A compound that serves as the immediate biological substrate for the endogenous synthesis of Dehydroepiandrosterone (DHEA), the most abundant circulating steroid hormone in the human body. While cholesterol is the ultimate precursor, the term often refers to supplemental or dietary compounds, such as pregnenolone, that facilitate DHEA production in the adrenal glands and gonads. DHEA is itself a prohormone, serving as a key intermediate for downstream sex steroid production.
Origin
The term is rooted in the biochemical pathway of steroidogenesis, the precise process by which cholesterol is converted into all steroid hormones. DHEA’s role as a prohormone positions its precursor as a critical point of clinical intervention for supporting the entire steroid cascade.
Mechanism
The conversion process begins with the cleavage of the cholesterol side chain to form pregnenolone, catalyzed by the P450 side-chain cleavage enzyme (P450scc) within the mitochondria. Pregnenolone is then converted to DHEA via a series of enzymatic steps, including the action of 17α-hydroxylase and 17,20-lyase. Providing adequate precursor molecules can theoretically support the steroidogenic cascade, thereby maintaining optimal DHEA levels for subsequent androgen and estrogen synthesis.
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