Sources of reducing equivalents for the microsomal steroid 21-hydroxylation in isolated rat adrenal cells.

21-Hydroxylation of 11β-hydroxyprogesterone in the intact adrenal cells was stimulated by both glucose and pyruvate. Arsenite inhibited the basal as well as the pyruvatesupported reaction and also prevented the entry of pyruvate carbon into the Krebs cycle. Glucose-supported 21-hydroxylation was not inhibited by arsenite. It is proposed that NADPH for the microsomal 21-hydroxylation is derived by at least two mechanisms: (1) metabolism of glucose via the pentose shunt and (2) a mechanism involving transfer of reducing equivalents from the mitochondria into the cytosol. The latter would involve the transfer of some Krebs cycle intermediate (or intermediates) from the mitochondria to the cytosol followed by its eventual metabolism in the cytosol via an NADPH-linked dehydrogenase. This mechanism may assume importance when the cell has a limited supply of glucose.