Local cortisol/corticosterone activation in skin physiology and pathology

J Dermatol Sci. 2016 Oct;84(1):11-16. doi: 10.1016/j.jdermsci.2016.06.014. Epub 2016 Jun 29.

Abstract

Cortisol and corticosterone are the endogenous glucocorticoids (GCs) in humans and rodents, respectively. Systemic GC is released through the hypothalamic-pituitary-adrenal (HPA) axis in response to various stressors. Over the last decade, extra-adrenal production/activation of cortisol/corticosterone has been reported in many tissues. The enzyme that catalyzes the conversion of hormonally inactive cortisone/11-dehydrocorticosterone (11-DHC) into active cortisol/corticosterone in cells is 11β-hydroxysteroid dehydrogenase (11β-HSD). The 11β-HSD1 isoform is predominantly a reductase, which catalyzes nicotinamide adenine dinucleotide phosphate hydrogen-dependent conversion of cortisone/11-DHC to cortisol/corticosterone, and is widely expressed and present at the highest levels in the liver, lungs, adipose tissues, ovaries, and central nervous system. The 11β-HSD2 isoform, which catalyzes nicotinamide adenine dinucleotide+-dependent inactivation of cortisol/corticosterone to cortisone/11-DHC, is highly expressed in distal nephrons, the colon, sweat glands, and the placenta. In healthy skin, 11β-HSD1 is expressed in the epidermis and in dermal fibroblasts. On the other hand, 11β-HSD2 is expressed in sweat glands but not in the epidermis. The role of 11β-HSD in skin physiology and pathology has been reported recently. In this review, we summarize the recently reported role of 11β-HSD in the skin, focusing on its function in cell proliferation, wound healing, inflammation, and aging.

Keywords: 11β-hydroxysteroid; Corticosterone; Cortisol; Cortisone; Dehydrogenase; Keratinocyte; Skin.

Publication types

  • Review

MeSH terms

  • 11-beta-Hydroxysteroid Dehydrogenase Type 1 / metabolism
  • 11-beta-Hydroxysteroid Dehydrogenase Type 2 / metabolism
  • Aging
  • Animals
  • Carcinoma, Basal Cell / metabolism
  • Carcinoma, Squamous Cell / metabolism
  • Cell Proliferation
  • Corticosterone / analogs & derivatives
  • Corticosterone / metabolism*
  • Epidermis / metabolism
  • Humans
  • Hydrocortisone / metabolism*
  • Hydrogen / metabolism
  • Inflammation
  • Keratinocytes / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Skin / metabolism
  • Skin / pathology*
  • Skin Neoplasms / immunology
  • Skin Neoplasms / metabolism
  • Skin Physiological Phenomena*
  • Tissue Distribution
  • Wound Healing

Substances

  • Hydrogen
  • 11-beta-Hydroxysteroid Dehydrogenase Type 1
  • 11-beta-Hydroxysteroid Dehydrogenase Type 2
  • 11-dehydrocorticosterone
  • Corticosterone
  • Hydrocortisone