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Pathway Description
Adrenal Hyperplasia Type 3 or Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency
Rattus norvegicus
Category:
Metabolite Pathway
Sub-Category:
Disease
Created: 2018-09-10
Last Updated: 2019-08-16
Adrenal hyperplasia type 3, also called Congenital adrenal hyperplasia due to 21-hydroxylase deficiency, is caused by a defect in the CYP21A2 gene which codes for Steroid 21-hydroxylase (21-hydroxylase). Steroid 21-hydroxylase catalyzes hydroxylation of 17-hydroxyprogesterone to 11-deoxycortisol in the glucocorticoid pathway from pregnenolone to cortisol. It also catalyzes hydroxylation of progesterone to 11-deoxycorticosterone (DOC) in the mineralocorticoid pathway on its way from pregnenolone to aldosterone. A defect in this enzyme results in accumulation of 17-Hydroxyprogesterone, progesterone and 17a-Hydroxypregnenolone, androstenedione, and testosterone; decreased levels of cortexolone, deoxycorticosterone, aldosterone and cortisol. Symptoms include salt-wasting crises in infancy due to the lack of aldosterone, like spitting, poor weight gain, vomiting, severe dehydration, and circulatory collapse. The high level of testosterone results in virilization and genital ambiguity of female infants.
References
Adrenal Hyperplasia Type 3 or Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency References
White PC, Bachega TA: Congenital adrenal hyperplasia due to 21 hydroxylase deficiency: from birth to adulthood. Semin Reprod Med. 2012 Oct;30(5):400-9. doi: 10.1055/s-0032-1324724. Epub 2012 Oct 8.
Pubmed: 23044877
https://www.omim.org/entry/201910
Steroidogenesis References
Pawlowski JE, Huizinga M, Penning TM: Cloning and sequencing of the cDNA for rat liver 3 alpha-hydroxysteroid/dihydrodiol dehydrogenase. J Biol Chem. 1991 May 15;266(14):8820-5.
Pubmed: 1840601
Stolz A, Rahimi-Kiani M, Ameis D, Chan E, Ronk M, Shively JE: Molecular structure of rat hepatic 3 alpha-hydroxysteroid dehydrogenase. A member of the oxidoreductase gene family. J Biol Chem. 1991 Aug 15;266(23):15253-7.
Pubmed: 1714456
Cheng KC, White PC, Qin KN: Molecular cloning and expression of rat liver 3 alpha-hydroxysteroid dehydrogenase. Mol Endocrinol. 1991 Jun;5(6):823-8. doi: 10.1210/mend-5-6-823.
Pubmed: 1922097
Onishi Y, Noshiro M, Shimosato T, Okuda K: Molecular cloning and sequence analysis of cDNA encoding delta 4-3-ketosteroid 5 beta-reductase of rat liver. FEBS Lett. 1991 Jun 3;283(2):215-8. doi: 10.1016/0014-5793(91)80591-p.
Pubmed: 1710579
Onishi Y, Noshiro M, Shimosato T, Okuda K: delta 4-3-Oxosteroid 5 beta-reductase. Structure and function. Biol Chem Hoppe Seyler. 1991 Dec;372(12):1039-49.
Pubmed: 1789929
Zhu Y, Fillenwarth MJ, Crabb D, Lumeng L, Lin RC: Identification of the 37-kd rat liver protein that forms an acetaldehyde adduct in vivo as delta 4-3-ketosteroid 5 beta-reductase. Hepatology. 1996 Jan;23(1):115-22. doi: 10.1002/hep.510230116.
Pubmed: 8550030
Matsukawa N, Nonaka Y, Ying Z, Higaki J, Ogihara T, Okamoto M: Molecular cloning and expression of cDNAS encoding rat aldosterone synthase: variants of cytochrome P-450(11 beta). Biochem Biophys Res Commun. 1990 May 31;169(1):245-52. doi: 10.1016/0006-291x(90)91460-a.
Pubmed: 2350348
Okamoto M, Nonaka Y: Molecular biology of rat steroid 11 beta-hydroxylase [P450(11 beta)] and aldosterone synthase [P450(11 beta, aldo)]. J Steroid Biochem Mol Biol. 1992 Mar;41(3-8):415-9. doi: 10.1016/0960-0760(92)90367-r.
Pubmed: 1562515
Imai M, Shimada H, Okada Y, Matsushima-Hibiya Y, Ogishima T, Ishimura Y: Molecular cloning of a cDNA encoding aldosterone synthase cytochrome P-450 in rat adrenal cortex. FEBS Lett. 1990 Apr 24;263(2):299-302. doi: 10.1016/0014-5793(90)81398-8.
