Hydrocortisone
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Identification
- Summary
Hydrocortisone is a glucocorticoid used to treat corticosteroid-responsive dermatoses, endocrine disorders, immune conditions, and allergic disorders.
- Brand Names
- Ala-cort, Ala-scalp, Alcortin, Alkindi, Anusol HC, Aquanil HC, Casporyn HC, Cipro, Cipro HC, Colocort, Cortaid, Cortane-B, Cortef, Cortenema, Cortisporin, Cortizone-10, Dermacort, Dermarest Eczema, Dermazene, Home Papkit, Hydroskin, Monistat Itch Relief, Preparation H Hydrocortisone, Procto-med, Procto-pak, Proctocort, Proctol, Proctosol, Proctozone HC, Scalpicin Itch Relief, Texacort, Vanoxide-HC, Xerese
- Generic Name
- Hydrocortisone
- DrugBank Accession Number
- DB00741
- Background
Hydrocortisone, or cortisol, is a glucocorticoid secreted by the adrenal cortex.7 Hydrocortisone is used to treat immune, inflammatory, and neoplastic conditions.14,15,16,17,18,19 It was discovered in the 1930s by Edward Kendall and named Compound F, or 17-hydroxycorticosterone.9
Hydrocortisone was granted FDA approval on 5 August 1952.20
- Type
- Small Molecule
- Groups
- Approved, Vet approved
- Structure
- Weight
- Average: 362.4599
Monoisotopic: 362.20932407 - Chemical Formula
- C21H30O5
- Synonyms
- (11β)-11,17,21-trihydroxypregn-4-ene-3,20-dione
- 11beta-hydrocortisone
- 11beta,17alpha,21-Trihydroxy-4-pregnene-3,20-dione
- 11β-hydrocortisone
- 17-Hydroxycorticosterone
- 4-pregnen-11β,17α,21-triol-3,20-dione
- Cortisol
- Hidrocortisona
- Hydrocortisone
- Hydrocortisonum
- Kendall's compound F
- Reichstein's substance M
- External IDs
- NSC-10483
Pharmacology
- Indication
Otic solutions are indicated for infections of the external auditory canal caused by susceptible organisms and with inflammation.14,15 Hydrocortisone tablets are indicated for certain endocrine, rheumatic, collagen, allergic, ophthalmic, respiratory, hematologic, neoplastic, edematous, gastrointestinal, and other conditions.16 A hydrocortisone enema is indicated for ulcerative colitis,17 a topical ointment with antibiotics is indicated for corticosteroid responsive dermatoses with infections,18 and a topical cream with acyclovir is indicated to treat cold sores.19 Oral granules of hydrocortisone are used as a replacement therapy for Adrenocortical Insufficiency (AI) in children under 17 years of age.21
Reduce drug development failure ratesBuild, train, & validate machine-learning modelswith evidence-based and structured datasets.Build, train, & validate predictive machine-learning models with structured datasets.- Associated Conditions
Indication Type Indication Combined Product Details Approval Level Age Group Patient Characteristics Dose Form Treatment of Acquired hemolytic anemia •••••••••••• ••••• •••••• Management of Acute gouty arthritis •••••••••••• •••••• Symptomatic treatment of Acute leukemia •••••••••••• ••••••••• •••••• Used in combination to treat Acute otitis externa Combination Product in combination with: Ciprofloxacin (DB00537) •••••••••••• •••••••• • ••••• Treatment of Adrenal insufficiency •••••••••••• ••••••••••• ••••••••• ••••••• - Associated Therapies
- Contraindications & Blackbox Warnings
- Prevent Adverse Drug Events TodayTap into our Clinical API for life-saving information on contraindications & blackbox warnings, population restrictions, harmful risks, & more.Avoid life-threatening adverse drug events with our Clinical API
- Pharmacodynamics
Hydrocortisone binds to the glucocorticoid receptor leading to downstream effects such as inhibition of phospholipase A2, NF-kappa B, other inflammatory transcription factors, and the promotion of anti-inflammatory genes.10 Hydrocortisone has a wide therapeutic index8 and a moderate duration of action.1,6 Patients should stop taking the medication if irritation or sensitization occurs.14,15,16,17,18,19
- Mechanism of action
The short term effects of corticosteroids are decreased vasodilation and permeability of capillaries, as well as decreased leukocyte migration to sites of inflammation.10 Corticosteroids binding to the glucocorticoid receptor mediates changes in gene expression that lead to multiple downstream effects over hours to days.10
Glucocorticoids inhibit neutrophil apoptosis and demargination; they inhibit phospholipase A2, which decreases the formation of arachidonic acid derivatives; they inhibit NF-Kappa B and other inflammatory transcription factors; they promote anti-inflammatory genes like interleukin-10.10
Lower doses of corticosteroids provide an anti-inflammatory effect, while higher doses are immunosuppressive.10 High doses of glucocorticoids for an extended period bind to the mineralocorticoid receptor, raising sodium levels and decreasing potassium levels.10
Target Actions Organism AGlucocorticoid receptor agonistHumans AAnnexin A1 agonistHumans - Absorption
Oral hydrocortisone at a dose of 0.2-0.3mg/kg/day reached a mean Cmax of 32.69nmol/L with a mean AUC of 90.63h*nmol/L1 A 0.4-0.6mg/kg/day dose reached a mean Cmax of 70.81nmol/L with a mean AUC of 199.11h*nmol/L.1 However, the pharmacokinetics of hydrocortisone can vary by 10 times from patient to patient.1
Topical hydrocortisone cream is 4-19% bioavailable3 with a Tmax of 24h.2
Hydrocortisone retention enemas are have a bioavailability of 0.810 for slow absorbers and 0.502 in rapid absorbers.4 Slow absorbers take up hydrocortisone at a rate of 0.361±0.255/h while fast absorbers take up hydrocortisone at a rate of 1.05±0.255/h.4
A 20mg IV dose of hydrocortisone has an AUC of 1163±277ng*h/mL.6
- Volume of distribution
Total hydrocortisone has a volume of distribution of 39.82L, while the free fraction has a volume of distribution of 474.38L.1
- Protein binding
Corticosteroids are generally bound to corticosteroid binding globulin11 and serum albumin12 in plasma. Hydrocortisone is 90.1% bound to proteins in plasma, with 56.2% bound to albumin.5
- Metabolism
Hydrocortisone is metabolised to 6-beta hydrocortisol via CYP3A, 5-beta tetrahydrocortisol via 3-oxo-5-beta-steroid 4-dehydrogenase, 5-alpha tetrahydrocortisol via 3-oxo-5-alpha-steroid 4-dehydrogenase 2, cortisone via Corticosteroid 11-beta-dehydrogenase isozyme 1 and Corticosteroid 11-beta-dehydrogenase isozyme 2, and glucuronide products.13 Cortisone is further metabolized to tetrahydrocortisone and dihydrocortisol.13
Hover over products below to view reaction partners
- Route of elimination
Corticosteroids are eliminated predominantly in the urine.12 However, data regarding the exact proportion is not readily available.7
- Half-life
Total hydrocortisone via the oral route has a half life of 2.15h while the free fraction has a half life of 1.39h.1 A 20mg IV dose of hydrocortisone has a terminal half life of 1.9±0.4h.6
- Clearance
Total hydrocortisone by the oral route has a mean clearance of 12.85L/h, while the free fraction has a mean clearance of 235.78L/h.1 A 20mg IV dose of hydrocortisone has a clearance of 18.2±4.2L/h.6
- Adverse Effects
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- Toxicity
Data regarding acute overdoses of glucocorticoids are rare.14,15,16,17,18,19 Chronic high doses of glucocorticoids can lead to the development of cataract, glaucoma, hypertension, water retention, hyperlipidemia, peptic ulcer, pancreatitis, myopathy, osteoporosis, mood changes, psychosis, dermal atrophy, allergy, acne, hypertrichosis, immune suppression, decreased resistance to infection, moon face, hyperglycemia, hypocalcemia, hypophosphatemia, metabolic acidosis, growth suppression, and secondary adrenal insufficiency.8 Overdose may be treated by adjusting the dose or stopping the corticosteroid as well as initiating symptomatic and supportive treatment.8
- Pathways
- Pharmacogenomic Effects/ADRs
- Not Available
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your softwareAbametapir The serum concentration of Hydrocortisone can be increased when it is combined with Abametapir. Abatacept The metabolism of Hydrocortisone can be increased when combined with Abatacept. Abemaciclib The metabolism of Abemaciclib can be increased when combined with Hydrocortisone. Acalabrutinib The metabolism of Acalabrutinib can be increased when combined with Hydrocortisone. Acarbose The risk or severity of hyperglycemia can be increased when Hydrocortisone is combined with Acarbose. - Food Interactions
- Avoid alcohol.
Products
- Drug product information from 10+ global regionsOur datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.Access drug product information from over 10 global regions.
- Product Images
- International/Other Brands
- Acticort / Aeroseb HC / Ala-Scalp / Algicirtis / Beta-HC / Cetacort / Cortaid / Delacort / Ficortril / Genacort / Glycort / Komed HC / Lacticare HC / Lubricort / Meusicort / Mildison / Nogenic HC / Nutracort / Penecort / Permicort / Polcort H / Preparation H Hydrocortisone Cream / Prevex HC / Proctocream / Remederm HC / Sanatison / Scalpicin Capilar / Schericur / Sigmacort / Synacort / Systral Hydrocort / Timocort
- Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Alkindi 2.0 mg Oral Diurnal Europe B.V. 2021-01-22 Not applicable EU Alkindi 1.0 mg Oral Diurnal Europe B.V. 2021-01-22 Not applicable EU Alkindi 5.0 mg Oral Diurnal Europe B.V. 2021-01-22 Not applicable EU Alkindi 0.5 mg Oral Diurnal Europe B.V. 2021-01-22 Not applicable EU Alkindi Sprinkle Granule 1 mg/1 Oral Eton Pharmaceuticals, Inc. 2020-09-29 Not applicable US - Generic Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Ala-Scalp Lotion 20 mg/1mL Topical Lifsa Drugs Llc 2021-02-05 Not applicable US Ala-Scalp Lotion 20 mg/1mL Topical Derm Ventures LLC 2020-07-24 Not applicable US Alacort Cream 25 mg/1g Topical Crown Laboratories 2016-01-06 Not applicable US Alacort Cream 10 mg/1g Topical Crown Laboratories 1973-03-09 Not applicable US Anusol HC Cream 25 mg/1g Topical Salix Pharmaceuticals, Inc 1984-06-06 Not applicable US - Over the Counter Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image 1% Hydrocortisone Cream 1 g/100g Topical Yuyao Jessie Commodity Co.,Ltd. 2015-12-01 Not applicable US 999 Itch Relieving Ointment 1 g/100g Topical Guangdong CR. Shunfeng Pharmaceutical Co Ltd 1989-07-20 Not applicable US 999 Itch Relieving Ointment 1 g/100g Topical Guangdong CR. Shunfeng Pharmaceutical Co Ltd 1989-07-20 Not applicable US Advanced Hydrocortisone Cream 10 mg/1g Topical Ultra Seal Corporation 2011-04-05 2024-07-01 US AFASSCO 1% Hydrocortisone Ointment 0.01 g/1g Topical Afassco Inc. 2018-12-07 Not applicable US - Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image Acetasol HC Hydrocortisone (1.1 g/100mL) + Acetic acid (2.41 g/100mL) Solution Auricular (otic) Actavis Pharma, Inc. 2002-09-10 2017-05-31 US Acetasol HC Hydrocortisone (1.1 g/100mL) + Acetic acid (2.41 g/100mL) Solution Auricular (otic) Physicians Total Care, Inc. 1994-12-15 2012-06-30 US Activir Duo 50 mg/g + 10 mg/g Creme Hydrocortisone (10 mg/g) + Acyclovir (50 mg/g) Cream Topical Gsk Gebro Consumer Healthcare Gmb H 2010-02-09 Not applicable Austria Alumier MD Post Procedure Kit with Hydrocortisone Hydrocortisone (10 mg/1mL) + Titanium dioxide (70 mg/1mL) + Zinc oxide (62.8 mg/1mL) Kit Topical Alumier Labs 2022-03-22 Not applicable US Antibiotic Ear (Neo/Polym/HC) Hydrocortisone (10 mg/1mL) + Neomycin sulfate (3.5 mg/1mL) + Polymyxin B sulfate (10000 [USP'U]/1mL) Solution / drops Auricular (otic) Physicians Total Care, Inc. 1995-12-29 Not applicable US - Unapproved/Other Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image 141016 Hydrocortisone 0.5% / Hydroquinone 4% / Tretinoin 0.025% Hydrocortisone (0.5 g/100g) + Hydroquinone (4 g/100g) + Tretinoin (0.025 g/100g) Emulsion Topical Sincerus Florida, LLC 2020-07-02 Not applicable US 141017 Hydrocortisone 0.5% / Hydroquinone 6% / Tretinoin 0.025% Hydrocortisone (0.5 g/100g) + Hydroquinone (6 g/100g) + Tretinoin (0.025 g/100g) Emulsion Topical Sincerus Florida, LLC 2020-07-02 Not applicable US 141060 Hydrocortisone 0.5% / Hydroquinone 4% / Tretinoin 0.025% Hydrocortisone (0.5 g/100g) + Hydroquinone (4 g/100g) + Tretinoin (0.025 g/100g) Emulsion Topical Sincerus Florida, LLC 2020-07-02 Not applicable US 141061 Hydrocortisone 0.5% / Hydroquinone 8% / Tretinoin 0.025% Hydrocortisone (0.5 g/100g) + Hydroquinone (8 g/100g) + Tretinoin (0.025 g/100g) Emulsion Topical Sincerus Florida, LLC 2020-07-02 Not applicable US Ala Quin Hydrocortisone (5 mg/1g) + Clioquinol (30 mg/1g) Cream Topical Crown Laboratories 1970-08-19 2021-11-30 US
Categories
- ATC Codes
- S01CB03 — Hydrocortisone
- S01CB — Corticosteroids/antiinfectives/mydriatics in combination
- S01C — ANTIINFLAMMATORY AGENTS AND ANTIINFECTIVES IN COMBINATION
- S01 — OPHTHALMOLOGICALS
- S — SENSORY ORGANS
- A01AC — Corticosteroids for local oral treatment
- A01A — STOMATOLOGICAL PREPARATIONS
- A01 — STOMATOLOGICAL PREPARATIONS
- A — ALIMENTARY TRACT AND METABOLISM
- S01BA — Corticosteroids, plain
- S01B — ANTIINFLAMMATORY AGENTS
- S01 — OPHTHALMOLOGICALS
- S — SENSORY ORGANS
- S01CA — Corticosteroids and antiinfectives in combination
- S01C — ANTIINFLAMMATORY AGENTS AND ANTIINFECTIVES IN COMBINATION
- S01 — OPHTHALMOLOGICALS
- S — SENSORY ORGANS
- D07AA — Corticosteroids, weak (group I)
- D07A — CORTICOSTEROIDS, PLAIN
- D07 — CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
- D — DERMATOLOGICALS
- S01BB — Corticosteroids and mydriatics in combination
- S01B — ANTIINFLAMMATORY AGENTS
- S01 — OPHTHALMOLOGICALS
- S — SENSORY ORGANS
- D07XA — Corticosteroids, weak, other combinations
- D07X — CORTICOSTEROIDS, OTHER COMBINATIONS
- D07 — CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
- D — DERMATOLOGICALS
- D07BA — Corticosteroids, weak, combinations with antiseptics
- D07B — CORTICOSTEROIDS, COMBINATIONS WITH ANTISEPTICS
- D07 — CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
- D — DERMATOLOGICALS
- S02CA — Corticosteroids and antiinfectives in combination
- S02C — CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION
- S02 — OTOLOGICALS
- S — SENSORY ORGANS
- A07EA — Corticosteroids acting locally
- A07E — INTESTINAL ANTIINFLAMMATORY AGENTS
- A07 — ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS
- A — ALIMENTARY TRACT AND METABOLISM
- R01AD — Corticosteroids
- R01A — DECONGESTANTS AND OTHER NASAL PREPARATIONS FOR TOPICAL USE
- R01 — NASAL PREPARATIONS
- R — RESPIRATORY SYSTEM
- H02AB — Glucocorticoids
- H02A — CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN
- H02 — CORTICOSTEROIDS FOR SYSTEMIC USE
- H — SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS
- D07CA — Corticosteroids, weak, combinations with antibiotics
- D07C — CORTICOSTEROIDS, COMBINATIONS WITH ANTIBIOTICS
- D07 — CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
- D — DERMATOLOGICALS
- S03CA — Corticosteroids and antiinfectives in combination
- S03C — CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION
- S03 — OPHTHALMOLOGICAL AND OTOLOGICAL PREPARATIONS
- S — SENSORY ORGANS
- Drug Categories
- 11-Hydroxycorticosteroids
- 17-Hydroxycorticosteroids
- Adrenal Cortex Hormones
- Adrenals
- Agents for Treatment of Hemorrhoids and Anal Fissures for Topical Use
- Alimentary Tract and Metabolism
- Anti-Inflammatory Agents
- Antidiarrheals, Intestinal Antiinflammatory/antiinfective Agents
- Corticosteroid Hormone Receptor Agonists
- Corticosteroids
- Corticosteroids Acting Locally
- Corticosteroids for Local Oral Treatment
- Corticosteroids for Systemic Use
- Corticosteroids for Systemic Use, Plain
- Corticosteroids, Dermatological Preparations
- Corticosteroids, Weak (Group I)
- Cytochrome P-450 CYP2A6 Inducers
- Cytochrome P-450 CYP2B6 Inducers
- Cytochrome P-450 CYP2B6 Inducers (strength unknown)
- Cytochrome P-450 CYP2C19 Inducers
- Cytochrome P-450 CYP2C19 Inducers (strength unknown)
- Cytochrome P-450 CYP2C8 Inducers
- Cytochrome P-450 CYP2C8 Inducers (strength unknown)
- Cytochrome P-450 CYP2C9 Inducers
- Cytochrome P-450 CYP2C9 Inducers (strength unknown)
- Cytochrome P-450 CYP3A Inducers
- Cytochrome P-450 CYP3A Substrates
- Cytochrome P-450 CYP3A4 Inducers
- Cytochrome P-450 CYP3A4 Inducers (strength unknown)
- Cytochrome P-450 CYP3A4 Substrates
- Cytochrome P-450 CYP3A5 Substrates
- Cytochrome P-450 CYP3A7 Substrates
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 Substrates
- Dermatologicals
- Fused-Ring Compounds
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Hydrocortisone and derivatives
- Hydroxycorticosteroids
- Hyperglycemia-Associated Agents
- Immunosuppressive Agents
- Intestinal Antiinflammatory Agents
- Nasal Preparations
- OAT3/SLC22A8 Substrates
- Ophthalmological and Otological Preparations
- Ophthalmologicals
- Otologicals
- P-glycoprotein inducers
- P-glycoprotein substrates
- Pregnanes
- Pregnenediones
- Pregnenes
- Sensory Organs
- Steroids
- Stomatological Preparations
- Systemic Hormonal Preparations, Excl. Sex Hormones and Insulins
- Vasoprotectives
- Chemical TaxonomyProvided by Classyfire
- Description
- This compound belongs to the class of organic compounds known as 21-hydroxysteroids. These are steroids carrying a hydroxyl group at the 21-position of the steroid backbone.
- Kingdom
- Organic compounds
- Super Class
- Lipids and lipid-like molecules
- Class
- Steroids and steroid derivatives
- Sub Class
- Hydroxysteroids
- Direct Parent
- 21-hydroxysteroids
- Alternative Parents
- Gluco/mineralocorticoids, progestogins and derivatives / 20-oxosteroids / 3-oxo delta-4-steroids / 17-hydroxysteroids / 11-beta-hydroxysteroids / Delta-4-steroids / Cyclohexenones / Tertiary alcohols / Alpha-hydroxy ketones / Secondary alcohols show 4 more
- Substituents
- 11-beta-hydroxysteroid / 11-hydroxysteroid / 17-hydroxysteroid / 20-oxosteroid / 21-hydroxysteroid / 3-oxo-delta-4-steroid / 3-oxosteroid / Alcohol / Aliphatic homopolycyclic compound / Alpha-hydroxy ketone show 16 more
- Molecular Framework
- Aliphatic homopolycyclic compounds
- External Descriptors
- 3-oxo steroid, 11beta-hydroxy steroid, 17alpha-hydroxy steroid, glucocorticoid, 20-oxo steroid, 21-hydroxy steroid, C21-steroid (CHEBI:17650) / Pregnane and derivatives [Fig], Glucocorticoids, C21 steroids (gluco/mineralocorticoids, progestogens) and derivatives (C00735) / C21 steroids (gluco/mineralocorticoids, progestogins) and derivatives (LMST02030001)
- Affected organisms
- Humans and other mammals
Chemical Identifiers
- UNII
- WI4X0X7BPJ
- CAS number
- 50-23-7
- InChI Key
- JYGXADMDTFJGBT-VWUMJDOOSA-N
- InChI
- InChI=1S/C21H30O5/c1-19-7-5-13(23)9-12(19)3-4-14-15-6-8-21(26,17(25)11-22)20(15,2)10-16(24)18(14)19/h9,14-16,18,22,24,26H,3-8,10-11H2,1-2H3/t14-,15-,16-,18+,19-,20-,21-/m0/s1
- IUPAC Name
- (1R,3aS,3bS,9aR,9bS,10S,11aS)-1,10-dihydroxy-1-(2-hydroxyacetyl)-9a,11a-dimethyl-1H,2H,3H,3aH,3bH,4H,5H,7H,8H,9H,9aH,9bH,10H,11H,11aH-cyclopenta[a]phenanthren-7-one
- SMILES
- [H][C@@]12CC[C@](O)(C(=O)CO)[C@@]1(C)C[C@H](O)[C@@]1([H])[C@@]2([H])CCC2=CC(=O)CC[C@]12C
References
- Synthesis Reference
Manfred Baumgarth, Dieter Orth, Jurgen Harting, Hans Schaefer, Achim Zesch, "Hydrocortisone orthoesters, pharmaceutical formulations thereof and processes for the preparation thereof." U.S. Patent US4264584, issued March, 1974.
