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24 Cards in this Set

  • Front
  • Back
What are most steroids made from?
cholesterol
what is a steroid? structurally.
a terpene: 4 fused rings, usually 6-6-6-5 structure
What is a structural characteristic of a cholesterol?
double bond on second ring and -OH group on 3rd carbon of first ring
How does stereochemistry impact steroid formation?
A LOT! Isomers are active inactive form.
What is the starting substrate for steroid synthesis?
Acetyl CoA
What is the rate limiting step in steroid synthesis?
HMG CoA reductase --> enzyme converts HMG CoA to mevalonic acid
Where does a statin work in the biosynthetic pathway of steroids?
inhibits HMG CoA reductase (R.L. step)
What converts acetyl CoA to HMG CoA?
Thiolase
What key enzyme converts a molecule to cholesterol in steroid synthesis? (monooxygenase reaction = insertion of O into organic substrate R)
P450 or CYP (Cytochrome P450)
What cellular organelle will be abundant in steriodogenic cells?
smooth ER
Describe the path of steroid synthesis through the cellular compartments
1. synthesized in smooth ER or taken from plasma
2. side chain cleavage in mitochondria (resulting in pregnenolone)
3. on to gonads OR adrenal cortex
what is the result of side chain cleavage in steroid synth?
pregnenolone
what is the primary glucocorticoid? (where made)
Cortisol (Adrenal Cortex)
what is the primary mineralocorticoid? (where made)
Aldosterone (Adrenal Cortex)
what is the primary androgen? (where made)
Testosterone (Gonads)
What is the effect of StAR (steroid acute regulatory protein) in steroid synthesis?
It is an enzyme that allows the hydrophobic cholesterol to pass the inner and outer mitochondrial membranes for P450scc (side chain cleavage)
What is the ultimate result of a defect in StAR OR P450cc?
No steroids can be made
A male is phenotypically female and experiences salt wasting, what does he have?
Lipoidal Congenital Adrenal Hyperplasia
An inherited defect in C7-reductase causes what syndrome?
Smith-Lemli-Opitz Syndrome (low cholesterol levels, ambiguous male genetalia, abnormal facies)
What is deficient in patients with Congenital Adrenal Hyperplasia showing ambiguous genitalia for females (why)?
21-hydroxylase (excess androgen production); also salt-wasting crisis (especially in phenotypic males)
What is the result of 5-alpha-reductase deficiency?
46XY individuals, underviralized at birth, viralization at puberty, female organs absent
Explain the process by which a steroid activates a TF:
S binds receptor --> hsp release --> phosphorylation of complex --> dimerization of 2 receptor complexes --> SRC (steroid response coactivator) binds --> transcription
What is the result of a deficiency in androgen receptor?
Complete Androgen Insensitivity: 46XY, female genetalia, scant pubic hair, gonads = Testes,
How do steroids "work" if current androgen supply is already saturated?
increased receptor affinity AND glucocorticoid receptor inhibition