Mechanism-Based Inhibition of Human Steroid 5α-Reductase by Finasteride: Enzyme-Catalyzed Formation of NADP-Dihydrofinasteride, a Potent Bisubstrate Analog Inhibitor

    Herbert G. Bull, Margarita Garcia-Calvo, Stefan Andersson, Walter F. Baginsky, H. Karen Chan, Dina E. Ellsworth, Randall F. Miller, Ralph A. Stearns, Raman K. Bakshi, Gary H. Rasmusson, Richard M. Tolman, Robert C. Myers, and John W. Kozarich, Georgianna Harris
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    TLDR Finasteride effectively blocks enzyme causing male pattern baldness.
    This scientific paper from 1996 explores the mechanism by which finasteride inhibits human steroid 5α-reductase, an enzyme involved in the production of dihydrotestosterone (DHT), which is linked to male pattern baldness. The study found that finasteride acts as a potent bisubstrate analog inhibitor, forming a noncovalent complex with the enzyme that is irreversible and has a dissociation constant of K₁* ≤ 3 × 10-13 M. The study provides important insights into the mechanism of action of finasteride, which is commonly used to treat male pattern baldness and benign prostatic hyperplasia.
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      in General  471 upvotes 1 week ago
      A 15-year-old is concerned about hair loss, possibly at Norwood 2 or 3, and is using shampoos and conditioners recommended by a trichologist. Suggestions include considering topical minoxidil and consulting a doctor about topical anti-DHT treatments like finasteride or RU58841, but avoiding 5-alpha-reductase inhibitors at this age.

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