Figure 2.
Diagram illustrating (a) the amplification of glucocorticoid action in GR-expressing cells by type 1 11β-hydroxysteroid dehydrogenase (11β-HSD1), which acts as a reductase and reactivates cortisone and (b) protection of mineralocorticoid receptors (MRs) by type 2 11β-hydroxysteroid dehydrogenase (11β-HSD2), which inactivates cortisol. Note that the reductase activity of 11β-HSD1 is dependent on the local generation of NADP(H) by hexose-6-phosphate dehydrogenase (H6PD). In rodents, 11β-HSD1 and 11β-HSD2 catalyse the interconversion of corticosterone and 11-deoxycorticosterone.