5-alpha reductase

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Identifiers
Symbol SRD5A1
Entrez 6715
HUGO 11284
OMIM 184753
RefSeq NM_001047
UniProt P18405
Other data
EC number 1.3.99.5
Locus Chr. 5 p15
Identifiers
Symbol SRD5A2
Entrez 6716
HUGO 11285
OMIM 607306
RefSeq NM_000348
UniProt P31213
Other data
EC number 1.3.99.5
Locus Chr. 2 p23

5-alpha reductase is an enzyme that converts testosterone, the male sex hormone, into the more potent dihydrotestosterone:

Note the major difference -- the Δ4,5 double-bond on the A (leftmost) ring. (The other differences between the diagrams are unrelated to chemical structure.)

There are two isoenzymes, steroid 5-alpha reductase 1 and 2 (SRD5A1 and SRD5A2). The second isoenzyme is deficient in 5-alpha-reductase deficiency which leads to a form of intersexualism.

[edit] Production and inhibition

The enzyme is produced only in specific tissues of the male human body, namely the skin, seminal vesicles, prostate and epididymis.

Inhibition of 5-alpha reductase results in decreased production of DHT, increased levels of testosterone and possibly increased levels of estradiol. Gynecomastia is a possible side effect of 5-alpha reductase inhibition.

[edit] Pharmacology

5-alpha-reductase inhibitor drugs are used in benign prostatic hyperplasia, prostate cancer and baldness. Finasteride inhibits the function of only one of the isoenzymes (type 2), while dutasteride inhibits both forms.

[edit] External