Target intelligence / Profile preview

Steroid 5α-reductase 2 (SRD5A2)

Target
SRD5A2
Molecular classification
Enzyme (oxidoreductase class, EC 1.3.1), Membrane-bound enzyme, Integral membrane steroid reductase
01

Overview

Steroid 5α-reductase 2 is an integral membrane enzyme that catalyzes the NADPH-dependent reduction of testosterone and other Δ^4-3-keto steroids to their corresponding 5α-reduced forms, notably converting testosterone into dihydrotestosterone (DHT), a more potent androgen critical for male sexual development and prostate growth. Mutations in the SRD5A2 gene cause 5α-reductase deficiency, leading to undervirilization and other developmental disorders. Inhibition of SRD5A2 by agents such as finasteride and dutasteride is a mainstay therapy for benign prostatic hyperplasia and is also used to treat androgen-dependent conditions. The enzyme is a seven-transmembrane protein, structurally related to other steroid/sterol reductases, uses NADPH as a cofactor, and is subject to pathological mutations that can lead to disease[1][2][3][4][5][7].

Other names
Steroid 5-alpha-reductase type 2SRD5α2SRD5A25α-reductase type 2
02

Mechanism of action

Competitive inhibition of SRD5A2, blocking conversion of testosterone to DHT and thereby lowering androgenic activity in target tissues

03

Biological functions

Steroid metabolismAndrogen biosynthesis (testosterone to dihydrotestosterone conversion)Male sexual developmentRegulation of prostate growth
04

Disease associations

Benign prostatic hyperplasia (BPH)Prostate cancer5α-reductase deficiency (rare genetic disorder)Potential role in acne, hirsutism, lower urinary tract symptoms, polycystic ovarian syndrome
05

Safety considerations

Sexual dysfunction (e.g., decreased libido, erectile dysfunction)GynecomastiaRisk of depressionTeratogenic effects (contraindicated in women/pregnancy)Concerns regarding long-term risk of high-grade prostate cancer (not fully settled)
06

Interacting drugs

Finasteride

1 more in the full profile.

07

Biomarkers

Dihydrotestosterone (DHT) levels (for efficacy monitoring)Mutations in SRD5A2 gene (for diagnosis of 5α-reductase deficiency)

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