Target intelligence / Profile preview

Adrenal cortex steroidogenic pathway enzyme

Molecular classification
Enzyme, Cytochrome P450 family (CYP), Hydroxysteroid dehydrogenase/ketosteroid reductase family (HSD/KSR)
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Overview

Adrenal cortex steroidogenic pathway enzymes are a group of enzymes responsible for the biosynthesis of steroid hormones—including glucocorticoids, mineralocorticoids, and some sex steroids—from cholesterol. These enzymes are highly expressed in the adrenal cortex and include members from two main families: cytochrome P450s (such as CYP11A1 [cholesterol side-chain cleavage], CYP21A2 [21-hydroxylase], CYP11B1 [11β-hydroxylase], and CYP11B2 [aldosterone synthase]) and hydroxysteroid dehydrogenases/ketosteroid reductases. Their coordinated activity enables stepwise conversion from cholesterol to active hormones like cortisol and aldosterone. Defects or inhibition in these pathways can lead to endocrine disorders such as congenital adrenal hyperplasia or Cushing’s syndrome. Drugs targeting these enzymes are used therapeutically but may cause significant safety concerns due to disruption of essential hormone synthesis[1][2][3][4].

Other names
Steroidogenic enzymeAdrenal steroidogenic enzymeSteroid biosynthetic enzyme
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Mechanism of action

Inhibition of specific cytochrome P450 or hydroxysteroid dehydrogenase enzymes to reduce synthesis of cortisol, aldosterone, or other steroids

03

Biological functions

Steroid hormone biosynthesisCholesterol metabolismRegulation of glucocorticoid and mineralocorticoid production
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Disease associations

Congenital adrenal hyperplasiaAddison's diseaseCushing's syndromeHypertension (via aldosterone excess)
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Safety considerations

Risk of adrenal insufficiency with excessive inhibition
06

Interacting drugs

Ketoconazole (inhibits multiple CYP enzymes in the pathway)

1 more in the full profile.

07

Biomarkers

17-hydroxyprogesterone (for congenital adrenal hyperplasia diagnosis)

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