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chapter
34
Endocrine Metabolism V: Reproductive System
(a) A4 P a th w a y
CH3
C =0
P ro g estero n e
2
?H3
c—o
17 a -H ydroxypregnenolone
T e sto ste r o n e
A5-A n drosten ed iol
F IG U R E 34-1
Testosterone biosynthetic pathways, (a) A4 Pathway (preferred pathway in human testes), (b) A5 Pathway (all enzymes
located in the endoplasmic reticulum). Enzymes: 1,3/i-hydroxysteroid dehydrogenase and A5,A4-isomerase; 2,
17«-hydroxyIase (CYP 17); 3, Ci
7
-
2
o-lyase; 4, 17/3-hydroxysteroid dehydrogenase.
achieved in part by a polypeptide produced by Ser-
toli cells called
inhibin,
which specifically inhibits FSH
release. Presumably, the output of inhibin is propor-
tional to the intensity of spermatogenesis and main-
tains spermatogenesis at a relatively constant rate. FSH
release also is modulated by estrogens. Because the
anterior pituitary lacks aromatase and therefore can-
not convert testosterone to estradiol, it is possible that
testicular estrogen exerts a negative feedback on FSH
release.
Regulation of Testicular Steroidogenesis:
Leydig-Neuroendocrine Axis
Leydig cells (interstitial cells) are situated in the vascu-
larized compartments outside the seminiferous tubules
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