molecular formula C29H35NO2 B1683876 Mifépristone CAS No. 84371-65-3

Mifépristone

Numéro de catalogue: B1683876
Numéro CAS: 84371-65-3
Poids moléculaire: 429.6 g/mol
Clé InChI: VKHAHZOOUSRJNA-GCNJZUOMSA-N
Attention: Uniquement pour un usage de recherche. Non destiné à un usage humain ou vétérinaire.
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Description

La mifépristone, également connue sous son nom de code de développement RU-486, est un composé stéroïde synthétique de formule chimique C29H35NO2 . Elle est principalement connue pour son utilisation dans les avortements médicaux et la prise en charge des fausses couches précoces. La this compound agit en bloquant l’hormone progestérone, essentielle à la poursuite de la grossesse .

Mécanisme D'action

La mifépristone agit comme un antagoniste des récepteurs de la progestérone et des glucocorticoïdes. En se liant au récepteur de la progestérone, elle empêche l’hormone d’exercer ses effets, ce qui entraîne la dégradation de la muqueuse utérine et l’arrêt de la grossesse. À des doses plus élevées, la this compound bloque également le récepteur des glucocorticoïdes, ce qui est utile pour traiter des affections comme le syndrome de Cushing .

Applications De Recherche Scientifique

Mifepristone has a wide range of scientific research applications, including:

Analyse Biochimique

Biochemical Properties

Mifepristone acts as a competitive progesterone receptor antagonist . In the absence of progesterone, mifepristone acts as a partial agonist . It works by blocking the effects of progesterone, making both the cervix and uterine vessels dilate and causing uterine contraction . Mifepristone is also a glucocorticoid receptor antagonist .

Cellular Effects

Mifepristone has been shown to inhibit ovarian cancer cell proliferation in a dose- and time-dependent manner . It also induced fewer alveoli, enlarged alveolar lumina, and altered the levels of hormones such as estrogen, progesterone, prolactin, growth hormone, corticosterone, and oxytocin, as well as the mRNA expression of these hormonal receptors during pregnancy or early lactation .

Molecular Mechanism

Mifepristone is a selective antagonist of the progesterone receptor at low doses and blocks the glucocorticoid receptor (GR-II) at higher doses . It works by blocking the effects of progesterone, which is necessary for a pregnancy to continue . Mifepristone’s inhibition of progesterone induces bleeding during the luteal phase and in early pregnancy by releasing endogenous prostaglandins from the endometrium or decidua .

Temporal Effects in Laboratory Settings

In a 24-week multicenter, open-label trial, mifepristone produced significant clinical and metabolic improvement in patients with Cushing’s syndrome with an acceptable risk-benefit profile during 6 months of treatment . Mifepristone treatment reduced cellular proliferation and viability of all UM cell lines studied in a concentration-dependent manner .

Dosage Effects in Animal Models

In animal models, mifepristone administration at the dose of 1.20 mg/kg body weight on pregnancy day 4 caused a significant reduction in milk production on lactation day 1, lactation day 2, and lactation day 3 . Mifepristone also induced an increase in the weight of epididymal, perirenal, and gluteofemoral adipose tissues .

Metabolic Pathways

Mifepristone is extensively metabolised by demethylation and hydroxylation, the initial metabolic steps are catalysed by the cytochrome P450 (CYP) enzyme CYP3A4 . The three most proximal metabolites, namely the monodemethylated, didemethylated, and hydroxylated metabolites of mifepristone, all retain considerable affinity toward the human progesterone and glucocorticoid receptors .

Transport and Distribution

The serum transport protein α1-acid glycoprotein (AAG) regulates the serum kinetics of mifepristone . Binding to AAG limits the tissue availability of mifepristone, explaining the low metabolic clearance rate of 0.55 L/kg/day and the low volume of distribution of mifepristone .

Subcellular Localization

Mifepristone markedly reduces cdk2 activity likely due to increased association of cdk2 with the cdk inhibitors p21 cip1 and p27 kip1 and reduced nuclear cdk2/cyclin E complex availability . This suggests that mifepristone may regulate mitochondrial function through the control of mitochondrial gene expression .

Méthodes De Préparation

Voies de synthèse et conditions de réaction : La mifépristone est synthétisée par un processus en plusieurs étapes impliquant plusieurs intermédiaires clés. La synthèse commence par la préparation de la 11β-[4-(diméthylamino)phényl]-17β-hydroxy-17α-(1-propynyl)estra-4,9-dièn-3-one. Cet intermédiaire est ensuite soumis à diverses réactions chimiques, y compris l’hydroxylation et l’alkylation, pour produire le composé final .

Méthodes de production industrielle : Dans les milieux industriels, la this compound est produite en utilisant une méthode de granulation humide. Cela implique de mélanger le principe actif pharmaceutique avec des excipients tels que l’amidon et la cellulose microcristalline, suivis d’une granulation avec un mélange eau/alcool. Les granules sont ensuite séchées et comprimées en comprimés .

Analyse Des Réactions Chimiques

Types de réactions : La mifépristone subit plusieurs types de réactions chimiques, notamment :

Réactifs et Conditions Courants :

Principaux produits formés : Les principaux produits formés à partir de ces réactions comprennent divers métabolites hydroxylés et déméthylés, tels que la N-desméthyl-mifépristone et la 22-hydroxy-mifépristone .

4. Applications de la Recherche Scientifique

La this compound a un large éventail d’applications de recherche scientifique, notamment :

Comparaison Avec Des Composés Similaires

La mifépristone appartient à une classe de composés appelés antagonistes des récepteurs de la progestérone. Les composés similaires comprennent :

Unicité de la this compound : La capacité unique de la this compound à agir à la fois comme un antagoniste des récepteurs de la progestérone et des glucocorticoïdes la distingue des autres composés de sa classe. Cette double action la rend très efficace pour une gamme d’applications médicales, allant de l’arrêt des grossesses à la prise en charge des troubles hormonaux .

