Drug Database
CH

chlormadinone acetate + ethinyl estradiol (Balianca / Belara / CG5025)

✓ Approved

Faes · AR · 小分子

什么是 chlormadinone acetate + ethinyl estradiol?

chlormadinone acetate + ethinyl estradiol 是一种小分子,由Faes研发。该药已获批,用于治疗相关适应症,给药途径:Oral (PO)。

药物档案

商品名Balianca, Belara, CG5025
公司Faes
药物类别小分子
分子靶点AR, ESR1
给药途径Oral (PO)
状态Approved

作用机制

分子靶点

chlormadinone acetate + ethinyl estradiol 作用于 2 个分子靶点:

ARandrogen receptor (TFM, NR3C4)
ESR1estrogen receptor 1 (ESR, ESTRR)
需要更深入的分析?Noah AI 可解释复杂机制并与同类药物比较。

治疗适应症

chlormadinone acetate + ethinyl estradiol 针对 2 个适应症,涉及 2 个治疗领域。

治疗领域疾病/病症分期
Reproductive system and breast disordersPolycystic ovaries✓ Approved
Endocrine disordersPolycystic ovarian syndrome✓ Approved

相关研究文献

PubMedJournal of bacteriology2026-07-27

Oxygen-dependent partitioning of acetate assimilation via Acs and AckA-Pta pathways in Pseudomonas aeruginosa.

Watkins M E ME, Tonapi K V KV, VanDrisse C M CM

Pseudomonas aeruginosa is a metabolically versatile pathogen that thrives in host environments characterized by gradients of oxygen and nutrient availability. Although acetate is an abundant carbon source in chronic infections, the mechanisms governing P. aeruginosa acetate assimilation remains poorly understood. In many bacteria, acetate utilization occurs via the low-carbon-flux acetyl-CoA synthetase (Acs) or the high-carbon-flux acetate kinase/phosphotransacetylase (AckA-Pta) pathways. Here, we show that in P. aeruginosa, the above-mentioned pathways assimilate acetate as a function of oxygen availability, not as a function of carbon concentration. Our growth data demonstrate that AcsA is required for robust growth on acetate under oxic conditions, whereas the AckA-Pta pathway is essential for robust growth on acetate under anoxic conditions. Complementation experiments reveal that both pathways are functionally capable of acetate assimilation regardless of oxygen presence, indicating that pathway usage is primarily controlled by transcriptional regulation. Consistent with this, RT-qPCR analysis shows that acsA expression was elevated under oxic conditions, while ackA and pta were upregulated in the absence of oxygen. Despite these regulatory differences, kinetic analyses demonstrated that Acs and AckA from P. aeruginosa exhibit substrate affinities and catalytic efficiencies comparable to those of Salmonella enterica, indicating that the ability of both pathways to support P. aeruginosa growth across acetate concentrations is not due to altered enzyme kinetics like in other organisms. Together, these findings establish a new model in which oxygen availability, rather than acetate concentration, governs acetate assimilation in P. aeruginosa, with important implications for metabolic adaptation during infection. Recent work has highlighted metabolic regulation as a driver of virulence, yet how P. aeruginosa metabolizes key metabolites found at infection sites remains uncharacterized. P. aeruginosa has a strong preference for acetate over other conventional carbon sources such as glucose, and acetate is found at millimolar concentrations in hosts. However, how P. aeruginosa regulates pathways involved in acetate assimilation remains largely unknown. Because steep oxygen gradients exist in host niches, where P. aeruginosa encounters acetate, understanding how acetate assimilation pathways are regulated via oxygen tension is essential for identifying spatial vulnerabilities at infection sites.

PMID 42505140
阅读全文 →
PubMedJournal of fungi (Basel, Switzerland)2026-07-27

Acetate Signalling Regulates Virulence-Associated Traits in the Esca Pathogen Phaeomoniella chlamydospora.

Novák Ádám Á, Szabó Dóra D, Gomba-Tóth Adrienn A, Molnár Nikolett N et al.

