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Aminoglutethimide

氨魯米特
Mechanism of action:
Aminoglutethimide 能與 P450scc(膽固醇側鏈解離酶,cholesterol side-chain cleavage enzyme)結合,來抑制膽固醇轉化為孕烯醇酮(pregnenolone),此反應是所有腎上腺皮質類固醇合成的起始步驟。因此會降低皮質醇(cortisol)、醛固酮(aldosterone)及性激素(androgens、estrogens) 的合成。同時它也抑制芳香化酶(aromatase),阻斷雄激素轉化為雌激素的過程。
Reference(s):
1. Santen RJ et al. (1981). Aminoglutethimide: review of pharmacology and clinical use. Pharmacotherapy.
2. Gross BA et al. (2007). Medical management of Cushing disease. Neurosurg Focus.
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