P450scc

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Cytochrome P450scc (P450scc), also known as cholesterol side-chain cleavage enzyme, is a crucial enzyme in the production of all steroid hormones. It catalyzes the conversion of cholesterol into pregnenolone, which is the first step in the synthesis of steroids. This enzyme is found in the mitochondria of steroid-producing cells, including those in the adrenal cortex and gonads. The activity of P450scc is essential for the biosynthesis of glucocorticoids, mineralocorticoids, estrogens, androgens, and progestogens.

Function[edit | edit source]

P450scc is a member of the cytochrome P450 superfamily of enzymes, which are involved in the synthesis and metabolism of various molecules and chemicals within cells. Specifically, P450scc catalyzes the cleavage of the side chain of cholesterol, a process that requires three sequential oxygenation reactions. This cleavage results in the formation of pregnenolone, a precursor to all other steroid hormones. The activity of P450scc is the rate-limiting step in steroidogenesis, making it a critical enzyme in the pathway.

Structure[edit | edit source]

The enzyme is encoded by the CYP11A1 gene in humans. It is a mitochondrial enzyme, which means it is located in the mitochondria of cells, where it participates in the conversion of cholesterol to pregnenolone. The structure of P450scc includes a heme-binding domain, which is characteristic of cytochrome P450 enzymes and is essential for its enzymatic activity.

Regulation[edit | edit source]

The activity of P450scc is regulated by several factors, including the availability of its substrate, cholesterol, and the presence of certain proteins and hormones. For example, Steroidogenic Acute Regulatory Protein (StAR) facilitates the transfer of cholesterol to the inner mitochondrial membrane, where P450scc is located, thus enhancing its activity. Additionally, the activity of P450scc can be influenced by adrenocorticotropic hormone (ACTH) in the adrenal cortex and luteinizing hormone (LH) in the gonads.

Clinical Significance[edit | edit source]

Mutations in the CYP11A1 gene can lead to deficiencies in P450scc activity, resulting in disorders of steroidogenesis. These conditions can manifest as adrenal insufficiency, with symptoms ranging from salt-wasting and dehydration to ambiguous genitalia due to disrupted sex steroid production. Diagnosis of P450scc deficiency involves measuring steroid levels in the blood and urine, and genetic testing for mutations in the CYP11A1 gene.

See Also[edit | edit source]

References[edit | edit source]


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Contributors: Prab R. Tumpati, MD