ABSTRACT
The biosynthesis of dehydroepiandrosterone (DHEA) from cholesterol involves only two
enzymes, both cytochrome P450s. The conversion of cholesterol to pregnenolone is mediated
by cholesterol side-chain cleavage enzyme (CYP11A1), which is found in the mitochondria.
The cleavage of pregnenolone to DHEA requires both the 17α-hydroxylase and 17,20-lyase
activities of CYP17, which is found in the endoplasmic reticulum. These conversions
require pairs of electron transfer proteins or redox partners, which are adrenodoxin
and adrenodoxin reductase for CYP11A1 and cytochrome P450-oxidoreductase and cytochrome
b5 for CYP17. In addition, the steroidogenic acute regulatory (StAR) protein regulates
the flux of cholesterol into the biosynthetic pathway and represents the mechanism
of acute regulation. Finally, in addition to possessing CYP11A1 and CYP17, it is equally
important that a steroidogenic cell not contain other enzymes that drain the flux of pregnenolone to DHEA. These characteristics
are illustrated by the fetal adrenal cortex and the zona reticularis, which are dedicated
to the synthesis of DHEA and DHEA-sulfate.
KEYWORDS
Adrenal gland - dehydroepiandrosterone sulfate - CYP17 - 3β-hydroxysteroid dehydrogenase/Δ5/4-isomerases - cytochrome b5
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Richard J AuchusM.D. Ph.D.
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