Interconversion of cortisone and cortisol by 11b-HSD1 and 11b-HSD2 enzymes
Pyrrolidine-pyrazole ureas as potent and selective inhibitors of 11b-hydroxysteroid-dehydrogenase type 1
Figure 1
11b-Hydroxy steroid dehydrogenase type 1 (11b-HSD1) converts the biologically inactive glucocorticoids, cortisone (in man) and 11-dehydrocorticosterone (in rodents), into their biologically active metabolites, respectively cortisol and corticosterone, which are known to act as functional antagonists of insulin in several target organs and tissues such as the liver, muscle, and adipose tissue (Fig. 1).1 There is evidence implicating an excess of cortisol in tissues as a primary driver of insulin resistance and a critical point for disease intervention.2
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