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Steroid

Steroids are a of compounds characterized by a core molecular structure consisting of four fused rings, known as the steroid nucleus or cyclopenta , often with methyl groups at positions C-10 and C-13 and potentially an alkyl at C-17. This structure is derived from , a fundamental , and steroids encompass a diverse group of polycyclic biochemically related to . They play critical roles in biological systems, serving as precursors for hormones, vitamins, and other essential molecules that regulate physiological processes across all vertebrates and many . In biology, steroids are synthesized primarily from through enzymatic processes in endocrine glands such as the , gonads, and . Key classes include glucocorticoids (e.g., ), which manage stress responses, metabolism, and immune function; mineralocorticoids (e.g., aldosterone), which regulate balance and ; and sex steroids such as androgens (e.g., testosterone) and estrogens, which influence , secondary , and development. Other notable steroids encompass acids for fat digestion, precursors for calcium , and itself as a component essential for integrity and signaling. These compounds are lipophilic, allowing them to diffuse across membranes and bind intracellular receptors to modulate . Medically, steroids have profound applications due to their , immunosuppressive, and anabolic properties, though their use requires careful to mitigate side effects like , , and hormonal imbalances. Corticosteroids, synthetic analogs of glucocorticoids, treat conditions including , , , and autoimmune disorders by suppressing and immune overactivity. Anabolic-androgenic steroids, derived from testosterone, are prescribed for , , muscle in AIDS or cancer, and , but are also misused in sports for performance enhancement, leading to health risks such as and liver damage. The of steroids dates back to the , with first isolated in 1769 and key hormones like testosterone identified in 1935, culminating in Nobel Prize-winning work on in the 1940s that revolutionized and .

Structure and Nomenclature

Molecular Structure

Steroids are a class of compounds defined by a tetracyclic structure composed of three six-membered rings and one five-membered ring fused in a specific linear arrangement, forming the gonane skeleton. This core framework, known as cyclopentanoperhydrophenanthrene, consists of 17 carbon atoms in a fully saturated form, serving as the foundational for all steroid derivatives. The carbon atoms in the gonane skeleton are numbered systematically from 1 to 17, starting in ring A and proceeding through the fused system. Ring A encompasses carbons 1 through 5 and 10, ring B includes carbons 5 through 10, ring C covers carbons 8, 9, and 11 through 14, and ring D comprises carbons 13 through 17. The standard stereochemistry features β-orientation of the angular methyl groups attached to C-10 and C-13, contributing to the molecule's three-dimensional rigidity and . The basic of gonane lacks substituents and exhibits specific fusions: A/B sharing the C5–C10 , B/C sharing the C8–C9 , and C/D sharing the –C14 , resulting in a compact, planar-like with slight . This arrangement can be textually represented as a sequence of fused cycles: (A) fused to (B) or at A/B, B fused to (C), and C fused to (D). The rigid, multi-fused system minimizes conformational flexibility, enhancing molecular stability. The predominantly non-polar, hydrocarbon-based architecture of the gonane skeleton imparts high lipophilicity to steroids, facilitating their passive diffusion across lipid bilayers and biological membranes due to favorable interactions with hydrophobic environments.

Functional Groups and Ring Systems

Steroids are characterized by a core tetracyclic ring system modified by various functional groups that dictate their reactivity and physicochemical properties. The most prevalent substituents include hydroxyl groups (-OH), commonly positioned at C-3 (often in the β-orientation) or C-17, and keto groups (=O), frequently at C-3 or C-17 as well. Carbon-carbon double bonds, such as those at \Delta^4 (between C-4 and C-5) or \Delta^5 (between C-5 and C-6), introduce unsaturation primarily in rings A or B. Alkyl side chains, varying in length and structure, are typically attached at C-17; for example, cholesterol features an eight-carbon isooctyl chain at this position, contributing to its role in membrane fluidity. These functional groups profoundly influence the molecule's , , and capacity for ing. Hydroxyl groups enhance by enabling formation with , thereby improving aqueous compared to the hydrophobic core; the 3β-hydroxyl in , for instance, confers amphipathicity, allowing the molecule to span bilayers with its polar head and nonpolar tail. Keto groups similarly increase but also affect electronic distribution, potentially altering reactivity at adjacent sites. Double bonds reduce saturation, promoting planarity and rigidity in affected rings, while alkyl side chains at C-17 decrease overall , favoring and integration. Variations in the ring system's saturation and further diversify steroid properties. Rings A and B may be fully saturated (as in 5α- or 5β-series) or contain double bonds, impacting conformational flexibility and metabolic susceptibility; for example, \Delta^5 unsaturation in supports its fluid incorporation into membranes. The steroid nucleus possesses seven chiral centers at C-5, C-8, C-9, C-10, C-13, C-14, and C-17, with natural steroids exhibiting a conserved of 8β, 9α, 10β, 13β, 14α, and 17β (C-5 varies between α and β). This configuration enforces trans fusions between rings B/C and C/D, and either cis or trans for A/B, resulting in a rigid, slightly curved structure that orients substituents equatorially for minimal steric hindrance. A representative example is the cholestane series, prevalent in vertebrate steroids, where the C-17 eight-carbon —often featuring methyl branches—distinguishes it from shorter-chain variants like androstanes (no side chain) or pregnanes (two-carbon chain), thereby tuning hydrophobicity and biosynthetic pathways.

