11β-Hydroxysteroid Dehydrogenase Type 1, But Not Type 2, Deficiency Worsens Acute Inflammation and Experimental Arthritis in Mice

Glucocorticoids profoundly influence immune responses, and synthetic glucocorticoids are widely used clinically for their potent antiinflammatory effects. Endogenous glucocorticoid action is modulated by the two isozymes of 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD). In vivo, 11 beta-HSD1 catalyzes the reduction of inactive cortisone or 11-dehydrocorticosterone into active cortisol or corticosterone, respectively, thereby increasing intracellular glucocorticoid levels. 11 beta-HSD2 catalyzes the reverse reaction, inactivating intracellular glucocorticoids. Both enzymes have been postulated to modulate inflammatory responses. In the K/BxN serum transfer model of arthritis, 11 beta-HSD1-deficient mice showed earlier onset and slower resolution of inflammation than wildtype controls, with greater exostoses in periarticular bone and, uniquely, ganglion cysts, consistent with greater inflammation. In contrast, K/BxN serum arthritis was unaffected by 11 beta-HSD2 deficiency. In a distinct model of inflammation, thioglycollate-induced sterile peritonitis, 11 beta-HSD1-deficient mice had more inflammatory cells in the peritoneum, but again 11 beta-HSD2-deficient mice did not differ from controls. Additionally, compared with control mice, 11 beta-HSD1-deficient mice showed greater numbers of inflammatory cells in pleural lavages in carrageenan-induced pleurisy with lung pathology consistent with slower resolution. These data suggest that 11 beta-HSD1 limits acute inflammation. In contrast, 11 beta-HSD2 plays no role in acute inflammatory responses in mice. Regulation of local 11 beta-HSD1 expression and/or delivery of substrate may afford a novel approach for antiinflammatory therapy. (Endocrinology 153: 234-240, 2012)