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Steroid 5α-reductase type 1 (SRD5A1) and type 2 (SRD5A2) are integral membrane oxidoreductase enzymes that catalyze the NADPH-dependent, irreversible reduction of the Δ4,5 double bond in 3-oxo-Δ^4^ steroids, most notably converting testosterone into the more potent androgen dihydrotestosterone (DHT)[3][4][5][6][8]. SRD5A2 is mainly expressed in the prostate and genital tissues and is critical for male sexual differentiation, while SRD5A1 is expressed in peripheral tissues (skin, liver, brain)[2][4][8]. Both are drug targets for conditions involving androgen excess, such as benign prostatic hyperplasia and prostate cancer, and are inhibited by drugs such as finasteride and dutasteride[5][6]. Mutations in SRD5A2 cause 5α-reductase deficiency, leading to disorders of sex development in individuals with a 46,XY karyotype[4]. Both enzymes share a conserved membrane topology with seven transmembrane domains and rely on NADPH as a hydride donor to convert substrates within the membrane[1][5][6][7].
Competitive inhibition of steroid 5α-reductase to block conversion of testosterone to dihydrotestosterone (DHT); Irreversible enzyme inactivation (e.g., finasteride forms a stable adduct with the enzyme)
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