Naming Conventions

Steroid follows standardized rules established by the International Union of Pure and Applied Chemistry (IUPAC) and the International Union of Biochemistry and Molecular Biology (IUBMB) to ensure precise and unambiguous identification of these compounds in . These rules build upon the characteristic tetracyclic ring system and associated functional groups of steroids, providing a systematic framework for naming based on parent structures, substituents, and stereochemical configurations. The foundational parent hydrocarbons are derived from the gonane skeleton, which represents the basic tetracyclic structure without angular methyl groups or side chains. Common parent names include (with a at C-13 but none at C-10 and no C-17 side chain), androstane (methyl groups at both C-10 and C-13, no C-17 side chain), and (methyl groups at C-10 and C-13, with an acetyl side chain at C-17). Longer side chains lead to names like cholane (eight-carbon chain at C-17) and cholestane (eight-carbon chain with a methyl at C-24). These names are selected based on the length and nature of the side chain at C-17, with numbering starting from the ring junctions and angular methyls at C-18 and C-19. Functional groups are indicated using standard organic chemistry suffixes and prefixes, integrated into the parent name. Hydroxyl groups (-OH) are denoted by -ol (e.g., for alcohols at position 3), and carbonyl groups (=O) by -one (e.g., for ketones at position 20), with locants specifying positions; multiple groups use multiplicative prefixes like di-, tri-, as in 3,20-dione. Unsaturation is marked by -ene for double bonds, with the locant placed before the suffix (e.g., cholest-5-ene for a double bond between C-5 and C-6), and -adiene for two double bonds. Modifications such as ring reductions are indicated by prefixes like 5α- or 5β- to denote the configuration at the A/B ring junction, reflecting hydrogen addition across the 4-5 double bond in precursors like cholesterol. Stereochemistry is crucial for distinguishing isomers and is denoted using Greek letters for substituents relative to the ring plane: α for below and β for above, as in 3β-ol. For chiral centers in side chains or complex configurations, the R/S system from Cahn-Ingold-Prelog rules is applied, such as (20R) for the configuration at C-20 in derivatives. These descriptors ensure that the three-dimensional arrangement, including or cis fusions at ring junctions (e.g., 5α-androstane with A/B), is clearly conveyed. The evolution of steroid nomenclature traces back to early 20th-century trivial names, which were descriptive but inconsistent, such as "" for the common isolated from gallstones. Initial standardization efforts began with discussions at the 1950 Ciba Foundation Symposium and were formalized in IUPAC's 1952 proposals, progressing through 1960 amendments and 1965 tentative rules to the 1971 definitive rules, which emphasized systematic substitutive over trivial names for clarity. The 1989 revisions further aligned with broader IUPAC , promoting R/S descriptors and parent bases while retaining some retained trivial names like testosterone (systematically 17β-hydroxyandrost-4-en-3-one) for common compounds. For instance, cholesterol's trivial name corresponds to the systematic cholest-5-en-3β-ol, illustrating the transition to precise, structure-based naming.

Types and Classification

By Biological Function

Steroids are classified by their biological functions into distinct categories that reflect their diverse physiological roles across organisms, ranging from signaling molecules to structural components. This functional classification emphasizes how steroids contribute to key processes such as , response, , integrity, and , independent of their precise chemical structures. Hormonal steroids, particularly sex steroids, play critical roles in regulating and development in vertebrates. Estrogens, such as , promote female secondary sexual characteristics, ovarian follicle development, and maintenance, while androgens like testosterone drive male reproductive organ maturation, , and muscle growth. Progestogens, including progesterone, support by preparing the uterine lining and inhibiting contractions. These hormones are synthesized primarily in the gonads and exert effects through nuclear receptors that modulate . Adrenal corticosteroids represent another major functional class, divided into glucocorticoids and , which are essential for metabolic and homeostatic regulation in mammals. Glucocorticoids, exemplified by , mediate the response by increasing glucose availability, suppressing , and modulating immune function during acute challenges. Mineralocorticoids, such as aldosterone, maintain balance and by promoting sodium reabsorption in the kidneys via mineralocorticoid receptors. These steroids are produced in the and are vital for survival under physiological . Bile acids, derived from , function primarily as digestive aids in vertebrates by emulsifying dietary fats and facilitating their absorption in the intestine. They also serve as signaling molecules that regulate glucose and through receptors like FXR, while itself acts as a key component, modulating fluidity and permeability in animal cells. These roles highlight the transition of cholesterol-derived steroids from structural to active physiological agents. In , phytosterols such as sitosterol and contribute to stability by maintaining fluidity and permeability under varying environmental conditions, and they serve as precursors for signaling molecules like brassinosteroids that influence growth and stress responses. Similarly, in fungi, mycosterols like ensure integrity, regulate permeability, and support plasma biogenesis, which are crucial for fungal viability and adaptation. Certain modified steroids, such as steroidal saponins and , function as defense compounds in , deterring herbivores and pathogens through their and ability to disrupt membranes. For instance, compounds like α-tomatine in tomatoes provide chemical barriers against insect pests and microbial invaders.

By Chemical Structure

Steroids are classified by chemical structure primarily according to variations in their tetracyclic core skeleton, the presence and type of functional groups, modifications, and overall carbon atom count, which reflect evolutionary adaptations and biosynthetic divergences across organisms. This structural distinguishes major families such as sterols, acids, cardiac glycosides, and secosteroids, each characterized by specific patterns that influence , reactivity, and biological interactions. Sterols represent a fundamental class of steroids featuring an intact four-ring perhydro-1,2-cyclopentanophenanthrene with a hydroxyl group typically at the C-3 position, often accompanied by an eight-carbon at C-17, resulting in a C27 to C29 carbon framework. , the predominant sterol in animal cells, exemplifies this structure with its double bond between C-5 and C-6 and a branched isooctyl , serving as a component and precursor to other steroids. In fungi, mirrors but includes additional methyl groups and a different configuration, enabling distinct properties. Bile acids derive from sterols through oxidative modifications, featuring a shortened at C-17 reduced to five carbons with a terminal carboxyl group, yielding a C24 , alongside hydroxyl groups on the rings for enhanced amphiphilicity. Cholic , with three hydroxyl groups at C-3, C-7, and C-12, illustrates this class, formed via in the liver to facilitate in vertebrates. These derivatives often conjugate with or , further altering their polarity for . Cardenolides and bufadienolides constitute subclasses distinguished by rings fused to the at C-17, imparting potent bioactivity despite their shared tetracyclic base. Cardenolides possess a five-membered unsaturated butyrolactone ring, resulting in a C23 framework, as seen in from foxglove , which inhibits Na+/K+- in cardiac tissue. Bufadienolides, conversely, feature a six-membered α-pyrone with two double bonds, extending to C24, exemplified by bufalin from toad venom, noted for its cytotoxicity and potential anticancer effects. Secosteroids are characterized by cleavage of one or more rings in the core structure, most notably the opening of the B-ring via breakage of the 9,10-carbon bond, transforming the typical cyclopentanophenanthrene into an open-chain variant while retaining steroid-like functionality. Vitamin D3 (cholecalciferol), derived from , embodies this class with its triene system and preserved , essential for calcium in vertebrates. A key structural distinction within steroid hormones arises from variations in carbon atom count, which stem from alterations or of the A-ring. C19 androgens, such as testosterone based on the , feature a at C-17 without an extended chain; C21 progestogens and corticosteroids, like progesterone and on the , include a two-carbon acetyl at C-17; while C18 estrogens, such as estradiol on the , undergo A-ring and loss of the C-19 . These differences dictate receptor specificity and physiological roles, such as reproductive regulation for estrogens and stress response for corticosteroids.

