Monogenic Disorders of Adrenal Steroidogenesis.

Abstract:

:Disorders of adrenal steroidogenesis comprise autosomal recessive conditions affecting steroidogenic enzymes of the adrenal cortex. Those are located within the 3 major branches of the steroidogenic machinery involved in the production of mineralocorticoids, glucocorticoids, and androgens. This mini review describes the principles of adrenal steroidogenesis, including the newly appreciated 11-oxygenated androgen pathway. This is followed by a description of pathophysiology, biochemistry, and clinical implications of steroidogenic disorders, including mutations affecting cholesterol import and steroid synthesis, the latter comprising both mutations affecting steroidogenic enzymes and co-factors required for efficient catalysis. A good understanding of adrenal steroidogenic pathways and their regulation is crucial as the basis for sound management of these disorders, which in the majority present in early childhood.

journal_name

Horm Res Paediatr

authors

Baranowski ES,Arlt W,Idkowiak J

doi

10.1159/000488034

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

292-310

issue

5

eissn

1663-2818

issn

1663-2826

pii

000488034

journal_volume

89

pub_type

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