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Adrenal Androgens and Androgen Precursors—Definition, Synthesis, Regulation and Physiologic Actions

TLDR
The C19 steroids synthesized by the human adrenal are discussed and the features within the adrenal that allow production of these steroids are considered.
Abstract
The human adrenal produces more 19 carbon (C19) steroids, by mass, than either glucocorticoids or mineralocorticoids. However, the mechanisms regulating adrenal C19 steroid biosynthesis continue to represent one of the most intriguing mysteries of endocrine physiology. This review will discuss the C19 steroids synthesized by the human adrenal and the features within the adrenal that allow production of these steroids. Finally, we consider the effects of these steroids in normal physiology and disorders of adrenal C19 steroid excess.

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Non-classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency revisited: an update with a special focus on adolescent and adult women.

TL;DR: Evidence-based diagnostic and treatment strategies are essential for the proper management of women with NCAH, especially considering that these patients may need different therapeutic strategies at different stages during their follow-up and that appropriate genetic counseling may prevent the occurrence of CAH in their children.
Journal ArticleDOI

A new dawn for androgens: Novel lessons from 11-oxygenated C19 steroids.

TL;DR: The production and metabolism of 11-oxygenated steroids are described and their androgenic activity is discussed and highlighted to highlight the putative role of these androgens in disease states.
Journal ArticleDOI

11-Ketotestosterone Is the Dominant Circulating Bioactive Androgen During Normal and Premature Adrenarche

TL;DR: The findings suggest that 11KT is the dominant bioactive androgen in children during adrenarche and PremA, and its androgenic capacity suggests that it may be responsible for the phenotypic changes seen in these phenomena.

Molecular Cloning of Two Human Liver 3α-Hydroxysteroid/Dihydrodiol Dehydrogenase Isoenzymes That are Identical with Chlordecone Reductase and Bile-acid Binder.

TL;DR: In this paper, two dihydrodiol dehydrogenases, DD2 and DD4, associated with 3 alpha-hydroxysteroid dehydrogenase activity were identified from human liver cDNA library using the antibodies.
References
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The Prevalence and Features of the Polycystic Ovary Syndrome in an Unselected Population

TL;DR: Data from a large representative unselected population support the concept that PCOS is the most common endocrine abnormality of reproductive-aged women in the United States.
Journal ArticleDOI

Abiraterone in Metastatic Prostate Cancer without Previous Chemotherapy

TL;DR: Abiraterone improved radiographic progression-free survival, showed a trend toward improved overall survival, and significantly delayed clinical decline and initiation of chemotherapy in patients with metastatic castration-resistant prostate cancer.

Commentary on: Abiraterone in Metastatic Prostate Cancer Without Previous Chemotherapy

TL;DR: Abiraterone inhibits CYP-17, a crucial enzyme in androgen biosynthesis in the testes, adrenal glands, and in prostate cancer cells as discussed by the authors, and showed a strong trend toward improved survival.
Journal ArticleDOI

The molecular biology, biochemistry, and physiology of human steroidogenesis and its disorders.

TL;DR: Understanding steroidogenesis is of fundamental importance to understanding disorders of sexual differentiation, reproduction, fertility, hypertension, obesity, and physiological homeostasis.
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