Which compound acts as a precursor for fetal steroid synthesis?

Study for the Maternal-Fetal Medicine (MFM) Qualifying Exam. Explore comprehensive flashcards and detailed multiple-choice questions, each with hints and explanations to prepare effectively. Achieve success with confidence!

The correct answer, DHEAS (dehydroepiandrosterone sulfate), is significant because it serves as a crucial precursor for the synthesis of steroid hormones in the fetus. DHEAS is produced in the adrenal glands and subsequently converted into various steroid hormones, including estrogens and androgens, which play vital roles in fetal development and maturation.

Cholesterol is the fundamental building block for all steroid synthesis, but it is not specific to fetal synthesis and does not directly indicate a precursor for the specific production of fetal steroids. LDL (low-density lipoprotein) serves as a transport mechanism for cholesterol in the bloodstream but is also not a direct precursor in the synthesis pathway specific to fetal steroids. Testosterone, while a crucial steroid hormone, is not a precursor in the same way as DHEAS; it is a later product in the steroidogenesis pathway.

Therefore, DHEAS stands out as the compound that has a distinct role in fetal steroid synthesis, bridging the adrenal production of androgens and estrogens necessary for fetal growth and development.

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