Saenger P
Department of Pediatrics, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA.
Pediatr Clin North Am. 1997 Apr;44(2):397-421. doi: 10.1016/s0031-3955(05)70483-1.
To date, studies of patients with lipoid CAH have shown the indispensable role of StAR in the production of steroids by adrenal gland and gonads. Lipoid CAH is the first and so far only inborn disorder of steroid hormone synthesis and metabolism that is not caused by a defective steroidogenic enzyme but rather by a defect in cholesterol transport.
迄今为止,对类脂性先天性肾上腺皮质增生症(lipoid CAH)患者的研究表明,类固醇生成急性调节蛋白(StAR)在肾上腺和性腺甾体激素生成过程中发挥着不可或缺的作用。类脂性先天性肾上腺皮质增生症是类固醇激素合成与代谢方面的首个且迄今为止唯一一种非由类固醇生成酶缺陷而是由胆固醇转运缺陷引起的先天性疾病。