Pubmed: 2129527
Agarwal AK, Monder C, Eckstein B, White PC: Cloning and expression of rat cDNA encoding corticosteroid 11 beta-dehydrogenase. J Biol Chem. 1989 Nov 15;264(32):18939-43.
Pubmed: 2808402
Gerhard DS, Wagner L, Feingold EA, Shenmen CM, Grouse LH, Schuler G, Klein SL, Old S, Rasooly R, Good P, Guyer M, Peck AM, Derge JG, Lipman D, Collins FS, Jang W, Sherry S, Feolo M, Misquitta L, Lee E, Rotmistrovsky K, Greenhut SF, Schaefer CF, Buetow K, Bonner TI, Haussler D, Kent J, Kiekhaus M, Furey T, Brent M, Prange C, Schreiber K, Shapiro N, Bhat NK, Hopkins RF, Hsie F, Driscoll T, Soares MB, Casavant TL, Scheetz TE, Brown-stein MJ, Usdin TB, Toshiyuki S, Carninci P, Piao Y, Dudekula DB, Ko MS, Kawakami K, Suzuki Y, Sugano S, Gruber CE, Smith MR, Simmons B, Moore T, Waterman R, Johnson SL, Ruan Y, Wei CL, Mathavan S, Gunaratne PH, Wu J, Garcia AM, Hulyk SW, Fuh E, Yuan Y, Sneed A, Kowis C, Hodgson A, Muzny DM, McPherson J, Gibbs RA, Fahey J, Helton E, Ketteman M, Madan A, Rodrigues S, Sanchez A, Whiting M, Madari A, Young AC, Wetherby KD, Granite SJ, Kwong PN, Brinkley CP, Pearson RL, Bouffard GG, Blakesly RW, Green ED, Dickson MC, Rodriguez AC, Grimwood J, Schmutz J, Myers RM, Butterfield YS, Griffith M, Griffith OL, Krzywinski MI, Liao N, Morin R, Palmquist D, Petrescu AS, Skalska U, Smailus DE, Stott JM, Schnerch A, Schein JE, Jones SJ, Holt RA, Baross A, Marra MA, Clifton S, Makowski KA, Bosak S, Malek J: The status, quality, and expansion of the NIH full-length cDNA project: the Mammalian Gene Collection (MGC). Genome Res. 2004 Oct;14(10B):2121-7. doi: 10.1101/gr.2596504.
Pubmed: 15489334
Moisan MP, Edwards CR, Seckl JR: Differential promoter usage by the rat 11 beta-hydroxysteroid dehydrogenase gene. Mol Endocrinol. 1992 Jul;6(7):1082-7. doi: 10.1210/mend.6.7.1508221.
Pubmed: 1508221
Zhou MY, del Carmen Vila M, Gomez-Sanchez EP, Gomez-Sanchez CE: Cloning of two alternatively spliced 21-hydroxylase CDNAs from rat adrenal. J Steroid Biochem Mol Biol. 1997 Jul;62(4):277-86.
Pubmed: 9408081
Fevold HR, Lorence MC, McCarthy JL, Trant JM, Kagimoto M, Waterman MR, Mason JI: Rat P450(17 alpha) from testis: characterization of a full-length cDNA encoding a unique steroid hydroxylase capable of catalyzing both delta 4- and delta 5-steroid-17,20-lyase reactions. Mol Endocrinol. 1989 Jun;3(6):968-75. doi: 10.1210/mend-3-6-968.
Pubmed: 2786990
Namiki M, Kitamura M, Buczko E, Dufau ML: Rat testis P-450(17)alpha cDNA: the deduced amino acid sequence, expression and secondary structural configuration. Biochem Biophys Res Commun. 1988 Dec 15;157(2):705-12. doi: 10.1016/s0006-291x(88)80307-3.
Pubmed: 3264499
Givens CR, Zhang P, Bair SR, Mellon SH: Transcriptional regulation of rat cytochrome P450c17 expression in mouse Leydig MA-10 and adrenal Y-1 cells: identification of a single protein that mediates both basal and cAMP-induced activities. DNA Cell Biol. 1994 Nov;13(11):1087-98. doi: 10.1089/dna.1994.13.1087.
Pubmed: 7702752
This pathway was propagated using PathWhiz -
Pon, A. et al. Pathways with PathWhiz (2015) Nucleic Acids Res. 43(Web Server issue): W552–W559.
Propagated from SMP0000373
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