Prednisone belongs to the glucocorticoid class of corticosteroids. Its chemical name is 17α,21-dihydroxypregna-1,4-diene-3,11,20-trione. This complex name reflects its specific molecular structure, which features a four-ring steroid nucleus with various hydroxyl and ketone groups at specific carbon positions.
These specific chemical modifications are key to its biological activity. The precise arrangement of these functional groups allows prednisone to bind to glucocorticoid receptors within cells. This binding triggers a cascade of intracellular events, ultimately influencing gene expression and impacting a wide variety of bodily processes.
Chemically, prednisone is closely related to cortisol, a naturally occurring glucocorticoid hormone produced by the adrenal glands. The slight structural difference between prednisone and cortisol accounts for prednisone’s significantly greater potency. Prednisone’s synthetic nature allows for controlled administration, unlike the body’s own variable cortisol production.
Understanding prednisone’s chemical structure provides insights into its mechanism of action and explains its therapeutic effects, as well as potential side effects. The structural similarity to cortisol, along with the key differences, is fundamental to its use in medicine.


