This Key Event Relationship is licensed under the Creative Commons BY-SA license. This license allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use. If you remix, adapt, or build upon the material, you must license the modified material under identical terms.
Relationship: 3520
Title
Decreased, Pregnenolone levels leads to Reduction, DHEA
Upstream event
Downstream event
Key Event Relationship Overview
AOPs Referencing Relationship
Taxonomic Applicability
Term | Scientific Term | Evidence | Link |
---|---|---|---|
mammals | mammals | High | NCBI |
Sex Applicability
Sex | Evidence |
---|---|
Mixed | High |
Life Stage Applicability
Term | Evidence |
---|---|
All life stages | High |
Key Event Relationship Description
This key event relationship describes the relation between decreased levels of pregnenolone causing a decrease in dehydroepiandrosterone (DHEA) levels. As pregnenolone is the precursor to steroidogenesis hormones, it-stands to reason that decrease in its levels would impact downstream hormones such as DHEA. Pregnenolone is converted into DHEA through a couple intermediary steps; it is converted into 17-OH-pregnenolone which can then be synthesized into DHEA (Bremer & Miller, 2014; WL, 2017).
Evidence Collection Strategy
The KER describes a generally recognized and understood process, i.e. canonical knowledge. The aim of the literature search was therefore to identify review articles and book chapters that summarise the canonical knowledge. PubMed was searched using key words related to steroidogenesis. The search was restricted to reviews from the last 10 years.
Evidence Supporting this KER
Biological Plausibility
It’s well established that pregnenolone is a necessary precursor for DHEA synthesis (Bremer & Miller, 2014; WL, 2017).
Human Leydig cells produce DHEA through the conversion of pregnenolone via 17-OH-pregnenolone by the enzyme CYP17A1 (FK & RJ, 2015). This is the main pathway in humans known as the Δ5 pathway. The production of DHEA allows its further conversion to other potent androgens, testosterone and DHT. In theca cells as well as the adrenals, pregnenolone is also converted to DHEA to produce androgens and finally estrogens in the granulosa cells (Kamrath et al., 2014; S et al., 2021; V et al., 2018; WL, 2017; Z et al., 2019).
Empirical Evidence
Exposure to different stressors can lead to a decrease of pregnenolone that in turn leads to decrease of downstream hormones like DHEA.
Using H295R cells, 72h exposure of 1μM of ketoconazole decreased significantly the levels of pregnenolone and DHEA (Nielsen et al., 2012). This was also observed using another fungicide fluconazole on both H295R cells and its clonal cell line, HAC15 (van der Pas et al., 2012).
Pomegranate extracts are being investigated for possible cancer treatment. Using two prostate cancer cell lines (22RV1 and LNCaP), a study focused on the effect of pomegranate extracts on steroid biosynthesis. They observed that pomegranate extracts reduced the levels of pregnenolone and androgens including specifically DHEA. PTEN KO mice fed pomegranate extracts (0.17 g/L in drinking water) confirmed the in vitro results with a significant decrease in pregnenolone (36.5% compared to control) and DHEA (42.1%) (Ming et al., 2014).
Cigarette smoke was also shown to reduce certain steroid hormone levels in mice. Specifically, both pregnenolone and DHEA levels decreased in ovarian tissue (Pawlak et al., 2011).
Uncertainties and Inconsistencies
Known modulating factors
Quantitative Understanding of the Linkage
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
Domain of Applicability
Taxonomic applicability
DHEA is favourably synthesized from pregnenolone in human, primates, cats, bovine, sheep and goats through the Δ5 pathway (Lawrence et al., 2022). This KER is applicable to mammals.
Life stage applicability
DHEA is synthesized in the fetus and adult (Chatuphonprasert et al., 2018; Miller & Auchus, 2011).
Sex applicability
Both pregnenolone and DHEA are essential hormones in both males and females as precursor of androgens (Bremer & Miller, 2014; Kamrath et al., 2014; V et al., 2018).
