Metribolone was never approved for medical use,[2] a situation unlikely to change given its liver toxicity even at low doses.[2] It was studied for the potential treatment of advanced breast cancer in women but development was abandoned.[2][4]
Metribolone is an AAS, or an agonist of the AR, with both anabolic and androgenic activity.[2] It is one of the most potent AAS to have ever been synthesized, with 120 to 300 times the oral anabolic potency and 60 to 70 times the androgenic potency of the reference AAS methyltestosterone in castrated male rats, although the same level of potency has not been observed in studies in humans.[2][4] In addition to the AR, metribolone has high affinity for the progesterone receptor (PR), and binds to the glucocorticoid receptor (GR) as well.[5][6] The drug was also identified in 2007 as a potent antimineralocorticoid, with similar affinity for the mineralocorticoid receptor as aldosterone and spironolactone.[7] In addition, metribolone was identified in 2010 as a potent inhibitor of 3β-hydroxysteroid dehydrogenase (3β-HSD) 1 and 2 (IC50 = 0.02 and 0.16 μM, respectively).[8] On the basis of this finding, it has been said that metribolone should be used very cautiously in scientific research, taking into account 3β-HSD inhibition to avoid erroneous interpretation.[8]
Metribolone has a high potential for hepatotoxicity, similarly to other 17α-alkylated AAS.[9] However, the hepatotoxic potential of metribolone appears to be exceptionally high, likely in relation to its very high potency and metabolic stability; in a study of treatment with the drug for advanced breast cancer, severe hepatic dysfunction was observed at very low dosages.[4]
Relative affinities (%) of metribolone and related steroids
Notes: Values are percentages (%). Reference ligands (100%) were progesterone for the PRTooltip progesterone receptor, testosterone for the ARTooltip androgen receptor, estradiol for the ERTooltip estrogen receptor, DEXATooltip dexamethasone for the GRTooltip glucocorticoid receptor, and aldosterone for the MRTooltip mineralocorticoid receptor. Sources:[10][11]
Metribolone, also known as 17α-methyltrenbolone, as well as 17α-methyl-δ9,11-19-nortestosterone or 17α-methylestra-4,9,11-trien-17β-ol-3-one, is a syntheticestranesteroid and a 17α-alkylatedderivative of nandrolone (19-nortestosterone).[1][2] It is the C17α methylated derivative of trenbolone (δ9,11-19-nortestosterone) and the C9- and C11-dehydrogenated (δ9,11) analogue of normethandrone (17α-methyl-19-nortestosterone).[1][2] Other close relatives and derivatives of metribolone include mibolerone (7α,17α-dimethyl-19-nortestosterone) and dimethyltrienolone (RU-2420; 7α,17α-dimethyl-δ9,11-19-nortestosterone).[1][2] In addition to AAS, trimethyltrienolone (R2956; 2α,2β,17α-trimethyl-δ9,11-19-nortestosterone), a highly potent antiandrogen, has been derived from metribolone.[13][14]
History
Metribolone was first described in the literature in 1965.[2] It was studied clinically in the late 1960s and early 1970s, most notably in the treatment of advanced breast cancer.[2] The drug was found to be effective and showed weak androgenicity, but also produced severe signs of hepatotoxicity, and was ultimately never marketed.[2][4] By the mid-1970s, metribolone was becoming an accepted standard as a ligand and agonist of the AR in scientific research.[2] It remains in wide use for this purpose today.[2] Aside from scientific research, metribolone has also been encountered as an AAS in non-medical contexts, for instance in doping in sports and bodybuilding.[2]
Society and culture
Generic names
Metribolone is the generic name of metribolone and its INNTooltip International Nonproprietary Name.[1] It is also known by the name methyltrienolone and its developmental code names R1881, R-1881, RU-1881, and RU1881, and is very commonly referred to by these other names rather than as metribolone in the scientific literature.[1]
Doping in sports
Prior to the 2008 Beijing Olympic Games, 11 members of the Greek national weightlifting team and 4 Greek track and field athletes tested positive for metribolone.[15]
^Brinkmann AO, Kuiper GG, de Boer W, Mulder E, Bolt J, van Steenbrugge GJ, van der Molen HJ (January 1986). "Characterization of androgen receptors after photoaffinity labelling with [3H]methyltrienolone (R1881)". Journal of Steroid Biochemistry. 24 (1): 245–249. doi:10.1016/0022-4731(86)90058-0. PMID2422446.
^ abcdeBrueggemeier RW (2006). "Sex Hormones (Male): Analogs and Antagonists". In Meyers RA (ed.). Encyclopedia of Molecular Cell Biology and Molecular Medicine. Vol. 13 (2nd ed.). doi:10.1002/3527600906.mcb.200500066. ISBN3527600906.
^Ho-Kim MA, Tremblay RR, Dubé JY (November 1981). "Binding of methyltrienolone to glucocorticoid receptors in rat muscle cytosol". Endocrinology. 109 (5): 1418–1423. doi:10.1210/endo-109-5-1418. PMID6975208.
^Takeda AN, Pinon GM, Bens M, Fagart J, Rafestin-Oblin ME, Vandewalle A (February 2007). "The synthetic androgen methyltrienolone (r1881) acts as a potent antagonist of the mineralocorticoid receptor". Molecular Pharmacology. 71 (2): 473–482. doi:10.1124/mol.106.031112. PMID17105867. S2CID28647372.
^ abZheng F (2010). "Methyltrienolone (R1881) is a Potent Inhibitor of 3B-Hydroxysteroid Dehydrogenase (3B-HSD) Activity". Characterization of Enzymes Involved in the Metabolism of Dihydrotestosterone, the Most Potent Natural Androgen (thesis). pp. 91–103. CiteSeerX10.1.1.428.3729.
^Krüskemper HL, Noell G (July 1966). "Liver toxicity of a new anabolic agent: methyltrienolone (17-alpha-methyl-4,9,11-estratriene-17 beta-ol-3-one)". Steroids. 8 (1): 13–24. doi:10.1016/0039-128x(66)90114-0. PMID5955468.
^Ojasoo T, Delettré J, Mornon JP, Turpin-VanDycke C, Raynaud JP (1987). "Towards the mapping of the progesterone and androgen receptors". Journal of Steroid Biochemistry. 27 (1–3): 255–269. doi:10.1016/0022-4731(87)90317-7. PMID3695484.
^Saartok T, Dahlberg E, Gustafsson JA (June 1984). "Relative binding affinity of anabolic-androgenic steroids: comparison of the binding to the androgen receptors in skeletal muscle and in prostate, as well as to sex hormone-binding globulin". Endocrinology. 114 (6): 2100–2106. doi:10.1210/endo-114-6-2100. PMID6539197.
^Phillipps GH (22 October 2013). "Structure-Activity Relationships in Steroid Anaesthetics". In James VJ, Pasqualini JR (eds.). Proceedings of the Fourth International Congress on Hormonal Steroids: Mexico City, September 1974. Elsevier Science. p. 618. ISBN978-1-4831-4566-2. R-2956 [41-43], a dimethyl derivative of an extremely potent androgen, R 1881 [44], is a powerful testosterone antagonist with very low androgenic activity.