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11-beta-hydroxysteroid dehydrogenase (11β-HSD) refers to a family of enzymes that catalyze the interconversion between active and inactive glucocorticoids, specifically converting cortisol (active) to cortisone (inactive), and vice versa. This process regulates the access of glucocorticoids to their receptors, thereby modulating their physiological effects. There are two main isozymes: Type 1 (HSD-11β1) and Type 2 (HSD-11β2). HSD-11β1 predominantly acts as a reductase, converting cortisone to cortisol, and is highly expressed in the liver and adipose tissue. HSD-11β2 functions as a dehydrogenase, converting cortisol to cortisone, and is primarily expressed in mineralocorticoid target tissues like the kidney and placenta. These isozymes play crucial roles in glucocorticoid regulation, electrolyte balance, and glucose metabolism. Dysregulation of these enzymes can lead to various diseases, including apparent mineralocorticoid excess syndrome, obesity, and metabolic syndrome.
Inhibition of 11β-HSD activity, modulation of cortisol/cortisone interconversion
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