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Æó°æ ÈÄ(¸¶Áö¸· »ý¸® ÈÄ ÃÖ¼Ò 1³âÀÌ °æ°úµÈ ½ÃÁ¡) ¿©¼ºÀÇ ¿¡½ºÆ®·Î°Õ °áÇÌÀÇ Áõ»ó°æ°¨À» À§ÇÑ È£¸£¸ó ´ëü¿ä¹ý(HRT)
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1) ¼ºÈ£¸£¸ó ÀÇÁ¸¼º Àü¾Ï»óÅÂ(premalignant condition) ¶Ç´Â Á¾¾çÀÌ Àְųª ÀǽÉ(ƯÈ÷ Àڱ󻸷¾ÏÁ¾) ȯÀÚ
2) ÇöÁ¸ À¯¹æ¾Ï ¶Ç´Â ±× º´·Â ¶Ç´Â µ¿ Áúȯ ÀÇ½É È¯ÀÚ
3) °£Á¾¾çÀ» ¾Î°í Àְųª º´·ÂÀÌ Àִ ȯÀÚ
4) ±Þ¼º °£Áúȯ ¶Ç´Â °£±â´É ½ÃÇèÀÌ Á¤»óÀ¸·Î µ¹¾Æ¿ÀÁö ¾ÊÀº °£ÁúȯÀÇ º´·ÂÀÌ Àִ ȯÀÚ
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6) Ȱµ¿¼º ½ÉÀçÁ¤¸ÆÇ÷ÀüÁõÀ̳ª Ç÷Àü»öÀüÁõ ¶Ç´Â ±× º´·ÂÀÌ Àִ ȯÀÚ
7) ¼±Ãµ¼º ÁöÁú´ë»ç Àå¾Ö ȯÀÚ
8) ÁßÁõÀÇ °íÁß¼ºÁö¹æÇ÷Áõ ȯÀÚ
9) Áø´ÜµÇÁö ¾ÊÀº ºñÁ¤»óÀûÀÎ »ý½Ä±â ÃâÇ÷ ȯÀÚ
10) Àڱ󻸷Áõ ȯÀÚ
11) À¯¹æº´Áõ(mastropathy)ȯÀÚ
12) µÎºó Á¸½¼ ÁõÈıº(Dubin-Johnson Syndrome) ¶Ç´Â ·ÎÅÍ ÁõÈıº(Rotor Syndrome) ȯÀÚ
13) °â»óÀûÇ÷±¸ ºóÇ÷ ȯÀÚ
14) Ç÷°üÁúȯÀ» ¼ö¹ÝÇÑ ½ÉÇÑ ´ç´¢º´ ȯÀÚ
15) ÀӽŠÇ츣Æä½º°°ÀÌ Æ÷Áø¼º ¹ßÁøÀÇ º´·ÂÀÌ Àִ ȯÀÚ
16) ÀӽŠÁß¿¡ ¾ÇÈµÈ À̰æÈÁõÀÇ º´·ÂÀÌ Àִ ȯÀÚ
17) ÀӽŠÁß¿¡ Ȳ´Þ ¶Ç´Â Àü½Å °¡·Á¿òÀÇ º´·ÂÀÌ Àִ ȯÀÚ
18) ÀÌ ¾à ¶Ç´Â ÀÌ ¾àÀÇ ±¸¼º¼ººÐ¿¡ °ú¹Î¹ÝÀÀÀÌ Àִ ȯÀÚ
19) ÀӺΠ¶Ç´Â ÀÓ½ÅÇϰí ÀÖÀ» °¡´É¼ºÀÌ ÀÖ´Â ¿©¼º ¹× ¼öÀ¯ºÎ
20) Æ÷¸£ÇǸ°Áõ ȯÀÚ
21) Á¤¸Æ ¶Ç´Â µ¿¸Æ Ç÷ÀüÁõÀÇ °íÀ§Ç豺 ȯÀÚ
22) Á¤¸ÆÇ÷Àü»öÀüÁõ ¶Ç´Â ±× º´·Â(ƯÈ÷ ½ÉÀçÁ¤¸ÆÇ÷ÀüÁõ, Æó»öÀüÁõ)À» °¡Áø ȯÀÚ
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643900320[A05002141]
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| Brandname Á¤º¸ |
Estradiol valerate
Brand Names/Synonyms
- Aerodiol
- Agofollin
- Alora
- Altrad
- Amnestrogen
- Aquadiol
- Bardiol
- Beta-Estradiol
- Cis-Estradiol
- Cis-Oestradiol
- Climaderm
- Climara
- Combipatch
- Compudose
- Compudose 200
- Compudose 365
- Corpagen
- D-Estradiol
- D-Oestradiol
- Delestrogen
- Depo-Estradiol
- Dermestril
- Dihydrofollicular Hormone
- Dihydrofolliculin
- Dihydromenformon
- Dihydrotheelin
- Dihydroxyesterin
- Dihydroxyestrin
- Dihydroxyoestrin
- Dimenformon
- Dimenformon Prolongatum
- Diogyn
- Diogynets
- Divigel
- Encore
- Esclim
- Estinyl
- Estrace
- Estraderm
- Estraderm Tts
- Estradiol Cypionate
- Estradiol Valerate
- Estradiol-17beta
- Estradurin
- Estraldine
- Estrasorb
- Estreva
- Estrifam
- Estring
- Estring Vaginal Ring
- Estroclim
- Estroclim 50
- Estrofem 2
- Estrofem Forte
- Estrogel
- Estrogens, Esterified
- Estrol
- Estrovite
- Evex
- Evorel
- Extrasorb
- Femestral
- Femestrol
- Feminone
- Femogen
- Fempatch
- Femring
- Femtrace
- Femtran
- Follicyclin
- Ginedisc
- Ginosedol
- Gynergon
- Gynestrel
- Gynodiol
- Gynoestryl
- Gynpolar
- Innofem
- Lamdiol
- Lynoral
- Macrodiol
- Macrol
- Menest
- Menorest
- Menostar
- Microdiol
- Nordicol
- Oestergon
- Oestradiol
