| Term 
 
        | conformation and stereochemistry of steroid hormones |  | Definition 
 
        | -all hormone ring fusions are trans -many chiral carbons
 -rigid
 -hydrophobic
 -small structural differences can have major changes in function
 |  | 
        |  | 
        
        | Term 
 
        | the ultimate steroid progenitor- cholesterol |  | Definition 
 
        | -most commonly occurring steroid -present in almost all organisms (especially animals)
 -can be biosynthesized or supplied in diet
 -major component of plasma membrane
 -biosynthesis from acetyl CoA takes many enzymatic steps
 |  | 
        |  | 
        
        | Term 
 
        | key biosynthesis intermediate |  | Definition 
 
        | -cholesterol and P450 SCC to make pregnenolone |  | 
        |  | 
        
        | Term 
 
        | 17α hydroxylase/C17,C20 lyase |  | Definition 
 
        | -adds hydroxyl at C-17= glucocorticoids -can cleave C17-C20 bond= androgens/estrogens |  | 
        |  | 
        
        | Term 
 
        | 3β dehydrogenase (isomerase) |  | Definition 
 
        | -converts hydroxyΔ5Δ6 alkene to Δ4Δ5enone -requires NAD+  |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -adds hydroxyl group to C21 of progestins -on the pathway to glucocorticoids and mineralocorticoids |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -adds hydroxyl group to C-11 of progestins |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -In kidney (type II, irreversible), oxidation of 11 hydroxyl to ketone inactivates glucocorticoids, important for function of mineralocorticoids -In adipose tissue (type I, reversible), converts inactive glucocorticoid into active hormone, may be a key factor in type II diabetes |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -ovaries- aromatase is expressed, some aromatase is expressed in adipose tissue and brain -Leydig cells of the testis, little or no aromatase, androstenedione and testosterone predominates |  | 
        |  | 
        
        | Term 
 
        | steroid transport and excretion |  | Definition 
 
        | -after biosynthesis, steroid hormones are transported in plasma by plasma transport proteins -corticoid-binding globulin (transcortin) transports glucocorticoids and progesterone
 -sex hormone binding globulin (SHBHG) transports testosterone and estradiol
 |  | 
        |  | 
        
        | Term 
 
        | steroid hormones have 3 major metabolic fates |  | Definition 
 
        | 1. oxidations to make more water soluble 2. sulfation
 3. glucoronidation
 |  | 
        |  | 
        
        | Term 
 
        | therapeutic intervention in steroid biosynthesis- blocking P450's (chemical adrenalectomy) |  | Definition 
 
        | -aminoglutethimide- inhibits a number of steroid biosynthesis enzymes, used to block steroid production in some hormone dependent tumors (breast, prostate) -ketoconazole- antifungal at lower concentrations (ergosterol), higher concentration can inhibit P450 SCC, 17α hydroxlase, 11β hydroxylase
 -can treat hyperglucocorticoid states (Cushing's)
 -major problems with toxicity
 |  | 
        |  | 
        
        | Term 
 
        | therapeutic intervention in steroid biosynthesis- block later enzymes |  | Definition 
 
        | -metyrapone- inhibits 11β hydroxylase, used to test for pituitary function (ACTH secretion), can treat hyperglucocorticoid states (Cushing's) |  | 
        |  | 
        
        | Term 
 
        | therapeutic intervention in steroid biosynthesis- aromatase inhibitors |  | Definition 
 
        | - androstenedione derivatives- exemestane (Aromasin) -triazole derivatives- anastrazole (Arimidex), letrozole (Femara)
 -selectively block conversion of testosterone to estrogen. shut down any estrogen signaling
 -used to treat estrogen-responsive tumors in female reproductive tissues (breast) typically after failure of tamoxifen but are now being used as first line therapy
 |  | 
        |  | 
        
        | Term 
 
        | cholesterol side chain cleavage enzyme- carries out three enzymatic steps |  | Definition 
 
        | 1. hydroxylation at 22 position 2. hydroxylation at 20 position
 3. oxidation of diol with cleavage to release side chain
 |  | 
        |  |