Comprehensive Physiology 2014
DOI: 10.1002/cphy.c140006
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Adrenal Androgens and Androgen Precursors—Definition, Synthesis, Regulation and Physiologic Actions

Abstract: The human adrenal produces more 19 carbon (C19) steroids, by mass, than either glucocorticoids or mineralocorticoids. However, the mechanisms regulating adrenal C19 steroid biosynthesis continue to represent one of the most intriguing mysteries of endocrine physiology. This review will discuss the C19 steroids produced in the human adrenal and the features within the adrenal that allow production of these steroids. Finally, we consider the effects of these steroids in normal physiology and disorders of adrenal… Show more

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Cited by 98 publications
(68 citation statements)
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“…In agreement with the migration model, the cell proliferation index is highest in the outer ZG of human adrenal tissues from early infancy to late puberty [8]. Genes encoding a number of transcription and growth factors as well as polypeptide hormones have been linked to adrenocortical cell development and to modulation of steroidogenic function [6, 8-11]. However, the exact molecular mechanisms governing human adrenal zonation and ZR development remain poorly understood.…”
Section: Introductionmentioning
confidence: 76%
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“…In agreement with the migration model, the cell proliferation index is highest in the outer ZG of human adrenal tissues from early infancy to late puberty [8]. Genes encoding a number of transcription and growth factors as well as polypeptide hormones have been linked to adrenocortical cell development and to modulation of steroidogenic function [6, 8-11]. However, the exact molecular mechanisms governing human adrenal zonation and ZR development remain poorly understood.…”
Section: Introductionmentioning
confidence: 76%
“…The coexpression of 3βHSD2 and P450c17 along with P450c11 in the ZF results in the production of cortisol under the influence of ACTH. By contrast, the ZR expresses relatively very little 3βHSD2 and large amounts of P450c17 and cytochrome b5, which selectively activate the 17,20- lyase activity of P450c17 and DHEA-sulfotransferase (SULT2A1) [6, 13]. Consequently, the C19 steroid DHEA is produced, much of which is sulfated to DHEAS [6, 13].…”
Section: Functional Zonation Of the Human Adrenal Cortexmentioning
confidence: 99%
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“…Because five enzymatic steps are involved in cortisol biosynthesis, there are five distinct CAH syndromes [2]. Approximately 95 percent of cases are due to 21-hydroxylase deficiency [3].…”
Section: Introductionmentioning
confidence: 99%