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Endocrine pharmacological tetrahydrogestrinone (THG) 1 characterization 1 of the “designer drug” 2 Michna Horst , Selg Peter-Johannes , Nishino Tsuyuki 1 Institute of Public Health Research, Faculty of Sport Science, Technical University of Munich, Germany 2 Biological Sciences, Galvin Life Science Building, University of Notre-Dame, Indiana, USA Introduction Tetrahydrogestrinone (THG) recently showed great impact on sports and was the second so called “designer drug” detected besides Desoxymethyltestosterone (DMT) and Norbolethone. The biochemical characterization of THG is as follows: it is a “designer” steroid based on the steroids trenbolone and gestrinone. Both of these parent compounds are only suitable to be administered by injection. Synthesis The synthesis of THG starts with gestrinone and its nickel-catalyzed hydrogenation (17α-alkine) resulting in THG. By modifying the 17α-position, THG becomes orally active. THG is a very strong anabolicum with an increased risk of liver damage and the incidence of general side effects usually caused by steroids. OH OH H OH H2, Ni H O Trenbolone O O Gestrinone Tetrahydrogestrinone OH 17α-postion O Fig. 1: Tetrahydrogestrinone (THG) is a very strong steroid with an increased risk of liver damage Endocrine profile THG did neither display (Anti-)estrogenic nor (Anti-)glucocorticoid activity in our classical preclinical test systems. THG did not inhibit androgen receptors activation by testosterone or progesterone receptors activation by progesterone, nor did THG have endogen receptor agonist or antagonist activity (Death et al. 2004). Based on the chemical structure of the compound special emphasize was given to elucidate the progestational and androgen like activity. Whereas no anti-androgenic or anti-progestational activity was detected, the compound in fact induced both biologically relevant androgen and progestational activity in all test systems: The progestational activity was analysed in estradiol primed rabbits after a treatment period of five days (“Clauberg assay”) and in a bioassay to measure the proliferative effects of progesterone on the growth of tubulo-alveolar buds (morphometric evaluation, biochemical DNA, RNA analysis) in the mammary gland in ovariectomized and estrone substituted rats. The androgenic effects of THG were analysed in the classical orchiectomized mouse and rat model after s. c. treatment periods up to 12 days in direct comparison to testosterone propionate (o.1mg/animal/day s. c.): THG induced (a dose dependent) androgenic effect on prostate and vesicular seminales parameters and LH serum levels in doses of 1,3,10mg/animal. This androgenic stimulation could be antagonized by the simoultaneous administration of the pure antiandrogen Flutamide (3mg). Conclusion THG, like other anabolic steroids, exerts androgenic and progestational effects in the standard assays to predict activity in humans. Therefore, this compound may induce strong biomedical side effects which have been already reported for several substances prohibeted by the list (Peters et al. 2001). Accordingly, THG must be considered as a very perilous drug, especially when used for doping purposes. References Death A K, et al. (2004). J Clin EndocrinolMetab 89: 2498–2500 Peters et al. (2001). Biomedical side effects of doping