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α-Cortolone is a metabolite of the glucocorticoid cortisol (hydrocortisone; Item No. 20739).1 It is formed from cortisol by 20α-hydroxysteroid dehydrogenase (20α-HSD) via a tetrahydrocortisone (THE; Item No. 34344) intermediate. Urinary levels of α-cortolone are decreased in patients with severe anorexia nervosa and in postmenopausal women with endometrial adenocarcinoma compared to postmenopausal women without endometrial adenocarcinoma.2,3
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1. Improved urinary cortisol metabolome in Addison disease: A prospective trial of dual-
2. Steroid metabolism and excretion in severe anorexia nervosa: Effects of refeeding. Am. J. Clin. Nutr. 93(5), 911-917 (2011).
3. Altered urinary profiles of endogenous steroids in postmenopausal women with adenocarcinoma endometrii. Gynecol. Endocrinol. 26(1), 10-15 (2010).