The Liver and Finasteride

I think these enzymes are slow, cialis 5mg (one a day) lasts me 2-3 days and viagra, which on the sheet says effects last for 4 hours max, lasts me a day and a half.

dmd.aspetjournals.org/content/34/9/1606.full.pdf

So there is the possibility that DHT coming back is lowering our T production ongoing, via negative feedback, due to it(dht) not being broken down fast enough, evidence of this is low adiol g.
Same goes with estrogen, adrenal hormones, and vitamin d. CYP3a4 is involved in there breakdown and if they are not being broken down fast enough, they stay in the system to long and the body could down regulate all steriod hormone production. (Testis, adrenals, vitamin d).

jpet.aspetjournals.org/content/311/2/728.full

So if estrogen has down regulated cyp3a4, then when dht returns, and needs to be processed, by cyp3a4 and is done so at a slower rate, the sensory system will detect to much hormone in the blood and will shut the production of new hormone down, to the right (or so they seem to the brain) levels are achieved, which will be lower than normal (pre-finasteride).

[Size=4]PXR (NR1I2): splice variants in human tissues, including brain, and identification of neurosteroids and nicotine as PXR activators.[/size]

Lamba V, Yasuda K, Lamba JK, Assem M, Davila J, Strom S, Schuetz EG.
Source
Department of Pharmaceutical Sciences, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA.

Abstract

To gain insight on the expression of pregnane X receptor (PXR), we analyzed PXR.1 and PXR alternatively spliced transcripts in a panel of 36 human tissues. PXR.1 was expressed in many more tissues than previously determined, including human bone marrow and select regions of the human brain. In each of these tissues, we observed alternative splicing of various exons of PXR that generated multiple distinct PXR isoforms. The most abundant PXR alternative mRNA transcripts lacked 111 nucleotides, deleting 37 amino acids from the PXR LBD (PXR.2), or lacked 123 nt, deleting 41 amino acids from the PXR LBD (PXR.3). CYP3A4, a gene transcriptionally regulated by PXR, showed incomplete overlap with PXR in its tissue distribution. Quantitation of PXR mRNAs in human liver demonstrated that PXR.2 and PXR.3 represented 6.7% and 0.32% of total PXR mRNA transcripts. Brain expression of PXR prompted analysis of whether some brain acting chemicals were PXR ligands. The neurosteroids allopregnanolone and pregnanolone activated PXR and induced transcription of a CYP3A4-luciferase reporter. Nicotine, the psychoactive and addictive chemical in cigarettes, and a known inducer of brain CYP2B6, was an efficacious activator of PXR and inducer of CYP3A4 transcription. Because nicotine activation of PXR will enhance metabolism of nicotine to the non-psychoactive cotinine, these results provide one molecular mechanism for the development of tolerance to nicotine. Moreover, the identification of PXR in many human tissues, such as brain, and activation by tissue specific ligands (such as neurosteroids) suggests additional biological roles for this receptor in these tissues.
PMID: 15364541 [PubMed - indexed for MEDLINE]

Tolerance is a hugemongous problem for me post finasteride.

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[Size=4]Stay tuned to PXR: an orphan actor that may not be D-structive only to bone.[/size]
Holick MF.
Source
Vitamin D, Skin, and Bone Research Laboratory, Section of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA. mfholick@bu.edu

Abstract

Pregnane X receptor (PXR) plays an important role in detoxifying xenobiotics and drugs. In this issue of the JCI, Pascussi et al. provide convincing evidence that PXR can also induce vitamin D deficiency and bone disease because of its ability to cross-talk with the vitamin D-responsive gene that catabolizes 25-hydroxy-vitamin D and 1,25-dihydroxyvitamin D. This cross-talk behavior has important health ramifications and can be mitigated through the identification and treatment of PXR-induced vitamin D deficiency.

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[Size=4]Cross-talk between androgen receptor and pregnane and xenobiotic receptor reveals existence of a novel modulatory action of anti-androgenic drugs.[/size]

Kumar S, Jaiswal B, Kumar S, Negi S, Tyagi RK.
Source
Special Centre for Molecular Medicine, Jawaharlal Nehru University, New Delhi 110067, India.

