In studies of CAH psychiatric diseases have only occasionally been investigated and these have shown an increased rate [103, 120, 121], especially of depression [122], alcohol misuse [120, 121], and suicidality [103, 120]. Inhaltsverzeichnis. All classes of steroid hormones are synthesized from the common precursor cholesterol. The synthesis of sex steroid hormones is carried out under the catalysis of a series of enzymes, and the genes encoding these enzymes include hsd3b1 , hsd11b2 , hsd17b1 , hsd17b3 , and hsd20b2 of the beta-hydroxysteroid dehydrogenases (β-HSDs) superfamily, and cyp11a1 , cyp11b , cyp17a1 , cyp19a1a , and cyp21a1 of the cytochrome P450 (cP450) superfamily (Tokarz et al., 2015). Hsd3b1 is responsible for the oxidation and isomerization of Δ5-3β-hydroxysteroid precursors in order to form Δ4-3-ketosteroid (Nakamoto et al., 2012). Hsd11b2 catalyzes the conversion of cortisol to cortisone (Fuller et al., 2012), and also plays a crucial role in the conversion of 11β-OH-androstenedione to 11-ketotestosterone (11-KT) (Tokarz et al., 2015), which affects the production of the most important androgen in teleost fish.
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