DHEA Pregnenolone Status refers to the collective measurement and clinical assessment of the circulating levels of the two primary precursor neurosteroids, Dehydroepiandrosterone (DHEA) and Pregnenolone. These compounds are fundamental building blocks in the steroidogenesis pathway, serving as metabolic reservoirs for the synthesis of sex hormones and other neuroactive steroids. Evaluating this status provides critical insight into adrenal function and the body’s capacity for steroid hormone production.
Origin
The term is rooted in clinical endocrinology, specifically the study of the steroid hormone cascade which originates from cholesterol. Pregnenolone is the immediate product of cholesterol cleavage, and DHEA is synthesized downstream, positioning them as key indicators of the overall steroidogenic capacity. Their classification as neurosteroids emphasizes their local synthesis and action within the brain, independent of peripheral endocrine glands.
Mechanism
Pregnenolone is synthesized from cholesterol, primarily in the adrenal glands, gonads, and brain, and is the initial precursor for all other steroid hormones. DHEA, derived from pregnenolone, is a major adrenal androgen precursor that can be converted peripherally into androgens and estrogens. Their combined status reflects the functional integrity of the adrenal cortex and the availability of neuroactive substrates essential for mood regulation, memory, and neuronal resilience.
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