Phaeomoniella chlamydospora (Pch) is a pioneer pathogen of esca, one of the most destructive grapevine trunk diseases worldwide. A recent work suggests that acetate may act as a quorum-sensing (QS) molecule in Pch, promoting biofilm formation in a concentration-dependent manner. However, the broader influence of acetate on virulence-associated traits remains unexplored. In this study, three Pch isolates were cultured under increasing sodium acetate concentrations (0-100 mM) and assessed for pigmentation, extracellular enzyme activities (amylase, cellulase, protease, esterase, and pectinase), phenolic compound-degrading capacity, and antibacterial activity against a grapevine-associated Pseudomonas sp. isolate. Pigmentation, as well as amylase and cellulase activities, were significantly increased at low acetate supplement levels (6.25-12.5 mM), while esterase activity was unaffected. The expression of these traits decreased above 25 mM acetate supplementation. Phenolic compound degradation capacity, antibacterial efficacy, as well as protease and pectinase activities progressively suppressed at all acetate concentrations. These results indicate that acetate concentration modulates multiple virulence-associated phenotypes of Pch in vitro. Based on these patterns, we propose a hypothetical model in which acetate-dependent phenotypic changes may reflect a shift between establishment-associated activities and reduced extracellular activity at higher acetate levels. This model remains to be validated by mechanistic and in planta infection-based studies.

PMID 42506300
阅读全文 →
PubMedJournal of personalized medicine2026-07-27

Hormones, Sexual Function, and Dysfunctional Sexual Beliefs in Postmenopausal Women: A Cross-Sectional Study.

Peixoto Clayton C, Navarro Melanie M, Carrilho Carolina Gomes CG, Grande Antonio José AJ et al.

Background: Sexual function in postmenopausal women is influenced by both hormonal and psychological factors. This study investigates the associations between sex hormones, sexual function, and sexual beliefs in this population. Objective: This research seeks to assess the relationship between sex hormones, sexual function, and dysfunctional sexual beliefs in postmenopausal women. Methods: A cross-sectional study was conducted with 42 postmenopausal women aged 45-65 years. Instruments included the FSFI and SDBQ. Hormones assessed were testosterone, estradiol, progesterone, prolactin, DHEA, SHBG, and LH. Blood samples were collected in the morning and analyzed using chemiluminescence or radioimmunoassay. Pearson correlation tests were used, with Bonferroni adjustment applied to control for multiple comparisons. Results: Free testosterone was positively correlated with sexual desire and negatively associated with dysfunctional beliefs regarding sexual desire. Estradiol also showed a positive correlation with desire, while prolactin was negatively associated. No other FSFI domains showed significant hormonal associations. Conclusions: Findings suggest that testosterone may influence both sexual desire and the internalization of dysfunctional sexual beliefs in postmenopausal women, highlighting the interplay between biological and psychological dimensions of sexuality, which may be relevant for a more comprehensive clinical assessment of sexual function in this population.

PMID 42506118
阅读全文 →
PubMedDentistry journal2026-07-27

Estradiol Enhances Alveolar Bone Resorption by Promoting Osteoclast Differentiation in Experimental Periodontitis.

Yasuda Keisuke K, Matsuda Shinji S, Memida Takumi T, Yoshimoto Tetsuya T et al.

Background/Objectives: Estrogen is a key female hormone; however, its role in periodontitis remains poorly understood. This study investigated the effects of 17β-estradiol (E2) on experimental periodontitis using an ovariectomy (OVX) model with E2 administration. Methods: Female mice aged 8-10 weeks underwent OVX, followed by induction of ligature-induced periodontitis, and subsequent quantification of alveolar bone resorption. Additional groups received an aromatase inhibitor or E2 supplementation after OVX, with subsequent induction of periodontitis and evaluation of bone resorption. Histological analysis assessed multinucleated giant cells and tartrate-resistant acid phosphatase-positive osteoclasts on the bone surface. Gingival tissue was analyzed for gene expression related to osteoclastogenesis. The effect of E2 on osteoclast differentiation from bone marrow cells was also examined. Results: OVX significantly reduced serum E2 levels and decreased alveolar bone resorption. Aromatase inhibitor administration similarly reduced bone loss. Histological evaluation revealed a reduced number of resorbing osteoclasts in OVX mice, whereas E2 supplementation increased osteoclast numbers. No significant changes in inflammatory cytokine or receptor activator of nuclear factor-kappa B ligand (RANKL) expression were observed. E2 promoted osteoclast differentiation in vitro, and treatment with E2 prior to RANKL stimulation further increased the number of osteoclasts. This effect was suppressed by an estrogen receptor antagonist. Moreover, E2 enhanced the expression of osteoclast differentiation-associated genes in the presence of RANKL, an effect abolished by tamoxifen. Conclusions: E2 increased alveolar bone resorption in experimental periodontitis, likely by promoting osteoclast differentiation, independent of inflammatory cytokine or RANKL gene expression.