- Oestradiol R
- Oestrogel
- Oestroglandol
- Oestrogynal
- Ovahormon
- Ovasterol
- Ovastevol
- Ovociclina
- Ovocyclin
- Ovocycline
- Ovocylin
- Perlatanol
- Primofol
- Profoliol
- Profoliol B
- Progynon
- Progynon Dh
- Progynon-Dh
- Ricifon
- Ritsifon
- Sandrena Gel
- Sisare Gel
- Sk-Estrogens
- Soldep
- Sotipox
- Syndiol
- Systen
- Theelin, Dihydro-
- Tradelia
- Trial Sat
- Trocosone
- Vagifem
- Vivelle
- Zerella
- Zumenon
Brand Name Mixtures
- Alesse 21 Tablets (Ethinyl Estradiol + Levonorgestrel)
- Alesse 28 Tablets (Ethinyl Estradiol + Levonorgestrel)
- Brevicon 0.5/35 21 Tab (Ethinyl Estradiol + Norethindrone)
- Brevicon 0.5/35 28 Tab (Ethinyl Estradiol + Norethindrone)
- Brevicon 1/35 21 Tab (Ethinyl Estradiol + Norethindrone)
- Brevicon 1/35 28 Tab (Ethinyl Estradiol + Norethindrone)
- Calf-Oid Implant (Estradiol Benzoate + Progesterone)
- Climacteron Injection (Estradiol Benzoate + Estradiol Dienanthate + Testosterone Enanthate Benzilic Acid Hydrazone)
- Demulen 50 (21 Day Pack) (Ethinyl Estradiol + Ethynodiol Diacetate)
- Demulen 50 (28 Day Pack) (Ethinyl Estradiol + Ethynodiol Diacetate)
- Min-Ovral 21 Tab (Ethinyl Estradiol + Levonorgestrel)
- Min-Ovral 28 Tab (Ethinyl Estradiol + Levonorgestrel)
- Neo Mens Tab (Ethinyl Estradiol + Ethisterone)
- Ortho 10/11 Tablets (21 Day) (Ethinyl Estradiol + Norethindrone)
- Ortho 10/11 Tablets (28 Day) (Ethinyl Estradiol + Norethindrone)
- Ovral 21 Tab (Ethinyl Estradiol + Norgestrel (Norgestrel))
- Ovral 28tab (Ethinyl Estradiol + Norgestrel)
- Preven Tablets (Ethinyl Estradiol + Levonorgestrel)
- Synphasic 21 Tablets (Ethinyl Estradiol + Norethindrone)
- Synphasic-28 Tablets (Ethinyl Estradiol + Norethindrone)
- Tri-Cyclen Lo (Ethinyl Estradiol + Norgestimate)
- Triphasil 21 Tab (Ethinyl Estradiol + Levonorgestrel)
- Triphasil 28 Tab (Ethinyl Estradiol + Levonorgestrel)
- Triquilar 21 (Ethinyl Estradiol + Levonorgestrel)
Chemical IUPAC Name13-methyl-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthrene-3,17-diolMedroxyprogesterone Acetate
Brand Names/Synonyms
- Amen
- Aragest
- Aragest 5
- Asconale
- Clinofem
- Clinovir
- Colirest
- Crinone
- Curretab
- Cycrin
- DMPA
- Depo-Clinovir
- Depo-Prodasone
- Depo-Progestin
- Depo-Promone
- Depo-Provera
- Depo-Subq Provera 104
- Depomedroxyprogesterone acetate
- Depot-Medroxyprogesterone acetate
- Farlutal
- Farlutin
- G-Farlutal
- Gestapuran
- Hematrol
- Hydroxymethylprogesterone
- Hysron
- Indivina
- Lunelle
- Lutopolar
- Lutoral
- MAP
- MPA
- Med-Pro
- Medroprogesterone Acetate
- Medrossiprogesterone [Dcit]
- Medroxiprogesterona [Inn-Spanish]