Intact Versus Modified Ring Systems

Steroids with intact ring systems feature the canonical gonane nucleus, a tetracyclic comprising three fused six-membered rings (A, B, and C) and one five-membered ring (D), providing a rigid scaffold essential for their biological roles. This configuration is characteristic of most naturally occurring steroids in eukaryotes, such as , which serves as a component and biosynthetic precursor, and hormones like testosterone and , which rely on the fused rings for specific receptor interactions. The stability of this intact system arises from the trans fusions at key junctions (A/B and C/D), minimizing conformational flexibility while enabling efficient permeation and enzymatic processing. In contrast, cleaved ring systems represent a major modification where one ring bond is broken, resulting in secosteroids with increased molecular flexibility. Vitamin D3 (cholecalciferol), for example, arises from via ultraviolet-induced photochemical cleavage of the B ring (between carbons 9 and 10), transforming the closed tetracycle into an open-chain triene system. This alteration allows vitamin D3 to adopt extended conformations that facilitate binding to the , regulating for calcium absorption, unlike the more rigid intact steroids. Contracted ring systems involve the removal of a from one , often denoted by the "nor" prefix, leading to rare variants with altered steric properties. B-norsteroids, such as those isolated from certain marine sponges, exemplify this contraction in the B , reducing the six-membered to five members and shifting the fusion geometry. These modifications are uncommon in nature but occur in specialized biosynthetic pathways, potentially enhancing compactness for targeted or cytotoxic functions in producer organisms. Expanded ring systems, indicated by the "homo" prefix, incorporate an additional carbon atom into a ring, though natural examples are scarce and often limited to synthetic analogs. Brassinosteroids, plant growth regulators like brassinolide, maintain an intact tetracyclic core but feature ring expansions through side-chain extensions at C-17 and B-ring lactonization (e.g., a seven-membered oxolactone fusing C-6 and C-7), which modulates their interaction with the BRI1 receptor . This structural adjustment increases hydrophilicity and specificity compared to standard steroids. Such ring modifications profoundly influence steroid chemistry and biology by altering and interactions. Cleavage enhances rotational freedom, improving and receptor as seen in vitamin D's nuclear signaling, while contraction or expansion adjusts rigidity and polarity, potentially boosting metabolic resistance or selectivity—for instance, D-ring opening in analogs reduces inhibition affinity by over 300-fold due to loss of constraints. These changes underscore how ring integrity dictates flexibility for transport, binding affinity to steroid receptors, and enzymatic in pathways like steroidogenesis.

Distribution Across Organisms

In Eukaryotes

Sterols are ubiquitous components of eukaryotic membranes, where they play a critical role in maintaining and organization. In animals, predominates as the primary , constituting a significant portion of and modulating the packing of phospholipids to ensure optimal membrane dynamics. In fungi, serves a analogous function, similarly regulating by ordering lipid acyl chains while preventing excessive rigidity. This presence of sterols is a defining feature of eukaryotic membranes, contrasting with prokaryotes that typically rely on simpler for similar purposes. The of sterols exhibits remarkable evolutionary across eukaryotes, tracing back to their last common and reflecting an ancient adaptation for stabilization. Genes involved in the pathway, such as those encoding squalene monooxygenase and synthase, are highly preserved from to humans, underscoring the pathway's essentiality for eukaryotic cellular integrity. This highlights sterols' role in enabling the complex architectures required for eukaryotic multicellularity and compartmentalization. Variations in sterol composition occur across eukaryotic kingdoms, adapting to specific environmental and physiological needs. In plants, phytosterols such as β-sitosterol and are predominant, with β-sitosterol being the most abundant and contributing to stability under varying osmotic conditions. , often found in high levels in soybeans and other oilseeds, further diversifies plant sterols, influencing growth and stress responses. Quantitatively, sterols can comprise 30-40% of total lipids in eukaryotic plasma membranes, such as in and mammalian cells, ensuring structural resilience and functional versatility. A unique feature of eukaryotic sterols, particularly , is their involvement in forming lipid rafts—specialized, ordered microdomains that facilitate protein clustering and signaling. enriches these rafts by interacting with , promoting and enhancing mobility in a controlled manner. This property is integral to eukaryotic cellular processes, distinguishing them from the more uniform membrane organization in prokaryotes.

In Prokaryotes

True steroids, characterized by their tetracyclic structure derived from oxidosqualene, are rare in prokaryotes, which predominantly rely on —pentacyclic triterpenoids—as structural and functional analogs for maintaining membrane fluidity and stability. , synthesized via cyclization without oxygen dependence, mimic the rigidifying effects of eukaryotic sterols like , preventing phase separation in bacterial lipid bilayers under varying environmental stresses. This reliance on hopanoids underscores the prokaryotic adaptation to diverse habitats, where true steroids would require oxygen-dependent enzymes absent in most lineages. Exceptions to this rarity occur in select capable of steroid , often through of eukaryotic-like pathways. For instance, the aerobic Methylococcus capsulatus produces and C-4 methylated sterols, such as 4α-methylzymosterol, primarily localizing to the outer to enhance rigidity in oxygen-rich environments. Similarly, like Enhygromyxa salina synthesize via the Bloch pathway, involving oxidosqualene cyclase and monooxygenase, with these sterols sometimes conjugated to other for specialized functions. In , including methanogens, complete steroid biosynthetic machinery is absent, though trace steroidal compounds may appear as minor environmental acquisitions rather than endogenous products. Evolutionarily, steroid biosynthesis originated in prokaryotes, particularly , around the approximately 2.4 billion years ago, evolving from hopanoid precursors to support aerobic adaptations before horizontal transfer to eukaryotes. This transfer likely involved genes from or , enabling the diversification of roles in eukaryotic membranes. Advanced detection methods, such as gas chromatography-mass spectrometry (GC-MS) and profiling, have confirmed the low abundance of these steroids in prokaryotes, typically comprising less than 1% of total membrane lipids even in producing species.

In Fungi, Plants, and Animals

In fungi, serves as the primary , comprising the main component of cell membranes where it maintains fluidity and permeability, and it acts as a key precursor for upon irradiation. Certain fungal species, particularly within genera like and Terfezia, also produce significant variants such as brassicasterol, which can constitute up to 98% of total sterols in some truffles and contributes to membrane stability in diverse phylogenetic groups across 175 fungal species. Plants synthesize a variety of that support membrane integrity and growth processes; for instance, β-sitosterol is a predominant phytosterol that regulates key metabolites involved in growth and enhances tolerance to environmental stresses by modulating cellular signaling pathways. Additionally, brassinosteroids function as essential plant hormones that promote cell elongation and division, influencing overall plant height and development through interactions with pathways and loosening mechanisms. In animals, is the dominant , essential for membrane structure and serving as a precursor for specialized derivatives across phyla. In , is converted into like , which regulate molting and by acting on the prothoracic glands. In vertebrates, is further metabolized into acids, which facilitate and absorption in the intestine, with ecdysteroid analogs potentially influencing this pathway in experimental models. Comparative analyses reveal distinct abundance patterns: typically produce phytosterols at levels of 100-400 mg per kg of fresh weight, varying by and , while exhibit higher turnover rates, with processing reaching up to 2 g per day in larger mammals to maintain amid dietary intake and excretion. Environmental adaptations are evident in ecosystems, where algal sterols—such as those in —undergo diverse modifications driven by ecological pressures like light and pH, enabling survival in dynamic habitats through enhanced membrane resilience and symbiotic interactions.