PMID 42505728
阅读全文 →
PubMedMembranes2026-07-27

Bench-Scale Evaluation of Hydraulic Performance and Rejection of Bisphenol-A and Estradiol by Different Nanofiltration Membranes as a Post-Treatment Step at the Lago Norte WTP-Brasília/DF, Brazil.

Gonçalves Bianca Campos BC, Brandão Cristina Celia Silveira CCS, Morais Kollar Sara Regina SR

Emerging micropollutants in drinking water sources represents a growing challenge for water treatment systems. Bisphenol-A (BPA) and 17β-estradiol (E2) are endocrine disruptors widely detected in aquatic matrices that are not efficiently removed by conventional treatment. This study evaluated, at the bench scale, operational performance and rejection of BPA and E2 by three nanofiltration membranes-NFM1, NFM2 and NFM3-operating at 8 bar and using ultrafiltered water from the Lago Norte Water Treatment Plant (WTP), Brasília/DF, Brazil, spiked with both compounds at 150-250 µg/L, as the feed matrix. Hydraulic parameters, such as permeate flux and water permeability, were assessed alongside rejection. NFM1 exhibited the highest permeate fluxes (136.1 and 171.7 L/h·m2); however, it showed the lowest rejection (E2: 57-73%; BPA: 28-60%). The NFM2 membrane showed intermediate rejection behavior (E2: 86-89%; BPA: 67-91%) but presented the lowest permeate flux (51.2 to 63.3 L/h·m2). The NFM3 membrane presented the highest rejection and greatest operational stability (E2: 90-95%; BPA: 95-97%), with a permeate flux of 59.1 to 67.0 L/h·m2. Size exclusion was the predominant removal mechanism, though adsorption also contributed during the initial hours of operation. The results confirm a trade-off between permeate production and contaminant rejection, with no single membrane outperforming all others across all criteria.

PMID 42506207
阅读全文 →
PubMedInorganic chemistry2026-07-27

Functionalization of β-Alkylcorrole Using Ag(I) Salts.

Marsotto Martina M, Pomarico Giuseppe G, Stefanelli Manuela M, Troiani Anna A et al.

To date, the coordination chemistry of β-alkylcorroles is significantly less developed than that of their triaryl analogues. To address this gap, we investigated the seemingly straightforward synthesis of silver complexes of β-alkylcorroles, employing a procedure previously reported for Ag(III) insertion into meso-triarylcorroles. However, when AgOAc was used as the silver source in pyridine, the reaction resulted in the formation of oxidation products, specifically oxocorroles. In acetonitrile, a broader distribution of products was observed, yielding compounds in addition to oxocorroles. Characterization through UV-vis spectroscopy, 1H NMR, mass spectrometry, and single-crystal X-ray crystallography revealed the formation of an acetate-functionalized oxocorrole, along with a second species resulting from simultaneous silver insertion and acetate incorporation at the meso-position. Substituting AgOAc with AgNO2 demonstrated a marked time dependence: rapid and complete meso nitration occurred within minutes, while extended reaction times also facilitated silver insertion into the preformed trinitrocorrole free base. The use of silver salts with non-nucleophilic anions (e.g., AgPF6 and AgNO3) did not yield either metalation or meso-functionalization. These results suggest that the coordination of the silver ion into the corrole core is almost permitted only after peripheral substitution, highlighting the distinct reactivity of alkylcorroles compared to their triaryl counterparts.

PMID 42504884
阅读全文 →

注册免费账户还可查看另外 9996 篇文献

免费注册查看全部文献 →

了解更多chlormadinone acetate + ethinyl estradiol