andERβ.[7] The compound acts as aprodrug ofestrone and more importantly of estradiol, the latter of which is apotentagonist of the ERs.[1] Hence, E1S is anestrogen.[1]

Pharmacokinetics

[edit]
See also:Pharmacokinetics of estradiol

E1S iscleaved bysteroid sulfatase (also called estrogen sulfatase) intoestrone.[6] Simultaneously,estrogen sulfotransferases transform estrone back into E1S, which results in anequilibrium between the two steroids in various tissues.[6] E1S is thought to serve both as a rapidly-acting prodrug of estradiol and also as a long-lasting reservoir of estradiol in the body, which serves to greatly extend the duration of estradiol when used as a medication.[1][8][9]

When estradiol is administeredorally, it is subject to extensivefirst-pass metabolism (95%) in theintestines andliver.[10][11] A single administered dose of estradiol isabsorbed 15% as estrone, 25% as E1S, 25% asestradiol glucuronide, and 25% asestrone glucuronide.[10] Formation of estrogen glucuronide conjugates is particularly important with oral estradiol as the percentage of estrogen glucuronide conjugates in circulation is much higher with oral ingestion than withparenteral estradiol.[10] Estrone glucuronide can be reconverted back into estradiol, and a large circulating pool of estrogen glucuronide and sulfate conjugates serves as a long-lasting reservoir of estradiol that effectively extends itsterminal half-life of oral estradiol.[10][11] To demonstrate the importance of first-pass metabolism and the estrogen conjugate reservoir in thepharmacokinetics of estradiol,[10] the terminal half-life of oral estradiol is 13 to 20 hours[12] whereas withintravenous injection its terminal half-life is only about 1 to 2 hours.[13]

Estrogen sulfates like estrone sulfate are about twice aspotent as the corresponding free estrogens in terms ofestrogenic effect when givenorally to rodents.[14] This in part led to the introduction ofconjugated estrogens (Premarin), which are primarily estrone sulfate, in 1941.[14]

Relative oral potencies of estrogens
EstrogenHFTooltip Hot flashesVETooltip Vaginal epitheliumUCaTooltip Urinary calciumFSHTooltip Follicle-stimulating hormoneLHTooltip Luteinizing hormoneHDLTooltip High-density lipoprotein-CTooltip CholesterolSHBGTooltip Sex hormone-binding globulinCBGTooltip Corticosteroid-binding globulinAGTTooltip AngiotensinogenLiver
Estradiol1.01.01.01.01.01.01.01.01.01.0
Estrone???0.30.3?????
Estriol0.30.30.10.30.30.2???0.67
Estrone sulfate?0.90.90.8–0.90.90.50.90.5–0.71.4–1.50.56–1.7
Conjugated estrogens1.21.52.01.1–1.31.01.53.0–3.21.3–1.55.01.3–4.5
Equilin sulfate??1.0??6.07.56.07.5?
Ethinylestradiol12015040060–150100400500–600500–6003502.9–5.0
Diethylstilbestrol???2.9–3.4??26–2825–37205.7–7.5
Sources and footnotes
Notes: Values are ratios, with estradiol as standard (i.e., 1.0).Abbreviations:HF = Clinical relief ofhot flashes.VE = Increasedproliferation ofvaginal epithelium.UCa = Decrease inUCaTooltip urinary calcium.FSH = Suppression ofFSHTooltip follicle-stimulating hormone levels.LH = Suppression ofLHTooltip luteinizing hormone levels.HDL-C,SHBG,CBG, andAGT = Increase in the serum levels of theseliver proteins. Liver = Ratio of liver estrogenic effects to general/systemic estrogenic effects (hot flashes/gonadotropins).Sources: See template.
The image above contains clickable links
Description: Themetabolic pathways involved in themetabolism ofestradiol and othernaturalestrogens (e.g.,estrone,estriol) in humans. In addition to themetabolic transformations shown in the diagram,conjugation (e.g.,sulfation andglucuronidation) occurs in the case of estradiol andmetabolites of estradiol that have one or more availablehydroxyl (–OH)groups.Sources: See template page.


