Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone

Allopregnanolone and pregnanolone—neurosteroids synthesized from progesterone in the brain, adrenal gland, ovary and testis—have been implicated in a range of neuropsychiatric conditions including seizure disorders, post-traumatic stress disorder, major depression, post-partum depression, pre-menstr...

Full description

Bibliographic Details
Main Authors: Jennifer J. Liang, Ann M. Rasmusson
Format: Article
Language:English
Published: SAGE Publishing 2018-12-01
Series:Chronic Stress
Online Access:https://doi.org/10.1177/2470547018818555
_version_ 1818283332387995648
author Jennifer J. Liang
Ann M. Rasmusson
author_facet Jennifer J. Liang
Ann M. Rasmusson
author_sort Jennifer J. Liang
collection DOAJ
description Allopregnanolone and pregnanolone—neurosteroids synthesized from progesterone in the brain, adrenal gland, ovary and testis—have been implicated in a range of neuropsychiatric conditions including seizure disorders, post-traumatic stress disorder, major depression, post-partum depression, pre-menstrual dysphoric disorder, chronic pain, Parkinson’s disease, Alzheimer’s disease, neurotrauma, and stroke. Allopregnanolone and pregnanolone equipotently facilitate the effects of gamma-amino-butyric acid (GABA) at GABA A receptors, and when sulfated, antagonize N-methyl-D-aspartate receptors. They play myriad roles in neurophysiological homeostasis and adaptation to stress while exerting anxiolytic, antidepressant, anti-nociceptive, anticonvulsant, anti-inflammatory, sleep promoting, memory stabilizing, neuroprotective, pro-myelinating, and neurogenic effects. Given that these neurosteroids are synthesized de novo on demand, this review details the molecular steps involved in the biochemical conversion of cholesterol to allopregnanolone and pregnanolone within steroidogenic cells. Although much is known about the early steps in neurosteroidogenesis, less is known about transcriptional, translational, and post-translational processes in allopregnanolone- and pregnanolone-specific synthesis. Further research to elucidate these mechanisms as well as to optimize the timing and dose of interventions aimed at altering the synthesis or levels of these neurosteroids is much needed. This should include the development of novel therapeutics for the many neuropsychiatric conditions to which dysregulation of these neurosteroids contributes.
first_indexed 2024-12-13T00:35:14Z
format Article
id doaj.art-204406944b314e79b92a37152ebfd7a4
institution Directory Open Access Journal
issn 2470-5470
language English
last_indexed 2024-12-13T00:35:14Z
publishDate 2018-12-01
publisher SAGE Publishing
record_format Article
series Chronic Stress
spelling doaj.art-204406944b314e79b92a37152ebfd7a42022-12-22T00:05:13ZengSAGE PublishingChronic Stress2470-54702018-12-01210.1177/2470547018818555Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and PregnanoloneJennifer J. Liang0Ann M. Rasmusson1Boston University School of Medicine, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USAAllopregnanolone and pregnanolone—neurosteroids synthesized from progesterone in the brain, adrenal gland, ovary and testis—have been implicated in a range of neuropsychiatric conditions including seizure disorders, post-traumatic stress disorder, major depression, post-partum depression, pre-menstrual dysphoric disorder, chronic pain, Parkinson’s disease, Alzheimer’s disease, neurotrauma, and stroke. Allopregnanolone and pregnanolone equipotently facilitate the effects of gamma-amino-butyric acid (GABA) at GABA A receptors, and when sulfated, antagonize N-methyl-D-aspartate receptors. They play myriad roles in neurophysiological homeostasis and adaptation to stress while exerting anxiolytic, antidepressant, anti-nociceptive, anticonvulsant, anti-inflammatory, sleep promoting, memory stabilizing, neuroprotective, pro-myelinating, and neurogenic effects. Given that these neurosteroids are synthesized de novo on demand, this review details the molecular steps involved in the biochemical conversion of cholesterol to allopregnanolone and pregnanolone within steroidogenic cells. Although much is known about the early steps in neurosteroidogenesis, less is known about transcriptional, translational, and post-translational processes in allopregnanolone- and pregnanolone-specific synthesis. Further research to elucidate these mechanisms as well as to optimize the timing and dose of interventions aimed at altering the synthesis or levels of these neurosteroids is much needed. This should include the development of novel therapeutics for the many neuropsychiatric conditions to which dysregulation of these neurosteroids contributes.https://doi.org/10.1177/2470547018818555
spellingShingle Jennifer J. Liang
Ann M. Rasmusson
Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone
Chronic Stress
title Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone
title_full Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone
title_fullStr Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone
title_full_unstemmed Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone
title_short Overview of the Molecular Steps in Steroidogenesis of the GABAergic Neurosteroids Allopregnanolone and Pregnanolone
title_sort overview of the molecular steps in steroidogenesis of the gabaergic neurosteroids allopregnanolone and pregnanolone
url https://doi.org/10.1177/2470547018818555
work_keys_str_mv AT jenniferjliang overviewofthemolecularstepsinsteroidogenesisofthegabaergicneurosteroidsallopregnanoloneandpregnanolone
AT annmrasmusson overviewofthemolecularstepsinsteroidogenesisofthegabaergicneurosteroidsallopregnanoloneandpregnanolone