TY - JOUR
T1 - 11beta-hydroxysteroid dehydrogenase and the pre-receptor regulation of corticosteroid hormone action
AU - Draper, Nicole
AU - Stewart, Paul
PY - 2005/8/1
Y1 - 2005/8/1
N2 - Two isozymes of 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD1 and 11 beta-HSD2) catalyse the interconversion of hormonally active cortisol and inactive cortisone. The enzyme evolved from a metabolic pathway to a novel mechanism underpinning human disease with the elucidation of the role of the type 2 or 'kidney' isozyine and in inherited form of hypertension, 'apparent mineralocorticoid excess'. 'Cushing's disease of the kidney' arises because of a failure of 11 beta-HSD2 to inactivate cortisol to cortisone resulting in cortisol-induced inineralocorticoid excess. Conversely, 11 beta-HSD1 has been linked to human obesity and insulin resistance, but also to other diseases in which glucocorticoids have historically been implicated (osteoporosis, glaucoma). Here, the activation of cortisol front cortisone facilitates glucocorticoid hormone action at an autocrine level. The molecular basis for the putative human 11 beta-HSD1 'knockout' - 'cortisone reductase deficiency' - has recently been described, an observation that also answers a long standing conundrum relating to the set-point of 11 beta-HSD1 activity. In each case, these clinical studies have been underpinned by studies in vitro and the manipulation of enzyme expression in vivo using recombinant mouse models.
AB - Two isozymes of 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD1 and 11 beta-HSD2) catalyse the interconversion of hormonally active cortisol and inactive cortisone. The enzyme evolved from a metabolic pathway to a novel mechanism underpinning human disease with the elucidation of the role of the type 2 or 'kidney' isozyine and in inherited form of hypertension, 'apparent mineralocorticoid excess'. 'Cushing's disease of the kidney' arises because of a failure of 11 beta-HSD2 to inactivate cortisol to cortisone resulting in cortisol-induced inineralocorticoid excess. Conversely, 11 beta-HSD1 has been linked to human obesity and insulin resistance, but also to other diseases in which glucocorticoids have historically been implicated (osteoporosis, glaucoma). Here, the activation of cortisol front cortisone facilitates glucocorticoid hormone action at an autocrine level. The molecular basis for the putative human 11 beta-HSD1 'knockout' - 'cortisone reductase deficiency' - has recently been described, an observation that also answers a long standing conundrum relating to the set-point of 11 beta-HSD1 activity. In each case, these clinical studies have been underpinned by studies in vitro and the manipulation of enzyme expression in vivo using recombinant mouse models.
UR - http://www.scopus.com/inward/record.url?scp=23844516967&partnerID=8YFLogxK
U2 - 10.1677/joe.1.06019
DO - 10.1677/joe.1.06019
M3 - Article
C2 - 16079253
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
SN - 1479-6805
VL - 186
SP - 251
EP - 271
JO - Journal of Endocrinology
JF - Journal of Endocrinology
ER -