Abstract

The androgen receptor (AR) is a member of nuclear receptor superfamily (NRs) and plays a critical role in prostate cancer development and progression. Therefore, anti-androgens that repress AR activity remain a critical mainstay for prostate cancer therapy. However, molecular mechanisms by which anti-androgens exert their therapeutic effects are not clearly elucidated and hence are a major area of scientific pursuit. Here, we demonstrate that another member of NRs, pregnane and xenobiotic receptor (PXR), not only acts as a molecular sensor of anti-androgens but also influences the outcome of therapeutic regimen with anti-androgenic drugs via a novel AR-PXR cross-talk. Using ‘gain- and loss-of-function’ studies, we identified a distinct role of PXR as a potent repressor of AR-regulated transcription. Our study implicates PXR as a key determinant of anti-androgen action since down-regulation of PXR diminishes the potency of the anti-androgenic drugs and enhances transcriptional actions of androgens. In addition, our subcellular localization studies revealed that ligand-activated AR induces nuclear localization of PXR and the two receptors colocalize at discrete sites in nucleus and mitotic chromatin. Finally, we report a distinct antagonist-induced interaction between AR and PXR defining a hitherto unidentified mode of action of AR antagonist. In this perspective, the study may help in designing and development of novel AR antagonists offering improved avenues in prostate cancer therapy.

Wow this PXR thing does it all.

All studies from pubmed, google the title of study for link.

An additional thought here, based on this quote,

I wonder if this network has confused finasteride with testosterone as they are very similar in structure.
Or it has seen dht as a xenobiotic, that needs to be deactivated and passed out of the body.

[Size=4]Steroid hormone biotransformation and xenobiotic induction of hepatic steroid metabolizing enzymes.[/size]

You L.
Source
CIIT Centers for Health Research, 6 Davis Drive, P.O. Box 12137, Research Triangle Park, NC 27709-2137, USA. you@ciit.org

Abstract

Normal reproductive development depends on the interplay of steroid hormones with their receptors at specific tissue sites. The concentrations of hormone ligands in the circulation and at target sites are maintained through coordinated regulation on steroid biosynthesis and degradation. Changed bioavailability of steroids, through alteration of steroidogenesis or biotransformation rates, leads to changes in endocrine function. Steroid hormones lose their receptor reactivity in most cases when they are bound to binding proteins, while metabolic conversion can result in either active or inactive metabolites. Hydroxylation by cytochrome P450 (CYP) enzymes and conjugation with glucuronide and sulfate are among the major hepatic pathways of steroid inactivation. The expression of these biotransformation enzymes can be induced by many xenobiotics. The barbiturate phenobarbital and the environmental toxicant 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (DDE) are among the well characterized inducers for the CYP 2B and 3A enzymes and selected conjugation enzymes. The induction of the steroid biotransformation enzymes is partly mediated through the activation of a group of nuclear receptors including the glucocorticoid receptor, the constitutive androstane receptor (CAR), the pregnane X receptor (PXR), and the peroxisome proliferator activated receptors (PPAR). Drug or chemical-induced increases in hepatic enzyme activities are often a basis for drug-drug interactions that lead to enhanced elimination and reduced therapeutic efficacy of steroidal drugs. The effects of enzyme induction on endogenous steroid clearance, along with its possible consequence, are less well understood. While enzyme induction by xenobiotics may increase clearance of the endogenous steroid, regulatory mechanisms for steroid homeostasis may adapt and compensate for altered clearance.

ncbi.nlm.nih.gov/pubmed/15135080

So judging by the urine test results, yes regulatory mechanisms for steroid homeostatis have adapted and are expelling steroids at the wrong (compared to pre-fin) rate.

Why are some low and some high? Here are some factors that may have influenced that…

  1. Finasteride also inhibits 5b reductase which metabolites are natural ligands of the PXR.

So the Constitutive androstane receptor (CAR) could be involved here, which i will start investigating. But i think the PXR is the main one here as it can cross talk with the VDR and AR.

  1. Drug to drug interactions, what else was taken with finasteride.
    viewtopic.php?f=32&t=6199

  2. Finasteride itself is actually a moderate activator of the PXR,

  1. Estrogen seems to be (via a previous study i posted) a CYP3a4 inhibitor.

There is potential here, and proven evidence (urine test results) for complete dis-regulation of this network.

how did the niacinamide work out?

Think it helped, mainly my skin. I stopped it because I went on an anti-fungal (diflucan)… which I recently stopped. Mixed results.

Now that I read this thread, I began to think about my Inbody body composition test results (ok, probably not the most reliable test there is). When I still felt good, my visceral fat levels were +5, which is minimal. After my “crash” last year my visceral fat levels had risen to +58,8, while all of the other constants hadstayed very similar. Ok, my body fat % had actually came down some 5% and my weight about 4 kilograms :unamused:. Dunno if my other symptoms and this result are linked or not… my ureine is very yellow most of the time and my stools are hard, light-brown and odorless and usually at least one “piece” floats. I’m starting to think that I have some problems with digesting fat… my stools are also very infrequent, I can go like 2-3 days without unreleasing lol. Usually it’s like every other day.

So by taking raloxifene to prevent gyno due to fin, have I destroyed the enzyme that is used to metabolise it?