Biological and Physiological Roles

General Significance

Steroids play a fundamental role in maintaining integrity across eukaryotic organisms by modulating and preventing phase transitions between liquid-ordered and liquid-disordered states. , the most prevalent in animal cells, intercalates between molecules, reducing permeability and stabilizing bilayers against mechanical stress and temperature fluctuations. This structural function is essential for cellular , as disruptions in sterol content can lead to membrane instability and impaired cellular function. In addition to their structural contributions, steroids serve as critical signaling molecules, particularly as hormones that regulate through receptors. Steroid hormones, such as glucocorticoids and sex steroids, diffuse across cell membranes and bind to intracellular receptors, forming complexes that translocate to the and modulate transcription of target genes involved in , , and . This ligand-activated mechanism allows steroids to coordinate physiological processes at a genomic level, influencing and adaptation in multicellular organisms. The presence of steroids marks a evolutionary , distinguishing eukaryotic lineages and facilitating adaptations to oxygenated environments. Steroid likely emerged in early eukaryotes as a response to rising atmospheric oxygen, enabling the endosymbiotic acquisition of mitochondria and enhancing rigidity for aerobic . Fossil evidence of ancient steranes suggests steroids were integral to the diversification of complex life forms over 1.6 billion years ago. Imbalances in steroid levels have profound health implications; deficiencies, such as , are associated with increased risks of hepatic complications, , and higher mortality in critical conditions due to compromised function and production. Conversely, excesses, particularly elevated , contribute to disorders like by promoting accumulation in arterial walls, leading to . These impacts underscore the tight regulation required for steroid in human . Ecologically, sterols from primary producers like are vital in food chains, serving as essential nutrients for higher trophic levels including and marine animals that cannot synthesize them . These sterols support membrane integrity in consumers, influencing growth, reproduction, and ; for instance, sterol limitation in herbivores can cascade through ecosystems, affecting and energy transfer.

Specific Functions in Key Organisms

In , glucocorticoids such as play a central role in regulating by promoting , suppressing immune responses, and mobilizing energy stores during stress, with plasma cortisol levels increasing approximately 9-fold in response to acute stressors in healthy young men. Estrogens and androgens function primarily in reproduction, where estrogens support female reproductive tract development, , and secondary sexual characteristics, while androgens drive , prostate function, and male reproductive system maturation. In arthropods, ecdysteroids like orchestrate developmental processes, including molting, , and reproductive maturation, by binding to nuclear receptors that trigger cascades of essential for growth transitions. In , brassinosteroids act as key regulators of vascular by promoting and cell elongation and division, thereby influencing growth and overall architecture. These hormones also enhance responses, such as to and temperature extremes, through modulation of activity and osmotic adjustment mechanisms. Phytosterols contribute to by altering membrane composition to limit nutrient efflux into the , thereby inhibiting bacterial proliferation and bolstering innate immunity against infections. In fungi, serves as a critical component that maintains fluidity and permeability, supporting hyphal growth and extension necessary for uptake and expansion. Its biosynthesis is a prime antifungal target, as drugs inhibit the 14α-demethylase, disrupting production and leading to instability and fungal . Steroids exhibit inter-organismal interactions, notably where plant sterols like sitosterol and campesterol reduce human cholesterol absorption in the intestine by competing for uptake via the NPC1L1 transporter, lowering serum LDL-cholesterol levels by up to 10% with daily intakes of 2-3 grams.

Biosynthesis and Metabolism

Mevalonate Pathway

The mevalonate pathway represents the primary route for the biosynthesis of isoprenoid precursors in steroid production, initiating from acetyl-coenzyme A (acetyl-CoA) and culminating in the formation of isopentenyl pyrophosphate (IPP) and its isomer dimethylallyl pyrophosphate (DMAPP), which serve as building blocks for sterol synthesis such as cholesterol. This anabolic sequence occurs predominantly in the cytosol and endoplasmic reticulum of eukaryotic cells, where it supports the production of steroids essential for membrane integrity, hormone signaling, and other cellular functions. The pathway commences with the condensation of two molecules of to form acetoacetyl-CoA, catalyzed by acetoacetyl-CoA thiolase (EC 2.3.1.9). This intermediate then reacts with a third molecule in the presence of HMG-CoA synthase (EC 2.3.3.10) to yield 3-hydroxy-3-methylglutaryl-coenzyme A (). The subsequent reduction of to mevalonate is mediated by (EC 1.1.1.34), the rate-limiting enzyme of the pathway, which utilizes two molecules of NADPH as cofactors in a two-step process involving an intermediate. Mevalonate is then sequentially phosphorylated by mevalonate kinase (EC 2.7.1.36) to mevalonate-5-phosphate, using one ATP, followed by further phosphorylation by phosphomevalonate kinase (EC 2.7.4.2) to mevalonate-5-diphosphate, consuming another ATP. The final activation step involves decarboxylation of mevalonate-5-diphosphate by mevalonate diphosphate decarboxylase (EC 4.1.1.33), which requires ATP and produces along with CO₂ and phosphate. is then isomerized to DMAPP by isopentenyl-diphosphate delta-isomerase (EC 5.3.3.2), enabling the formation of longer prenyl chains that lead to precursors. The net stoichiometry for producing one IPP unit from three acetyl-CoA molecules through these six enzymatic steps is as follows: $3 \ acetyl\text{-CoA} + 3 \ ATP + 2 \ NADPH \rightarrow IPP + 3 \ ADP + 3 \ P_i + 2 \ NADP^+ + 3 \ CoA + CO_2 + H_2O This equation highlights the energy investment required, with three ATP molecules hydrolyzed and two NADPH equivalents consumed, underscoring the pathway's metabolic cost. Regulation of the centers on , which is subject to multifaceted control including transcriptional activation by sterol regulatory element-binding protein 2 (SREBP-2) under low conditions, as well as posttranslational mechanisms such as and ubiquitination for degradation. Feedback inhibition occurs when downstream sterols like accumulate, suppressing reductase activity through sterol-sensing proteins that promote enzyme degradation. Pharmacological inhibitors known as statins competitively bind the HMG-CoA reductase , mimicking the and reducing synthesis, which has therapeutic implications for . Additional feedback at downstream steps, such as inhibition of mevalonate kinase by geranyl diphosphate, further fine-tunes flux toward steroid precursors. This pathway is nearly universal among eukaryotes, where it drives endogenous sterol production, and is also present in some prokaryotes, including certain eubacteria and , though with variations in enzyme isoforms and regulatory elements.

