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Hydroxysteroid 11-beta-dehydrogenase 1-like protein (HSD11B1L) is an enzyme belonging to the short-chain dehydrogenase/reductase (SDR) superfamily. It catalyzes the interconversion of inactive to active glucocorticoids, resembling the enzymatic function of HSD11B1, which is involved in cortisol and cortisone metabolism. HSD11B1L is mainly present in humans and certain other higher organisms, but is absent in rodent genomes. Mutations in or dysregulation of HSD11B1L may be implicated in cortisone reductase deficiency and possibly other steroid-related disorders. Alternative splicing results in multiple isoforms of the protein. Its status as a therapeutic target is suggested by its role in steroid metabolism, but no drugs are directly identified as targeting HSD11B1L to date
Drugs targeting this molecule would likely act by modulating glucocorticoid activation/inactivation, but no specific mechanisms are described for HSD11B1L
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