ea0029p9 | Adrenal cortex | ICEECE2012
Parajes S.
, But B.
, Chan A.
, Rose I.
, Taylor A.
, Griffin A.
, Dhir V.
, Arlt W.
, Krone N.
Background: Cytochrome P450 side-chain cleavage enzyme (CYP11A1) catalyses the first and rate-limiting step of steroidogenesis. CYP11A1 firstly converts cholesterol into 22R-hydroxycholesterol, which relies on mitochondrial steroidogenic acute regulatory protein (StAR)-mediated cholesterol import. Two further StAR-independent CYP11A1 reactions facilitate pregnenolone biosynthesis. CYP11A1 deficiency is rare and manifests with adrenal insufficiency (AI), and, in 46,XY individua...