US4264584- General References
- Werumeus Buning J, Touw DJ, Brummelman P, Dullaart RPF, van den Berg G, van der Klauw MM, Kamp J, Wolffenbuttel BHR, van Beek AP: Pharmacokinetics of oral hydrocortisone - Results and implications from a randomized controlled trial. Metabolism. 2017 Jun;71:7-16. doi: 10.1016/j.metabol.2017.02.005. Epub 2017 Feb 13. [Article]
- Aalto-Korte K, Turpeinen M: Pharmacokinetics of topical hydrocortisone at plasma level after applications once or twice daily in patients with widespread dermatitis. Br J Dermatol. 1995 Aug;133(2):259-63. doi: 10.1111/j.1365-2133.1995.tb02625.x. [Article]
- Aalto-Korte K, Turpeinen M: Quantifying systemic absorption of topical hydrocortisone in erythroderma. Br J Dermatol. 1995 Sep;133(3):403-8. doi: 10.1111/j.1365-2133.1995.tb02668.x. [Article]
- Lima JJ, Jusko WJ: Bioavailability of hydrocortisone retention enemas in relation to absorption kinetics. Clin Pharmacol Ther. 1980 Aug;28(2):262-9. doi: 10.1038/clpt.1980.159. [Article]
- FLORINI JR, BUYSKE DA: Plasma protein binding of triamcinolone-H3 and hydrocortisone-4-C14. J Biol Chem. 1961 Jan;236:247-51. [Article]
- Derendorf H, Mollmann H, Barth J, Mollmann C, Tunn S, Krieg M: Pharmacokinetics and oral bioavailability of hydrocortisone. J Clin Pharmacol. 1991 May;31(5):473-6. doi: 10.1002/j.1552-4604.1991.tb01906.x. [Article]
- Jung C, Greco S, Nguyen HH, Ho JT, Lewis JG, Torpy DJ, Inder WJ: Plasma, salivary and urinary cortisol levels following physiological and stress doses of hydrocortisone in normal volunteers. BMC Endocr Disord. 2014 Nov 26;14:91. doi: 10.1186/1472-6823-14-91. [Article]
- Ciriaco M, Ventrice P, Russo G, Scicchitano M, Mazzitello G, Scicchitano F, Russo E: Corticosteroid-related central nervous system side effects. J Pharmacol Pharmacother. 2013 Dec;4(Suppl 1):S94-8. doi: 10.4103/0976-500X.120975. [Article]
- Simoni R, Hill R, Vaughan M: The Isolation of Thyroxine and Cortisone: the Work of Edward C. Kendall Journal of Biological Chemistry. 2002 May 24;277(21):e10. [Article]
- Yasir M, Sonthalia S: Corticosteroid Adverse Effects . [Article]
- Gardill BR, Vogl MR, Lin HY, Hammond GL, Muller YA: Corticosteroid-binding globulin: structure-function implications from species differences. PLoS One. 2012;7(12):e52759. doi: 10.1371/journal.pone.0052759. Epub 2012 Dec 26. [Article]
- Czock D, Keller F, Rasche FM, Haussler U: Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61-98. doi: 10.2165/00003088-200544010-00003. [Article]
- Sarkar U, Rivera-Burgos D, Large EM, Hughes DJ, Ravindra KC, Dyer RL, Ebrahimkhani MR, Wishnok JS, Griffith LG, Tannenbaum SR: Metabolite profiling and pharmacokinetic evaluation of hydrocortisone in a perfused three-dimensional human liver bioreactor. Drug Metab Dispos. 2015 Jul;43(7):1091-9. doi: 10.1124/dmd.115.063495. Epub 2015 Apr 29. [Article]
- FDA Approved Drug Products: Vosol Hydrocortisone and Glacial Acetic Acid Otic Drops [Link]
- FDA Approved Drug Products: Casporyn Neomycin Sulfate, Polymixin B Sulfate, and Hydrocortisone Otic Drops [Link]
- FDA Approved Drug Products: Cortef Hydrocortisone Oral Tablets [Link]
- FDA Approved Drug Products: Cortenema Hydrocortisone Rectal Enema [Link]
- FDA Approved Drug Products: Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone Topical Ointment [Link]
- FDA Approved Drug Products: Xerese (Acyclovir and Hydrocortisone) Topical Cream [Link]
- FDA Approved Drug Products: Hydrocortone Hydrocortisone Oral Tablets (Discontinued) [Link]
- FDA Approved Drug Products: ALKINDI SPRINKLE (hydrocortisone) oral granules [Link]
- External Links
- Human Metabolome Database
- HMDB0000063
- KEGG Drug
- D00088
- KEGG Compound
- C00735
- PubChem Compound
- 5754
- PubChem Substance
- 46505089
- ChemSpider
- 5551
- BindingDB
- 13775
- 5492
- ChEBI
- 17650
- ChEMBL
- CHEMBL389621
- ZINC
- ZINC000013540519
- Therapeutic Targets Database
- DAP000718
- PharmGKB
- PA449905
- Guide to Pharmacology
- GtP Drug Page
- PDBe Ligand
- HCY
- RxList
- RxList Drug Page
- Drugs.com
- Drugs.com Drug Page
- PDRhealth
- PDRhealth Drug Page
- Wikipedia
- Hydrocortisone
- PDB Entries
- 2v95 / 2vdy / 4c49 / 4p6x / 5hgc / 6hgf / 6hgg / 6itp / 6itq / 6nwl … show 2 more
- FDA label
- Download (30 KB)
- MSDS
- Download (73.6 KB)
Clinical Trials
- Clinical Trials
Clinical Trial & Rare Diseases Add-on Data Package
Explore 4,000+ rare diseases, orphan drugs & condition pairs, clinical trial why stopped data, & more. Preview package Phase Status Purpose Conditions Count Start Date Why Stopped 100+ additional columns Unlock 175K+ rows when you subscribe.View sample dataNot Available Available Not Available Acute Leukemia / Brain Neoplasm / Breast Cancer / Cancer / Desmoplastic Round Cell Sarcoma / Esophageal Andeocarcinoma / Gastric Cancer / High Grade Glioma: Glioblastoma (GBM) / Hodgkin's Lymphoma / Mixed Phenotype AML / Non-Hodgkin's Lymphoma (NHL) / Ovarian Cancer / Pancreatic Cancer / Prostate Cancer / Sarcoma, Spindle Cell / Solid Tumors / Squamous Cell Carcinoma (SCC) 1 somestatus stop reason just information to hide Not Available Completed Not Available Acute Lymphoblastic Leukemia (ALL) 1 somestatus stop reason just information to hide Not Available Completed Not Available Anxiety Disorders / Major Depressive Disorder (MDD) 1 somestatus stop reason just information to hide Not Available Completed Not Available Cardiac Arrest / Infection 1 somestatus stop reason just information to hide Not Available Completed Not Available Sepsis 1 somestatus stop reason just information to hide
Pharmacoeconomics
- Manufacturers
- Hi tech pharmacal co inc
- Allergan herbert div allergan inc
- Del ray laboratories inc
- Salix pharmaceuticals inc
- Bayer pharmaceuticals corp
- Monarch pharmaceuticals inc
- Valeant pharmaceuticals international
- Westwood squibb pharmaceuticals inc
- C and m pharmacal inc
- Pharmaceutical assoc inc div beach products
- Actavis mid atlantic llc
- Alpharma us pharmaceuticals division
- Altana inc
- Ambix laboratories div organics corp america
- Everylife
- E fougera div altana inc
- G and w laboratories inc
- Ingram pharmaceutical co
- Ivax pharmaceuticals inc
- Naska pharmacal co inc div rugby darby group cosmetics
- Perrigo new york inc
- Pharmaderm div altana inc
- Pharmafair inc
- Stiefel laboratories inc
- Syosset laboratories inc
- Taro pharmaceuticals usa inc
- Teva pharmaceuticals usa inc
- Topiderm inc
- Usl pharma inc
- Vintage pharmaceuticals inc
- Whiteworth towne paulsen inc
- Sanofi aventis us llc
- Coria laboratories ltd
- Medicis pharmaceutical corp
- Paddock laboratories inc
- Ani pharmaceuticals inc
- Teva pharmaceuticals usa
- Healthpoint ltd
- Allergan herbert skin care div allergan inc
- Pharmacia and upjohn co
- Baker norton pharmaceuticals inc
- Solvay pharmaceuticals
- Beta dermaceuticals inc
- Bluline laboratories inc
- Heran pharmaceutical inc
- Mericon industries inc
- Perrigo co
- Pfizer global research development
- Carolina medical products co
- Dermik laboratories div aventis pharmaceuticals inc
- Torch laboratories inc
- X gen pharmaceuticals inc
- Jsj pharmaceuticals llc
- Pfizer laboratories div pfizer inc
- Barr laboratories inc
- Elkins sinn div ah robins co inc
- John j ferrante
- Impax laboratories inc
- Inwood laboratories inc sub forest laboratories inc
- Lannett co inc
- Nexgen pharma inc
- Panray corp sub ormont drug and chemical co inc
- Parke davis div warner lambert co
- Purepac pharmaceutical co
- Roxane laboratories inc
- Sandoz inc
- Stiefel a gsk co
- Vintage pharmaceuticals llc
- Watson laboratories inc
- West ward pharmaceutical corp
- Merck and co inc
- Pfipharmecs div pfizer inc
- Schwarz pharma inc
- Able laboratories inc
- Hr cenci laboratories inc
- Ferndale laboratories inc
- Akorn inc
- Bel mar laboratories inc
- Colgate oral pharmaceuticals inc
- Taro pharmaceutical industries ltd
- Triax pharmaceuticals llc
- Yamanouchi europe bv
- Savage laboratories inc div altana inc
- Abbott laboratories pharmaceutical products div
- Abbott laboratories hosp products div
- Hospira inc
- Abraxis pharmaceutical products
- Baxter healthcare corp anesthesia and critical care
- International medication systems ltd
- Taro pharmaceuticals inc
- Ranbaxy laboratories inc
- Packagers
- Actavis Group
- Advanced Pharmaceutical Services Inc.
- AG Marin Pharmaceuticals
- Alaven Pharmaceutical
- Alcon Laboratories
- Amerisource Health Services Corp.
- Ani Pharmaceuticals
- Anip Acquisition Co.
- Arbor Pharmaceuticals Incorporated
- A-S Medication Solutions LLC
- Avidas Pharmaceuticals
- Bay Pharma Inc.
- Bayer Healthcare
- Bergen Brunswig
- Beta Dermaceuticals
- Bio Pharm Inc.
- Bristol-Myers Squibb Co.
- C.O. Truxton Inc.
- Cardinal Health
- Carlisle Laboratories Inc.
- Carolina Medical Products Co.
- Chattem Chemicals Inc.
- Co Med Pharmaceuticals Inc.
- Colgate Oral
- Combe Inc.
- Consolidated Midland Corp.
- Contract Pharm
- Crown Laboratories Inc.
- Cutis Pharma Inc.
- Cypress Pharmaceutical Inc.
- Darby Dental Supply Co. Inc.
- Del Ray Dermatology
- Dermik Labs
- DispenseXpress Inc.
- Dispensing Solutions
- Diversified Healthcare Services Inc.
- Dofs Laboratories
- DPT Laboratories Ltd.
- DSC Laboratories
- E. Fougera and Co.
- ECR Pharmaceuticals
- Elkins-Sinn Inc.
- Enterprises Importfab Inc.
- Ferndale Labs
- G & W Labs
- Genesis Pharmaceutical Inc.
- Gertz
- H and H Laboratories
- H.J. Harkins Co. Inc.
- Harmony Laboratories Inc.
- Hi Tech Pharmacal Co. Inc.
- Hospira Inc.
- Inyx Usa Ltd.
- JHP Pharmaceuticals LLC
- Johnson & Johnson Healthcare
- JSJ Pharmaceuticals Inc.
- Kaiser Foundation Hospital
- Keltman Pharmaceuticals Inc.
- Lake Erie Medical and Surgical Supply
- Lehigh Valley Technologies Inc.
- Lyne Laboratories Inc.
- Major Pharmaceuticals
- Mallinckrodt Inc.
- Martin Surgical Supply
- Meda AB
- Mikart Inc.
- Murfreesboro Pharmaceutical Nursing Supply
- National Vitamin Company
- Nexgen Pharma Inc.
- Nycomed Inc.
- Paddock Labs
- Palmetto Pharmaceuticals Inc.
- Patheon Inc.
- Perrigo Co.
- Person & Covey
- Pfizer Inc.
- Pharmacia Inc.
- Pharmaderm
- Pharmedix
- Physician Partners Ltd.
- Physicians Total Care Inc.
- Preferred Pharmaceuticals Inc.
- Professional Co.
- Prometic Pharma Inc.
- Qualitest
- Ranbaxy Laboratories
- Rebel Distributors Corp.
- Redpharm Drug
- Resource Optimization and Innovation LLC
- Rising Pharmaceuticals
- River's Edge Pharmaceuticals
- Rouses Point Pharmaceuticals LLC
- Salix Pharmaceuticals
- Sandhills Packaging Inc.
- Sandoz
- Sanofi-Aventis Inc.
- Schwarz Pharma Inc.
- Solvay Pharmaceuticals
- Southwood Pharmaceuticals
- Stanley Pharmaceuticals Ltd.
- Stat Rx Usa
- Stat Scripts LLC
- Summers Labs
- Suppositoria Laboratories Inc.
- Taro Pharmaceuticals USA
- Teva Pharmaceutical Industries Ltd.
- Topiderm Inc.
- Triax Pharmaceuticals LLC
- UCB Pharma
- United Pharmaceuticals
- United Research Laboratories Inc.
- Universal Laboratories Inc.
- Upsher Smith Laboratories
- Veratex Corp.
- Vertical Pharmaceuticals Inc.
- Vintage Pharmaceuticals Inc.
- West-Ward Pharmaceuticals
- Wockhardt Ltd.
