Biosynthesis of Steroid Hormones - 10,11 Flashcards

1
Q

Juxtacrine

A

direct physical contact

Example: antigen presenting T cells

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2
Q

Endocrine signaling
* ___ in concentration; ___ affinity receptor
* travels ___ distance

A

Travels through the blood to a target organ expressing receptors.
* minutes to hours
* low; high
* far

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3
Q

Paracrine signaling
* travels ___ distance to affect ___ cells
* fairly high ___ [ ]; receptor with ___ affinity
* ___ and localized communication

A
  • short; nearby
  • local; lower
  • rapid

Example: cytokines, chemokines

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4
Q

Synaptic or neuronal signaling
* Neurotransmitter; travels very ___ distance.
* Very ___ local concentration; dissociate rapidly.
* Very rapid (___) termination; meant for short duration

A
  • short (synapse size)
  • high
  • millisecond
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5
Q

Autocrine signaling
* Made and functions in the ___ cell.
* Similar to ___ signaling

A
  • same
  • paracrine

Example: Cancer can utilize autocrine to promote their own growth

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6
Q

Steroid hormones

  • Synthesized from ____.
  • Planar, rigid, and hydrophobic → ___ binding to receptors
  • Exist in very ___ concentrations in the body (0.1-10 nM)
  • Bound to serum ___.
  • regulate ___
A
  • cholesterol
  • tight
  • low
  • carrier proteins
  • transcription
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7
Q

know the numbering system

A
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8
Q

Steroid hormones

Sex and progestational hormones
* ___ (C-21): female menstrual cycle, pregnancy, embryogenesis
* 17β-Estradiol (C-___): estrogen, female hormone
* ____ (C-19): androgen, male hormone

A
  • Progesterone
  • 18
  • Testosterone
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9
Q

Steroid receptors are intracellular receptors

Belong to ___ receptor family.
* steroid receptors
* thyroid hormone receptors
* retinoic acid receptor
* vitamin __ receptor

A
  • nuclear
  • D
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10
Q

Hormone response elements

  • DNA-binding domains of activated ___ bind to specific DNA sequences called Hormone Responsive Elements (HRE), upstream of ____ genes.
  • Binding alters the rate of ___.
A
  • dimers
  • steroid responsive
  • transcription
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11
Q

Negative feedback loop

Hypothalamic-pituitary-adrenal (HPA) axis:
* Hypothalamus: ___ →Pituitary gland: ___ → Adrenal gland: ____ → Physiological responses

Negative feedback loop: ____ inhibits both ___ and ___

A
  • Corticotropin releasing hormone (CRH)
  • Adrenocorticotropic hormone (ACTH)
  • Cortisol
  • cortisol, CRH, ACTH
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12
Q

Synthesis of steroid hormones - Universal Steps

Step 1: cholesterol is converted to ____ by the enzyme ____

A
  • pregnenolone
  • P450scc (CYP11A1)
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13
Q

What does the “scc” in P4450scc stand for?

A

side chain cleaving

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14
Q

Synthesis of steroid hormones - Aldosterone Pathway

Step 2: Pregnenolone can be converted to ___ by 3β-dehydrogenase-5,4-isomerase.

Step 3: progesterone is converted to aldosterone by these enzymes: 1) ____ → 2) ___

A
  • progesterone
  • 21-hydroxylase
  • 11β-hydroxylase
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15
Q

Synthesis of steroid hormones - cortisol pathway

Step 2: Pregnenolone can be converted to ___ by 3β-dehydrogenase-5,4-isomerase.

Step 3: progesterone can be converted to cortisol by these enzymes: 1) ____, 2) ___, 3) ___

or

Step 2: Pregnenolone can be converted to cortisol by these enzymes: 1) ___, 2) ___, 3) ___, 4) ___,

A
  • progesterone
  • 1) 17α-hydroxylase
  • 2) 21-hydroxylase
  • 3) 11β-hydroxylase

or

  • 1) 17α-hydroxylase
  • 2) 3β-dehydrogenase-5,4-isomerase
  • 3) 21-hydroxylase
  • 4) 11β-hydroxylase
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16
Q

