The androgen synthesis pathway is the specific sequence of enzymatic reactions within the adrenal glands and gonads that converts cholesterol into biologically active androgens, such as testosterone and dihydrotestosterone (DHT). This critical steroidogenesis process is essential for the development and maintenance of male secondary sexual characteristics, and it is vital for metabolic health in both sexes. Proper functioning of this cascade is a prerequisite for adequate hormonal signaling and vitality.
Origin
This term is rooted in endocrinology and biochemistry, combining ‘androgen’ (from Greek andros, meaning man) with ‘synthesis’ (from Greek synthesis, meaning putting together) and ‘pathway’ to denote the precise biochemical route. It describes a core process of steroid hormone production within the larger endocrine system, beginning with a common cholesterol precursor.
Mechanism
The pathway initiates with the conversion of cholesterol to pregnenolone, a rate-limiting step catalyzed by the P450 side-chain cleavage enzyme (CYP11A1) inside the mitochondria. Subsequent enzymatic steps, including the actions of 17α-hydroxylase and 17,20-lyase, convert precursors like DHEA and androstenedione into testosterone. The final conversion to the potent androgen DHT is mediated by the 5-alpha reductase enzyme in target tissues, completing the cascade and facilitating nuclear receptor binding.
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