Aldosterone synthase is encoded on chromosome 8q22^[5] by the CYP11B2 gene.^[5] The gene contains 9 exons and spans roughly 7000 base pairs of DNA.^[5] CYP11B2 is closely related with CYP11B1. The two genes show 93% homology to each other and are both encoded on the same chromosome.^[8] Research has shown that calcium ions activate transcription factors at CYP11B2 through well defined interactions at the 5'-flanking region of CYP11B2.^[5]

Aldosterone synthase is a member of the cytochrome P450 superfamily of enzymes.^[9] The cytochrome P450 proteins are monooxygenases that catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids, and other lipids.

Aldosterone synthase is the enzyme that has steroid 18-hydroxylase activity as well as steroid 11 beta-hydroxylase activity. The 18-hydroxylase activity consists in catalyzing sequential hydroxylations of the steroid angular methyl group at C18.

Whereas steroid 11β-hydroxylase (encoded by CYP11B1 gene) only catalyzes hydroxylation at position 11 beta (mainly of 11-deoxycorticosterone and 11-deoxycortisol), aldosterone synthase (encoded by CYP11B2 gene) catalyzes the synthesis of aldosterone from deoxycorticosterone, a process that successively requires hydroxylation at positions 11 beta and 18 and oxidation at position 18.^[10]

Adrenocorticotropic hormone is assumed to play a role in the regulation of aldosterone synthase likely through stimulating the synthesis of 11-deoxycorticosterone which is the initial substrate of the enzymatic action in aldosterone synthase.^[11]

Aldosterone synthase converts 11-deoxycorticosterone to corticosterone, to 18-hydroxycorticosterone, and finally to aldosterone:

•  
  11-deoxycorticosterone
•  
  Corticosterone
•  
  18-hydroxycorticosterone
•  
  Aldosterone

In human metabolism the biosynthesis of aldosterone largely depends on the metabolism of cholesterol. Cholesterol is metabolized in what is known as the early pathway of aldosterone synthesis^[12] and is hydroxylated becoming (20R,22R)-dihydroxycholesterol which is then metabolized as a direct precursor to pregnenolone. Pregnenolone can then followed one of two pathways which involve the metabolism of progesterone or the testosterone and estradiol biosynthesis. Aldosterone is synthesized by following the metabolism of progesterone.

In the potential case where aldosterone synthase is not metabolically active the body accumulates 11-deoxycorticosterone. This increases salt retention leading to increased hypertension.^[13]

Aldosterone synthase shows different catalytic activity during metabolism of its substrates.^[7] Here are some of the substrates, grouped by catalytic activity of the enzyme:

• strong:^[7][14]
  • 11-deoxycorticosterone to corticosterone^[15] and aldosterone;^[14]
• medium:^[7][14]
  • 11-deoxycortisol to 18-hydroxycortisol^[16][17] and cortisol;^[14]
• weak:^[7][14]
  • progesterone to 11β-hydroxyprogesterone,^[14]
  • testosterone to 18-hydroxytestosterone^[18] and 11β-Hydroxytestosterone,^[14]
  • androstendione (to 11β-Hydroxyandrostendione^[14] and 18-hydroxyandrostendione^{[verification needed]});
• very weak:^[7]
  • corticosterone,
  • cortisol to 18-hydroxycortisol,^[19]
  • 18-Hydroxy-11-deoxycorticosterone,
  • 21-hydroxypregnenolone.

Lack of metabolically active aldosterone synthase leads to corticosterone methyl oxidase deficiency type I and II. The deficiency is characterized clinically by salt-wasting, failure to thrive, and growth retardation.^[20] The in-active proteins are caused by the autosomal recessive inheritance of defective CYP11B2 genes in which genetic mutations destroy the enzymatic activity of aldosterone synthase.^[20] Deficient aldosterone synthase activity results in impaired biosynthesis of aldosterone while corticosterone in the zona glomerulosa is excessively produced in both corticosterone methyl oxidase deficiency type I and II. The corticosterone methyl oxidase deficiencies both share this effect however type I causes an overall deficiency of 18-hydroxycorticosterone while type II overproduces it.^[20]

Inhibition of aldosterone synthase is currently being investigated as a medical treatment for hypertension, heart failure, and renal disorders.^[21] Deactivation of enzymatic activity reduces aldosterone concentrations in plasma and tissues which decreases mineralocorticoid receptor-dependent and independent effects in cardiac vascular and renal target organs.^[21] Inhibition has shown to decrease plasma and urinary aldosterone concentrations by 70 - 80%, rapid hypokalaemia correction, moderate decrease of blood pressure, and an increase plasma renin activity in patients who are on a low-sodium diet.^[21] Ongoing medical research is focusing on the synthesis of second-generation aldosterone synthase inhibitors to create an ideally selective inhibitor as the current, orally delivered, LCl699 has shown to be non-specific to aldosterone synthase.^[21]

• Steroidogenic enzyme
• Hypoaldosteronism
• Glucocorticoid remediable aldosteronism

• Aldosterone+synthase at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
• Human CPN2 genome location and CPN2 gene details page in the UCSC Genome Browser.
• Human CYP11B2 genome location and CYP11B2 gene details page in the UCSC Genome Browser.