- WraSer Pharmaceuticals
- Wyeth Pharmaceuticals
- Dosage Forms
Form Route Strength Solution Auricular (otic) Ointment Topical 0.01 g/1g Lotion Topical 20 mg/1mL Gel Topical Granule Oral 0.5 MG Granule Oral 1.0 MG Granule Oral 2.0 MG Granule Oral 5.0 MG Granule Oral 0.5 mg/1 Granule Oral 1 mg/1 Granule Oral 2 mg/1 Granule Oral 5 mg/1 Cream Topical 0.57 g/57g Cream Topical 1 g/1mL Solution Topical 1 g/100g Cream Topical .05 mg/1g Lotion Topical 0.01 g/1g Ointment Topical 1 g/100g Cream; jelly Topical 1 % Cream Topical 0.01 g/1g Cream Topical 0.284 g/28.4g Suspension Auricular (otic) Solution Auricular (otic) 0.2 % Cream Cutaneous 1.000 mg Cream Topical 0.5 g Spray Topical 10 g/1mL Lotion Topical Ointment Topical 10 mg / g Tablet Oral 20 mg Enema Rectal 100 mg / 60 mL Enema; suspension Rectal 100 mg / 60 mL Ointment Topical 100 g/1g Cream Topical 1.116 g Cream 0.5 % Tablet Oral Cream Topical 5 MG/G Lotion Topical 0.5 g Cream Topical 10 mg/1g Ointment Topical Suspension Topical Lotion Topical 10 mg/1g Solution / drops Ophthalmic Gel Topical 1 mg/1g Lotion Topical 1 mg/1mL Cream Topical 0.5 %w/w Kit Lotion Topical 0.75 g/100mL Lotion Topical 0.45 mg/45mL Cream Topical .284 g/28.4g Cream Topical .284 g/287.4g Cream Topical 2.5 mg/g Cream Topical 10 mg/g Spray Oral 5 mg/mL Cream Topical 1 g/100mL Capsule Oral 10 MG Capsule Oral 20 MG Capsule Oral 5 MG Capsule, extended release Oral 10 mg Capsule, extended release Oral 20 mg Capsule, extended release Oral 5 mg Cream Topical 2.5 % Solution Topical 2.5 % Cream Topical 0.25 % Kit Oral Ointment Topical 10 mg/1mL Injection Intramuscular; Intravenous 2 G Injection, powder, for solution Intravenous; Parenteral 1 G/10ML Injection, powder, for solution Intravenous; Parenteral 500 MG/5ML Powder, for solution Parenteral; Rectal; Respiratory (inhalation) 100 MG/2ML Powder, for solution Parenteral; Rectal; Respiratory (inhalation) 25 MG/2ML Solution Intravenous 100.000 mg Solution Parenteral 500.000 mg Cream Topical 0.5 g/100g Shampoo Topical 10.2 mg/1mL Cream Topical 1 % w/w Ointment Topical 1 % w/w Gel Topical 10 mg/1g Ointment Topical 10 mg/1g Cream Topical 0.59 mg/59mL Ointment Rectal 10 mg/1g Stick Topical .01 g/1g Cream Topical 100000 g Lotion Topical 0.505 g Cream Rectal; Topical Cream Topical 2.5 mg Cream Topical 5 mg Cream Topical 10 mg Tablet Oral 15 mg Tablet Oral 2.5 mg Spray Oral 5 mg Tablet Oral 10.0 mg Aerosol, spray Topical 1.13 g/113g Cream Topical 1 mg/100g Cream Topical 1 h/100g Cream Topical 10 mg/1mL Cream Topical 25 mg/1g Cream Topical 5 mg/1g Enema Rectal 100 mg/60mL Gel Topical 1 g/100g Liquid Topical 10 mg/1g Liquid Topical 10 mg/1mL Lotion Topical 1 g/100.65mL Lotion Topical 1 g/1mL Lotion Topical 1.14 g/114g Lotion Topical 10 mg/1mL Lotion Topical 25 mg/1mL Ointment Topical 0.0102 g/1g Ointment Topical 25 mg/1g Ointment Topical 5 mg/1g Powder Not applicable 1 g/1g Shampoo Topical 1 g/100mL Suspension Rectal 100 mg/60mL Tablet Oral 10 mg/1 Tablet Oral 20 mg/1 Tablet Oral 5 mg/1 Emulsion Topical Cream Topical 1 % w/w Ointment Topical 10 mg/1 Cream 2.5 % Aerosol, spray Topical 10 mg/1g Cream Topical 500 mg / 100 g Cream Topical 1 g / 100 g Cream Topical 0.5 % Cream Topical 5 mg / g Cream Topical 10 mg / g Ointment Topical 0.5 % Ointment Topical 1 % Cream Topical 140 mg/14g Cream Topical 10.2 mg/1g Ointment Topical 10 g/100g Ointment 10 mg Solution Oral 10 mg Emulsion Topical 10 mg Lotion Topical 1 g/100mL Gel Topical 20 mg/1g Gel Topical 2 g/100g Cream Topical 20 mg/1g Ointment Topical Ointment Solution / drops Solution / drops Ophthalmic Ointment Ophthalmic Spray Topical 1 g/100g Lotion Topical 1.02 g/100g Kit Oral; Topical Tablet, chewable Oral; Topical Lotion Topical 1 g/100g Lotion Topical 5 mg Cream Topical 1 % Kit Topical Cream Cutaneous 1 % Cream 0.1 % Emulsion Topical 0.1 % Ointment 0.1 % Solution Topical 0.1 % Liquid Topical 5 mg/1mL Liquid Topical 9 mg/1mL Spray Topical 10 mg/1mL Ointment Topical 1.02 g/100g Cream Topical 1.02 g/100g Cream Topical 1 g/100g Cream Topical 0.009 g/1 Solution / drops Conjunctival Cream Cutaneous 1.000 g Spray Topical 1 g/1g Cream Topical 1 g/100g Solution / drops Auricular (otic) Suspension Ophthalmic Suspension / drops Auricular (otic) Ointment Ophthalmic Solution Parenteral 100.00 mg Cream Lotion Topical 5 mg/1g Cream Cutaneous 1.0000 g Solution Cutaneous 1.0000 g Liquid Auricular (otic) Kit Topical 20 mg/1mL Spray Topical 1.12 g/112g Lipstick Topical 0.005 g/1g Lotion Topical 0.025 mg/2.5mL Tablet Oral 5 MG Tablet, multilayer, extended release Oral 20 mg Tablet, multilayer, extended release Oral 5 mg Cream Topical 7.5 g/100mL Cream Topical 1 mg/1g Liquid Topical 0.28 mg/100mL Aerosol, foam Rectal Ointment Rectal Ointment Rectal; Topical Injection, powder, for solution Intravenous; Parenteral 100 MG/2ML Cream Topical .01 mg/1g Cream Topical 0.51 g/100g Spray Topical 500 g/1g Cream Topical 1 mg/100mL Cream Topical 0.33 % Ointment 0.33 % Ointment 1 % Cream Topical 2.5 % w/w Lotion Topical 2.5 % Aerosol, foam Topical 10 mg/1g Solution Liquid Topical 1 g/100mL Liquid Topical Injection, powder, for solution Intravenous; Parenteral Solution Parenteral 100.000 mg Cream Cutaneous 1.00 g Spray Oral 5 mg/g Cream Topical Lotion Topical 1 g Emulsion Topical 2.5 mg/g Ointment Solution Topical 25 mg/1mL Lotion Topical 1 % Lotion Topical 1 mL/100mL Solution Parenteral 100. mg Cream Topical 0.5 % w/w Shampoo Topical 10 mg/1mL Cream Topical 1 g Cream Topical Cream Topical 10 mg/1L Spray Topical 10 g/1L Injection Intramuscular; Intravenous Cream Suppository Rectal Tablet Oral 10 mg Ointment 1 %w/w Cream 1 %w/w - Prices
Unit description Cost Unit Locoid Lipocream 0.1% Cream 60 gm Tube 335.36USD tube Cortifoam 90 mg Foam 15 gm Can 239.99USD can Locoid 0.1% Solution 60ml Bottle 233.15USD bottle Locoid Lipocream 0.1% Cream 45 gm Tube 200.98USD tube Locoid 0.1% Cream 45 gm Tube 183.83USD tube Locoid 0.1% Ointment 45 gm Tube 174.86USD tube Pandel 0.1% Cream 45 gm Tube 161.37USD tube Pandel 0.1% Cream 15 gm Tube 138.56USD tube Proctocort 1% Cream 28.35 gm Tube 127.51USD tube Anusol-HC 2.5% Cream 30 gm Tube 106.45USD tube Locoid Lipocream 0.1% Cream 15 gm Tube 85.41USD tube Texacort 2.5% Solution 30ml Bottle 85.41USD bottle Cortisporin 3.5-10000-1 Solution 10ml Bottle 84.33USD bottle Proctofoam HC 1-1% Foam 10 gm Can 81.9USD can Cortisporin 3.5-10000-1 Suspension 10ml Bottle 79.55USD bottle Locoid 0.1% Solution 20ml Bottle 79.28USD bottle Cortisporin 1% Ointment 15 gm Tube 75.09USD tube Locoid 0.1% Cream 15 gm Tube 67.49USD tube Hydrocortisone Ace-Pramoxine 2.5-1% Cream 28.35 gm Tube 64.75USD tube Locoid 0.1% Ointment 15 gm Tube 62.04USD tube Hydrocortisone Valerate 0.2% Ointment 60 gm Tube 56.74USD tube Hydrocortisone 2.5% Lotion 59 gm Bottle 55.61USD bottle Westcort 0.2% Ointment 60 gm Tube 55.0USD tube Cortisporin 0.5-0.5-10000 Cream 7.5 gm Tube 54.37USD tube Westcort 0.2% Ointment 15 gm Tube 50.99USD tube Hydrocortisone Butyrate 0.1% Cream 45 gm Tube 49.43USD tube Hydrocortisone Valerate 0.2% Ointment 45 gm Tube 48.73USD tube Hydrocortisone 2.5% Lotion 59ml Bottle 47.47USD bottle Westcort 0.2% Ointment 45 gm Tube 46.97USD tube Hydrocortisone Valerate 0.2% Cream 60 gm Tube 44.99USD tube Hydrocortisone Valerate 0.2% Cream 45 gm Tube 33.99USD tube Ala Scalp 2% Lotion 29.6ml Bottle 30.99USD bottle Hydrocortisone Valerate 0.2% Ointment 15 gm Tube 30.56USD tube Westcort 0.2% Cream 15 gm Tube 25.99USD tube Hydrocortisone Valerate 0.2% Cream 15 gm Tube 19.99USD tube Cortisporin eye drops 19.74USD ml Solu-Cortef 1 g/vial 17.55USD vial Hydrocortisone 1% Lotion 118ml Bottle 15.99USD bottle Hydrocortisone Acetate 12 25 mg Suppository Box 15.01USD box Hydrocortisone 2.5% Ointment 28.35 gm Tube 13.68USD tube Hydrocortisone 2.5% Cream 30 gm Tube 13.67USD tube Colocort 100 mg/60ml Enema 60ml Bottle 13.15USD bottle Hydrocortisone 100 mg/60ml Enema 60ml Bottle 12.6USD bottle Hydrocortisone 0.5% Cream 28.35 gm Tube 11.99USD tube Hydrocortisone 1% Cream 15 gm Tube 11.99USD tube Hydrocortisone 1% Cream 28 gm Tube 11.99USD tube Hydrocortisone Acetate 1-1% Ointment 30 gm Tube 11.99USD tube Solu-Cortef 500 mg/vial 10.47USD vial Hydrocortisone hemisucc powder 9.9USD g Cortifoam 10% aerosol 9.35USD g Hydrocortisone Sod. Succinate 1 g/vial 9.01USD vial Solu-cortef (pf) 250 mg vial 8.58USD vial Cortisporin-tc ear susp 8.3USD ml Cortisporin ear suspension 7.86USD ml Solu-Cortef 250 mg/vial 7.05USD vial Cortenema (100 mg/60Ml) 100 mg/enm Enema 6.96USD enema Proctofoam-hc foam 6.77USD g Cortifoam 10 % Foam 6.14USD g Hycort (100 mg/60Ml) 100 mg/enm Enema 5.79USD enema Cortamed 2.5 % Ointment 5.67USD g Hydrocortisone Sod. Succinate 500 mg/vial 5.34USD vial Hydrocortisone powder 5.19USD g Solu-cortef (pf) 100 mg vial 4.85USD vial Solu-cortef 100 mg vial 4.63USD vial Proctocort 1% cream 4.37USD g Pandel 0.1% cream 4.34USD g Locoid 0.1% lipocream 4.3USD g Solu-Cortef 100 mg/vial 4.07USD vial Locoid 0.1% cream 3.92USD g Hydrocortisone Sod. Succinate 250 mg/vial 3.56USD vial Hydrocortisone ss 250 mg vial 3.5USD vial Anusol-hc 2.5% cream 3.45USD g Hydrocortisone acet powder 3.15USD g Proctofoam 2.89USD g A-hydrocort 100 mg vial 2.42USD each Proctocream-hc 2.5% cream 2.17USD g Hydrocortisone Sod. Succinate 100 mg/vial 2.1USD vial Hydrocortisone val 0.2% cream 2.07USD g Hytone 2.5% cream 1.46USD g Hydrocortisone buty 0.1% cream 1.31USD g First hydrocort 10% gel 1.18USD g Westcort 0.2% cream 1.17USD g Procto-kit 1% cream 1.08USD g Ala-scalp hp 2% lotion 1.03USD ml Cortef 20 mg tablet 0.9USD tablet Proctosol-hc 2.5% cream 0.89USD g Proctozone-hc 2.5% cream 0.83USD g Orabase plain paste 0.77USD g Hydrocortisone 2.5% lotion 0.6USD ml Cortef 10 mg tablet 0.55USD tablet Orabase-b 20% gel 0.55USD g Hydrocortisone 2.5% cream 0.53USD g Hydrocortisone 10 mg tablet 0.52USD tablet Cortef 5 mg tablet 0.45USD tablet Ala-cort 1% cream 0.43USD g Hydrocortisone 5 mg tablet 0.38USD tablet Corticaine 0.5% cream 0.37USD g Hydrocortisone 20 mg tablet 0.32USD tablet Prevex Hc 1 % Occlusive Cream 0.3USD g Emo-Cort 2.5 % Cream 0.26USD g Preparation h 1% cream 0.24USD g Tucks hydrocortisone ointment 0.24USD g Emo-Cort 2.5 % Lotion 0.23USD g Emo-Cort Scalp 2.5 % Lotion 0.22USD g Colocort 100 mg enema 0.21USD ml Cortenema 100 mg enema 0.21USD ml Sarna Hc 2.5 % Lotion 0.2USD g Emo-Cort 1 % Cream 0.19USD g Balneol lotion 0.18USD ml Emo-Cort 1 % Lotion 0.18USD g Lanacort 1% cool creme 0.18USD g Hyderm 0.5 % Cream 0.18USD g Hytone 1% cream 0.17USD g Cortoderm Mild 0.5 % Ointment 0.15USD g Beta hc 1% lotion 0.14USD ml Cortizone-10 1% spray 0.14USD ml Hydroval 0.2 % Cream 0.13USD g Hydroval 0.2 % Ointment 0.13USD g Aquanil hc 1% lotion 0.12USD ml Hydrocortisone plus 12 1% crm 0.12USD g Scalpicin 3% liquid 0.12USD ml Slender cortisol capsule 0.12USD capsule Cortaid 1% spray 0.1USD ml Sarna Hc 1 % Lotion 0.1USD g Hydrocortisone 0.5% cream 0.08USD g Hydrocortisone 1% cream 0.08USD g Uniderm moisturizer 0.05USD ml Cortoderm Regular 1 % Ointment 0.04USD g Hyderm 1 % Cream 0.04USD g DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US5635497 No 1997-06-03 2014-06-03 US US7378405 No 2008-05-27 2026-12-19 US US7981877 No 2011-07-19 2025-01-23 US USRE39264 No 2006-09-05 2016-08-02 US US6514980 No 2003-02-04 2019-01-24 US US7223387 No 2007-05-29 2021-07-24 US US9717740 No 2017-08-01 2032-11-19 US US9675559 No 2017-06-13 2033-01-10 US US9649280 No 2017-05-16 2034-05-12 US
