PMID- 10232052 OWN - NLM STAT- MEDLINE DCOM- 19990521 LR - 20220408 IS - 0083-6729 (Print) IS - 0083-6729 (Linking) VI - 57 DP - 1999 TI - 11 beta-Hydroxysteroid dehydrogenase. PG - 249-324 AB - In mammalian tissues, at least two isozymes of 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD) catalyze the interconversion of hormonally active C11-hydroxylated corticosteroids (cortisol, corticosterone) and their inactive C11-keto metabolites (cortisone, 11-dehydrocorticosterone). The type 1 and type 2 11 beta-HSD isozymes share only 14% homology and are separate gene products with different physiological roles, regulation, and tissue distribution. 11 beta-HSD2 is a high affinity NAD-dependent dehydrogenase that protects the mineralocorticoid receptor from glucocorticoid excess; mutations in the HSD11B2 gene explain an inherited form of hypertension, the syndrome of apparent mineralocorticoid excess in which cortisol acts as a potent mineralocorticoid. By contrast, 11 beta-HSD1 acts predominantly as a reductase in vivo, facilitating glucocorticoid hormone action in key target tissues such as liver and adipose tissue. Over the 10 years, 11 beta-HSD has progressed from an enzyme merely involved in the peripheral metabolism of cortisol to a crucial pre-receptor signaling pathway in the analysis of corticosteroid hormone action. This review details the enzymology, molecular biology, distribution, regulation, and function of the 11 beta-HSD isozymes and highlights the clinical consequences of altered enzyme expression. FAU - Stewart, P M AU - Stewart PM AD - Department of Medicine, University of Birmingham, Queen Elizabeth Hospital, United Kingdom. FAU - Krozowski, Z S AU - Krozowski ZS LA - eng PT - Journal Article PT - Review PL - United States TA - Vitam Horm JT - Vitamins and hormones JID - 0413601 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Isoenzymes) RN - 0 (Receptors, Steroid) RN - EC 1.1.- (Hydroxysteroid Dehydrogenases) RN - EC 1.1.1.146 (11-beta-Hydroxysteroid Dehydrogenases) SB - IM MH - 11-beta-Hydroxysteroid Dehydrogenases MH - Adrenal Cortex Hormones/metabolism/physiology MH - Animals MH - Gene Expression Regulation MH - Humans MH - *Hydroxysteroid Dehydrogenases/genetics/physiology MH - Isoenzymes/genetics MH - Mutation MH - Receptors, Steroid/physiology MH - Tissue Distribution RF - 388 EDAT- 1999/05/08 00:00 MHDA- 1999/05/08 00:01 CRDT- 1999/05/08 00:00 PHST- 1999/05/08 00:00 [pubmed] PHST- 1999/05/08 00:01 [medline] PHST- 1999/05/08 00:00 [entrez] PST - ppublish SO - Vitam Horm. 1999;57:249-324.