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Intracrine androgen synthesis enzyme

Molecular classification
Enzyme, Oxidoreductase, Dehydrogenase, Reductase, Lyase, Isomerase, Hydroxysteroid dehydrogenase, Steroid 5α-reductase, Cytochrome P450 enzyme
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Overview

Intracrine androgen synthesis enzymes are a collection of enzymes responsible for converting circulating androgen precursors, primarily dehydroepiandrosterone (DHEA) and androstenedione, into active androgens (testosterone, dihydrotestosterone, and 11-ketotestosterone) within peripheral tissues, without significant release into the circulation. These enzymes include cytochrome P450 enzymes (such as CYP17A1), hydroxysteroid dehydrogenases (such as AKR1C3/17βHSD5, HSD3B1, HSD17B2), and steroid 5α-reductases (SRD5A1, SRD5A2), among others. The activity of these enzymes enables tissues like the prostate, skin, and certain tumors to sustain local androgen action, and is a key mechanism of resistance in androgen deprivation therapy for prostate cancer[1][2][3][5][7][8]. Their dysregulated expression is implicated in the progression of several hormone-dependent diseases and cancers, making them targets for therapeutic inhibition. Because “Intracrine androgen synthesis enzymes” refers to a functionally related group, a more structured approach would catalog each enzyme (e.g., “Aldo-keto reductase family 1 member C3 (AKR1C3)”) as individual targets.

Other names
Intracrine androgen biosynthesis enzymesSteroidogenic enzymes (when referring to androgens)Local androgen synthesis enzymesKey individual enzymes: AKR1C3 (17β-hydroxysteroid dehydrogenase type 5)CYP17A1 (17α-hydroxylase/17,20-lyase)HSD3B1SRD5A1/2 (steroid 5α-reductases)AKR1C1AKR1C2HSD17B2HSD17B4
02

Mechanism of action

Inhibition of androgen synthesis (e.g., CYP17A1 inhibitors reduce testosterone production in tumors); Decreasing intratumoral androgen availability; Inhibiting local androgen conversion from precursors; Augmenting androgen inactivation (targeting inactivating enzymes such as AKR1C1/C2).

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Biological functions

Steroid hormone metabolismLocal (intracrine) androgen activation and inactivationSexual developmentRegulation of androgen receptor (AR) signalingModulation of cellular proliferation and differentiation in androgen-responsive tissues
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Disease associations

Cancer (notably prostate cancer and castration-resistant prostate cancer, as well as renal cell carcinoma)Polycystic ovary syndrome (PCOS)Congenital adrenal hyperplasia (for specific enzymes)Potentially others where androgen metabolism is relevant
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Safety considerations

Inhibition of androgen biosynthesis can cause adrenal insufficiency, loss of steroid hormones, sexual dysfunction, and metabolic disturbancesResistance mechanisms include compensatory upregulation of alternative enzymes or androgen receptor (AR) mutations
06

Interacting drugs

Abiraterone acetate (CYP17A1 inhibitor)

5 more in the full profile.

07

Biomarkers

Expression of AKR1C3, HSD3B1, HSD17B enzymes in tumor tissue (for prostate cancer prognosis and therapy selection)UGT2B15/UGT2B17 (glucuronidation enzymes for androgen inactivation, their expression may indicate resistance mechanisms)

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