Properties
- State
- Solid
- Experimental Properties
Property Value Source melting point (°C) 220 °C PhysProp water solubility 320 mg/L (at 25 °C) YALKOWSKY,SH & DANNENFELSER,RM (1992) logP 1.61 HANSCH,C ET AL. (1995) logS -2.97 ADME Research, USCD Caco2 permeability -4.66 ADME Research, USCD - Predicted Properties
Property Value Source Water Solubility 0.199 mg/mL ALOGPS logP 1.79 ALOGPS logP 1.28 Chemaxon logS -3.3 ALOGPS pKa (Strongest Acidic) 12.59 Chemaxon pKa (Strongest Basic) -2.8 Chemaxon Physiological Charge 0 Chemaxon Hydrogen Acceptor Count 5 Chemaxon Hydrogen Donor Count 3 Chemaxon Polar Surface Area 94.83 Å2 Chemaxon Rotatable Bond Count 2 Chemaxon Refractivity 97.4 m3·mol-1 Chemaxon Polarizability 39.45 Å3 Chemaxon Number of Rings 4 Chemaxon Bioavailability 1 Chemaxon Rule of Five Yes Chemaxon Ghose Filter Yes Chemaxon Veber's Rule No Chemaxon MDDR-like Rule No Chemaxon - Predicted ADMET Features
Property Value Probability Human Intestinal Absorption + 0.9918 Blood Brain Barrier + 0.9383 Caco-2 permeable - 0.5096 P-glycoprotein substrate Substrate 0.7861 P-glycoprotein inhibitor I Non-inhibitor 0.7847 P-glycoprotein inhibitor II Non-inhibitor 0.8383 Renal organic cation transporter Non-inhibitor 0.7463 CYP450 2C9 substrate Non-substrate 0.8496 CYP450 2D6 substrate Non-substrate 0.9138 CYP450 3A4 substrate Substrate 0.7407 CYP450 1A2 substrate Non-inhibitor 0.9406 CYP450 2C9 inhibitor Non-inhibitor 0.9072 CYP450 2D6 inhibitor Non-inhibitor 0.9418 CYP450 2C19 inhibitor Non-inhibitor 0.9253 CYP450 3A4 inhibitor Non-inhibitor 0.8902 CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.9095 Ames test Non AMES toxic 0.9132 Carcinogenicity Non-carcinogens 0.9597 Biodegradation Not ready biodegradable 0.925 Rat acute toxicity 1.8914 LD50, mol/kg Not applicable hERG inhibition (predictor I) Weak inhibitor 0.95 hERG inhibition (predictor II) Non-inhibitor 0.584
Spectra
- Mass Spec (NIST)
- Download (2.96 KB)
- Spectra
- Chromatographic Properties
Collision Cross Sections (CCS)
Adduct CCS Value (Å2) Source type Source [M-H]- 194.2512151 predictedDarkChem Lite v0.1.0 [M-H]- 194.2854151 predictedDarkChem Lite v0.1.0 [M-H]- 194.4778151 predictedDarkChem Lite v0.1.0 [M-H]- 195.5972151 predictedDarkChem Lite v0.1.0 [M-H]- 188.46715 predictedDeepCCS 1.0 (2019) [M+H]+ 194.7928151 predictedDarkChem Lite v0.1.0 [M+H]+ 181.5477861 predictedDarkChem Standard v0.1.0 [M+H]+ 196.1118151 predictedDarkChem Lite v0.1.0 [M+H]+ 196.0463151 predictedDarkChem Lite v0.1.0 [M+H]+ 190.36255 predictedDeepCCS 1.0 (2019) [M+Na]+ 194.2409151 predictedDarkChem Lite v0.1.0 [M+Na]+ 191.3158269 predictedDarkChem Standard v0.1.0 [M+Na]+ 195.0088151 predictedDarkChem Lite v0.1.0 [M+Na]+ 196.90793 predictedDeepCCS 1.0 (2019)
Targets
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Yes
- Actions
- Agonist
- General Function
- Receptor for glucocorticoids (GC) (PubMed:27120390, PubMed:37478846). Has a dual mode of action: as a transcription factor that binds to glucocorticoid response elements (GRE), both for nuclear and mitochondrial DNA, and as a modulator of other transcription factors (PubMed:28139699). Affects inflammatory responses, cellular proliferation and differentiation in target tissues. Involved in chromatin remodeling (PubMed:9590696). Plays a role in rapid mRNA degradation by binding to the 5' UTR of target mRNAs and interacting with PNRC2 in a ligand-dependent manner which recruits the RNA helicase UPF1 and the mRNA-decapping enzyme DCP1A, leading to RNA decay (PubMed:25775514). Could act as a coactivator for STAT5-dependent transcription upon growth hormone (GH) stimulation and could reveal an essential role of hepatic GR in the control of body growth (By similarity)
- Specific Function
- Core promoter sequence-specific dna binding
- Gene Name
- NR3C1
- Uniprot ID
- P04150
- Uniprot Name
- Glucocorticoid receptor
- Molecular Weight
- 85658.57 Da
References
- Grossman R, Yehuda R, Golier J, McEwen B, Harvey P, Maria NS: Cognitive effects of intravenous hydrocortisone in subjects with PTSD and healthy control subjects. Ann N Y Acad Sci. 2006 Jul;1071:410-21. [Article]
- Rautanen A, Eriksson JG, Kere J, Andersson S, Osmond C, Tienari P, Sairanen H, Barker DJ, Phillips DI, Forsen T, Kajantie E: Associations of body size at birth with late-life cortisol concentrations and glucose tolerance are modified by haplotypes of the glucocorticoid receptor gene. J Clin Endocrinol Metab. 2006 Nov;91(11):4544-51. Epub 2006 Aug 8. [Article]
- Hammer F, Stewart PM: Cortisol metabolism in hypertension. Best Pract Res Clin Endocrinol Metab. 2006 Sep;20(3):337-53. [Article]
- Shaw JR, Gabor K, Hand E, Lankowski A, Durant L, Thibodeau R, Stanton CR, Barnaby R, Coutermarsh B, Karlson KH, Sato JD, Hamilton JW, Stanton BA: Role of glucocorticoid receptor in acclimation of killifish (Fundulus heteroclitus) to seawater and effects of arsenic. Am J Physiol Regul Integr Comp Physiol. 2007 Feb;292(2):R1052-60. Epub 2006 Oct 12. [Article]
- Sher L: Combined dexamethasone suppression-corticotropin-releasing hormone stimulation test in studies of depression, alcoholism, and suicidal behavior. ScientificWorldJournal. 2006 Oct 31;6:1398-404. [Article]
- Czock D, Keller F, Rasche FM, Haussler U: Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61-98. doi: 10.2165/00003088-200544010-00003. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Yes
- Actions
- Agonist
- General Function
- Plays important roles in the innate immune response as effector of glucocorticoid-mediated responses and regulator of the inflammatory process. Has anti-inflammatory activity (PubMed:8425544). Plays a role in glucocorticoid-mediated down-regulation of the early phase of the inflammatory response (By similarity). Contributes to the adaptive immune response by enhancing signaling cascades that are triggered by T-cell activation, regulates differentiation and proliferation of activated T-cells (PubMed:17008549). Promotes the differentiation of T-cells into Th1 cells and negatively regulates differentiation into Th2 cells (PubMed:17008549). Has no effect on unstimulated T cells (PubMed:17008549). Negatively regulates hormone exocytosis via activation of the formyl peptide receptors and reorganization of the actin cytoskeleton (PubMed:19625660). Has high affinity for Ca(2+) and can bind up to eight Ca(2+) ions (By similarity). Displays Ca(2+)-dependent binding to phospholipid membranes (PubMed:2532504, PubMed:8557678). Plays a role in the formation of phagocytic cups and phagosomes. Plays a role in phagocytosis by mediating the Ca(2+)-dependent interaction between phagosomes and the actin cytoskeleton (By similarity)
- Specific Function
- Cadherin binding involved in cell-cell adhesion
- Gene Name
- ANXA1
- Uniprot ID
- P04083
- Uniprot Name
- Annexin A1
- Molecular Weight
- 38713.855 Da
References
- Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
- Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
- Sato-Matsumura KC, Matsumura T, Nakamura H, Sawa H, Nagashima K, Koizumi H: Membrane expression of annexin I is enhanced by calcium and TPA in cultured human keratinocytes. Arch Dermatol Res. 2000 Oct;292(10):496-9. [Article]
- White MV, Igarashi Y, Lundgren JD, Shelhamer J, Kaliner M: Hydrocortisone inhibits rat basophilic leukemia cell mediator release induced by neutrophil-derived histamine releasing activity as well as by anti-IgE. J Immunol. 1991 Jul 15;147(2):667-73. [Article]
- Serres M, Viac J, Comera C, Schmitt D: Expression of annexin I in freshly isolated human epidermal cells and in cultured keratinocytes. Arch Dermatol Res. 1994;286(5):268-72. [Article]
Enzymes
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInducer
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of sterols, steroid hormones, retinoids and fatty acids (PubMed:10681376, PubMed:11093772, PubMed:11555828, PubMed:12865317, PubMed:14559847, PubMed:15373842, PubMed:15764715, PubMed:19965576, PubMed:20702771, PubMed:21490593, PubMed:21576599). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase). Catalyzes the hydroxylation of carbon-hydrogen bonds (PubMed:12865317, PubMed:14559847, PubMed:15373842, PubMed:15764715, PubMed:21490593, PubMed:21576599, PubMed:2732228). Exhibits high catalytic activity for the formation of hydroxyestrogens from estrone (E1) and 17beta-estradiol (E2), namely 2-hydroxy E1 and E2, as well as D-ring hydroxylated E1 and E2 at the C-16 position (PubMed:11555828, PubMed:12865317, PubMed:14559847). Plays a role in the metabolism of androgens, particularly in oxidative deactivation of testosterone (PubMed:15373842, PubMed:15764715, PubMed:22773874, PubMed:2732228). Metabolizes testosterone to less biologically active 2beta- and 6beta-hydroxytestosterones (PubMed:15373842, PubMed:15764715, PubMed:2732228). Contributes to the formation of hydroxycholesterols (oxysterols), particularly A-ring hydroxylated cholesterol at the C-4beta position, and side chain hydroxylated cholesterol at the C-25 position, likely contributing to cholesterol degradation and bile acid biosynthesis (PubMed:21576599). Catalyzes bisallylic hydroxylation of polyunsaturated fatty acids (PUFA) (PubMed:9435160). Catalyzes the epoxidation of double bonds of PUFA with a preference for the last double bond (PubMed:19965576). Metabolizes endocannabinoid arachidonoylethanolamide (anandamide) to 8,9-, 11,12-, and 14,15-epoxyeicosatrienoic acid ethanolamides (EpETrE-EAs), potentially modulating endocannabinoid system signaling (PubMed:20702771). Plays a role in the metabolism of retinoids. Displays high catalytic activity for oxidation of all-trans-retinol to all-trans-retinal, a rate-limiting step for the biosynthesis of all-trans-retinoic acid (atRA) (PubMed:10681376). Further metabolizes atRA toward 4-hydroxyretinoate and may play a role in hepatic atRA clearance (PubMed:11093772). Responsible for oxidative metabolism of xenobiotics. Acts as a 2-exo-monooxygenase for plant lipid 1,8-cineole (eucalyptol) (PubMed:11159812). Metabolizes the majority of the administered drugs. Catalyzes sulfoxidation of the anthelmintics albendazole and fenbendazole (PubMed:10759686). Hydroxylates antimalarial drug quinine (PubMed:8968357). Acts as a 1,4-cineole 2-exo-monooxygenase (PubMed:11695850). Also involved in vitamin D catabolism and calcium homeostasis. Catalyzes the inactivation of the active hormone calcitriol (1-alpha,25-dihydroxyvitamin D(3)) (PubMed:29461981)
- Specific Function
- 1,8-cineole 2-exo-monooxygenase activity
- Gene Name
- CYP3A4
- Uniprot ID
- P08684
- Uniprot Name
- Cytochrome P450 3A4
- Molecular Weight
- 57342.67 Da
References
- Ekins S, Bravi G, Wikel JH, Wrighton SA: Three-dimensional-quantitative structure activity relationship analysis of cytochrome P-450 3A4 substrates. J Pharmacol Exp Ther. 1999 Oct;291(1):424-33. [Article]
- El-Sankary W, Bombail V, Gibson GG, Plant N: Glucocorticoid-mediated induction of CYP3A4 is decreased by disruption of a protein: DNA interaction distinct from the pregnane X receptor response element. Drug Metab Dispos. 2002 Sep;30(9):1029-34. [Article]
