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The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 3 1324-1331
Copyright © 2001 by The Endocrine Society


Original Studies

Characterization of the 5{alpha}-Reductase-3{alpha}-Hydroxysteroid Dehydrogenase Complex in the Human Brain1

Stephan Steckelbroeck, Mathias Watzka, Robert Reichelt, Volkmar H. J. Hans, Birgit Stoffel-Wagner, Dagmar D. Heidrich, Johannes Schramm, Frank Bidlingmaier and Dietrich Klingmüller

Departments of Clinical Biochemistry (S.S., M.W., R.R., B.S.-W., D.D.H., F.B., D.K.), Neuropathology (V.H.J.H.), and Neurosurgery (J.S.), University of Bonn, 53105 Bonn, Germany

Address all correspondence and requests for reprints to: Dr. Stephan Steckelbroeck, Institut für Klinische Biochemie, Universität Bonn, Sigmund-Freud-Strasse 25, D-53127 Bonn, Germany. E-mail: st_steckelbroeck{at}hotmail.com

Although androgen metabolism in the human brain was discovered almost 30 yr ago, conclusive studies on the enzymes involved are still lacking. We therefore investigated 5{alpha}-reductase and colocalized 3{alpha}-hydroxysteroid dehydrogenase (3{alpha}-HSD) activity in cerebral neocortex (CX) and subcortical white matter (SC) specimens neurosurgically removed from 44 patients suffering from epilepsy. We could demonstrate the presence of the 5{alpha}-reductase-3{alpha}-HSD complex in the biopsies of all patients under investigation. Inhibition experiments with specific inhibitors for 5{alpha}-reductase type 1 and type 2 revealed strong evidence for the exclusive activity of the type 1 isoform. We detected a significantly higher 5{alpha}-reductase activity in CX than in SC (P < 0.0001), but no sex-specific differences were observed. Furthermore, we found that, in contrast to liver, only 3{alpha}-HSD type 2 messenger RNA is expressed in the brain and that its expression is significantly higher in SC than in CX without sex-specific differences. The present study is the first to systematically characterize the 5{alpha}-reductase-3{alpha}-HSD complex in the human brain. The lack of sex-specific differences and also the colocalization of both enzymes at all life stages suggest a more general purpose of the complex, e.g. the synthesis of neuroactive steroids or the catabolism of neurotoxic steroids, rather than control of reproductive functions.




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