On the specificity of the inhibitory effect of trilostane and aminoglutethimide on adrenocortical steroidogenesis in guinea pig

Abstract

The effect of trilostane and aminoglutethimide on steroidogenesis was studied on isolated guinea pig adrenocortical cells in order to verify whether, in addition to the inhibitory influence of trilostane on 3beta-hydroxysteroid dehydrogenase and isomerase and the inhibition by aminoglutethimide of pregnenolone formation, these inhibitors may also affect other enzymatic steps of cortisol synthesis. While trilostane completely abolished cortisol production in response to ACTH with concomitant enhancement in pregnenolone and 17-hydroxypregnenolone formation, the conversion of progesterone, 17-hydroxyprogesterone and 11-deoxycortisol into cortisol was not affected by the presence of the inhibitor. Contrasting with this specific inhibitory effect of trilostane, aminoglutethimide inhibited not only pregnenolone formation but also several other enzymatic steps involved in the conversion of this precursor of steroidogenesis into cortisol. Among these additional effects of aminoglutethimide on steroidogenesis, the inhibition of 11 beta-hydroxylation was clearly demonstrated.