PMID- 11889189 OWN - NLM STAT- MEDLINE DCOM- 20020408 LR - 20171116 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 87 IP - 3 DP - 2002 Mar TI - A switch in dehydrogenase to reductase activity of 11 beta-hydroxysteroid dehydrogenase type 1 upon differentiation of human omental adipose stromal cells. PG - 1205-10 AB - As exemplified in patients with Cushing's syndrome, glucocorticoids play an important role in regulating adipose tissue distribution and function, but circulating cortisol concentrations are normal in most patients with obesity. However, human omental adipose stromal cells (ASCs) can generate glucocorticoid locally through the expression of the enzyme 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD) type 1 (11 beta-HSD1), which, in intact cells, has been considered to be an oxoreductase, converting inactive cortisone (E) to cortisol (F). Locally produced F can induce ASC differentiation, but the relationship between 11 beta-HSD1 expression and adipocyte differentiation is unknown. Primary cultures of paired omental (om) and sc ASC and adipocytes were prepared from 17 patients undergoing elective abdominal surgery and cultured for up to 14 d. Expression and activity of 11 beta-HSD isozymes were analyzed together with early (lipoprotein lipase) and terminal (glycerol 3 phosphate dehydrogenase) markers of adipocyte differentiation. On d 1 of culture, 11 beta-HSD1 activity in intact om ASCs exceeded oxoreductase activity in every patient (78.9 +/- 24.9 vs. 15.8 +/- 3.7 [mean +/- SE] pmol/mg per hour, P < 0.001), and in sc ASCs, relative activities were similar (40.6 +/- 12.2 vs. 36.9 +/- 8.8). Conversely, in freshly isolated om adipocytes, reductase activity exceeded dehydrogenase activity (23.6 +/- 1.5 vs. 6.2 +/- 0.8 pmol/mg per hour, P < 0.01). Following 14 d of culture in serum-free conditions with addition of 10 nM insulin (Ctr) or insulin with 100 nM F (+F), lipoprotein lipase/18S RNA levels increased in both the Ctr- and +F-treated ASCs, but glycerol 3 phosphate dehydrogenase increased only in the +F cultures. In both cases, however, 11 beta-HSD1 oxoreductase activity exceeded dehydrogenase activity (Ctr: 53.3 +/- 9.0 vs. 32.4 +/- 10.5, P < 0.05; +F: 65.6 +/- 15.6 vs. 37.1 +/- 11.5 pmol/mg per hour, P < 0.05), despite no significant changes in 11 beta-HSD1 mRNA levels. In sc ASCs, dehydrogenase activity was similar to reductase activity in both Ctr- and +F-treated cells. Type 2 11 beta-HSD expression was undetectable in each case. These data show that in intact, undifferentiated om ASCs, 11 beta-HSD1 acts primarily as a dehydrogenase, but in mature adipocytes oxoreductase activity predominates. Because glucocorticoids inhibit cell proliferation, we postulate that 11 beta-HSD1 activity in uncommitted ASCs may facilitate proliferation rather than differentiation. Once early differentiation is initiated, a "switch" to 11 beta-HSD1 oxoreductase activity generates F, thus promoting adipogenesis. Site-specific regulation of the set-point of 11 beta-HSD1 activity may be an important mechanism underpinning visceral obesity. FAU - Bujalska, Iwona J AU - Bujalska IJ AD - Division of Medical Sciences, University of Birmingham, Queen Elizabeth Hospital, Birmingham B15 2TH, United Kingdom. FAU - Walker, Elizabeth A AU - Walker EA FAU - Hewison, Martin AU - Hewison M FAU - Stewart, Paul M AU - Stewart PM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - EC 1.- (Oxidoreductases) RN - EC 1.1.- (Hydroxysteroid Dehydrogenases) RN - EC 1.1.1.146 (11-beta-Hydroxysteroid Dehydrogenase Type 2) RN - EC 1.1.1.146 (HSD11B2 protein, human) SB - IM MH - 11-beta-Hydroxysteroid Dehydrogenase Type 2 MH - Adipocytes/*cytology/physiology MH - Cell Differentiation/physiology MH - Cells, Cultured MH - Cellular Senescence/physiology MH - Female MH - Humans MH - Hydroxysteroid Dehydrogenases/*metabolism MH - Male MH - Middle Aged MH - Omentum/*cytology/*enzymology MH - Oxidoreductases/metabolism MH - Stromal Cells/*cytology MH - Time Factors EDAT- 2002/03/13 10:00 MHDA- 2002/04/09 10:01 CRDT- 2002/03/13 10:00 PHST- 2002/03/13 10:00 [pubmed] PHST- 2002/04/09 10:01 [medline] PHST- 2002/03/13 10:00 [entrez] AID - 10.1210/jcem.87.3.8301 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2002 Mar;87(3):1205-10. doi: 10.1210/jcem.87.3.8301.