The foundational biochemical precursors, most notably cholesterol, along with essential enzymatic cofactors, that are required within the mitochondria of steroidogenic cells for the synthesis of all steroid hormones. These include glucocorticoids, mineralocorticoids, and sex hormones. Adequate supply of these substrates is the limiting factor for endogenous hormone production.
Origin
The term is derived from “Steroidogenesis,” the biochemical pathway for steroid hormone synthesis, and “Substrates,” the initial reactants in the process. It is a central concept in adrenal and gonadal endocrinology. This principle highlights the nutritional dependency of the entire steroid hormone cascade.
Mechanism
The initial and rate-limiting step involves the transport of cholesterol into the inner mitochondrial membrane, where the P450 side-chain cleavage enzyme converts it to pregnenolone. Subsequent enzymatic conversions, which are dependent on micronutrient cofactors like vitamin C and specific B vitamins, lead to the formation of cortisol, DHEA, aldosterone, testosterone, and estrogens. Adequate substrate supply is non-negotiable for robust hormonal output.
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