Chemistry

[edit]
See also:List of estrogens,Estrogen ester, andList of estrogen esters

E1S, also known as estrone 3-sulfate or as estra-1,3,5(10)-trien-17-one 3-sulfate, is anaturally occurringestranesteroid and aderivative ofestrone.[15] It is anestrogen conjugate orester, and is specifically the C3sulfateester of estrone.[15]Salts of E1S includesodium estrone sulfate andestropipate (piperazine estrone sulfate).[15][1][3]

ThelogP of E1S is 1.4.[16]

References

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  1. ^abcdefghijklmnKuhl H (August 2005). "Pharmacology of estrogens and progestogens: influence of different routes of administration".Climacteric.8 (Suppl 1):3–63.doi:10.1080/13697130500148875.PMID 16112947.S2CID 24616324.
  2. ^abcd"Drugs@FDA: FDA Approved Drug Products". United States Food and Drug Administration. Retrieved19 February 2018.
  3. ^abcdBrucker MC, King TL (8 September 2015).Pharmacology for Women's Health. Jones & Bartlett Publishers. pp. 361–.ISBN 978-1-284-05748-5.
  4. ^Buchsbaum HJ (6 December 2012).The Menopause. Springer Science & Business Media. pp. 63–64.ISBN 978-1-4612-5525-3.
  5. ^Wecker L, Watts S, Faingold C, Dunaway G, Crespo L (1 April 2009).Brody's Human Pharmacology. Elsevier Health Sciences. pp. 456–.ISBN 978-0-323-07575-6.
  6. ^abcFalcone T, Hurd WW (22 May 2013).Clinical Reproductive Medicine and Surgery: A Practical Guide. Springer Science & Business Media. pp. 5–6.ISBN 978-1-4614-6837-0.
  7. ^Kuiper GG, Carlsson B, Grandien K, Enmark E, Häggblad J, Nilsson S, Gustafsson JA (March 1997)."Comparison of the ligand binding specificity and transcript tissue distribution of estrogen receptors alpha and beta".Endocrinology.138 (3):863–870.doi:10.1210/endo.138.3.4979.PMID 9048584.
  8. ^Melmed S, Polonsky KS, Larsen PR, Kronenberg HM (11 November 2015).Williams Textbook of Endocrinology (13th ed.). Elsevier Health Sciences. pp. 607–.ISBN 978-0-323-34157-8.
  9. ^Greenblatt JM,Brogan K (27 April 2016).Integrative Therapies for Depression: Redefining Models for Assessment, Treatment and Prevention. CRC Press. pp. 198–.ISBN 978-1-4987-0230-0.
  10. ^abcdeOettel M, Schillinger E (6 December 2012).Estrogens and Antiestrogens II: Pharmacology and Clinical Application of Estrogens and Antiestrogen. Springer Science & Business Media. pp. 268–.ISBN 978-3-642-60107-1.
  11. ^abLauritzen C, Studd JW (22 June 2005).Current Management of the Menopause. CRC Press. pp. 364–.ISBN 978-0-203-48612-2.
  12. ^Stanczyk FZ, Archer DF, Bhavnani BR (June 2013). "Ethinyl estradiol and 17β-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment".Contraception.87 (6):706–727.doi:10.1016/j.contraception.2012.12.011.PMID 23375353.
  13. ^Düsterberg B, Nishino Y (December 1982). "Pharmacokinetic and pharmacological features of oestradiol valerate".Maturitas.4 (4):315–324.doi:10.1016/0378-5122(82)90064-0.PMID 7169965.
  14. ^abHerr F, Revesz C, Manson AJ, Jewell JB (1970). "Biological Properties of Estrogen Sulfates".Chemical and Biological Aspects of Steroid Conjugation. Springer. pp. 368–408.doi:10.1007/978-3-642-95177-0_8.ISBN 978-3-642-95179-4.
  15. ^abcElks J (14 November 2014).The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. 900–.ISBN 978-1-4757-2085-3.
  16. ^Banerjee N, Fonge H, Mikhail A, Reilly RM, Bendayan R, Allen C (2013)."Estrone-3-sulphate, a potential novel ligand for targeting breast cancers".PLOS ONE.8 (5) e64069.Bibcode:2013PLoSO...864069B.doi:10.1371/journal.pone.0064069.PMC 3661587.PMID 23717534.

Further reading

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Topics
Esters
Related
Estrogens
ERTooltip Estrogen receptor agonists
Progonadotropins
Antiestrogens
ERTooltip Estrogen receptor antagonists
(incl.SERMsTooltip selective estrogen receptor modulators/SERDsTooltip selective estrogen receptor downregulators)
Aromatase inhibitors
Antigonadotropins
Others
ERTooltip Estrogen receptor
Agonists
Mixed
(SERMsTooltip Selective estrogen receptor modulators)
Antagonists
GPERTooltip G protein-coupled estrogen receptor
Agonists
Antagonists
Unknown
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