5-alpha reductase

From WikiMD's Food, Medicine & Wellness Encyclopedia

5-alpha reductase is an enzyme that plays a significant role in the metabolism of steroids in the human body. It is responsible for the conversion of testosterone into dihydrotestosterone (DHT), a more potent form of the hormone. This enzyme is found in various tissues in the body, including the prostate gland, skin, and hair follicles.

Function[edit | edit source]

The primary function of 5-alpha reductase is to convert testosterone into DHT. This conversion is crucial for the development of certain male characteristics during puberty, such as the deepening of the voice, growth of facial and body hair, and the development of the prostate and seminal vesicles. In adult men, DHT helps to maintain these characteristics.

Types[edit | edit source]

There are three known types of 5-alpha reductase: Type 1, Type 2, and Type 3. Each type is encoded by a different gene and has a slightly different function in the body.

  • Type 1: This type is primarily found in the skin and hair follicles. It plays a role in the development of acne and male pattern baldness.
  • Type 2: This type is primarily found in the prostate gland. It is responsible for the development and maintenance of the prostate.
  • Type 3: This type is less well understood, but it is believed to play a role in the development of the central nervous system.

Clinical significance[edit | edit source]

Abnormalities in the function of 5-alpha reductase can lead to a number of medical conditions. For example, a deficiency in this enzyme can result in 5-alpha reductase deficiency, a rare condition that affects the development of male sexual characteristics. On the other hand, overactivity of this enzyme can contribute to conditions such as benign prostatic hyperplasia and prostate cancer.

In addition, 5-alpha reductase inhibitors, such as finasteride and dutasteride, are commonly used in the treatment of conditions like male pattern baldness and enlarged prostate.

See also[edit | edit source]

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Contributors: Prab R. Tumpati, MD