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Steroid 5-alpha-reductase type 1 and type 2 (5α-Reductase type 1 (SRD5A1), 5α-Reductase type 2 (SRD5A2))

Target
5α-Reductase type 1 (SRD5A1), 5α-Reductase type 2 (SRD5A2)
Molecular classification
Enzyme, Oxidoreductase, Steroidogenic enzyme
01

Overview

Steroid 5-alpha-reductase type 1 and type 2 are membrane-bound, NADPH-dependent enzymes that catalyze the irreversible conversion of testosterone to dihydrotestosterone (DHT), a highly potent androgen[1][2][3]. Type 1 and type 2 isoforms are encoded by the SRD5A1 and SRD5A2 genes, respectively, and are major components of androgen signaling in tissues such as prostate, skin, liver, and reproductive organs[2][3][5]. These enzymes are critical for the development of male external genitalia and secondary sexual characteristics, and their dysregulation or deficiency leads to a spectrum of androgen-related disorders including benign prostatic hyperplasia, prostate cancer, and male pseudohermaphroditism[3][5][6]. Inhibitors of these enzymes (notably finasteride and dutasteride) are widely used in the treatment of BPH and androgen-dependent pathologies due to their ability to lower DHT levels and thus attenuate androgen receptor signaling[2][6].

Other names
5α-reductase type I5α-reductase type IISRD5A1SRD5A2testosterone 5α-reductase
02

Mechanism of action

Competitive inhibition of enzyme activity (block the conversion of testosterone to DHT); Androgen modulation/reduction in DHT-mediated signaling

03

Biological functions

Steroid metabolismConversion of testosterone to dihydrotestosterone (DHT)Androgen activation
04

Disease associations

Prostate cancerBenign prostatic hyperplasia (BPH)Male pseudohermaphroditism (5α-reductase deficiency)Acne vulgarisPolycystic ovarian syndromeAndrogen-related diseases
05

Safety considerations

Sexual dysfunction (e.g., decreased libido, erectile dysfunction)GynecomastiaPotential mood alterations (e.g., depression)Possible concerns with long-term suppression of DHT, including effects on neurosteroids
06

Interacting drugs

Finasteride

1 more in the full profile.

07

Biomarkers

Dihydrotestosterone (DHT) levelsProstate-specific antigen (PSA), especially in context of prostate disease

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