Modulating steroid hormone levels is a curative and preventive measure for Cushing's syndrome, aldosteronism, and various stress-triggered symptoms. Polyphenols have been reported to inhibit steroidogenic enzymes such as 3β-hydroxysteroid dehydrogenase (3β-HSD) and aromatase. However, evidence for their inhibitory effects is fragmentary because it has been determined in studies with small groups of steroid hormones. To investigate the effects of steroids on complete steroidogenic pathways, comprehensive analysis of steroid hormones is necessary. Here we cultured forskolin-stimulated NCI-H295R, a human adrenocortical carcinoma cell line, in the presence of a polyphenol and employed GC-MS to simultaneously determine the levels of nine steroid hormones (pregnenolone, progesterone, deoxycorticosterone, aldosterone, 17α-hydroxyprogesterone, dehydroepiandrosterone, androstenedione, testosterone, and estradiol) in cell culture supernatant. We found that daidzein, genistein, apigenin, hesperetin, naringenin, and eriodictyol significantly reduced deoxycorticosterone and androstenedione levels (p<0.05), suggesting inhibition of 3β-HSD by these polyphenols. Apigenin was more potent than other polyphenols in increasing the levels of pregnenolone and 17α-hydroxyprogesterone, suggesting that it inhibits cytochrome P450 (CYP) 17 and CYP21, as well as 3β-HSD. Real-time reverse transcription polymerase chain reaction showed that apigenin significantly downregulated the expression levels of 3β-HSD, CYP17, and CYP21 mRNA ( p<0.05). This is the first study to demonstrate the inhibitory effects of apigenin on CYP17 and CYP21.Key words apigenin; cytochrome P450 (CYP)17; CYP21; pregnenolone; 17α-hydroxyprogesterone; polyphenol Steroid hormones are secreted by the adrenal cortex and play pivotal roles in stress response, immune response, antiinflammatory actions, carbohydrate metabolism, protein catabolism, and electrolyte homeostasis.1) Disrupting the secretion of these hormones has a serious impact on human health. For example, in Cushing's syndrome, hyperproduction of cortisol results in redistribution of fat to the face (moon face), hypertension, central obesity, and striae distensae. In cases of aldosteronism, hyperproduction of aldosterone induces renal reabsorption of sodium and water, which leads to a rise in circulating blood volume and hypertension. In addition, under stressful conditions, such as those related to deteriorating socioeconomic situations, chronic work-related stress, anxiety, and depression, the neuroendocrine response is upregulated, and the resulting cortisol hyperproduction triggers insulin resistance. Furthermore, the hypothalamic-pituitary-adrenal axis is hyperactivated under chronic stress, which in turn induces abdominal obesity, thereby leading to metabolic syndrome.
2)Agents and supplements that modulate steroid hormone levels play pivotal roles in treating the above diseases and conditions. Several food constituents have already been reported as steroid hormone inhibitors. For example, water-soluble l...