Midterm II: Steroid Hormone Synthesis (Ben) Flashcards
What kind of reactions are most of the reactions in steroid synthesis?
Catalyzed by what type of enzymes?
And what is the general formula for these rxns?
Hydroxylations** catalyzed by **CYP450 enzymes

Where are steroid hormone synthesis reactions located within the cell?
ER or Mitochondria
What is the 2nd most frequent reaction type in steroid hormone synthesis?
Via what kind of enzyme + co-factor?
Oxidoreduction reactions
Via dehyrogenase** enzymes using **NAD+
What is the electron donor molecule in the CYP450 enzymes?
And what special part of the enzyme transfers the electrons?
NADPH donates electrons
- Heme-iron in CYP450 enzyme transfers electrons twice during the hydroxylation reactions

CYP450 needs another enzyme to transfer key elements of the reaction to it.
What is the enyzme?
What does it transfer and how?
CYP450 Reductase
- transfers 2 electrons** **one by one from NADPH

What is the general name of the entire enzyme complex shown here?

Microsomal Electron Transport Chain
- because it consists of the CYP450 reductase enzyme which transfers electrons to the CYP450 enzyme
What are the components of the mitochondrial (not microsomal) electron transport chain involved in some CYP450 steroid synthesis reactions?
In what organ is this chain found?
Found on adrenal mitochondria…
Adrenodoxin Reductase - takes electrons from NADPH to adrenodoxin
Adrenodoxin - an iron-sulfur protein which transfers electrons to the CYP450

What is the first step in the synthesis of all steroid hormones?
Reactants?
Enyzme?
Product?
(Include # of Cs)
Cleavage of cholesterols side chain…

Reactants: Cholesterol (27C) + 3 NADPH + 3 O2
Enzyme: P450SCC Side Chain Cleavage Enyzme
Product: Pregnenolone + Isocaproaldehyde + 3 NADP+ + 3 H2O
Why are 3 NADPH used in the side chain cleavage enzyme reaction?
Because it is a 3 step reaction:
- Hydroxylation of C22
- Hydroxylation of C20
- Cleavage of bond between C20 and 22

Where is P450SCC located?
the inner mitochondrial membrane
How is cholesterol transported into the mitochondria for steroid hormone synthesis?
What is the name of the condition resulting from a lack of the molecule necessary for this?
StAR
(Steroidogenic Acute Regulatory Protein)
- if this is missing = Congenital Lipoid Adrenal Hyperplasia
What two hormones signal increased steroid hormone production?
In which tissues?
- ACTH - adrenal gland
- LH - testes, ovaries
How do LH and ACTH induce steroid hormone synthesis?
(One route leading to 2 effects)
induction of cAMP increase
- induces StAR activation
- activates PKA which phosphorylates/activates cholesterol esterase
What two actions does the P450c17 enyzme have?
17-hydroxylase
and
17,20 lyase
What two reactions are performed by the 17 hydroxylase activity of the P450c17 enzyme?
Pregnenolone —-> 17OH Pregnenolone
Progesterone —-> 17OH Progesterone

What two reactions are performed by the 17,20-lyase activity of P450c17?
17OH Pregnenolone —> DHEA (dehydroepiandrosterone)
17OH Progesterone —> androstenedione

What 3 reactions are catalyzed by 3-Hydroxysteroid Dehydrogenase (3OHSDH)?
And what happens in these reactions?
Transfers double bond from B ring to A ring + dehydrogenates the 3-OH
Pregnenenolone —> Progesterone
17OH Pregnen —> 17 OH Progest
DHEA —> Androstenedione

What is the activity of the P450c21 enyzme?
21 hydroxylase
- hydroxylates the LAST carbon of progesterone and 17OH progesterone

What two reactions does P450c21 perform via its 21-OHase activity?
Progesterone —> 11-Deoxycorticosterone
17OH Progesterone —> Deoxycortisol

What one enzyme catalyzes two different reactions with 3 different activities to make a final product of steroid hormone synthesis?
Aldosterone Synthase
- Reactions:
- 11-deoxycorticosterone > corticosterone
- corticosterone > aldosterone
- Activities:
- 11-hydroxylase
- 18-hydroxylase
- 18-dehydrogenase

Where is aldosterone synthase found (specific cell layer) and what kind of hormone does it produce?
What gene encodes it?
- found in the zona glomerulosa
- produces mineralocorticoid (specifically aldosterone)
- encoded by CYP11B2
Lack of which enzyme/enzyme activities determines the production of only mineralocorticoids by the zona glomerulosa?
P450c17
with its 17-OHase and 17,20 Lyase activities
- this keeps steroid synthesis in the glomerulosa to the pregnenolone-to-aldosterone path only
What gene/enyzme performs the last reaction in the glucocorticoid path?
11-Hydroxylase
encoded by CYP11B1
(does not have 18-OHase/DHase activity of CYP11B2)
What is the last reaction in the glucocorticoid pathway?
11-Deoxycortisol —> Cortisol
via CYP11B1 gene’s 11-Hydroxylase activity