Synthesis of steroid hormones - testosterone pathway

Step 2: Pregnenolone can be converted to progesterone by ___.
Step 3: Progesterone is converted to androstenedione by these enzymes: 1) ___ and 2) ___

or

Step 2: Pregnenolone can be converted to DHEA by these enzymes: 1) ___ and 2) ___
Step 3_ DHEA is then converted to ___ by 3β-dehydrogenase-5,4-isomerase

Step 4: Androstenedione is converted to testosterone by ___

A
  • 3β-dehydrogenase-5,4-isomerase
  • 1) 17α-hydroxylase
  • 2) 17,20 lyase

or

  • 1) 17α-hydroxylase
  • 2) 17,20 lyase
  • androstenedione
  • 17β-hydroxysteroid dehydrogenase
17
Q

Synthesis of steroid hormones - 17β-Estradiol pathway

same steps 2 and 3 as testosterone pathway
Step 4: Androstenedione is converted to testosterone by ___
Step 5: testosterone is converted to 17β-Estradiol by ___

or
Step 4: Androstenedione is converted to Estrone by ___
Step 5: Estrone is converted to 17β-Estradiol by ____

A
  • 17β-hydroxysteroid dehydrogenase
  • aromatase

or

  • aromatase
  • 17β-hydroxysteroid dehydrogenase
18
Q

What is this?

A

Cholesterol

19
Q

What is this?

A

Pregnenolone

20
Q

What is this?

A

Progesterone

21
Q

What is this?

A

Aldosterone

22
Q

What is this?

A

Cortisol

23
Q

What is this?

A

Dihydroepiandrosterone (DHEA)

24
Q

What is this?

A

Androstenedione

25
Q

What is this?

A

Testosterone

26
Q

What is this?

A

17β-Estradiol

27
Q

What is this?

A

Estrone

28
Q

17α-hydroxylase deficiency

  • Rare form of congenital adrenal ____
  • Caused by mutations in ___, which has both 17α-hydroxylase and ____ activities.
  • Overproduction of ____ and deficiency of ____ and sex hormones.
  • Hypocortisolism → enlargement of the ___
  • Ambiguous ___
  • Hyperaldosteronism → ___
A
  • hyperplasia (5%)
  • CYP17A1
  • 17,20-lyase
  • mineralcorticoids, corticosteroids
  • adrenal glands
  • genitalia (intersex)
  • hypertension
29
Q

21-hydroxylase deficiency

  • Major form of congenital ___
  • Mutation in ___, which functions as ____
  • Hypocortisolism → ___ of the adrenal glands
  • Hypoaldosteronism → ___ (can be life-threatening in infants)
  • premature ___ exposure which causes hirsutism, ambiguous genitalia in female, and ___ epiphyseal closure (___ stature)
A
  • adrenal hyperplasia (95%)
  • CYP21A2, 21-hydroxylase
  • enlargement
  • hypoatremia (low sodium levels)
  • androgen, early, short
30
Q

Transport and excretion of steroids

Plasma trasportation
* glucocorticoids and progesterone = corticoid-binding globulin (___)
* testosterone and estradiol = ___ hormone binding ___ (SHBG)

A
  • transcortin
  • sex, globulin
31
Q

Transport and excretion of steroids

  • metabolized in the ___ (oxidation, sulfation, and glucuroidation) to ___ forms
  • excreted in the _____ (estrogen) or in the urine (____, ___, and ___)
A
  • liver, soluble
  • bile, progesterone, androgen, and glucocorticoids
32
Q

Therapeutic intervention in steroid synthesis

Aminoglutethimide (Cytadren®)
* inhibits ___ and ___
* used to block ___ production in some hormone-dependent tumors (breast, prostate)

A
  • aromatase and P450scc
  • steroid
33
Q

Therapeutic intervention in steroid synthesis

Ketoconazole
* ___ at lower concentration (block synthesis of ____)
* inhibits ___, ___, and ___
* can treat hyperglucocorticoid states (___ syndrome)
* may cause toxic side effects

A
  • antifungal, ergosterol
  • P450scc, 17a-hydroxylase, 11B-hydroxylase
  • Cushing’s
34
Q

What is this?

A

Aminoglutethimide (Cytadren®)

35
Q

What is this?

A

Ketoconazole