- El-Sankary W, Plant NJ, Gibson GG, Moore DJ: Regulation of the CYP3A4 gene by hydrocortisone and xenobiotics: role of the glucocorticoid and pregnane X receptors. Drug Metab Dispos. 2000 May;28(5):493-6. [Article]
- Abel SM, Back DJ: Cortisol metabolism in vitro--III. Inhibition of microsomal 6 beta-hydroxylase and cytosolic 4-ene-reductase. J Steroid Biochem Mol Biol. 1993 Dec;46(6):827-32. doi: 10.1016/0960-0760(93)90325-q. [Article]
- Flockhart Table of Drug Interactions [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of steroid hormones and vitamins (PubMed:10681376, PubMed:11093772, PubMed:12865317, PubMed:2732228). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase). Catalyzes the hydroxylation of carbon-hydrogen bonds (PubMed:10681376, PubMed:11093772, PubMed:12865317, PubMed:2732228). Exhibits high catalytic activity for the formation of catechol estrogens from 17beta-estradiol (E2) and estrone (E1), namely 2-hydroxy E1 and E2 (PubMed:12865317). Catalyzes 6beta-hydroxylation of the steroid hormones testosterone, progesterone, and androstenedione (PubMed:2732228). Catalyzes the oxidative conversion of all-trans-retinol to all-trans-retinal, a rate-limiting step for the biosynthesis of all-trans-retinoic acid (atRA) (PubMed:10681376). Further metabolizes all trans-retinoic acid (atRA) to 4-hydroxyretinoate and may play a role in hepatic atRA clearance (PubMed:11093772). Also involved in the oxidative metabolism of xenobiotics, including calcium channel blocking drug nifedipine and immunosuppressive drug cyclosporine (PubMed:2732228)
- Specific Function
- Aromatase activity
- Gene Name
- CYP3A5
- Uniprot ID
- P20815
- Uniprot Name
- Cytochrome P450 3A5
- Molecular Weight
- 57108.065 Da
References
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of steroid hormones and vitamins during embryogenesis (PubMed:11093772, PubMed:12865317, PubMed:14559847, PubMed:17178770, PubMed:9555064). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase) (PubMed:11093772, PubMed:12865317, PubMed:14559847, PubMed:17178770, PubMed:9555064). Catalyzes the hydroxylation of carbon-hydrogen bonds. Metabolizes 3beta-hydroxyandrost-5-en-17-one (dehydroepiandrosterone, DHEA), a precursor in the biosynthesis of androgen and estrogen steroid hormones (PubMed:17178770, PubMed:9555064). Exhibits high catalytic activity for the formation of hydroxyestrogens from estrone (E1), particularly D-ring hydroxylated estrone at the C16-alpha position (PubMed:12865317, PubMed:14559847). Mainly hydroxylates all trans-retinoic acid (atRA) to 4-hydroxyretinoate and may play a role in atRA clearance during fetal development (PubMed:11093772). Also involved in the oxidative metabolism of xenobiotics including anticonvulsants (PubMed:9555064)
- Specific Function
- All-trans retinoic acid 18-hydroxylase activity
- Gene Name
- CYP3A7
- Uniprot ID
- P24462
- Uniprot Name
- Cytochrome P450 3A7
- Molecular Weight
- 57469.95 Da
References
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- A cytochrome P450 monooxygenase involved in the biosynthesis of adrenal corticoids (PubMed:12530636, PubMed:1518866, PubMed:1775135, PubMed:18215163, PubMed:23322723). Catalyzes a variety of reactions that are essential for many species, including detoxification, defense, and the formation of endogenous chemicals like steroid hormones. Steroid 11beta, 18- and 19-hydroxylase with preferred regioselectivity at 11beta, then 18, and lastly 19 (By similarity). Catalyzes the hydroxylation of 11-deoxycortisol and 11-deoxycorticosterone (21-hydroxyprogesterone) at 11beta position, yielding cortisol or corticosterone, respectively, but cannot produce aldosterone (PubMed:12530636, PubMed:1518866, PubMed:1775135, PubMed:18215163, PubMed:23322723). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate for hydroxylation and reducing the second into a water molecule. Two electrons are provided by NADPH via a two-protein mitochondrial transfer system comprising flavoprotein FDXR (adrenodoxin/ferredoxin reductase) and nonheme iron-sulfur protein FDX1 or FDX2 (adrenodoxin/ferredoxin) (PubMed:18215163). Due to its lack of 18-oxidation activity, it is incapable of generating aldosterone (PubMed:23322723). Could also be involved in the androgen metabolic pathway (Probable)
- Specific Function
- Corticosterone 18-monooxygenase activity
- Gene Name
- CYP11B1
- Uniprot ID
- P15538
- Uniprot Name
- Cytochrome P450 11B1, mitochondrial
- Molecular Weight
- 57572.44 Da
References
- Freel EM, Shakerdi LA, Friel EC, Wallace AM, Davies E, Fraser R, Connell JM: Studies on the origin of circulating 18-hydroxycortisol and 18-oxocortisol in normal human subjects. J Clin Endocrinol Metab. 2004 Sep;89(9):4628-33. doi: 10.1210/jc.2004-0379. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- A cytochrome P450 monooxygenase that catalyzes the biosynthesis of aldosterone, the main mineralocorticoid in the human body responsible for salt and water homeostasis, thus involved in blood pressure regulation, arterial hypertension, and the development of heart failure (PubMed:11856349, PubMed:12530636, PubMed:1518866, PubMed:15356073, PubMed:1594605, PubMed:1775135, PubMed:22446688, PubMed:23322723, PubMed:9814482, PubMed:9814506). Catalyzes three sequential oxidative reactions of 11-deoxycorticosterone (21-hydroxyprogesterone), namely 11-beta hydroxylation, followed by two successive oxidations at C18 yielding 18-hydroxy and then 18-oxo intermediates (that would not leave the enzyme active site during the consecutive hydroxylation reactions), ending with the formation of aldosterone (PubMed:11856349, PubMed:12530636, PubMed:1518866, PubMed:1594605, PubMed:1775135, PubMed:22446688, PubMed:23322723, PubMed:9814506). Can also produce 18-hydroxycortisol and 18-oxocortisol, derived from successive oxidations of cortisol at C18, normally found at very low levels, but significantly increased in primary aldosteronism, the most common form of secondary hypertension (PubMed:15356073, PubMed:9814482). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate and reducing the second into a water molecule. Two electrons are provided by NADPH via a two-protein mitochondrial transfer system comprising flavoprotein FDXR (adrenodoxin/ferredoxin reductase) and nonheme iron-sulfur protein FDX1 or FDX2 (adrenodoxin/ferredoxin) (PubMed:11856349, PubMed:1594605, PubMed:23322723, PubMed:9814506). Could also be involved in the androgen metabolic pathway (Probable)
- Specific Function
- Corticosterone 18-monooxygenase activity
- Gene Name
- CYP11B2
- Uniprot ID
- P19099
- Uniprot Name
- Cytochrome P450 11B2, mitochondrial
- Molecular Weight
- 57559.62 Da
References
- Freel EM, Shakerdi LA, Friel EC, Wallace AM, Davies E, Fraser R, Connell JM: Studies on the origin of circulating 18-hydroxycortisol and 18-oxocortisol in normal human subjects. J Clin Endocrinol Metab. 2004 Sep;89(9):4628-33. doi: 10.1210/jc.2004-0379. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of various endogenous substrates, including fatty acids, steroid hormones and vitamins (PubMed:11093772, PubMed:14559847, PubMed:15766564, PubMed:19965576, PubMed:7574697). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase) (PubMed:11093772, PubMed:14559847, PubMed:15766564, PubMed:19965576, PubMed:7574697). Primarily catalyzes the epoxidation of double bonds of polyunsaturated fatty acids (PUFA) with a preference for the last double bond (PubMed:15766564, PubMed:19965576, PubMed:7574697). Catalyzes the hydroxylation of carbon-hydrogen bonds. Metabolizes all trans-retinoic acid toward its 4-hydroxylated form (PubMed:11093772). Displays 16-alpha hydroxylase activity toward estrogen steroid hormones, 17beta-estradiol (E2) and estrone (E1) (PubMed:14559847). Plays a role in the oxidative metabolism of xenobiotics. It is the principal enzyme responsible for the metabolism of the anti-cancer drug paclitaxel (taxol) (PubMed:26427316)
- Specific Function
- Arachidonic acid epoxygenase activity
- Gene Name
- CYP2C8
- Uniprot ID
- P10632
- Uniprot Name
- Cytochrome P450 2C8
- Molecular Weight
- 55824.275 Da
References
- Bauersachs J, Christ M, Ertl G, Michaelis UR, Fisslthaler B, Busse R, Fleming I: Cytochrome P450 2C expression and EDHF-mediated relaxation in porcine coronary arteries is increased by cortisol. Cardiovasc Res. 2002 Jun;54(3):669-75. [Article]
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Catalyzes the stereospecific NADPH-dependent reduction of the C4-C5 double bond of bile acid intermediates and steroid hormones carrying a delta(4)-3-one structure to yield an A/B cis-ring junction. This cis-configuration is crucial for bile acid biosynthesis and plays important roles in steroid metabolism. Capable of reducing a broad range of delta-(4)-3-ketosteroids from C18 (such as, 17beta-hydroxyestr-4-en-3-one) to C27 (such as, 7alpha-hydroxycholest-4-en-3-one)
- Specific Function
- Aldo-keto reductase (nadph) activity
- Gene Name
- AKR1D1
- Uniprot ID
- P51857
- Uniprot Name
- Aldo-keto reductase family 1 member D1
- Molecular Weight
- 37376.615 Da
References
- Finken MJ, Andrews RC, Andrew R, Walker BR: Cortisol metabolism in healthy young adults: sexual dimorphism in activities of A-ring reductases, but not 11beta-hydroxysteroid dehydrogenases. J Clin Endocrinol Metab. 1999 Sep;84(9):3316-21. doi: 10.1210/jcem.84.9.6009. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Converts testosterone (T) into 5-alpha-dihydrotestosterone (DHT) and progesterone or corticosterone into their corresponding 5-alpha-3-oxosteroids. It plays a central role in sexual differentiation and androgen physiology
- Specific Function
- 3-oxo-5-alpha-steroid 4-dehydrogenase activity
- Gene Name
- SRD5A2
- Uniprot ID
- P31213
- Uniprot Name
- 3-oxo-5-alpha-steroid 4-dehydrogenase 2
- Molecular Weight
- 28407.035 Da
References
- Finken MJ, Andrews RC, Andrew R, Walker BR: Cortisol metabolism in healthy young adults: sexual dimorphism in activities of A-ring reductases, but not 11beta-hydroxysteroid dehydrogenases. J Clin Endocrinol Metab. 1999 Sep;84(9):3316-21. doi: 10.1210/jcem.84.9.6009. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Catalyzes the conversion of biologically active 11beta-hydroxyglucocorticoids (11beta-hydroxysteroid) such as cortisol, to inactive 11-ketoglucocorticoids (11-oxosteroid) such as cortisone, in the presence of NAD(+) (PubMed:10497248, PubMed:12788846, PubMed:17314322, PubMed:22796344, PubMed:27927697, PubMed:30902677, PubMed:33387577, PubMed:7859916, PubMed:8538347). Functions as a dehydrogenase (oxidase), thereby decreasing the concentration of active glucocorticoids, thus protecting the nonselective mineralocorticoid receptor from occupation by glucocorticoids (PubMed:10497248, PubMed:12788846, PubMed:17314322, PubMed:33387577, PubMed:7859916). Plays an important role in maintaining glucocorticoids balance during preimplantation and protects the fetus from excessive maternal corticosterone exposure (By similarity). Catalyzes the oxidation of 11beta-hydroxytestosterone (11beta,17beta-dihydroxyandrost-4-ene-3-one) to 11-ketotestosterone (17beta-hydroxyandrost-4-ene-3,11-dione), a major bioactive androgen (PubMed:22796344, PubMed:27927697). Catalyzes the conversion of 11beta-hydroxyandrostenedione (11beta-hydroxyandrost-4-ene-3,17-dione) to 11-ketoandrostenedione (androst-4-ene-3,11,17-trione), which can be further metabolized to 11-ketotestosterone (PubMed:27927697). Converts 7-beta-25-dihydroxycholesterol to 7-oxo-25-hydroxycholesterol in vitro (PubMed:30902677). 7-beta-25-dihydroxycholesterol (not 7-oxo-25-hydroxycholesterol) acts as a ligand for the G-protein-coupled receptor (GPCR) Epstein-Barr virus-induced gene 2 (EBI2) and may thereby regulate immune cell migration (PubMed:30902677). May protect ovulating oocytes and fertilizing spermatozoa from the adverse effects of cortisol (By similarity)