Steroidogenesis Process

Steroidogenesis begins with the synthesis of from isoprenoid precursors derived from the . Isopentenyl (IPP) and its isomer dimethylallyl (DMAPP) undergo sequential head-to-tail condensations catalyzed by farnesyl to form the 15-carbon farnesyl (FPP). Two molecules of FPP are then joined in a head-to-head manner by , which utilizes NADPH as a cofactor, to produce the linear 30-carbon molecule. The next critical phase involves the cyclization of to form the tetracyclic core. is first oxidized at the 2,3-position by squalene epoxidase to yield 2,3-oxidosqualene. This then undergoes a complex polycyclization reaction catalyzed by oxidosqualene cyclase, resulting in the formation of in and fungi or cycloartenol in . The cyclase facilitates a series of rearrangements and ring closures, establishing the characteristic four-ring structure of steroids. Maturation of lanosterol to cholesterol requires a series of demethylation, isomerization, and reduction steps, totaling 19 enzymatic reactions in animals. These include oxidative removal of methyl groups at C14 and C4 positions by cytochrome P450 enzymes, migration of double bonds (e.g., from Δ8 to Δ7), and saturation of the side chain via sterol Δ24-reductase, which reduces the Δ24 double bond using NADPH. The process eliminates three carbon atoms as CO2 and formate, refining the sterol nucleus and side chain. The overall stoichiometry of cholesterol biosynthesis from acetyl-CoA highlights its energetic cost: $18 \text{ acetyl-CoA} + 18 \text{ ATP} + 16 \text{ NADPH} \rightarrow 1 \text{ cholesterol} + 9 \text{ CO}_2 + 18 \text{ ADP} + 18 \text{ P}_i + 16 \text{ NADP}^+ + 11 \text{ H}_2\text{O} This equation encompasses the conversion through and intermediates. In specialized tissues such as the gonads, steroidogenesis proceeds from as the substrate to produce steroid hormones. is transported into mitochondria and cleaved by the enzyme CYP11A1 (also known as ) to form , the precursor for all other steroids. This rate-limiting step involves three sequential oxidations and , releasing isocaproic .

Alternative Biosynthetic Routes

In addition to the canonical , the methylerythritol phosphate () pathway serves as an alternative route for synthesizing isopentenyl pyrophosphate () and dimethylallyl pyrophosphate (DMAPP), the universal precursors for isoprenoids including steroids, in plastids of and in many . This pathway initiates with the condensation of glyceraldehyde-3-phosphate and pyruvate to form 1-deoxy-D-xylulose 5-phosphate (DXP), followed by a series of seven enzymatic steps that bypass entirely, producing and DMAPP. The pathway is particularly prominent in prokaryotes and plant plastids, where it supports the of sterols and other terpenoids essential for cellular functions. In , crosstalk between the cytosolic and the plastidial pathway enables hybrid contributions to supply, allowing to be exchanged across compartments to meet demands for and production. For instance, inhibition of the can redirect flux through the MEP route, as demonstrated in cells where labeled precursors confirmed MEP-derived IPP incorporation into . This metabolic flexibility ensures robust biosynthesis under varying physiological conditions, such as stress or developmental stages. Microbial variants of steroid biosynthesis often leverage the pathway, with some naturally producing sterols like using endogenous enzymes, while engineered strains incorporate eukaryotic genes for enhanced output. For example, has been modified by introducing oxidosqualene cyclase and other eukaryotic genes to enable lanosterol synthesis from MEP-derived precursors, yielding up to 20 mg/L in optimized cultures. Recent advances as of 2025 include in microbial factories to further improve steroid production efficiency. Such engineered pathways highlight the adaptability of bacterial systems for steroid production. Evolutionarily, the MEP pathway is considered ancient, predating the mevalonate pathway and originating in early prokaryotes as the primary route for isoprenoid synthesis before the divergence of archaea and eukaryotes. This primacy is evidenced by its widespread distribution in bacteria and its retention in plastids, which trace back to cyanobacterial endosymbionts. A notable example is the biosynthesis of artemisinin precursors in Artemisia annua, where the MEP pathway predominantly supplies IPP for amorpha-4,11-diene, the sesquiterpene intermediate leading to the antimalarial compound.

Catabolism, Excretion, and Analysis

Metabolic Breakdown and Excretion

Steroids undergo metabolic breakdown primarily in the liver and other peripheral tissues to inactivate them and facilitate their elimination, thereby maintaining physiological . This involves phase I reactions such as and reduction, followed by phase II conjugation to enhance water solubility. enzymes, including , catalyze key steps that introduce hydroxyl groups, increasing the polarity of steroids like and androgens. Reductions, mediated by enzymes such as (SRD5A) and 3α-hydroxysteroid dehydrogenases (AKR1C), further modify the steroid structure, often inactivating hormones like testosterone to dihydrotestosterone derivatives. A major catabolic route for , the precursor steroid, is its conversion to bile acids, which represents the primary pathway for sterol elimination. This process begins with 7α-hydroxylation of by cholesterol 7α-hydroxylase (CYP7A1) in the classic pathway, leading to intermediates that undergo further modifications, including side-chain oxidation and cleavage to shorten the 8-carbon side chain to a 5-carbon one. The resulting primary bile acids are cholic acid (CA) and (CDCA), formed via additional hydroxylations and oxidations. Conjugation of these bile acids with or produces bile salts, which are secreted into bile for lipid emulsification in the intestine. The simplified pathway for chenodeoxycholic acid formation can be represented as: \text{Cholesterol} \xrightarrow{\text{CYP7A1 (7α-hydroxylation)}} 7\alpha\text{-hydroxycholesterol} \rightarrow \cdots \rightarrow \text{Chenodeoxycholic acid (CDCA)} \rightarrow \text{Bile salts (conjugated CDCA)} This equation highlights the initial rate-limiting 7α-hydroxylation step. Following catabolism, steroids and their metabolites are excreted mainly via urine and feces. Urinary excretion accounts for the majority of eliminated steroid hormones, with approximately 80% as water-soluble conjugates like glucuronides (via UGT2B7 and UGT1A10) or sulfates (via SULT2A1), including estrogen metabolites and tetrahydrocortisol. Fecal excretion predominates for bile acids, where about 95% are reabsorbed in the ileum through enterohepatic circulation—secreted into bile, delivered to the gut, and returned to the liver via the portal vein—while the remaining 5% is lost in feces, representing the main route of cholesterol disposal. Gut microbiota influence this process by deconjugating and modifying bile acids, such as through 7α-dehydroxylation to form secondary bile acids like deoxycholic acid. Impaired metabolic breakdown or excretion can lead to pathological accumulation. In cholestasis, disrupted bile flow hinders enterohepatic circulation and biliary secretion, causing buildup of bile acids and other steroids in the liver and , which contributes to injury, inflammation, and pruritus. Conditions like exemplify this, where elevated levels exacerbate impaired sulfation and transport of bile acids.

