11Beta Hydroxysteroid dehydrogenase

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11β-Hydroxysteroid dehydrogenase (HSD11B) is the name of a family of enzymes that catalyze the conversion of inert 11 keto-products (cortisone) to active cortisol, or vice versa,[1] thus regulating the access of glucocorticoids to the steroid receptors.

Cortisol. Note the OH at the 11 position on ring C. (The other differences between the diagrams are not of consequence.)

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[edit] Function

The mineralcorticoid receptor is stimulated by both aldosterone and cortisol, but there is a mechanism that protects the body from excess aldosterone receptor stimulation by glucocorticoids, which happen to be present at much higher concentrations than mineralcorticoids in the healthy individual. The mechanism consists of an enzyme called 11 β-hydroxysteroid dehydrogenase (11 β-HSD). This enzyme co-localizes with intracellular adrenal steroid receptors and converts cortisol (an active mineralcorticoid) into cortisone, a relatively inactive metabolite with little affinity for the mineralocorticoid receptors. Licorice, which contains glycyrrhetinic acid, can inhibit 11 β-HSD and lead to a mineralocorticoid excess syndrome.

[edit] Isoforms

In humans, there are two HSD11B isoforms:[2]

HSD11B1 NADPH-dependent Highly expressed in key metabolic tissues including liver, adipose tissue, and the central nervous system. In these tissues, HSD11B1 reduces cortisone to the active hormone cortisol that activates glucocorticoid receptors.
HSD11B2 NAD+-dependent Expressed in aldosterone-selective tissues. In these tissues, HSD11B2 oxidizes cortisol to cortisone and prevents illicit activation of the mineralocorticoid receptor.


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