DHEA, or Dehydroepiandrosterone, is the most abundant circulating steroid hormone in the human body, primarily produced by the adrenal glands, with smaller amounts from the gonads. It functions as a crucial precursor, or prohormone, that can be metabolized into more potent sex steroids, including testosterone and estrogens. DHEA levels naturally peak in early adulthood and decline progressively with age, a phenomenon often associated with reduced vitality and changes in body composition. Clinical assessment of DHEA sulfate (DHEA-S) levels provides insight into adrenal function and the body’s reserve capacity for sex hormone synthesis.
Origin
The acronym DHEA is a chemical abbreviation for Dehydroepiandrosterone, reflecting its specific molecular structure. Its discovery and identification as a major steroid metabolite occurred in the mid-20th century, marking a significant step in understanding the complex steroidogenesis pathway. The recognition of its prohormone status, capable of converting into androgens and estrogens, cemented its importance in endocrinology.
Mechanism
DHEA exerts its biological effects both directly, by binding to specific receptors, and indirectly, by serving as a substrate for the production of downstream hormones. Within peripheral tissues, including fat, skin, and muscle, DHEA is converted by enzymes like 3β-hydroxysteroid dehydrogenase and 17β-hydroxysteroid dehydrogenase into active androgens and estrogens. This mechanism allows for localized hormone production, which is particularly significant for maintaining tissue health and function, such as bone density and skin integrity, independent of the primary endocrine glands.
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