Figure 8. Model of how DHEA metabolites activate ERα and ERβ.
DHEA is converted to ADIOL, ADIONE, and mono-hydroxylated metabolites capable of activating the estrogen receptors. ADIOL and ADIONE are high affinity ligand activators of ER similar to the 3β-diol derived from DHT as demonstrated by Muthusamy et al [46]. Other DHEA metabolites, 7-hydroxy- and 7-keto-DHEA are low affinity ligand activators of ER, relative to ADIOL or ADIONE. Further information on the synthesis and metabolism of DHEA is reviewed in [39, 90–92].