每周分子 | Molecule of the Week
每周分子:螺旋内酯甾酮
Molecule of the Week: Spironolactone
螺旋内酯甾酮是一种甾体醛固酮阻滞剂。John a . Cella和Robert C. Tweit于1959年在G. D. Searle & Co.1(伊利诺斯州Skokie)最早报道了螺旋内酯甾酮。醛固酮是一种重要的皮质类固醇激素,它能在肾脏和其他器官中储存钠并调节血压,但是在治疗心力衰竭、高血压和其他疾病患者的积液时,必须对其进行抑制。
Cella和Tweit的文章是关于新型醛固酮阻滞剂系列的第二篇。在第一篇文章中,他们报道了在非口服给药时效果最好的化合物。螺旋内酯甾酮和类似化合物在口服时表现出更好的阻滞活性。
螺旋内酯甾酮被列入世界卫生组织的基本药物清单。时至今日,在美国每年这种药物被开出超过1000万次处方。然而,这种药物有许多副作用,包括高血钾、恶心、尿频和脱水。它还具有类似雌激素的作用,会降低男性的性欲。近年来,这种雌激素特性在变性女性激素治疗中非常有用。
螺旋内酯甾酮信息速览
螺旋内酯甾酮危害信息
【关于每周分子】
Spironolactone is a steroidal aldosterone blocker that was first reported in 1959 by John A. Cella and Robert C. Tweit at G. D. Searle & Co.1 (Skokie, IL). Aldosterone is an essential corticosteroid hormone that conserves sodium in the kidneys and other organs and regulates blood pressure. But it must be suppressed to treat fluid buildup in patients with heart failure, high blood pressure, and other conditions.
Cella and Tweit’s article was the second in a series on novel aldosterone blockers. In the first article, they reported compounds that worked best when administered parenterally. Spironolactone and similar compounds showed improved blocking activity when administered orally.
Spironolactone is on the World Health Organization's List of Essential Medicines. To this day, it is prescribed more than ten million times a year in the United States. The drug, however, has numerous adverse side effects, including high blood potassium, nausea, frequent urination, and dehydration. It also has estrogen-like effects, which can decrease sex drive in men. In recent years, this estrogenic property has been useful in feminizing hormone therapy for transgender women.
Spironolactone fast facts
Spironolactone hazard information
About Molecule of the Week
Copyright © 2020 American Chemical Society
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