The enzymatic process where the androgen hormone testosterone is converted into a more potent androgen, dihydrotestosterone (DHT). This conversion is a critical regulatory step in androgen action within specific target tissues. The enzyme responsible, 5-alpha reductase, exists in different isoforms with varying tissue distribution and clinical significance. This reaction fundamentally dictates the expression of androgenic traits in responsive cells, particularly in hair follicles, prostate, and skin.
Origin
Derived from the name of the enzyme, 5-alpha reductase, a steroid reductase, and the chemical reaction it catalyzes, which is the reduction of the double bond at the C4-C5 position of the steroid ring. This biochemical pathway is fundamental to steroidogenesis and the peripheral action of androgens. The nomenclature reflects the specific position on the steroid molecule where the reduction occurs.
Mechanism
The 5-alpha reductase enzyme catalyzes the irreversible reduction of testosterone’s C4-5 double bond, forming dihydrotestosterone. DHT exhibits a significantly higher affinity for the androgen receptor compared to testosterone, leading to enhanced androgenic effects in responsive cells. Inhibition of this enzyme is a therapeutic strategy in conditions like benign prostatic hyperplasia and androgenic alopecia, highlighting its clinical importance. The two main isoforms, Type 1 and Type 2, are differentially expressed, allowing for targeted pharmacological intervention.
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