- Specific Function
- 11-beta-hydroxysteroid dehydrogenase (nad+) activity
- Gene Name
- HSD11B2
- Uniprot ID
- P80365
- Uniprot Name
- 11-beta-hydroxysteroid dehydrogenase type 2
- Molecular Weight
- 44126.06 Da
References
- Finken MJ, Andrews RC, Andrew R, Walker BR: Cortisol metabolism in healthy young adults: sexual dimorphism in activities of A-ring reductases, but not 11beta-hydroxysteroid dehydrogenases. J Clin Endocrinol Metab. 1999 Sep;84(9):3316-21. doi: 10.1210/jcem.84.9.6009. [Article]
- Sarkar U, Rivera-Burgos D, Large EM, Hughes DJ, Ravindra KC, Dyer RL, Ebrahimkhani MR, Wishnok JS, Griffith LG, Tannenbaum SR: Metabolite profiling and pharmacokinetic evaluation of hydrocortisone in a perfused three-dimensional human liver bioreactor. Drug Metab Dispos. 2015 Jul;43(7):1091-9. doi: 10.1124/dmd.115.063495. Epub 2015 Apr 29. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Controls the reversible conversion of biologically active glucocorticoids such as cortisone to cortisol, and 11-dehydrocorticosterone to corticosterone in the presence of NADP(H) (PubMed:10497248, PubMed:12460758, PubMed:14973125, PubMed:15152005, PubMed:15280030, PubMed:17593962, PubMed:21453287, PubMed:27927697, PubMed:30902677). Participates in the corticosteroid receptor-mediated anti-inflammatory response, as well as metabolic and homeostatic processes (PubMed:10497248, PubMed:12414862, PubMed:15152005, PubMed:21453287). Plays a role in the secretion of aqueous humor in the eye, maintaining a normotensive, intraocular environment (PubMed:11481269). Bidirectional in vitro, predominantly functions as a reductase in vivo, thereby increasing the concentration of active glucocorticoids (PubMed:10497248, PubMed:11481269, PubMed:12414862, PubMed:12460758). It has broad substrate specificity, besides glucocorticoids, it accepts other steroid and sterol substrates (PubMed:15095019, PubMed:15152005, PubMed:17593962, PubMed:21453287). Interconverts 7-oxo- and 7-hydroxy-neurosteroids such as 7-oxopregnenolone and 7beta-hydroxypregnenolone, 7-oxodehydroepiandrosterone (3beta-hydroxy-5-androstene-7,17-dione) and 7beta-hydroxydehydroepiandrosterone (3beta,7beta-dihydroxyandrost-5-en-17-one), among others (PubMed:17593962). Catalyzes the stereo-specific conversion of the major dietary oxysterol, 7-ketocholesterol (7-oxocholesterol), into the more polar 7-beta-hydroxycholesterol metabolite (PubMed:15095019, PubMed:15152005). 7-oxocholesterol is one of the most important oxysterols, it participates in several events such as induction of apoptosis, accumulation in atherosclerotic lesions, lipid peroxidation, and induction of foam cell formation (PubMed:15095019). Mediates the 7-oxo reduction of 7-oxolithocholate mainly to chenodeoxycholate, and to a lesser extent to ursodeoxycholate, both in its free form and when conjugated to glycine or taurine, providing a link between glucocorticoid activation and bile acid metabolism (PubMed:21453287). Catalyzes the synthesis of 7-beta-25-dihydroxycholesterol from 7-oxo-25-hydroxycholesterol in vitro, which acts as a ligand for the G-protein-coupled receptor (GPCR) Epstein-Barr virus-induced gene 2 (EBI2) and may thereby regulate immune cell migration (PubMed:30902677)
- Specific Function
- 11-beta-hydroxysteroid dehydrogenase (nadp+) activity
- Gene Name
- HSD11B1
- Uniprot ID
- P28845
- Uniprot Name
- 11-beta-hydroxysteroid dehydrogenase 1
- Molecular Weight
- 32400.665 Da
References
- Finken MJ, Andrews RC, Andrew R, Walker BR: Cortisol metabolism in healthy young adults: sexual dimorphism in activities of A-ring reductases, but not 11beta-hydroxysteroid dehydrogenases. J Clin Endocrinol Metab. 1999 Sep;84(9):3316-21. doi: 10.1210/jcem.84.9.6009. [Article]
- Sarkar U, Rivera-Burgos D, Large EM, Hughes DJ, Ravindra KC, Dyer RL, Ebrahimkhani MR, Wishnok JS, Griffith LG, Tannenbaum SR: Metabolite profiling and pharmacokinetic evaluation of hydrocortisone in a perfused three-dimensional human liver bioreactor. Drug Metab Dispos. 2015 Jul;43(7):1091-9. doi: 10.1124/dmd.115.063495. Epub 2015 Apr 29. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Exhibits a high coumarin 7-hydroxylase activity. Can act in the hydroxylation of the anti-cancer drugs cyclophosphamide and ifosphamide. Competent in the metabolic activation of aflatoxin B1. Constitutes the major nicotine C-oxidase. Acts as a 1,4-cineole 2-exo-monooxygenase. Possesses low phenacetin O-deethylation activity
- Specific Function
- Arachidonic acid epoxygenase activity
- Gene Name
- CYP2A6
- Uniprot ID
- P11509
- Uniprot Name
- Cytochrome P450 2A6
- Molecular Weight
- 56517.005 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of various endogenous substrates, including fatty acids, steroid hormones and vitamins (PubMed:10681376, PubMed:11555828, PubMed:12865317, PubMed:15258110, PubMed:20972997). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase) (PubMed:10681376, PubMed:11555828, PubMed:12865317, PubMed:15258110, PubMed:20972997). Exhibits catalytic activity for the formation of hydroxyestrogens from estrone (E1) and 17beta-estradiol (E2), namely 2- and 4-hydroxy E1 and E2. Displays a predominant hydroxylase activity toward E2 at the C-4 position (PubMed:11555828, PubMed:12865317). Metabolizes testosterone and progesterone to B or D ring hydroxylated metabolites (PubMed:10426814). May act as a major enzyme for all-trans retinoic acid biosynthesis in extrahepatic tissues. Catalyzes two successive oxidative transformation of all-trans retinol to all-trans retinal and then to the active form all-trans retinoic acid (PubMed:10681376, PubMed:15258110). Catalyzes the epoxidation of double bonds of certain PUFA. Converts arachidonic acid toward epoxyeicosatrienoic acid (EpETrE) regioisomers, 8,9-, 11,12-, and 14,15- EpETrE, that function as lipid mediators in the vascular system (PubMed:20972997). Additionally, displays dehydratase activity toward oxygenated eicosanoids hydroperoxyeicosatetraenoates (HpETEs). This activity is independent of cytochrome P450 reductase, NADPH, and O2 (PubMed:21068195). Also involved in the oxidative metabolism of xenobiotics, particularly converting polycyclic aromatic hydrocarbons and heterocyclic aryl amines procarcinogens to DNA-damaging products (PubMed:10426814). Plays an important role in retinal vascular development. Under hyperoxic O2 conditions, promotes retinal angiogenesis and capillary morphogenesis, likely by metabolizing the oxygenated products generated during the oxidative stress. Also, contributes to oxidative homeostasis and ultrastructural organization and function of trabecular meshwork tissue through modulation of POSTN expression (By similarity)
- Specific Function
- Aromatase activity
- Gene Name
- CYP1B1
- Uniprot ID
- Q16678
- Uniprot Name
- Cytochrome P450 1B1
- Molecular Weight
- 60845.33 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of endocannabinoids and steroids (PubMed:12865317, PubMed:21289075). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase). Catalyzes the epoxidation of double bonds of arachidonoylethanolamide (anandamide) to 8,9-, 11,12-, and 14,15-epoxyeicosatrienoic acid ethanolamides (EpETrE-EAs), potentially modulating endocannabinoid system signaling (PubMed:21289075). Hydroxylates steroid hormones, including testosterone at C-16 and estrogens at C-2 (PubMed:12865317, PubMed:21289075). Plays a role in the oxidative metabolism of xenobiotics, including plant lipids and drugs (PubMed:11695850, PubMed:22909231). Acts as a 1,4-cineole 2-exo-monooxygenase (PubMed:11695850)
- Specific Function
- Anandamide 11,12 epoxidase activity
- Gene Name
- CYP2B6
- Uniprot ID
- P20813
- Uniprot Name
- Cytochrome P450 2B6
- Molecular Weight
- 56277.81 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of various endogenous substrates, including fatty acids and steroids (PubMed:12865317, PubMed:15766564, PubMed:19965576, PubMed:21576599, PubMed:7574697, PubMed:9435160, PubMed:9866708). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase) (PubMed:12865317, PubMed:15766564, PubMed:19965576, PubMed:21576599, PubMed:7574697, PubMed:9435160, PubMed:9866708). Catalyzes the epoxidation of double bonds of polyunsaturated fatty acids (PUFA) (PubMed:15766564, PubMed:19965576, PubMed:7574697, PubMed:9866708). Catalyzes the hydroxylation of carbon-hydrogen bonds. Metabolizes cholesterol toward 25-hydroxycholesterol, a physiological regulator of cellular cholesterol homeostasis (PubMed:21576599). Exhibits low catalytic activity for the formation of catechol estrogens from 17beta-estradiol (E2) and estrone (E1), namely 2-hydroxy E1 and E2 (PubMed:12865317). Catalyzes bisallylic hydroxylation and hydroxylation with double-bond migration of polyunsaturated fatty acids (PUFA) (PubMed:9435160, PubMed:9866708). Also metabolizes plant monoterpenes such as limonene. Oxygenates (R)- and (S)-limonene to produce carveol and perillyl alcohol (PubMed:11950794). Contributes to the wide pharmacokinetics variability of the metabolism of drugs such as S-warfarin, diclofenac, phenytoin, tolbutamide and losartan (PubMed:25994031)
- Specific Function
- (r)-limonene 6-monooxygenase activity
- Gene Name
- CYP2C9
- Uniprot ID
- P11712
- Uniprot Name
- Cytochrome P450 2C9
- Molecular Weight
- 55627.365 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- A cytochrome P450 monooxygenase involved in the metabolism of polyunsaturated fatty acids (PUFA) (PubMed:18577768, PubMed:19965576, PubMed:20972997). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase) (PubMed:18577768, PubMed:19965576, PubMed:20972997). Catalyzes the hydroxylation of carbon-hydrogen bonds. Hydroxylates PUFA specifically at the omega-1 position (PubMed:18577768). Catalyzes the epoxidation of double bonds of PUFA (PubMed:19965576, PubMed:20972997). Also metabolizes plant monoterpenes such as limonene. Oxygenates (R)- and (S)-limonene to produce carveol and perillyl alcohol (PubMed:11950794). Responsible for the metabolism of a number of therapeutic agents such as the anticonvulsant drug S-mephenytoin, omeprazole, proguanil, certain barbiturates, diazepam, propranolol, citalopram and imipramine. Hydroxylates fenbendazole at the 4' position (PubMed:23959307)
- Specific Function
- (r)-limonene 6-monooxygenase activity
- Gene Name
- CYP2C19
- Uniprot ID
- P33261
- Uniprot Name
- Cytochrome P450 2C19
- Molecular Weight
- 55944.565 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
Carriers
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Binder
- General Function
