Antiandrogens are commonly used to treat androgendependent disorders. The currently used drugs unfortunately possess very weak affinity for the human AR (hAR), thus indicating the need to develop new high-affinity steroidal antiandrogens. Our compounds are specially designed to impede repositioning of the mobile carboxyl-terminal helix 12, which blocks the ligand-dependent transactivation function (AF-2) located in the AR ligand-binding domain (ARLBD). Using crystal structures of the hARLBD, we first found that H12 could be directly reached from the ligand-binding pocket (LBP) by a chain positioned on the C18 atom of an androgen steroid nucleus. A set of 5␣-dihydrotestosterone-derived molecules bearing various C18 chains were thus synthesized and tested for their capacity to bind hAR and act as antagonists. Although most of those having very high affinity for hAR were agonists, several very potent antagonists were obtained, confirming the structural importance of the C18 chain. To understand the role of the C18 chain in their agonistic/antagonistic properties, the structure of the hARLBD complexed with one of these agonists, EM5744, was determined at a 1.65-Å resolution. We have identified new interactions involving Gln 738 , Met 742 , and His 874 that explain both the high affinity of this compound and the inability of its bulky chain to prevent the repositioning of H12. This structural information will be helpful to refine the structure of the chains placed on the C18 atom to obtain efficient H12-directed steroidal antiandrogens.The human androgen receptor (hAR) 5 is a member of the nuclear receptor (NR) superfamily of ligand-activated transcription factors (1). NRs possess a typical modular structure consisting of three main functional domains: a variable NH 2 -terminal domain, a highly conserved DNA-binding domain, and a conserved ligand-binding domain (LBD) (2). Upon binding of agonist molecules to their ligand-binding pocket (LBP), these receptors undergo an important conformational change that notably affects the position of the carboxyl-terminal ␣-helix (helix 12, H12) located in the LBD. When bound by an agonist, NRs become active transcriptional factors able to interact directly with DNA at specific response elements (REs) found in the regulatory regions of target genes. These DNA-NR complexes can then recruit coactivators through their ligand-dependent transactivation function (AF-2) formed upon H12 repositioning (3), and hence control transcription of specific genes. It has been shown that AF-2 specifically recognizes and binds the LXXLL motifs usually located in an amphipathic helix found in the coactivator sequences (4 -6). The human AR is thus able to bind the LXXLL motifs but its AF-2 preferentially interacts with the FXXLF motifs found in certain hAR coregulatory protein sequences (7,8). Such an FXXLF motif is also present in the NH 2 -terminal domain (residues 23-27) of hAR (9) allowing this domain to interact with AF-2. This NH 2 -terminal domain/LBD interdomain interaction, only observed fo...