New Insights into the Metabolism of Methyltestosterone and Metandienone: Detection of Novel A-Ring Reduced Metabolites

Molecules. 2021 Mar 3;26(5):1354. doi: 10.3390/molecules26051354.

Abstract

Metandienone and methyltestosterone are orally active anabolic-androgenic steroids with a 17α-methyl structure that are prohibited in sports but are frequently detected in anti-doping analysis. Following the previously reported detection of long-term metabolites with a 17ξ-hydroxymethyl-17ξ-methyl-18-nor-5ξ-androst-13-en-3ξ-ol structure in the chlorinated metandienone analog dehydrochloromethyltestosterone ("oral turinabol"), in this study we investigated the formation of similar metabolites of metandienone and 17α-methyltestosterone with a rearranged D-ring and a fully reduced A-ring. Using a semi-targeted approach including the synthesis of reference compounds, two diastereomeric substances, viz. 17α-hydroxymethyl-17β-methyl-18-nor-5β-androst-13-en-3α-ol and its 5α-analog, were identified following an administration of methyltestosterone. In post-administration urines of metandienone, only the 5β-metabolite was detected. Additionally, 3α,5β-tetrahydro-epi-methyltestosterone was identified in the urines of both administrations besides the classical metabolites included in the screening procedures. Besides their applicability for anti-doping analysis, the results provide new insights into the metabolism of 17α-methyl steroids with respect to the order of reductions in the A-ring, the participation of different enzymes, and alterations to the D-ring.

Keywords: 17-hydroxymethyl-17-methyl-18-nor; 17α-methyl steroids; D-ring alteration; doping control; gas chromatography-mass spectrometry; long-term metabolites; metabolism.

MeSH terms

  • Anabolic Agents / chemistry
  • Anabolic Agents / metabolism*
  • Anabolic Agents / urine*
  • Gas Chromatography-Mass Spectrometry
  • Healthy Volunteers
  • Humans
  • Methandrostenolone / chemistry
  • Methandrostenolone / metabolism*
  • Methandrostenolone / urine*
  • Methyltestosterone / chemistry
  • Methyltestosterone / metabolism*
  • Methyltestosterone / urine*
  • Middle Aged
  • Reference Standards
  • Tandem Mass Spectrometry

Substances

  • Anabolic Agents
  • Methandrostenolone
  • Methyltestosterone