- Functions as an androgen transport protein, but may also be involved in receptor mediated processes. Each dimer binds one molecule of steroid. Specific for 5-alpha-dihydrotestosterone, testosterone, and 17-beta-estradiol. Regulates the plasma metabolic clearance rate of steroid hormones by controlling their plasma concentration
- Specific Function
- Androgen binding
- Gene Name
- SHBG
- Uniprot ID
- P04278
- Uniprot Name
- Sex hormone-binding globulin
- Molecular Weight
- 43778.755 Da
References
- Khoromi S, Muniyappa R, Nackers L, Gray N, Baldwin H, Wong KA, Matheny LA, Moquin B, Rainer A, Hill S, Remaley A, Johnson LL, Max MB, Blackman MR: Effects of chronic osteoarthritis pain on neuroendocrine function in men. J Clin Endocrinol Metab. 2006 Nov;91(11):4313-8. Epub 2006 Aug 15. [Article]
- Stroud LR, Solomon C, Shenassa E, Papandonatos G, Niaura R, Lipsitt LP, Lewinn K, Buka SL: Long-term stability of maternal prenatal steroid hormones from the National Collaborative Perinatal Project: still valid after all these years. Psychoneuroendocrinology. 2007 Feb;32(2):140-50. Epub 2007 Jan 31. [Article]
- Lombardi G, Mondaini N, Macchiarella A, Del Popolo G: Female sexual dysfunction and hormonal status in spinal cord injured (SCI) patients. J Androl. 2007 Sep-Oct;28(5):722-6. Epub 2007 May 9. [Article]
- Shifren JL, Desindes S, McIlwain M, Doros G, Mazer NA: A randomized, open-label, crossover study comparing the effects of oral versus transdermal estrogen therapy on serum androgens, thyroid hormones, and adrenal hormones in naturally menopausal women. Menopause. 2007 Nov-Dec;14(6):985-94. [Article]
- Rizzo L, Dobrovsky V, Danilowicz K, Kral M, Cross G, Serra HA, Bruno OD: Low-dose glucocorticoids in hyperandrogenism. Medicina (B Aires). 2007;67(3):247-52. [Article]
- Gardill BR, Vogl MR, Lin HY, Hammond GL, Muller YA: Corticosteroid-binding globulin: structure-function implications from species differences. PLoS One. 2012;7(12):e52759. doi: 10.1371/journal.pone.0052759. Epub 2012 Dec 26. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Binder
- General Function
- Major transport protein for glucocorticoids and progestins in the blood of almost all vertebrate species
- Specific Function
- Serine-type endopeptidase inhibitor activity
- Gene Name
- SERPINA6
- Uniprot ID
- P08185
- Uniprot Name
- Corticosteroid-binding globulin
- Molecular Weight
- 45140.49 Da
References
- Henley DE, Lightman SL: New insights into corticosteroid-binding globulin and glucocorticoid delivery. Neuroscience. 2011 Apr 28;180:1-8. doi: 10.1016/j.neuroscience.2011.02.053. Epub 2011 Mar 1. [Article]
- Czock D, Keller F, Rasche FM, Haussler U: Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61-98. doi: 10.2165/00003088-200544010-00003. [Article]
Transporters
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInducer
- General Function
- Translocates drugs and phospholipids across the membrane (PubMed:2897240, PubMed:35970996, PubMed:8898203, PubMed:9038218). Catalyzes the flop of phospholipids from the cytoplasmic to the exoplasmic leaflet of the apical membrane. Participates mainly to the flop of phosphatidylcholine, phosphatidylethanolamine, beta-D-glucosylceramides and sphingomyelins (PubMed:8898203). Energy-dependent efflux pump responsible for decreased drug accumulation in multidrug-resistant cells (PubMed:2897240, PubMed:35970996, PubMed:9038218)
- Specific Function
- Abc-type xenobiotic transporter activity
- Gene Name
- ABCB1
- Uniprot ID
- P08183
- Uniprot Name
- ATP-dependent translocase ABCB1
- Molecular Weight
- 141477.255 Da
References
- Schwab D, Fischer H, Tabatabaei A, Poli S, Huwyler J: Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery. J Med Chem. 2003 Apr 24;46(9):1716-25. [Article]
- Kim RB, Wandel C, Leake B, Cvetkovic M, Fromm MF, Dempsey PJ, Roden MM, Belas F, Chaudhary AK, Roden DM, Wood AJ, Wilkinson GR: Interrelationship between substrates and inhibitors of human CYP3A and P-glycoprotein. Pharm Res. 1999 Mar;16(3):408-14. [Article]
- Yates CR, Chang C, Kearbey JD, Yasuda K, Schuetz EG, Miller DD, Dalton JT, Swaan PW: Structural determinants of P-glycoprotein-mediated transport of glucocorticoids. Pharm Res. 2003 Nov;20(11):1794-803. [Article]
- Ueda K, Okamura N, Hirai M, Tanigawara Y, Saeki T, Kioka N, Komano T, Hori R: Human P-glycoprotein transports cortisol, aldosterone, and dexamethasone, but not progesterone. J Biol Chem. 1992 Dec 5;267(34):24248-52. [Article]
- Orlowski S, Mir LM, Belehradek J Jr, Garrigos M: Effects of steroids and verapamil on P-glycoprotein ATPase activity: progesterone, desoxycorticosterone, corticosterone and verapamil are mutually non-exclusive modulators. Biochem J. 1996 Jul 15;317 ( Pt 2):515-22. [Article]
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Na(+)-independent transporter that mediates the cellular uptake of a broad range of organic anions such as the endogenous bile salts cholate and deoxycholate, either in their unconjugated or conjugated forms (taurocholate and glycocholate), at the plasmam membrane (PubMed:19129463, PubMed:7557095). Responsible for intestinal absorption of bile acids (By similarity). Transports dehydroepiandrosterone 3-sulfate (DHEAS), a major circulating steroid secreted by the adrenal cortex, as well as estrone 3-sulfate and 17beta-estradiol 17-O-(beta-D-glucuronate) (PubMed:11159893, PubMed:12568656, PubMed:19129463, PubMed:23918469, PubMed:25560245, PubMed:9539145). Mediates apical uptake of all-trans-retinol (atROL) across human retinal pigment epithelium, which is essential to maintaining the integrity of the visual cycle and thus vision (PubMed:25560245). Involved in the uptake of clinically used drugs (PubMed:17301733, PubMed:20686826, PubMed:27777271). Capable of thyroid hormone transport (both T3 or 3,3',5'-triiodo-L-thyronine, and T4 or L-tyroxine) (PubMed:19129463, PubMed:20358049). Also transports prostaglandin E2 (PubMed:19129463). Plays roles in blood-brain and -cerebrospinal fluid barrier transport of organic anions and signal mediators, and in hormone uptake by neural cells (By similarity). May also play a role in the reuptake of neuropeptides such as substance P/TAC1 and vasoactive intestinal peptide/VIP released from retinal neurons (PubMed:25132355). May play an important role in plasma and tissue distribution of the structurally diverse chemotherapeutic drugs methotrexate and paclitaxel (PubMed:23243220). Shows a pH-sensitive substrate specificity which may be ascribed to the protonation state of the binding site and leads to a stimulation of substrate transport in an acidic microenvironment (PubMed:19129463). Hydrogencarbonate/HCO3(-) acts as the probable counteranion that exchanges for organic anions (PubMed:19129463). May contribute to regulate the transport of organic compounds in testis across the blood-testis-barrier (Probable)
- Specific Function
- Bile acid transmembrane transporter activity
- Gene Name
- SLCO1A2
- Uniprot ID
- P46721
- Uniprot Name
- Solute carrier organic anion transporter family member 1A2
- Molecular Weight
- 74144.105 Da
References
- Kanai N, Lu R, Bao Y, Wolkoff AW, Schuster VL: Transient expression of oatp organic anion transporter in mammalian cells: identification of candidate substrates. Am J Physiol. 1996 Feb;270(2 Pt 2):F319-25. [Article]
- Bossuyt X, Muller M, Hagenbuch B, Meier PJ: Polyspecific drug and steroid clearance by an organic anion transporter of mammalian liver. J Pharmacol Exp Ther. 1996 Mar;276(3):891-6. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- Curator comments
- Cortisol demonstrated substrate activity in vitro using human OAT3 expressed on Xenopus Laevis.
- General Function
- Functions as an organic anion/dicarboxylate exchanger that couples organic anion uptake indirectly to the sodium gradient (PubMed:14586168, PubMed:15644426, PubMed:15846473, PubMed:16455804, PubMed:31553721). Transports organic anions such as estrone 3-sulfate (E1S) and urate in exchange for dicarboxylates such as glutarate or ketoglutarate (2-oxoglutarate) (PubMed:14586168, PubMed:15846473, PubMed:15864504, PubMed:22108572, PubMed:23832370). Plays an important role in the excretion of endogenous and exogenous organic anions, especially from the kidney and the brain (PubMed:11306713, PubMed:14586168, PubMed:15846473). E1S transport is pH- and chloride-dependent and may also involve E1S/cGMP exchange (PubMed:26377792). Responsible for the transport of prostaglandin E2 (PGE2) and prostaglandin F2(alpha) (PGF2(alpha)) in the basolateral side of the renal tubule (PubMed:11907186). Involved in the transport of neuroactive tryptophan metabolites kynurenate and xanthurenate (PubMed:22108572, PubMed:23832370). Functions as a biopterin transporters involved in the uptake and the secretion of coenzymes tetrahydrobiopterin (BH4), dihydrobiopterin (BH2) and sepiapterin to urine, thereby determining baseline levels of blood biopterins (PubMed:28534121). May be involved in the basolateral transport of steviol, a metabolite of the popular sugar substitute stevioside (PubMed:15644426). May participate in the detoxification/ renal excretion of drugs and xenobiotics, such as the histamine H(2)-receptor antagonists fexofenadine and cimetidine, the antibiotic benzylpenicillin (PCG), the anionic herbicide 2,4-dichloro-phenoxyacetate (2,4-D), the diagnostic agent p-aminohippurate (PAH), the antiviral acyclovir (ACV), and the mycotoxin ochratoxin (OTA), by transporting these exogenous organic anions across the cell membrane in exchange for dicarboxylates such as 2-oxoglutarate (PubMed:11669456, PubMed:15846473, PubMed:16455804). Contributes to the renal uptake of potent uremic toxins (indoxyl sulfate (IS), indole acetate (IA), hippurate/N-benzoylglycine (HA) and 3-carboxy-4-methyl-5-propyl-2-furanpropionate (CMPF)), pravastatin, PCG, E1S and dehydroepiandrosterone sulfate (DHEAS), and is partly involved in the renal uptake of temocaprilat (an angiotensin-converting enzyme (ACE) inhibitor) (PubMed:14675047). May contribute to the release of cortisol in the adrenals (PubMed:15864504). Involved in one of the detoxification systems on the choroid plexus (CP), removes substrates such as E1S or taurocholate (TC), PCG, 2,4-D and PAH, from the cerebrospinal fluid (CSF) to the blood for eventual excretion in urine and bile (By similarity). Also contributes to the uptake of several other organic compounds such as the prostanoids prostaglandin E(2) and prostaglandin F(2-alpha), L-carnitine, and the therapeutic drugs allopurinol, 6-mercaptopurine (6-MP) and 5-fluorouracil (5-FU) (By similarity). Mediates the transport of PAH, PCG, and the statins pravastatin and pitavastatin, from the cerebrum into the blood circulation across the blood-brain barrier (BBB). In summary, plays a role in the efflux of drugs and xenobiotics, helping reduce their undesired toxicological effects on the body (By similarity)
- Specific Function
- Organic anion transmembrane transporter activity
- Gene Name
- SLC22A8
- Uniprot ID
- Q8TCC7
- Uniprot Name
- Organic anion transporter 3
- Molecular Weight
- 59855.585 Da
References
- VanWert AL, Gionfriddo MR, Sweet DH: Organic anion transporters: discovery, pharmacology, regulation and roles in pathophysiology. Biopharm Drug Dispos. 2010 Jan;31(1):1-71. doi: 10.1002/bdd.693. [Article]
Drug created at June 13, 2005 13:24 / Updated at September 14, 2024 04:03