Isolation Techniques

Steroids are typically isolated from natural sources such as animal tissues, plant materials, and microbial cultures through a series of , separation, and purification steps designed to exploit their lipophilic and structural similarities to other . Initial often employs solvents to dissolve steroids from complex biological matrices, with the Folch —using a 2:1 mixture of and —being a widely adopted for isolating including steroids from tissues like adrenal glands or plant leaves, as it effectively partitions non-polar compounds while minimizing aqueous interference. For plant-derived sterols such as β-sitosterol, with CO₂ under pressures of 200–400 bar and temperatures of 40–60°C provides an alternative, yielding extracts enriched in phytosterols with minimal solvent residues and high selectivity for non-polar components. Following extraction, separation techniques leverage differences in polarity, solubility, and molecular interactions to purify steroids from co-extracted lipids and impurities. Thin-layer chromatography (TLC) on silica gel plates, often with mobile phases like chloroform-methanol-water or hexane-ethyl acetate, is commonly used for preliminary separation of steroids based on polarity; for instance, bile acids such as cholic acid and deoxycholic acid can be resolved on silica gel using reversed-phase systems, allowing visualization under UV light or with spraying agents like phosphomolybdic acid. High-performance liquid chromatography (HPLC), particularly reversed-phase variants with C18 columns and gradients of acetonitrile-water or methanol-water, offers higher resolution for complex mixtures, enabling the separation of bile acid derivatives by their hydrophilic side chains while achieving baseline resolution for structurally similar compounds. Purification often concludes with precipitation and crystallization to obtain high-purity steroids, especially from animal sources. In the isolation of cortisol from bovine adrenal glands, tissues are homogenized, extracted with solvents like petroleum ether or acetone, and the crude steroid fraction precipitated by cooling or pH adjustment, followed by recrystallization from ethanol or methanol to yield crystalline material with purity exceeding 95%. Historically, in the 1930s, Edward C. Kendall's group at the Mayo Clinic extracted adrenal cortex lipids using benzene and alcohol, followed by fractional precipitation with digitonin to selectively bind cholesterol-like steroids and subsequent crystallization, which enabled the isolation of cortisone (Compound E) in milligram quantities from tons of glandular material. Yield considerations are critical in steroid isolation, as natural abundances vary widely; for example, cholesterol extraction from grease typically yields 10–15% of the starting material after of esters and solvent partitioning with , followed by or to remove accompanying sterols like . These methods ensure scalable procurement while preserving steroid integrity, though overall recoveries depend on source quality and processing efficiency, often ranging from 50–80% for optimized protocols.

Structure Determination and Analytical Methods

The determination of steroid structures relies on a suite of analytical techniques that elucidate molecular architecture, stereochemistry, and functional group composition, often applied post-isolation from biological matrices. These methods have evolved from classical spectroscopic and crystallographic approaches to advanced hyphenated systems, enabling precise characterization essential for understanding steroid diversity and function. Infrared (IR) spectroscopy serves as a foundational tool for identifying functional groups in steroids, with characteristic absorption bands indicating the presence of carbonyls, hydroxyls, and olefins. For instance, ketone carbonyls in steroids typically absorb around 1700 cm⁻¹, while conjugated systems shift to lower wavenumbers near 1660-1680 cm⁻¹, allowing differentiation of structural motifs like Δ⁴-3-keto groups in corticosteroids. Hydroxyl groups exhibit broad O-H stretches at 3200-3600 cm⁻¹, and C=C stretches appear at 1640-1680 cm⁻¹, providing rapid qualitative assessment without sample destruction. These spectral features, correlated with steroid substitution patterns, were systematically reviewed in early applications, aiding in the verification of synthetic derivatives and natural isolates. Nuclear magnetic resonance (NMR) excels in resolving the and proton environments within the steroid nucleus, particularly through ¹H and ¹³C NMR shifts for ring protons and carbons. Axial and equatorial protons in the A/B rings of derivatives, for example, display distinct chemical shifts (e.g., ¹H at 0.6-2.5 ppm for methylene groups), enabling assignment of / fusions via constants (J values of 4-12 Hz). Multidimensional techniques like COSY, HSQC, and NOESY further delineate side-chain configurations and stereocenters, as demonstrated in the complete ¹H assignment of diosgenin benzoate using high-field (750 MHz) spectra. For complex steroidal , systematic 2D NMR approaches integrate scalar and NOE correlations to confirm glycosidic linkages and aglycone structures. Mass spectrometry, particularly electron ionization mass spectrometry (EI-MS), provides molecular weight confirmation and fragmentation insights into steroid skeletons. The molecular ion peak yields the exact mass, while characteristic fragments reveal ring cleavages; for androgens, loss of the C-17 side chain often produces a prominent ion at m/z 255 from retro-Diels-Alder fission of ring B/C. Deuterium-labeled analogs have mapped these pathways, showing common losses like water (m/z 18) from hydroxyls or methyl groups (m/z 15) from angular substituents, facilitating structural elucidation of metabolites. Low-energy EI variants optimize molecular ion abundance for trace analysis, minimizing excessive fragmentation in steroidomics workflows. X-ray crystallography delivers absolute configurations by resolving three-dimensional atomic arrangements in crystalline steroid derivatives. In the 1940s, Dorothy Hodgkin used X-ray analysis to confirm the structure of cholesterol iodide, establishing the β-configuration at C-3 and overall tetracyclic framework, which informed broader steroid stereochemistry. Early surveys of over 80 sterol crystals in the 1940s correlated unit cell dimensions with functional group positions, laying groundwork for modern applications in resolving ambiguous chiral centers. Chromatographic methods coupled with , such as gas chromatography-mass spectrometry (GC-MS), enable quantification and structural verification of steroids in following derivatization to enhance . GC-MS profiles up to 20 endogenous steroids with limits of detection in the ng/mL range, separating isobaric compounds like via retention times and MS confirmation. This approach excels in clinical steroidomics, integrating fragmentation data for unambiguous identification in complex matrices. Recent advances in liquid chromatography-tandem (LC-MS/MS) have improved sensitivity for trace steroid metabolites, achieving sub-pg/mL detection without derivatization through multiple reaction monitoring. Differential mobility spectrometry enhances LC-MS/MS selectivity, resolving isomeric steroids like testosterone epimers in . Emerging AI-assisted NMR tools accelerate peak assignments in complex spectra, though applications to steroids remain exploratory, building on for biomolecular prediction.

