Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses

Anabolic androgenic steroids (AAS) are prohibited as doping substances in sports by the World Anti-Doping Agency. Concentrations and concentration ratios of endogenous AAS (steroid profile markers) in urine samples collected from athletes are used to detect their administration. Certain (non-prohibi...

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Main Authors: Anna Stoll, Michele Iannone, Giuseppina De Gregorio, Francesco Molaioni, Xavier de la Torre, Francesco Botrè, Maria Kristina Parr
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/10/11/463
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author Anna Stoll
Michele Iannone
Giuseppina De Gregorio
Francesco Molaioni
Xavier de la Torre
Francesco Botrè
Maria Kristina Parr
author_facet Anna Stoll
Michele Iannone
Giuseppina De Gregorio
Francesco Molaioni
Xavier de la Torre
Francesco Botrè
Maria Kristina Parr
author_sort Anna Stoll
collection DOAJ
description Anabolic androgenic steroids (AAS) are prohibited as doping substances in sports by the World Anti-Doping Agency. Concentrations and concentration ratios of endogenous AAS (steroid profile markers) in urine samples collected from athletes are used to detect their administration. Certain (non-prohibited) drugs have been shown to influence the steroid profile and thereby sophisticate anti-doping analysis. It was shown in vitro that the non-steroidal anti-inflammatory drug (NSAID) indomethacin inhibits selected steroid-biotransformations catalyzed by the aldo-keto reductase (AKR) 1C3, which plays a key role in the endogenous steroid metabolism. Kinetic parameters for the indomethacin-mediated inhibition of the AKR1C3 catalyzed reduction in etiocholanolone were determined in vitro using two comparing methods. As NSAIDs are very frequently used (not only) by athletes, the inhibitory impact of indomethacin intake on the steroid metabolism was evaluated, and steroid profile alterations were detected in vivo (one male and one female volunteer). Significant differences between samples collected before, during or after the intake of indomethacin for selected steroid profile markers were observed. The presented results are of relevance for the interpretation of results from doping control analysis. Additionally, the administration of NSAIDs should be carefully reconsidered due to their potential as endocrine disruptors.
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spelling doaj.art-1e67ab6dc1d1449f8a68bcc2644bcbb72023-11-20T20:56:44ZengMDPI AGMetabolites2218-19892020-11-01101146310.3390/metabo10110463Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping AnalysesAnna Stoll0Michele Iannone1Giuseppina De Gregorio2Francesco Molaioni3Xavier de la Torre4Francesco Botrè5Maria Kristina Parr6Institute of Pharmacy (Pharmaceutical and Medical Chemistry), Freie Universität Berlin, 14195 Berlin, GermanyLaboratorio Antidoping Federazione Medico Sportiva Italiana, 00197 Rome, ItalyLaboratorio Antidoping Federazione Medico Sportiva Italiana, 00197 Rome, ItalyLaboratorio Antidoping Federazione Medico Sportiva Italiana, 00197 Rome, ItalyLaboratorio Antidoping Federazione Medico Sportiva Italiana, 00197 Rome, ItalyLaboratorio Antidoping Federazione Medico Sportiva Italiana, 00197 Rome, ItalyInstitute of Pharmacy (Pharmaceutical and Medical Chemistry), Freie Universität Berlin, 14195 Berlin, GermanyAnabolic androgenic steroids (AAS) are prohibited as doping substances in sports by the World Anti-Doping Agency. Concentrations and concentration ratios of endogenous AAS (steroid profile markers) in urine samples collected from athletes are used to detect their administration. Certain (non-prohibited) drugs have been shown to influence the steroid profile and thereby sophisticate anti-doping analysis. It was shown in vitro that the non-steroidal anti-inflammatory drug (NSAID) indomethacin inhibits selected steroid-biotransformations catalyzed by the aldo-keto reductase (AKR) 1C3, which plays a key role in the endogenous steroid metabolism. Kinetic parameters for the indomethacin-mediated inhibition of the AKR1C3 catalyzed reduction in etiocholanolone were determined in vitro using two comparing methods. As NSAIDs are very frequently used (not only) by athletes, the inhibitory impact of indomethacin intake on the steroid metabolism was evaluated, and steroid profile alterations were detected in vivo (one male and one female volunteer). Significant differences between samples collected before, during or after the intake of indomethacin for selected steroid profile markers were observed. The presented results are of relevance for the interpretation of results from doping control analysis. Additionally, the administration of NSAIDs should be carefully reconsidered due to their potential as endocrine disruptors.https://www.mdpi.com/2218-1989/10/11/463NSAIDinhibitiondopingaldo-keto reductasesendocrine disruption
spellingShingle Anna Stoll
Michele Iannone
Giuseppina De Gregorio
Francesco Molaioni
Xavier de la Torre
Francesco Botrè
Maria Kristina Parr
Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses
Metabolites
NSAID
inhibition
doping
aldo-keto reductases
endocrine disruption
title Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses
title_full Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses
title_fullStr Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses
title_full_unstemmed Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses
title_short Influence of Indomethacin on Steroid Metabolism: Endocrine Disruption and Confounding Effects in Urinary Steroid Profiling of Anti-Doping Analyses
title_sort influence of indomethacin on steroid metabolism endocrine disruption and confounding effects in urinary steroid profiling of anti doping analyses
topic NSAID
inhibition
doping
aldo-keto reductases
endocrine disruption
url https://www.mdpi.com/2218-1989/10/11/463
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