The 6 alpha-, 7 alpha-, and 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by rat prostate microsomes appears to be catalyzed by a single, high-affinity
cytochrome P450 enzyme. In the present study we have examined the hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by prostate microsomes from cynomolgus monkeys and from normal subjects and patients with
benign prostatic hyperplasia. Our results suggest that although rat, monkey, and human prostate microsomes catalyze the 6 alpha-, 7 alpha-, and 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol, these pathways of oxidation in monkeys and humans are not catalyzed by a single
cytochrome P450 enzyme. The ratio of the three metabolites was not uniform among prostate microsomal samples from individual humans or monkeys. The 6 alpha-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol varied independently of both the 7 alpha- and 7 beta-hydroxylation, which varied in unison. The 6 alpha-, 7 alpha-, and 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by monkey prostate microsomes appeared to be differentially affected by in vivo treatment of monkeys with
beta-naphthoflavone or
dexamethasone. Treatment of a monkey with
dexamethasone appeared to cause a 2.5-fold increase in both the 7 alpha- and the 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol without increasing the 6 alpha-hydroxylation. The 7 alpha- and 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by human and monkey prostate microsomes, but not the 6 alpha-hydroxylation, was inhibited by antibody against rat liver
NADPH-cytochrome P450 reductase. Similarly, the 7 alpha- and 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by human prostate microsomes, but not the 6 alpha-hydroxylation, was markedly inhibited (greater than 85%) by equimolar concentrations of the
imidazole-containing antimycotic drugs
ketoconazole,
clotrimazole, and
miconazole. These results suggest that the 7 alpha- and 7 beta-hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by monkey and human prostate microsomes is catalyzed by a
cytochrome P450 enzyme, whereas the 6 alpha-hydroxylation is catalyzed by a different
enzyme which may or may not be a
cytochrome P450 monooxygenase. The hydroxylation of
5 alpha-androstane-3 beta,17 beta-diol by prostate microsomes from normal human subjects was quantitatively and qualitatively similar to its hydroxylation by prostate microsomes from patients with
benign prostatic hyperplasia.(ABSTRACT TRUNCATED AT 400 WORDS)