Chemical Synthesis

Precursor Materials

In the chemical synthesis of steroids, precursor materials are selected based on their structural resemblance to target molecules, availability in large quantities, and economic viability, which facilitate efficient semisynthetic transformations. Natural plant-derived compounds have become predominant due to their abundance and advantages over earlier animal sources. Diosgenin, a steroidal sapogenin extracted from the tubers of species such as yams, serves as a primary natural precursor for industrial steroid . It is hydrolyzed from in plant material and provides a spiroketal that can be readily converted into key intermediates like 16-dehydropregnenolone acetate, enabling the synthesis of corticosteroids, progestins, and androgens such as , progesterone, and . , a isolated from , is another widely used plant-based precursor, particularly valued for its double bond in the that supports the of progesterone and related hormones through oxidative and steps. Microbial fermentation offers an alternative source of precursors, leveraging to convert inexpensive phytosterols into valuable steroid intermediates such as testosterone. Strains of Mycolicibacterium, such as M. neoaurum, are engineered to degrade the side chains of plant sterols like sitosterol or , yielding testosterone with high yields up to >66% molar conversion in optimized processes. This approach enhances by utilizing renewable plant feedstocks and reducing reliance on direct extraction methods. Historically, steroid synthesis relied on animal-derived precursors, including bile acids like cholic acid obtained from ox bile and extracted from slaughterhouse byproducts such as spinal cords or adipose tissues. In the , these materials were the sole sources for producing , requiring laborious isolation from thousands of animal gallbladders to meet clinical demands during early treatments. The shift to plant-based precursors in the mid-20th century, pioneered by processes involving diosgenin from Mexican yams, addressed limitations in supply scalability and ethical concerns over animal sourcing, drastically lowering production costs from over $200 per gram of in 1948 to pennies per gram by the 1950s. Precursor selection prioritizes materials with high global abundance, such as yam-derived diosgenin (with global production of approximately 3,000 to 6,000 tons annually) and phytosterols, to ensure cost-effectiveness below $10 per kilogram for bulk industrial use. Structural similarity to steroids minimizes synthetic steps; for instance, diosgenin's intact tetracyclic core closely mirrors the gonane skeleton of target hormones, reducing transformation complexity compared to acyclic alternatives.

Semisynthesis Approaches

Semisynthesis of steroids involves the partial chemical or biocatalytic modification of naturally occurring steroid precursors to produce pharmaceutically relevant compounds, leveraging the core tetracyclic structure of these molecules while introducing specific functional groups. This approach contrasts with by relying on abundant plant-derived scaffolds, such as sapogenins, to achieve economically viable production scales. Key methods include degradative processes to remove side chains and selective functionalizations via oxidation, reduction, or microbial hydroxylations, often yielding intermediates like derivatives that serve as building blocks for hormones and corticosteroids. One foundational semisynthetic technique is the Marker degradation, developed in the late 1930s, which removes the spiroketal side chain from diosgenin—a steroidal sapogenin extracted from yams—to yield 16-dehydropregnenolone (16-DPA), a versatile precursor for progesterone and other steroids. The process typically involves of the diosgenin, followed by acid-catalyzed degradation and under controlled conditions, such as using acetic acid in the final step to optimize the formation. This multi-step degradation achieves overall yields of more than 60% from diosgenin, enabling large-scale production that revolutionized steroid availability during the . Microbial transformations represent another cornerstone of steroid , particularly for introducing hydroxyl groups at specific positions that are challenging to achieve chemically. A seminal example is the 11α-hydroxylation of progesterone using fungi from the genus Rhizopus, such as Rhizopus nigricans or Rhizopus oryzae, which selectively hydroxylate the C11 position to produce 11α-hydroxyprogesterone, an en route to . Discovered in 1950 by the team, this exploits enzymes in the fungal cells, proceeding under mild aqueous conditions with conversions often exceeding 80% and high . Subsequent chemical steps, such as oxidation of the 11α-hydroxyl to a and 21-hydroxylation, complete the synthesis of . Chemical modifications complement these degradative and biocatalytic steps, including oxidations (e.g., using reagents to form ketones at or C20), reductions (e.g., for alcohol formation), and protection strategies like of hydroxyl groups to prevent side reactions. These operations are typically performed in sequence on Marker-derived intermediates, with individual steps yielding 70-90% to maintain overall process efficiency. For instance, not only protects but also facilitates purification, as seen in the conversion of 16-DPA to downstream derivatives. A notable historical milestone in is the 1950s Upjohn process for producing corticosteroids from , a abundant in . This method involved side-chain cleavage via or oxidation to generate progesterone, followed by the aforementioned Rhizopus-mediated 11α-hydroxylation and chemical adjustments to yield compounds like and . By integrating microbial and chemical steps, achieved commercial scalability, reducing reliance on scarce animal sources and enabling the mass production of anti-inflammatory drugs during the post-war era. The advantages of semisynthetic approaches lie in their cost-effectiveness for pharmaceutical , as they utilize inexpensive plant precursors and achieve high through biocatalysis, often at lower energy costs than . Recent advancements in the 2020s have focused on engineered enzymatic semisynthesis, including chemoenzymatic cascades with variants for site-selective C14-functionalization of scaffolds, yielding diverse hydroxylated steroids with 72-95% conversion and up to 90% selectivity. These methods, such as whole-cell biotransformations with optimized P450 enzymes, enhance sustainability by minimizing organic solvents and enabling modular assembly of bioactive analogs.

