The tightly regulated homeostatic balance in the synthesis pathway that converts cholesterol into the various active steroid hormones, including cortisol, aldosterone, and sex steroids. Equilibrium signifies that production rates are appropriately matched to systemic demands, preventing both deficiency and excess across the adrenal and gonadal outputs. This balance is key to endocrine stability.
Origin
Rooted in biochemistry and endocrinology, this term describes the steady state of the enzymatic cascade beginning with cholesterol side-chain cleavage. The ‘equilibrium’ aspect emphasizes the dynamic feedback controlling the flow of intermediates through CYP enzymes.
Mechanism
The pathway operates via a series of cytochrome P450 enzymes located in the mitochondria and endoplasmic reticulum, such as StAR protein transport, P450scc, and $17alpha$-hydroxylase. Equilibrium is maintained by feedback inhibition from end-product hormones (e.g., cortisol suppressing ACTH) and substrate availability, ensuring precursor partitioning favors necessary outputs.
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