Target intelligence / Profile preview

Steroidogenic enzyme (None (commonly referred to as "steroidogenic enzymes" or by specific enzyme names such as CYP11A1, 3β-HSD, etc.))

Target
None (commonly referred to as "steroidogenic enzymes" or by specific enzyme names such as CYP11A1, 3β-HSD, etc.)
Molecular classification
Enzyme, Cytochrome P450 family (e.g., CYP11A1, CYP17A1), Oxidoreductase (e.g., hydroxysteroid dehydrogenases), Short-chain dehydrogenase/reductase (SDR) family, Aldo-keto reductase (AKR) family[6]
01

Overview

Steroidogenic enzymes are a group of proteins responsible for catalyzing each step in the conversion of cholesterol into biologically active steroid hormones. These include sex steroids—such as estrogens, progestogens, and androgens—as well as corticosteroids like glucocorticoids and mineralocorticoids. The most prominent members are cytochrome P450 monooxygenases—including cholesterol side-chain cleavage enzyme (CYP11A1), aromatase (CYP19A1), various hydroxylases—and several classes of hydroxysteroid dehydrogenases. Their expression is tightly regulated by tissue type and hormonal signals; dysregulation can contribute directly to diseases ranging from endocrine tumors to metabolic syndromes. Pharmacological inhibitors targeting these enzymes are used clinically for conditions like Cushing’s syndrome or certain cancers but require careful management due to risks associated with systemic hormonal disruption[3][5][7].

Other names
Steroid biosynthetic enzymeEnzyme of steroidogenesisSteroid hormone biosynthesis enzyme
02

Mechanism of action

Drugs targeting these enzymes typically act via: - Competitive inhibition at the active site of cytochrome P450s or dehydrogenases to block conversion steps in hormone synthesis. For example: - Ketoconazole inhibits multiple cytochrome P450s involved in cortisol and androgen synthesis. - Metyrapone inhibits 11β-hydroxylase activity to reduce cortisol production.[4]

03

Biological functions

Biosynthesis of steroid hormones from cholesterolRegulation of sex steroid production (androgens, estrogens, progestogens)Synthesis of corticosteroids (glucocorticoids and mineralocorticoids)Neurosteroid synthesis[5][7]
04

Disease associations

Cancer (notably hormone-dependent cancers such as breast and prostate cancer)[2]Endocrine disorders including congenital adrenal hyperplasia and Cushing’s syndrome[4]Cardiovascular diseaseReproductive dysfunctions
05

Safety considerations

Adrenal insufficiency due to excessive suppression of corticosteroids.Hormonal imbalances leading to reproductive dysfunction or metabolic disturbances.Off-target effects due to broad inhibition across multiple related pathways.[4]
06

Interacting drugs

Ketoconazole

3 more in the full profile.

07

Biomarkers

Circulating levels of relevant steroids/hormones such as cortisol, aldosterone, testosterone, estradiol.Expression levels/mutations in genes encoding key steroidogenic enzymes like CYP11B1/CYP17A1.

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