21-hydroxylase converts progesterone to 11-deoxycorticosterone and 17-hydro
xyprogesterone to 11-deoxycortisol, the substrates which are required for t
he production of the main adrenal steroids, corticosterone, aldosterone, an
d cortisol. As 21-hydroxylase activity has been detected in rodent and feta
l human brain, we studied whether and to what extent 21-hydroxylase mRNA is
expressed in hippocampal tissue specimens from patients undergoing epileps
y surgery (n = 42). 21-hydroxylase mRNA was detected in the hippocampus wit
h an expression 10 000 times lower than in adrenal gland tissue. There was
no significant difference in expression levels between women (9.5 +/- 2.7 a
rbitrary units (aU); mean +/- SEM) and men (8.0 +/- 2.2 aU); however, mRNA
concentrations in the hippocampus of children (n = 4, 1.8 +/- 0.5 aU) were
considerably lower than in adults (n = 38, 8.6 +/- 1.7 aU). The expression
of 21-hydroxylase mRNA in the hippocampus suggests that this human brain ar
ea has the enzymatic capability to convert progesterone to 11-deoxycorticos
terone and 17-hydroxyprogesterone to 11-deoxycortisol. (C) 2001 Elsevier Sc
ience Ireland Ltd. All rights reserved.