Steroid receptors and enzymes that control steroid synthesis and metab
olism work together to control vital hormonal functions. Crystallograp
hic data on steroids having high affinity for estrogen, progestin, and
corticoid receptors suggest that receptor binding is primarily the re
sult of a high level of complementarity between the receptor and the s
teroidal A-ring. The crystal structures of two steroid dehydrogenase e
nzymes reveal the location of the active site, the position of the con
served catalytic triad (Tyr-Lys-Ser), a possible mechanism of keto-hyd
roxyl interconversion and the basis for selectivity. A complex between
carbenoxolone and one of the enzymes reveals how the active ingredien
t in licorice inhibits this enzyme as well as human 11 beta-hydroxyste
roid dehydrogenase (11 beta-HSD). The complex reveals that the inhibit
or fills tile substrate binding pocket, displaces the cofactor and acc
epts a hydrogen bond from a tyrosine residue, one of less than 20 stri
ctly conserved residues in the family of enzymes, explaining how inges
tion of licorice can produce hypertension.