Target intelligence / Profile preview

3-ketosteroid reductase (3-KSR)

Target
3-KSR
Molecular classification
Enzyme, Oxidoreductase, Aldo-keto reductase (AKR) family
01

Overview

3-ketosteroid reductase is an enzyme of the oxidoreductase class (EC 1.1.1.270) that catalyzes the NADP+-dependent reduction of 3-keto steroids to 3β-hydroxy steroids, playing a crucial role in steroid biosynthesis and metabolism. It belongs to the aldo-keto reductase (AKR) superfamily, whose members act on a wide range of substrates including ketosteroids, prostaglandins, and aldehydes, contributing to both normal physiological processes and the detoxification of xenobiotics. Human AKR enzymes, particularly AKR1D1 (also described as delta4-3-ketosteroid-5-beta-reductase), are essential in bile acid synthesis and sex hormone metabolism; deficiencies can cause severe metabolic and liver disorders. AKR enzymes are implicated in cancer, drug resistance, and metabolic diseases, and are considered druggable targets with ongoing inhibitor development. "3-keto reductase" is a generic phrase that could technically refer to any reductase acting on a 3-keto group; in pharmacological and biochemical contexts, it usually indicates 3-ketosteroid reductase or related AKRs acting on steroidal substrates. Careful scientific identification (ideally including the specific EC number or gene/protein name) is needed for absolute specificity. "3-keto reductase" is a non-specific term. The most precise, accepted name is "3-ketosteroid reductase", classified as EC 1.1.1.270 (canonical), or by related AKR family members depending on substrate and context.

Other names
3-KSR3β-hydroxysteroid:NADP+ 3-oxidoreductase3-keto-steroid reductaseSome AKR enzymes are referred to as 3-keto reductase in the literature
02

Mechanism of action

Reduction of 3-keto groups on steroids, ketones, aldehydes, and related compounds using NADPH as a cofactor. Drug resistance in cancers may occur via enhanced reduction and metabolism by AKRs.

03

Biological functions

Steroid biosynthesis and metabolismDetoxification of carbonyl compoundsMetabolism of endogenous and xenobiotic ketosteroids, ketones, aldehydes
04

Disease associations

Disorders of steroid hormone metabolismBile acid deficiencyHormone-dependent malignancies (e.g. certain cancers)Disorders of sexual developmentNeonatal cholestasis, hepatitis, and liver failure in case of deficiency (AKR1D1/3-ketosteroid-5-beta-reductase)
05

Safety considerations

Altered activity can cause metabolic diseases, liver dysfunction, or affect hormonal balanceOverexpression in tumors may contribute to therapy resistance
06

Interacting drugs

Inhibitor programs for certain AKRs, including drugs for hormone-dependent cancers and metabolic diseases are being investigated.

1 more in the full profile.

07

Biomarkers

Expression or mutation (e.g. in AKR1D1) can serve as biomarkers for bile acid synthesis defects, certain liver diseases, or cancer prognosis

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