21-hydroxylase

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21-Hydroxylase

21-Hydroxylase (pronounced "twenty-one hydroxylase") is an enzyme involved in the production of steroid hormones in the human body. It is encoded by the CYP21A2 gene.

Etymology

The term "21-Hydroxylase" is derived from its function. The number "21" refers to the position of the hydroxyl group that the enzyme adds to the steroid molecule. "Hydroxylase" is a general term for enzymes that catalyze the addition of a hydroxyl group (-OH) to an organic compound.

Function

21-Hydroxylase is a crucial enzyme in the biosynthesis of the steroid hormones cortisol and aldosterone. It catalyzes the conversion of progesterone to 11-deoxycorticosterone and 17-hydroxyprogesterone to 11-deoxycortisol.

Clinical significance

Deficiency of 21-hydroxylase, known as 21-hydroxylase deficiency, is the most common cause of congenital adrenal hyperplasia (CAH), a group of inherited disorders of the adrenal glands. Symptoms can vary widely and are typically present at birth or during early childhood.

Related terms

  • CYP21A2: The gene that encodes the 21-hydroxylase enzyme.
  • Steroid hormones: Hormones produced in the adrenal cortex that 21-hydroxylase helps to synthesize.
  • Congenital adrenal hyperplasia: A group of inherited disorders caused by mutations in genes that code for enzymes involved in steroid hormone production, including 21-hydroxylase.
  • 21-hydroxylase deficiency: A specific form of congenital adrenal hyperplasia caused by a deficiency in the 21-hydroxylase enzyme.
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