The enzyme 11 beta-hydroxysteroid dehydrogenase (11 beta HSD) converts
glucocorticoids to receptor inactive metabolites. Two isoforms of the
enzyme exist. 11 beta HSD1 is a low affinity NADP dependent enzyme, w
hile 11 beta HSD2 is a high affinity NAD dependent species thought to
be responsible for endowing specificity on the mineralocorticoid recep
tor and for protecting the fetus from high circulating levels of mater
nal glucocorticoids. We have recently cloned the human renal 11 beta H
SD2 enzyme. In this report we show that 11 beta HSD2 potently inactiva
tes the synthetic glucocorticoid dexamethasone, producing a single pro
duct thought to be the 11-dehydrodexamethasone metabolite. Sequence an
alysis shows that the new isoform is a member of the short-chain alcoh
ol dehydrogenase superfamily (SCAD), most closely related to 17 beta H
SD2 and distantly related to 11 beta HSD1.