11β-羟基类固醇脱氢酶与代谢综合征的相关性

Correlation between 11β-hydroxysteroid dehydrogenase and metabolic syndrome

代谢综合征(MetS)是多种代谢成分异常聚集的病理状态,是导致心血管疾病和糖尿病的危险因素。糖皮质激素失调是MetS的重要特征,11β-羟基类固醇脱氢酶(11β-HSD)在体内主要负责活性糖皮质激素向其无活性前体转换,调节局部糖皮质激素浓度。11β-HSD参与了包括胰岛素抵抗、肥胖、2型糖尿病及高血压在内的MetS的病理生理环节,11β-HSD抑制剂在MetS中的应用将为治疗MetS提供新的途径。

Metabolic syndrome （MetS） is a pathological condition of disorders of several metabolic components and a risk factor of causing cardiovascular diseases and diabetes. Dysregulation of glucocorticoid is an important feature of MetS. 11β-hydroxysteroid dehydrogenase （11β-HSD） of the body mainly converts the active glucocorticoid to its inactive precursor and regulates the concentration of local glucocorticoid. 11β-HSD involves pathophysiologic processes of MetS such as insulin resistance, obesity, type 2 diabetes, and hypertension. The application of 11β-HSD1 inhibitors may provide new methods for treating MetS.