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5α-reductase type 2 is an enzyme that catalyzes the conversion of testosterone to dihydrotestosterone (DHT), a more potent androgen essential for male sexual differentiation. It is encoded by the *SRD5A2* gene. Deficiency or mutations in *SRD5A2* cause disorders of sex development (DSDs) such as ambiguous genitalia or undervirilization in individuals with XY chromosomes. In prostate cancer, the expression of type 2 isoform decreases while type 1 increases. Antiandrogen therapies can block this regulatory mechanism.
Inhibition of 5-alpha reductase type 2, preventing the conversion of testosterone to dihydrotestosterone (DHT)
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