DHEA Sulfation Status refers to the physiological measure of the conversion rate and circulating concentration of Dehydroepiandrosterone (DHEA) to its sulfated form, DHEA-S. DHEA-S is the most abundant circulating steroid hormone and serves as a vital reservoir for the synthesis of other sex hormones. Assessing this status provides a critical biomarker for adrenal function, metabolic health, and hormonal reserve.
Origin
The term is rooted in steroid biochemistry, where DHEA is an abbreviation for the parent steroid. ‘Sulfation’ describes the enzymatic process of adding a sulfate group, which is a key detoxification and storage mechanism. The ‘status’ refers to the measured, clinical state of this metabolic process. This measurement is integral to comprehensive endocrine panels.
Mechanism
The sulfation process is primarily catalyzed by the sulfotransferase enzyme SULT2A1, predominantly in the adrenal glands and liver. This conversion renders DHEA-S water-soluble, extending its half-life and making it an inactive storage form that can be readily converted back to active DHEA as needed. The ratio and absolute levels of DHEA and DHEA-S reflect the efficiency of this metabolic pathway and the overall adrenal output.
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