Question:

Explain the steroid hormone synthesis beginning with cholesterol to mineralocorticoid and glucocorticoid.

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The synthesis of cortisol and aldosterone from cholesterol involves multiple enzymatic steps, with different enzymes catalyzing distinct reactions in the adrenal cortex.
Updated On: Dec 11, 2025
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Solution and Explanation

The synthesis of steroid hormones begins with cholesterol, which is the precursor for all steroid hormones. This process primarily occurs in the adrenal glands, gonads, and the placenta.
Step 1: Conversion of Cholesterol to Pregnenolone:
Cholesterol, which is derived from dietary sources or synthesized in the liver, is first converted into pregnenolone in the mitochondria. This is the rate-limiting step in steroid hormone biosynthesis and is catalyzed by the enzyme CYP11A1 (side-chain cleavage enzyme).
Step 2: Pregnenolone to Progesterone:
Pregnenolone is converted into progesterone by the enzyme 3β-hydroxysteroid dehydrogenase (3β-HSD). Progesterone is a precursor for both mineralocorticoids and glucocorticoids.
Step 3: Glucocorticoid Synthesis (Cortisol):
From progesterone, the next steps occur primarily in the zona fasciculata of the adrenal cortex. The enzyme CYP17A1 converts progesterone to 17-hydroxyprogesterone, which is further converted to 11-deoxycortisol by 21-hydroxylase. Finally, 11-deoxycortisol is converted into cortisol (a glucocorticoid) by 11β-hydroxylase.
Step 4: Mineralocorticoid Synthesis (Aldosterone):
In the zona glomerulosa of the adrenal cortex, progesterone is first converted into 11-deoxycorticosterone (DOC), which is then converted to aldosterone by the enzyme 21-hydroxylase. Aldosterone is a mineralocorticoid that regulates sodium and water balance.
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