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Pregnenolone - Quest Diagnostics

Alphabetical Test Section139 Clinical Use Diagnose 3 -hydroxysteroid dehydrogenase deficiency Diagnose adrenal virilizing tumors Related Assays 17-Hydroxypregnenolone DHEA DHEA-sulfateReference RangeInterpretive Information Congenital adrenal hyperplasia adrenal virilizing tumor Cushing s disease Normal children and adults after ACTH administrationClinical BackgroundNormal steroid-producing cells of the adrenal glands and gonads synthesize various steroids from circulating cholesterol ester. This results in small amounts of precursors such as Pregnenolone , a U5 C-21 steroid, leaking into the circulation. Most of the circulating Pregnenolone is from the adrenal cortex, and levels are modestly increased after ACTH administration in normal children and assay is useful in diagnosing 3 -hydroxysteroid dehydrogenase (3 -HSD) deficiency, an unusual form of congenital adrenal hyperplasia associated with blocked cortisol synthesis and increased levels of U5 steroids.

Alphabetical Test Section 139 Clinical Use • Diagnose 3β-hydroxysteroid dehydrogenase deficiency • Diagnose adrenal virilizing tumors Related Assays

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