Molecular Classification
Enzyme, Oxidoreductase
Other Names
Steroid 5 alpha-reductase type II, 3-Oxo-steroid delta(4)-dehydrogenase alpha polypeptide II, Steroid delta(4)-3-one--delta(4)-reductase
Disease Roles
Disorders of sex development (DSDs)Benign prostatic hyperplasiaAndrogenetic alopecia

5-alpha-reductase type II enzyme Overview

The 5-alpha-reductase type II enzyme, encoded by the SRD5A2 gene, is a membrane-bound oxidoreductase that catalyzes the irreversible conversion of testosterone to dihydrotestosterone (DHT), a more potent androgen. This reaction is NADPH-dependent and plays a critical role in male sexual development, particularly in the formation of external genitalia before birth. Mutations or deficiencies in SRD5A2 cause disorders of sex development (DSDs) such as ambiguous or atypical male genitalia due to insufficient DHT production during fetal life. Finasteride is a selective inhibitor used clinically for benign prostatic hyperplasia and androgenetic alopecia by blocking this enzyme's activity.

Mechanism of Action

Selective inhibitor of 5-alpha-reductase type II enzyme activity.

Biological Functions

Testosterone to DHT conversion
Androgen biosynthesis
Steroid metabolism

Disease Associations

Disorders of sex development (DSDs)
Benign prostatic hyperplasia
Androgenetic alopecia
Prostate cancer

Safety Considerations

No safety concerns listed

Interacting Drugs

Finasteride