Steroid 5α-Reductase Deficiency in Man: An Inherited Form of Male Pseudohermaphroditism
Abstract
In male pseudohermaphrodites born with ambiguity of the external genitalia but with marked virilization at puberty, biochemical evaluation reveals a marked decrease in plasma dihydrotestosterone secondary to a decrease in steroid 5 α-reductase activity. In utero the decrease in dihydrotestosterone results in incomplete masculinization of the external genitalia. Inheritance is autosomal recessive.
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Testosterone and dihydrotestosterone likely have differential roles and expression in various tissues, including prostate, skin, penis, and testicles.
“T and DHT also likely have differential roles and expression in various tissues, including in the prostate, skin, penis, and testicles, among others.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [28]
Androgens, and in particular intraprostatic conversion of circulating T to DHT by SRD5A2, are required for normal prostate development and function.
“Androgens and in particular the intraprostatic conversion of circulating T to DHT by SRD5A2 (Russell and Wilson, 1994) are required for normal prostate development and function (Andersson et al., 1991, Imperato-McGinley et al., 1974).”
From Intracrine androgen biosynthesis, metabolism and action revisited (2018) · cites this paper as Imperato-McGinley et al., 1974
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- Authors
- Imperato-McGinley, J., Guerrero, L., Gautier, T., & Peterson, R. E.
- Affiliations
- Department of Medicine, Division of Endocrinology, Cornell University Medical College, New York 10021
- Cornell University (US)
- Universidad Nacional Pedro Henriquez Urena, Department of Pediatrics, Santo Domingo, Dominican Republic
- Venue
- Science
- Published
- 1974-12-27
- Volume
- 186
- Issue
- 4170
- Pages
- 1213-1215
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W1992103956
- Cited by
- 1,258
- References
- 10
- Citations by year
- 2026: 10 · 2025: 16 · 2024: 14 · 2023: 32 · 2022: 22 · 2021: 17 · 2020: 22 · 2019: 22 · 2018: 20 · 2017: 21 · 2016: 19 · 2015: 15 · 2014: 23 · 2013: 27 · 2012: 29
- FWCI
- 8.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Keywords
- 46,XY disorders of sex development, ambiguous genitalia, dihydrotestosterone, autosomal recessive inheritance
- MeSH terms
- Androsterone, Dominican Republic, Etiocholanolone, Humans, Male, Oxidoreductases, Pedigree, Phenotype, Puberty, Disorders of Sex Development, Dihydrotestosterone, Steroid Hydroxylases, Testosterone, Tritium
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