- Medroxiprogesteronum
- Medroxyprogesteron
- Medroxyprogesteron acetate
- Medroxyprogesterone acetate
- Medroxyprogesterone Base
- Medroxyprogesteronum [Inn-Latin]
- Meprate
- Metigestrona
- MPA Gyn 5
- Nadigest
- Nidaxin
- Novo-Medrone
- Oragest
- Perlutex
- Perlutex Leo
- Prempro/Premphase
- Prodasone
- Progestalfa
- Progestasert
- Progesterone
- Progeston
- Progevera
- Prometrium
- Provera
- Proverone
- Ralovera
- Repromap
- Repromix
- Sirprogen
- Sodelut G
- Veramix
Brand Name MixturesLunelle (Medroxyprogesterone + Estradiol)
Chemical IUPAC Name17-acetyl-17-hydroxy-6,10,13-trimethyl-1,2,6,7,8,9,10,11,12,13,14,15,16, 17-tetradecahydrocyclopenta[a]phenanthren-3-one
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| DUR (ÀǾàǰ»ç¿ëÆò°¡) |
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°í½ÃµÈ º´¿ë±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
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| µ¶¼ºÁ¤º¸ |
Estradiol¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â
Progesterone¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â
Ãâó: ±¹¸³µ¶¼º°úÇпø µ¶¼º¹°ÁúÁ¤º¸DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do |
| Mechanism of Action |
Estradiol¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Estradiol enters target cells freely (e.g., female organs, breasts, hypothalamus, pituitary) and interacts with a target cell receptor. When the estrogen receptor has bound its ligand it can enter the nucleus of the target cell, and regulate gene transcription which leads to formation of messenger RNA. The mRNA interacts with ribosomes to produce specific proteins that express the effect of estradiol upon the target cell. Estrogens increase the hepatic synthesis of sex hormone binding globulin (SHBG), thyroid-binding globulin (TBG), and other serum proteins and suppress follicle-stimulating hormone (FSH) from the anterior pituitary.
Medroxyprogesterone¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Progestins diffuse freely into target cells in the female reproductive tract, mammary gland, hypothalamus, and the pituitary and bind to the progesterone receptor. Once bound to the receptor, progestins slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH surge.
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| Pharmacology |
Estradiol¿¡ ´ëÇÑ Pharmacology Á¤º¸ Estradiol, the principal intracellular human estrogen, is substantially more active than its metabolites, estrone and estriol, at the cellular level.
Medroxyprogesterone¿¡ ´ëÇÑ Pharmacology Á¤º¸ Medroxyprogesterone is a synthetic progestin more potent than progesterone.
