2014
DOI: 10.1159/000362725
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11β-Hydroxysteroid Dehydrogenase Enzymes Modulate Effects of Glucocorticoids in Rheumatoid Arthritis Synovial Cells

Abstract: The tissue availability of active glucocorticoids (cortisol in humans) depends on their rate of synthesis from cholesterol, downstream metabolism, excretion and interconversion. The latter is mediated by the 11β-hydroxysteroid dehydrogenases (11βHSDs). In this review, we summarize the features of the two isoenzymes, 11βHSD1 and 11βHSD2, and current available experimental data related to 11βHSDs, which are relevant in the context of synovial cells in rheumatoid arthritis (RA). We conclude that due to complex fe… Show more

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Cited by 7 publications
(3 citation statements)
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“…Such a system has many advantages because the active hormone is produced upon local demand. A similar phenomenon can be observed with glucocorticoids that can be activated or inactivated by 11β-hydroxysteroid dehydrogenases type 1/2 depending on local requirements 40 . It can also be observed with androgens and estrogens in synovial tissue, which depends on local TNF 41 .…”
Section: Discussionsupporting
confidence: 57%
“…Such a system has many advantages because the active hormone is produced upon local demand. A similar phenomenon can be observed with glucocorticoids that can be activated or inactivated by 11β-hydroxysteroid dehydrogenases type 1/2 depending on local requirements 40 . It can also be observed with androgens and estrogens in synovial tissue, which depends on local TNF 41 .…”
Section: Discussionsupporting
confidence: 57%
“…The tissue availability of active glucocorticoids is dependent on their rate of synthesis from cholesterol, downstream metabolism, excretion and interconversion (28). The latter is mediated by 11β-HSDs.…”
Section: Discussionmentioning
confidence: 99%
“…In humans, the synovial cell is a major source of inflammatory cytokines such as IL-1, IL-6, and TNFα, all of which play a chief role during the development of RA [7]. Because of these cytokines, NF-κB can be activated and further cause the expression of various inflammatory mediators.…”
Section: Introductionmentioning
confidence: 99%