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Genes and proteins of the alternative steroid backdoor pathway for dihydrotestosterone synthesis are expressed in the human ovary and seem enhanced in the polycystic ovary syndrome.

Abstract
Recently, dihydrotestosterone biosynthesis through the backdoor pathway has been implicated for the human testis in addition to the classic pathway for testosterone (T) synthesis. In the human ovary, androgen precursors are crucial for estrogen synthesis and hyperandrogenism in pathologies such as the polycystic ovary syndrome is partially due to ovarian overproduction. However, a role for the backdoor pathway is only established for the testis and the adrenal, but not for the human ovary. To investigate whether the backdoor pathway exists in normal and PCOS ovaries, we performed specific gene and protein expression studies on ovarian tissues. We found aldo-keto reductases (AKR1C1-1C4), 5α-reductases (SRD5A1/2) and retinol dehydrogenase (RoDH) expressed in the human ovary, indicating that the ovary might produce dihydrotestosterone via the backdoor pathway. Immunohistochemical studies showed specific localization of these proteins to the theca cells. PCOS ovaries show enhanced expression, what may account for the hyperandrogenism.
AuthorsNesa Marti, José A Galván, Amit V Pandey, Mafalda Trippel, Coya Tapia, Michel Müller, Aurel Perren, Christa E Flück
JournalMolecular and cellular endocrinology (Mol Cell Endocrinol) Vol. 441 Pg. 116-123 (02 05 2017) ISSN: 1872-8057 [Electronic] Ireland
PMID27471004 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Chemical References
  • Dihydrotestosterone
Topics
  • Adolescent
  • Adrenal Glands (metabolism)
  • Adult
  • Biosynthetic Pathways (genetics)
  • Child
  • Dihydrotestosterone (metabolism)
  • Female
  • Gene Expression Regulation
  • Humans
  • Male
  • Middle Aged
  • Ovary (metabolism)
  • Polycystic Ovary Syndrome (genetics)
  • Testis (metabolism)
  • Young Adult

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