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Papers In Press, published online ahead of print February 7, 2001
Dept. of Pediatrics, University of California (UCSF), San Francisco, CA 94143-0978
Corresponding Author: wlmlab{at}itsa.ucsf.edu
Androgen biosynthesis requires 3
J. Biol. Chem, 10.1074/jbc.M100040200
Submitted on January 2, 2001
Revised on February 6, 2001
Accepted on February 6, 2001
Thiazolidinediones but not metformin directly inhibit the steroidogenic enzymes P450c17 and 3beta-hydroxysteroid dehydrogenase
-hydroxysteroid dehydrogenase type II (3
HSDII) and the 17
-hydroxylase and 17,20 lyase activities of cytochrome P450c17., Thiazolidinedione and biguanide drugs, which are used to increase insulin sensitivity in type 2 diabetes, lower serum androgen concentrations in women with polycystic ovary syndrome. However, it is unclear whether this is secondary to increased insulin sensitivity or to direct effects on steroidogenesis. To investigate potential actions of these drugs on P450c17 and 3
HSDII we used "humanized yeast" that express these steroidogenic enzymes in microsomal environments. The biguanide metformin had no effect on either enzyme while the thiazolidinedione troglitazone inhibited 3
HSDII (Ki 25.4±5.1 µM) and both activities of P450c17 (Ki values 8.4±0.6 and 5.3±0.7 µM). Troglitazone?s action on P450c17 was competitive, but it was mainly a non-competitive inhibitor of 3
HSDII. The thiazolidinediones rosiglitazone and pioglitazone exerted direct, but weaker inhibitory effects on both P450c17 and 3
HSDII. These differential effects of the thiazolidinediones do not correlate with their effects on insulin sensitivity, suggesting that distinct regions of the thiazolidinedione molecule mediate these two actions. Thus, thiazolidinediones inhibit two key enzymes in human androgen synthesis, contributing to their androgen-lowering effects, while metformin affects androgen synthesis indirectly, probably by lowering circulating insulin concentrations.
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