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| Metabolism |
Estradiol¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 1A2 (CYP1A2)Cytochrome P450 2A6 (CYP2A6)Glucuronosyltransferase
Medroxyprogesterone¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 3A4 (CYP3A4)Cytochrome P450 11A1 (CYP11A1)
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| Protein Binding |
Estradiol¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ >95%
Medroxyprogesterone¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 90%
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| Half-life |
Estradiol¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 36 hours
Medroxyprogesterone¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 50 days
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| Absorption |
Estradiol¿¡ ´ëÇÑ Absorption Á¤º¸ 43%
Medroxyprogesterone¿¡ ´ëÇÑ Absorption Á¤º¸ Rapidly absorbed from GI tract
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| Pharmacokinetics |
Estradiol valerateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
Medroxyprogesterone AcetateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
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| Biotransformation |
Estradiol¿¡ ´ëÇÑ Biotransformation Á¤º¸ Exogenous estrogens are metabolized using the same mechanism as endogenous estrogens. Estrogens are partially metabolized by cytochrome P450.
Medroxyprogesterone¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic
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| Toxicity |
Estradiol¿¡ ´ëÇÑ Toxicity Á¤º¸ Can cause nausea and vomiting, and withdrawal bleeding may occur in females.
Medroxyprogesterone¿¡ ´ëÇÑ Toxicity Á¤º¸ Side effects include loss of bone mineral density, BMD changes in adult women, bleeding irregularities, cancer risks, and thromboembolic disorders.
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| Drug Interactions |
Estradiol¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Amobarbital The enzyme inducer decreases the effect of hormonesAprobarbital The enzyme inducer decreases the effect of hormonesButabarbital The enzyme inducer decreases the effect of hormonesButalbital The enzyme inducer decreases the effect of hormonesButethal The enzyme inducer decreases the effect of hormonesEthotoin The enzyme inducer decreases the effect of hormonesFosphenytoin The enzyme inducer decreases the effect of hormonesGriseofulvin The enzyme inducer decreases the effect of hormonesHeptabarbital The enzyme inducer decreases the effect of hormonesHexobarbital The enzyme inducer decreases the effect of hormonesMephenytoin The enzyme inducer decreases the effect of hormonesMethohexital The enzyme inducer decreases the effect of hormonesMethylphenobarbital The enzyme inducer decreases the effect of hormonesPentobarbital The enzyme inducer decreases the effect of hormonesPhenobarbital The enzyme inducer decreases the effect of hormonesPhenytoin The enzyme inducer decreases the effect of hormonesPrednisolone The estrogenic agent increases the effect of corticosteroidPrednisone The estrogenic agent increases the effect of corticosteroidPrimidone The enzyme inducer decreases the effect of hormonesSecobarbital The enzyme inducer decreases the effect of hormonesTalbutal The enzyme inducer decreases the effect of hormonesRaloxifene Association not recommendedUrsodeoxycholic acid Estrogens decreases the effect of ursodiol
Medroxyprogesterone¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Amobarbital The enzyme inducer decreases the effect of hormonesAprobarbital The enzyme inducer decreases the effect of hormonesBosentan Bosentan decreases the effect of contraceptiveButabarbital The enzyme inducer decreases the effect of hormonesButalbital The enzyme inducer decreases the effect of hormonesButethal The enzyme inducer decreases the effect of hormonesEthotoin The enzyme inducer decreases the effect of hormonesFosphenytoin The enzyme inducer decreases the effect of hormonesMephenytoin The enzyme inducer decreases the effect of hormonesPhenytoin The enzyme inducer decreases the effect of hormonesGriseofulvin The enzyme inducer decreases the effect of hormonesHeptabarbital The enzyme inducer decreases the effect of hormonesHexobarbital The enzyme inducer decreases the effect of hormonesMethohexital The enzyme inducer decreases the effect of hormonesMethylphenobarbital The enzyme inducer decreases the effect of hormonesPentobarbital The enzyme inducer decreases the effect of hormonesPhenobarbital The enzyme inducer decreases the effect of hormonesPrimidone The enzyme inducer decreases the effect of hormonesSecobarbital The enzyme inducer decreases the effect of hormonesTalbutal The enzyme inducer decreases the effect of hormonesWarfarin The agent increases the effect of anticoagulantAcenocoumarol The agent increases the effect of anticoagulantDicumarol The agent increases the effect of anticoagulantAnisindione The agent increases the effect of anticoagulant
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Food Interaction |
Estradiol¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take with food to decrease nausea.
Medroxyprogesterone¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take with food.
