LOCAL DEHYDROGENATION OF THE C11 HYDROXYL GROUP ON
CORTISOL PROTECTS MINERALOCORTICOID RECEPTORS (MR)
FROM INAPPROPRIATE ACTIVATION
ALDOSTERONE:MR                                         Kd~1nM
CORTISOL or CORTISONE : MR                     Kd~1nM
CORTISOL or CORTISONE : GR                     Kd~10nM
IN SPITE OF THE HIGH AFFINITY OF CORTISOL / CORTISONE FOR THE MR IN
VITRO, GLUCOCORTICOIDS DO NOT BIND TO MR IN TARGET TISSUES.  THIS IS
DUE TO THE “PRE-RECEPTOR INACTIVATION” OF CORTISOL BY 11ß-HSD2
CORTISOL
CORTISOL
11ß-HSD2
11ß-HSD1
CORTISOL
CORTISONE
GR
MR
nucleus
nucleus