In enzymology, 21-hydroxysteroid dehydrogenase (NAD<sup>+</sup>) () is an enzyme that catalyzes the chemical reaction
The two substrates of this enzyme are (5ò)-pregnan-21-ol and oxidised nicotinamide adenine dinucleotide (NAD<sup>+</sup>). Its products are (5ò)-pregnan-21-al, reduced NADH, and a proton.
This enzyme belongs to the family of oxidoreductases, specifically those acting on the CH-OH group of donor with NAD<sup>+</sup> or NADP<sup>+</sup> as acceptor. The systematic name of this enzyme class is 21-hydroxysteroid:NAD<sup>+</sup> 21-oxidoreductase. This enzyme is also called 21-hydroxysteroid dehydrogenase (NAD<sup>+</sup>).