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| Drug Target |
[Drug Target]
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| Description |
Estradiol¿¡ ´ëÇÑ Description Á¤º¸ Generally refers to the 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In humans, it is produced primarily by the cyclic ovaries and the placenta. It is also produced by the adipose tissue of men and postmenopausal women. The 17-alpha-isomer of estradiol binds weakly to estrogen receptors (receptors, estrogen) and exhibits little estrogenic activity in estrogen-responsive tissues. Various isomers can be synthesized. [PubChem]
Medroxyprogesterone¿¡ ´ëÇÑ Description Á¤º¸ (6 alpha)-17-Hydroxy-6-methylpregn-4-ene-3,20-dione. A synthetic progestational hormone used in veterinary practice as an estrus regulator. [PubChem]
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| Drug Category |
Estradiol¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-menopausal AgentsAnticholesteremic AgentsEstrogens
Medroxyprogesterone¿¡ ´ëÇÑ Drug_Category Á¤º¸ ContraceptivesContraceptives, Oral, SyntheticProgestins
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| Smiles String Canonical |
Estradiol¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC12CCC3C(CCC4=C3C=CC(O)=C4)C1CCC2O
Estradiol¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC12CCC3C(CCC4=C3C=CC(O)=C4)C1CCC2O
Medroxyprogesterone¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC1CC2C(CCC3(C)C2CCC3(O)C(C)=O)C2(C)CCC(=O)C=C12
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| Smiles String Isomeric |
Estradiol¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C[C@]12CC[C@H]3[C@@H](CCC4=C3C=CC(O)=C4)[C@@H]1CC[C@@H]2O
Medroxyprogesterone¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C[C@H]1C[C@@H]2[C@H](CC[C@@]3(C)[C@H]2CC[C@]3(O)C(C)=O)[C@@]2(C)CCC(=O)C=C12
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| InChI Identifier |
Estradiol¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C18H24O2/c1-18-9-8-14-13-5-3-12(19)10-11(13)2-4-15(14)16(18)6-7-17(18)20/h3,5,10,14-17,19-20H,2,4,6-9H2,1H3/t14-,15-,16+,17+,18+/m1/s1
Medroxyprogesterone¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C22H32O3/c1-13-11-16-17(20(3)8-5-15(24)12-19(13)20)6-9-21(4)18(16)7-10-22(21,25)14(2)23/h12-13,16-18,25H,5-11H2,1-4H3/t13-,16+,17-,18-,20+,21-,22-/m0/s1
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| Chemical IUPAC Name |
Estradiol¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (8R,9S,13S,14S,17S)-13-methyl-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthrene-3,17-diol
Medroxyprogesterone¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (6S,8R,9S,10R,13S,14S,17R)-17-acetyl-17-hydroxy-6,10,13-trimethyl-2,6,7,8,9,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthren-3-one
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| Drug-Induced Toxicity Related Proteins |
ESTRADIOL ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Myc proto-oncogene protein Drug:estradiol Toxicity:cytotoxic responses . [¹Ù·Î°¡±â] Replated Protein:3-hydroxy-3-methylglutaryl-coenzyme A reductase Drug:estradiol Toxicity:stimulate steroidogenesis. [¹Ù·Î°¡±â] Replated Protein:Stromelysin-2 Drug:estradiol Toxicity:nonbacterial prostatitis. [¹Ù·Î°¡±â] Replated Protein:Transcription factor E2F1 Drug:estradiol Toxicity:cytotoxic responses. [¹Ù·Î°¡±â] Replated Protein:Glucocorticoid receptor Drug:estradiol Toxicity:glucocorticoid resistance. [¹Ù·Î°¡±â] MEDROXYPROGESTERONE ACETATE (MPA) ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Estrogen receptor Drug:medroxyprogesterone acetate (MPA) Toxicity:mammary adenocarcinoma. [¹Ù·Î°¡±â] PROGESTERONE ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Mitogen-activated protein kinase Drug:progesterone Toxicity:progesterone-induced oocyte maturation . [¹Ù·Î°¡±â] Replated Protein:Angiotensinogen Drug:progesterone Toxicity:rogesterone-induced luteinizing hormone surge. [¹Ù·Î°¡±â] Replated Protein:Retinol-binding protein, cellular Drug:progesterone Toxicity:increase luteal cell progesterone accumulation. [¹Ù·Î°¡±â]
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