In what cells does the CYP11B1 gene express the glucocorticoid-producing enzyme with only 11-OHase activity?
Zona Fasciculata
and
Zona Reticularis
Where do the reactions for the synthesis of mineralocorticoids take place?
(starting from pregnenolone)
(2 locations)
-
ER surface
- Pregnen > Progest
- Progest > 11-deoxycorticosterone (DOC)
-
Inner Mitochondrial Membrane
- DOC > Corticosterone
- Corticosterone > Aldosterone
Which enzyme activities are preferred in the zona fasciculata?
And thus what are its primary products?
21-OHase / P450c21
- so reactions proceed in the direction of glucocorticoids (cortisol)
- weak mineralocorticoids (ie corticosterone) can also be made, BUT the zona fasciculata lacks 18-OHase/Dehydrogenase activity so aldosterone can’t be made

Which enyzme activity is preferred in the zona reticularis?
And thus what are its primary products?
17,20 Lyase activity
- reactions proceed in the direction of weak androgens

Where within the cells of the zona fasciculata/reticularis are the main products of these cells made?
- Fasciculata - cortisol/corticosterone are completed on the mitochondrial inner membrane (but made on the ER until their DOC/11-deoxycortisol intermediates)
- Reticularis - weak androgens are completed on the ER surface

What is adrenarche?
development of the zona reticularis around age 10-11
- this is seen enzymatically as an increase in 17,20-Lyase activity
- results in 100-fold increase in weak androgen (DHEA) production
What are the 3 mechanisms that favor 17,20-Lyase activity?
- High [CYP450 Reductase]/[P450c17] ratio
- Cytochrome B5 - allosterically increases the reductase-to-P450c17 electron donation efficiency
-
Phosphorylation - of Ser/Thr residues on P450c17
- only 17,20-lyase, not 17-OHase enhancement
What are the general effects of aldosterone?
What organ/part of the organ and how?
Kidney Collecting Ducts
Increases expression of…
- Na/K-ATPase
- Na + K Channels
- H+-ATPase
Resulting in…
- Na+ reabsorption
- K+ secretion
- H+ secretion
What are signs of aldosterone excess?
And deficiency?
Excess:
- hypertension
- hypokalemia
- low H+
Deficiency:
- water/salt loss
- hyperkalemia
- acidosis (high H+)
What is the receptor for aldosterone?
Mineralocorticoid Receptor
(Steroid Receptor Type I)
How is the problem of steroid receptor “promiscuity” solved?
Hint: an enzyme
11βOH-steroid dehydrogenase 2 (on the ER’s cytosolic surface)
- present in mineralocorticoid target cells
- inactivates cortisol (–> cortisone) and corticosterone (—> 11-dehydrocorticosterone) using NAD+
- doesn’t affect aldosterone

What is steroid receptor promiscuity?
tendency of multiple different steroid hormones to bind to the mineralocorticoid receptor
What is the condition which results from deficiency of 11βOH Steroid Dehydrogenase 2?
Apparent Mineralocorticoid Excess
- hypertension + hypokalemia, BUT…
low aldosterone levels + high cortisol/cortisone in urine
What enzyme opposes the “prereceptor specificity” effects of the enzyme protecting mineralocorticoid receptors from excess stimulation?
What is its purpose?
11βOH Steroid Dehydrogenase 1 (on the ER lumen surface)
- reduces inactive cortisol to active cortisol within cortisol target cells
- uses NADPH and H+
What 3 factors contribute to aldosterone production and secretion?
- Stress - via ACh + ACTH (Ca2+ + cAMP increases)
- Hypovolemia - angiotensin II —> Ca2+ increase
- [K+]EC Increase - Ca2+ influx

What are some effects of cortisol?
On carbohydrate metabolism?
Lipid metabolism?
Protein metabolism?
Other effects?
Carbs:
- glucose oxidation decrease
- gluconeogenesis increase (via PEPCK)
- liver glycogen increase
Lipids:
- plasma FFA increase
Proteins:
- proteolysis increase
Other:
- immunosuppresion
- osteoporosis (negative Ca2+ balance)
What is the condition of excess cortisol called?
Symptoms?
Cushing Syndrome
- symptoms basically relate to cortisol effects
- impaired glucose tolerance
- visceral obesity
- muscle atrophy
- osteoporosis
- infections (due to immunosuppression)
What is the condition of deficiency of cortisol called?
Symptoms?
Adrenal Cortex Insufficiency
- Low BP
- Dehydration
- K+ increase
- Na+ decrease
- Exhaustion
- Impaired hair growth
What two main factors stimulate cortisol production?
Via what hormone?
And what 2nd messenger?
- Stress
- CRH from hypothalamus
- Both release ACTH
- ACTH increases z. fascicularis cAMP

What 3 mechanisms promote tissue-specific action of glucocorticoids?
- Pre-receptor Specificity - via 11β-HSD1/2
- Different Receptor Isoforms - of glucocorticoid receptor
- Co-activators/Repressors - modify effects of hormone in different tissues
What is the condition resulting from a hereditary defect in cortisol synthesis?
Congenital Adrenal Hyperplasia
- most commonly… deficienies of 21-OHase or 11-β Hydroxylase
- no cortisol to suppress ACTH secretion leads to adrenal hyperplasia