Abstract
Glucocorticoids (GCs) induce surfactant synthesis in the late foetal lung. Deficient
GC action causes respiratory distress syndrome (RDS). 11β-hydroxysteroid dehydrogenase
type 1 (11β-HSD1) converts inert cortisone (11-dehydrocorticosterone in rodents) into
active cortisol (corticosterone), thus amplifying intracellular GC action. Reduction
or loss of pulmonary 11β-HSD1 activity in glycyrrhetinic acid-treated rats substantially
impaired foetal lung maturation (Hundertmark et al., Horm Metab Res, this issue).
To test these data, we investigated 11β-HSD1 activity and lung maturity in the late
foetal lung using 11β-HSD1 knockout mice. Control foetal mice showed high 11β-HSD
activity in the late foetal lung and levels of plasma 11-dehydrocorticosterone were
high. Lungs from 11β-HSD1 -/- mice had lower surfactant protein-A (mRNA and protein)
levels and significant depletion of lung surfactant according to both light and electron
microscopy, and also had reduced amniotic fluid lecithin/sphingomyelin ratios. These
results support the previous experiments with glycyrrhetinic acid and emphasize the
importance of 11β-HSD1 in foetal lung maturation.
Key words
1.1.1.146 - 11β-Hydroxysteroid Dehydrogenase - EC - Lung Maturation - Pulmonary Surfactant
- Knockout Mice
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PD Dr. S. Hundertmark
Allgemeines Krankenhaus Altona
Paul-Ehrlich-Straße 1 · 22763 Hamburg · Germany
Phone: + 49 (30) 84 45 25 93
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Email: sven.hundertmark@ak-altona.lbk-hh.de