Sex Steroid Biosynthesis is the intricate biochemical cascade, primarily occurring in the gonads and adrenal glands, that converts cholesterol into the primary androgens (like testosterone) and subsequently into estrogens (like estradiol) via enzymatic action. This process is tightly regulated by the HPG axis, ensuring appropriate circulating levels for sexual maturation, reproductive health, and secondary anabolic effects. Precise control over this pathway is paramount for endocrine stability.
Origin
This term originates in steroid chemistry and endocrinology, describing the metabolic creation of the fundamental lipophilic signaling molecules that define sexual characteristics and drive anabolism. The pathway follows the classic cholesterol side-chain cleavage.
Mechanism
The process begins with the conversion of cholesterol to pregnenolone, followed by sequential enzymatic steps involving $3beta$-HSD and $17alpha$-hydroxylase to form DHEA and then androstenedione. Aromatase activity then converts androgens into estrogens, creating a necessary balance. Feedback mechanisms from the resulting steroids modulate GnRH and LH release, thereby controlling the rate of precursor utilization and final product output from the synthesis sites.
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