Figure 1
Adrenal and sex steroids. Estradiol (E2) is the canonical female sex steroid. However, E2 is more than a reproductive steroid: E2 has important actions in heart, brain, liver, bone in females and males (Heldring et al. 2007, Sugiyama et al. 2010, Gao & Dahlman-Wright 2011, Baker 2013). Moreover, E2 has an important role in prostate physiology (Weihua et al. 2002, Prins et al. 2011). Thus, EDC binding to the ER can affect reproductive physiology in males as well as non-reproductive physiology in
males and females. Testosterone and 5α-dihydrotestosterone (DHT) are two male androgens (Sharifi & Auchus 2012), which also
are important hormones for females. In humans, progesterone is important for successful implantation of the fertilized egg
(Graham & Clarke 1997, Smith 2007). Progesterone antagonists, such as RU486, can interfere with implantation and prevent pregnancy.
However, as with E2, progesterone has actions in males and in tissues that are not directly involved in reproduction. Cortisol is involved in
response to stress, metabolism of carbohydrates and lipids, bone turnover, lung maturation, and homeostasis of the immune,
cardiovascular, and CNSs (Sapolsky et al. 2000, Tomlinson et al. 2004, Zhou & Cidlowski 2005, Odermatt & Gumy 2008, McEwen 2012). Although these actions are mediated primarily by the glucocorticoid
receptor (GR); in some cells, cortisol is a transcriptional activator of the mineralocorticoid receptor (MR). Aldosterone
regulates electrolyte homeostasis by controlling transport of sodium and potassium in kidney and gut through transcriptional
activation of the MR (Hawkins et al. 2012, Martinerie et al. 2013). However, MR also is important in other organs such as heart and brain, in which the MR may be activated by aldosterone
or cortisol (Tomlinson et al. 2004, Funder 2009).