References
Bremer, A. A., & Miller, W. L. (2014). Regulation of Steroidogenesis. In Cellular Endocrinology in Health and Disease (pp. 207–227). Elsevier. https://doi.org/10.1016/B978-0-12-408134-5.00013-5
Chatuphonprasert, W., Jarukamjorn, K., & Ellinger, I. (2018). Physiology and Pathophysiology of Steroid Biosynthesis, Transport and Metabolism in the Human Placenta. Frontiers in Pharmacology, 9. https://doi.org/10.3389/fphar.2018.01027
FK, Y., & RJ, A. (2015). The diverse chemistry of cytochrome P450 17A1 (P450c17, CYP17A1). The Journal of Steroid Biochemistry and Molecular Biology, 151, 52–65. https://doi.org/10.1016/j.jsbmb.2014.11.026
Kamrath, C., Wudy, S. A., & Krone, N. (2014). Steroid Biochemistry (pp. 41–52). https://doi.org/10.1159/000363612
Lawrence, B. M., O’Donnell, L., Smith, L. B., & Rebourcet, D. (2022). New Insights into Testosterone Biosynthesis: Novel Observations from HSD17B3 Deficient Mice. International Journal of Molecular Sciences, 23(24), 15555. https://doi.org/10.3390/ijms232415555
Miller, W. L., & Auchus, R. J. (2011). The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders. Endocrine Reviews, 32(1), 81–151. https://doi.org/10.1210/er.2010-0013
Ming, D.-S., Pham, S., Deb, S., Chin, M. Y., Kharmate, G., Adomat, H., Beheshti, E. H., Locke, J., & Guns, E. T. (2014). Pomegranate extracts impact the androgen biosynthesis pathways in prostate cancer models in vitro and in vivo. The Journal of Steroid Biochemistry and Molecular Biology, 143, 19–28. https://doi.org/10.1016/j.jsbmb.2014.02.006
Nielsen, F. K., Hansen, C. H., Fey, J. A., Hansen, M., Jacobsen, N. W., Halling-Sørensen, B., Björklund, E., & Styrishave, B. (2012). H295R cells as a model for steroidogenic disruption: A broader perspective using simultaneous chemical analysis of 7 key steroid hormones. Toxicology in Vitro, 26(2), 343–350. https://doi.org/10.1016/j.tiv.2011.12.008
Pawlak, K. J., Prasad, M., McKenzie, K. A., Wiebe, J. P., Gairola, C. G., Whittal, R. M., & Bose, H. S. (2011). Decreased Cytochrome c Oxidase IV Expression Reduces Steroidogenesis. Journal of Pharmacology and Experimental Therapeutics, 338(2), 598–604. https://doi.org/10.1124/jpet.111.182634
S, C.-P., T, L., P, L., C, D.-L., A, D., PA, F., & S, M.-G. (2021). Six Decades of Research on Human Fetal Gonadal Steroids. International Journal of Molecular Sciences, 22(13). https://doi.org/10.3390/ijms22136681
V, S., DM, S., & BJ, C. (2018). Current knowledge on the acute regulation of steroidogenesis. Biology of Reproduction, 99(1), 13–26. https://doi.org/10.1093/biolre/ioy102
van der Pas, R., Hofland, L. J., Hofland, J., Taylor, A. E., Arlt, W., Steenbergen, J., van Koetsveld, P. M., de Herder, W. W., de Jong, F. H., & Feelders, R. A. (2012). Fluconazole inhibits human adrenocortical steroidogenesis in vitro. Journal of Endocrinology, 215(3), 403–412. https://doi.org/10.1530/JOE-12-0310
WL, M. (2017). Steroidogenesis: Unanswered Questions. Trends in Endocrinology and Metabolism: TEM, 28(11), 771–793. https://doi.org/10.1016/j.tem.2017.09.002
Z, P., G, X., W, C., & S, X. (2019). Environmental inhibitors of the expression of cytochrome P450 17A1 in mammals. Environmental Toxicology and Pharmacology, 69, 16–25. https://doi.org/10.1016/j.etap.2019.02.007