Total Synthesis Methods

Total synthesis of steroids involves the complete laboratory construction of the tetracyclic steroidal skeleton and its functional groups starting from simple, non-steroidal precursors such as ketones or acyclic compounds, distinguishing it from semisynthetic modifications of natural steroids. This approach has been pivotal for accessing rare natural products and designing novel analogs, though it demands precise control over multiple carbon-carbon bond formations and stereogenic centers. A cornerstone method in early steroid is the , developed by Robinson in 1935, which facilitates the construction of the A/B ring system through a Michael addition followed by of a ketone, typically 2-methylcyclohexanone, with to form a fused cyclohexenone. This reaction efficiently builds the six-membered rings essential to the steroid core and has been widely employed in subsequent syntheses for its ability to introduce unsaturation and at key junctions. One seminal achievement is Robert B. Woodward's 1951 of , accomplished in 36 steps from inexpensive precursors like norbornadiene and achieving the first complete chemical replication of a therapeutically important . This landmark work demonstrated the feasibility of assembling the full steroidal framework, including side-chain elaboration, and inspired asymmetric variants using chiral auxiliaries to control at the eight chiral centers. Major challenges in steroid total synthesis include achieving stereocontrol at quaternary carbon centers and ring fusions, as well as managing multiple transformations, which historically resulted in overall yields below 1% due to epimerization and side reactions. Advances in have improved efficiencies, with modern routes attaining 10-20% overall yields through selective bond-forming steps. In the 2010s, palladium-catalyzed couplings emerged as transformative for side-chain installation and ring closure; for instance, an enantioselective intramolecular constructed the core in 90% yield with >99:1 diastereoselectivity. More recent organocatalytic methods, post-2020, have enabled asymmetric cascades for steroid skeletons, such as chiral Brønsted acid-catalyzed syntheses of estrone derivatives with 93% ee, offering milder conditions and higher selectivity for complex natural products. These total syntheses find primary applications in producing rare natural steroids unavailable from biological sources and in generating structural analogs for pharmacological research, such as modified cardiotonic steroids.

Historical Research and Recognition

Key Discoveries and Milestones

In the , significant advances in steroid isolation laid the foundation for understanding their hormonal roles. and colleagues successfully isolated crystalline progesterone from sow ovaries in 1934, marking the first purification of this key essential for maintenance. Concurrently, Heinrich Otto Wieland determined the correct molecular structure of by 1932, confirming its tetracyclic sterol framework and linking it to bile acids, which advanced knowledge of lipid-derived hormones. The 1940s and 1950s saw breakthroughs in therapeutic applications, particularly with adrenal corticosteroids. In 1948, achieved the first large-scale chemical synthesis of through a 37-step process starting from acids, enabling clinical trials that demonstrated its dramatic efficacy in alleviating symptoms by suppressing . This synthesis, combined with Philip Hench's administration of to patients, revolutionized treatment for autoimmune and inflammatory disorders, shifting steroids from biochemical curiosities to vital pharmaceuticals. By the 1960s, research shifted toward molecular mechanisms of steroid action. Elwood V. Jensen identified the in 1958 using tritium-labeled , revealing that estrogens bind to specific intracellular proteins in target tissues like the , which undergo conformational changes to regulate . This discovery established the paradigm of steroid hormone receptors as nuclear transcription factors, influencing subsequent studies on endocrine signaling and therapies. The 1970s brought the recognition of steroids beyond animals, with the discovery of brassinosteroids in plants. In 1970, James A. D. Mitchell and coworkers isolated brassinolide from rapeseed pollen, identifying it as a growth-promoting sterol that enhances stem elongation and stress resistance. Signaling pathways for brassinosteroids were further elucidated in the 1980s through physiological assays, showing their role in cell expansion via receptor-mediated transduction, expanding the scope of steroid functions to plant development. In the , gene-editing technologies enabled precise interrogation of . A 2018 CRISPR/Cas9 study targeting the Tspo gene in MA-10 mouse tumor Leydig cells suggested a role for TSPO in transport by showing reduced mitochondrial function and in mutants, though the essentiality of TSPO in steroidogenesis remains controversial based on models. These investigations highlighted genetic regulation in steroid pathways, paving the way for therapeutic interventions. In 2024, BridgeBio Pharma reported topline results from a Phase 1/2 trial of BBP-631, an AAV-based targeting the CYP21A2 gene for (CAH), which demonstrated increased endogenous production and reduced excess at higher doses in patients. However, in September 2024, BridgeBio discontinued further development of the , citing that the results did not meet expectations for transformational impact, and sought partnership opportunities.

Notable Awards and Contributors

Several Nobel Prizes have recognized groundbreaking contributions to steroid research. In 1927, Heinrich Otto Wieland received the for elucidating the structure of bile acids, which are steroidal compounds essential to understanding metabolism. The 1939 was awarded jointly to and Leopold Ruzicka for their pioneering and of male and female sex hormones, including and estrone, advancing knowledge of steroid . In 1950, Edward C. Kendall, Philip S. Hench, and Tadeus Reichstein shared the in Physiology or Medicine for discoveries concerning the hormones of the , their structure, and biological effects, including the of , which revolutionized treatment for inflammatory diseases. Additionally, the 1985 in Physiology or Medicine went to Michael S. Brown and for their work on the regulation of metabolism, identifying LDL receptors and pathways that control endogenous steroid precursor , influencing development. Other prestigious awards have honored steroid-related innovations in endocrinology and . The 1960 Albert Lasker Award for Basic Medical Research was presented to Gregory Pincus for developing the first based on synthetic progestins, transforming reproductive health. In 1989, Étienne-Émile Baulieu received the Albert Lasker Clinical Medical Research Award for discovering (RU486), a synthetic steroid antagonist that enables . The 2004 Albert Lasker Award for Basic Medical Research recognized Elwood V. Jensen, Bert W. O'Malley, and Ronald M. Evans for elucidating nuclear receptors that mediate actions, such as and signaling. In the agricultural sciences, the 2024 in Agriculture was awarded to Joanne Chory for mapping plant signaling pathways, enhancing crop resilience. Key contributors have shaped steroid science through seminal isolations, syntheses, and clinical applications. Tadeus Reichstein isolated over 60 distinct steroids from adrenal extracts, providing the foundation for hormone therapeutics. advanced sex hormone biochemistry by characterizing their chemical structures and biosynthetic pathways. Leopold Ruzicka contributed total syntheses of complex steroids like testosterone, enabling scalable production. Rachmiel Levine explored adrenal steroids' roles in , demonstrating cortisone's effects on glucose transport and insulin action in models. Michael S. Brown's research on revealed feedback mechanisms inhibiting , the target of statins that modulate steroid precursor levels. While historical recognition has often centered on male scientists, contributions from women in steroid-related fields remain underrepresented, alongside recent advances in research by diverse teams.

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