Propriétés

IUPAC Name

(8S,11R,13S,14S,17S)-11-[4-(dimethylamino)phenyl]-17-hydroxy-13-methyl-17-prop-1-ynyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-3-one
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

InChI

InChI=1S/C29H35NO2/c1-5-15-29(32)16-14-26-24-12-8-20-17-22(31)11-13-23(20)27(24)25(18-28(26,29)2)19-6-9-21(10-7-19)30(3)4/h6-7,9-10,17,24-26,32H,8,11-14,16,18H2,1-4H3/t24-,25+,26-,28-,29-/m0/s1
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

InChI Key

VKHAHZOOUSRJNA-GCNJZUOMSA-N
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Canonical SMILES

CC#CC1(CCC2C1(CC(C3=C4CCC(=O)C=C4CCC23)C5=CC=C(C=C5)N(C)C)C)O
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Isomeric SMILES

CC#C[C@@]1(CC[C@@H]2[C@@]1(C[C@@H](C3=C4CCC(=O)C=C4CC[C@@H]23)C5=CC=C(C=C5)N(C)C)C)O
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Molecular Formula

C29H35NO2
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

DSSTOX Substance ID

DTXSID5023322
Record name Mifepristone
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Molecular Weight

429.6 g/mol
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Physical Description

Solid
Record name Mifepristone
Source Human Metabolome Database (HMDB)
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Solubility

7 [ug/mL] (The mean of the results at pH 7.4), Poorly soluble, Very soluble in methanol, chloroform, and acetone and poorly soluble in water, hexane, and isopropyl ether., In water, 5.0X10-2 mg/L at 25 °C /Estimated/, 3.36e-03 g/L
Record name SID11533034
Source Burnham Center for Chemical Genomics
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Description Aqueous solubility in buffer at pH 7.4
Record name Mifepristone
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Record name Mifepristone
Source Human Metabolome Database (HMDB)
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Vapor Pressure

8.0X10-14 mm Hg at 25 °C /Estimated/
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Mechanism of Action

The anti-progestational activity of mifepristone results from competitive interaction with progesterone at progesterone-receptor sites. Based on studies with various oral doses in several animal species (mouse, rat, rabbit and monkey), the compound inhibits the activity of endogenous or exogenous progesterone. The termination of pregnancy results. In the treatment of Cushing's syndrome, Mifepristone blocks the binding of cortisol to its receptor. It does not decrease cortisol production but reduces the effects of excess cortisol, such as high blood sugar levels., Mifepristone competitively inhibits the actions of progesterone at progesterone-receptor sites, resulting in termination of pregnancy.The combination of mifepristone and misoprostol causes expulsion of the products of conception through decidual necrosis, myometrial contractions, and cervical softening., When administered in the early stages of pregnancy, mifepristone causes decidual breakdown by blockade of uterine progesterone receptors. This leads to detachment of the blastocyte, which decreases hCG production. This in turn causes a decrease in progesterone secretion from the corpus luteum, which further accentuates decidual breakdown. Decreased endogenous progesterone coupled with blockade of progesterone receptors in the uterus increases prostaglandin levels and sensitizes the myometrium to the contractile actions of prostaglandins., In addition, mifepristone promotes uterine contractions and softening of the cervix and sensitizes the myometrium to effects of prostaglandins (e.g., misoprostol) that stimulate uterine contraction and expulsion of the products of conception. In the absence of progesterone, mifepristone acts as a partial progestin agonist. At dosages higher than those used for termination of pregnancy, mifepristone also exhibits antiglucocorticoid activity. The drug also has been shown to have weak antiandrogenic activity.
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Color/Form

Yellow powder

CAS No.

84371-65-3
Record name Mifepristone
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Record name MIFEPRISTONE
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Melting Point

191-196 °C, 150 °C, 191 - 196 °C
Record name Mifepristone
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Record name Mifepristone
Source Human Metabolome Database (HMDB)
URL http://www.hmdb.ca/metabolites/HMDB0014972
Description The Human Metabolome Database (HMDB) is a freely available electronic database containing detailed information about small molecule metabolites found in the human body.
Explanation HMDB is offered to the public as a freely available resource. Use and re-distribution of the data, in whole or in part, for commercial purposes requires explicit permission of the authors and explicit acknowledgment of the source material (HMDB) and the original publication (see the HMDB citing page). We ask that users who download significant portions of the database cite the HMDB paper in any resulting publications.

Retrosynthesis Analysis

AI-Powered Synthesis Planning: Our tool employs the Template_relevance Pistachio, Template_relevance Bkms_metabolic, Template_relevance Pistachio_ringbreaker, Template_relevance Reaxys, Template_relevance Reaxys_biocatalysis model, leveraging a vast database of chemical reactions to predict feasible synthetic routes.

One-Step Synthesis Focus: Specifically designed for one-step synthesis, it provides concise and direct routes for your target compounds, streamlining the synthesis process.

Accurate Predictions: Utilizing the extensive PISTACHIO, BKMS_METABOLIC, PISTACHIO_RINGBREAKER, REAXYS, REAXYS_BIOCATALYSIS database, our tool offers high-accuracy predictions, reflecting the latest in chemical research and data.

Strategy Settings

Precursor scoring Relevance Heuristic
Min. plausibility 0.01
Model Template_relevance
Template Set Pistachio/Bkms_metabolic/Pistachio_ringbreaker/Reaxys/Reaxys_biocatalysis
Top-N result to add to graph 6

Feasible Synthetic Routes

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