30 31 32 Word count (excluding references and figure legends): 4319 33 34 35 36 Abstract 37Steroid hormones, including glucocorticoids and androgens, exert a wide variety of effects in 38 the body across almost all tissues. The steroid A-ring 5β-reductase (AKR1D1) is expressed in 39 human liver and testes, and three splice variants have been identified (AKR1D1-001, 40 AKR1D1-002, . Amongst these, AKR1D1-002 is the best described; it 41 modulates steroid hormone availability and catalyses an important step in bile acid synthesis.
42However, specific activity and expression of AKR1D1-001 and AKR1D1-006 are unknown. 43 44 AKR1D1-002, AKR1D1-001 and AKR1D1-006 were measured in human liver biopsies and 45 human hepatoma cell lines by qPCR. Three-dimensional (3D) structures of AKR1D1 variants 46 were determined using in silico approaches. AKR1D1 variants were over-expressed in 47 HEK293 cells, and successful overexpression confirmed by qPCR and western blotting.
48Steroid hormone clearance was measured by mass spectrometry and ELISA, and steroid 49 receptor activation determined by luciferase reporter assays. 50 51 AKR1D1-002 and AKR1D1-001 are expressed in human liver, and only AKR1D1-006 is 52 expressed in human testes. Following over-expression in HEK293 cells, AKR1D1-001 and 53 AKR1D1-006 protein levels were lower than AKR1D1-002, but significantly increased 54 following treatment with the proteasomal inhibitor, MG-132. AKR1D1-002 efficiently 55 metabolised glucocorticoids and androgens and decreased receptor activation. AKR1D1-001 56 and AKR1D1-006 poorly metabolised dexamethasone, but neither protein metabolised 57 cortisol, prednisolone or testosterone.
59We have demonstrated the differential expression and role of AKR1D1 splice variants to 60 regulate steroid hormone clearance and receptor activation. AKR1D1-002 is the predominant 61 functional protein in steroidogenic and metabolic tissues. In addition, AKR1D1-001 and 62 AKR1D1-006 may have a limited role in the regulation of synthetic glucocorticoid action. 63 64
Introduction 65Steroid hormones, including glucocorticoids, androgens and oestrogens, are fat-soluble 66 molecules synthesised from cholesterol that play a crucial role in development, differentiation 67 and metabolism (Simons 2008). Glucocorticoids, produced by the adrenal cortex, are released 68 in response to stress and, following binding to their cognate receptor, the glucocorticoid 69 receptor (GR), regulate anti-inflammatory and metabolic processes. Androgens are 70 predominantly produced by the male testes, but also by the adrenal glands and the ovaries in 71 females. Upon binding to the androgen receptor (AR), they have multiple actions, including 72 the initiation of adrenarche and stimulation and control of secondary sexual characteristics.
73Following synthesis and delivery into the circulation, steroid hormones can be reduced, 74 oxidised or hydroxylated by a variety of enzymes, including the 11β-hydroxysteroid 75 dehydrogenases (11β-HSD) and the Α-ring reductases (5α-reductases, [5αR] an...