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