K Kuhlmann1, H Bühler, V Ragosch
1Department of Obstetrics and Gynecology, Klinikum Benjamin Franklin, Free University of Berlin, Germany. kuhlmank@zedat-fu-berlin.de
The liver enzyme 5alpha-reductase metabolizes 11-dehydro-glucocorticoids, limiting potential glucocorticosteroid (GCS) excess. This pathway, involving 5alpha-reductase type 1, balances GCS activation by 11beta-HSD1.
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