HSD11B2

gene
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Also known as SDR9C3

Summary

HSD11B2 (hydroxysteroid 11-beta dehydrogenase 2, HGNC:5209) is a protein-coding gene on chromosome 16q22.1, encoding 11-beta-hydroxysteroid dehydrogenase type 2 (P80365). Catalyzes the conversion of biologically active 11beta-hydroxyglucocorticoids (11beta-hydroxysteroid) such as cortisol, to inactive 11-ketoglucocorticoids (11-oxosteroid) such as cortisone, in the presence of NAD(+).

There are at least two isozymes of the corticosteroid 11-beta-dehydrogenase, a microsomal enzyme complex responsible for the interconversion of cortisol and cortisone. The type I isozyme has both 11-beta-dehydrogenase (cortisol to cortisone) and 11-oxoreductase (cortisone to cortisol) activities. The type II isozyme, encoded by this gene, has only 11-beta-dehydrogenase activity. In aldosterone-selective epithelial tissues such as the kidney, the type II isozyme catalyzes the glucocorticoid cortisol to the inactive metabolite cortisone, thus preventing illicit activation of the mineralocorticoid receptor. In tissues that do not express the mineralocorticoid receptor, such as the placenta and testis, it protects cells from the growth-inhibiting and/or pro-apoptotic effects of cortisol, particularly during embryonic development. Mutations in this gene cause the syndrome of apparent mineralocorticoid excess and hypertension.

Source: NCBI Gene 3291 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): apparent mineralocorticoid excess (Definitive, ClinGen)
  • GWAS associations: 3
  • Clinical variants (ClinVar): 211 total — 11 pathogenic, 8 likely-pathogenic
  • Phenotypes (HPO): 22
  • Druggable target: yes — 5 molecules with ChEMBL bioactivity
  • MANE Select transcript: NM_000196

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:5209
Approved symbolHSD11B2
Namehydroxysteroid 11-beta dehydrogenase 2
Location16q22.1
Locus typegene with protein product
StatusApproved
AliasesSDR9C3
Ensembl geneENSG00000176387
Ensembl biotypeprotein_coding
OMIM614232
Entrez3291

Gene structure

Transcript identifiers

Ensembl transcripts: 7 — 4 protein_coding, 1 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined, 1 retained_intron

ENST00000326152, ENST00000566606, ENST00000567684, ENST00000569303, ENST00000855495, ENST00000855496, ENST00000855497

RefSeq mRNA: 1 — MANE Select: NM_000196 NM_000196

CCDS: CCDS10837

Canonical transcript exons

ENST00000326152 — 5 exons

ExonStartEnd
ENSE000012684756743624967436386
ENSE000012684986743658867437553
ENSE000013033206743112167431513
ENSE000034841016743595767436142
ENSE000035697836743562867435840

Expression profiles

Bgee: expression breadth ubiquitous, 174 present calls, max score 99.28.

FANTOM5 (CAGE): breadth broad, TPM avg 2.9950 / max 345.9402, expressed in 549 samples.

FANTOM5 promoters (4 alternative TSS)

Promoter IDTPM avgSamples expressed
1546262.1257323
1546240.5465271
1546280.206494
1546270.116455

Top tissues by expression

289 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
mucosa of transverse colonUBERON:000499199.28gold quality
renal medullaUBERON:000036298.61gold quality
rectumUBERON:000105298.57gold quality
adult mammalian kidneyUBERON:000008298.38gold quality
metanephros cortexUBERON:001053398.32gold quality
ileal mucosaUBERON:000033196.53gold quality
parotid glandUBERON:000183196.21gold quality
colonic mucosaUBERON:000031795.62gold quality
skin of legUBERON:000151195.25gold quality
mucosa of sigmoid colonUBERON:000499394.75gold quality
kidneyUBERON:000211394.47gold quality
saliva-secreting glandUBERON:000104494.43gold quality
skin of abdomenUBERON:000141693.93gold quality
minor salivary glandUBERON:000183093.65gold quality
small intestine Peyer’s patchUBERON:000345493.13gold quality
transverse colonUBERON:000115793.06gold quality
nephron tubuleUBERON:000123192.54gold quality
cortex of kidneyUBERON:000122591.47gold quality
kidney epitheliumUBERON:000481990.35gold quality
zone of skinUBERON:000001490.32gold quality
small intestineUBERON:000210890.24gold quality
olfactory segment of nasal mucosaUBERON:000538690.02gold quality
mouth mucosaUBERON:000372987.53gold quality
placentaUBERON:000198786.97gold quality
colonic epitheliumUBERON:000039786.48gold quality
renal glomerulusUBERON:000007486.23gold quality
intestineUBERON:000016086.07gold quality
metanephrosUBERON:000008185.68gold quality
large intestineUBERON:000005985.47gold quality
metanephric glomerulusUBERON:000473685.22silver quality

Single-cell (SCXA)

Detected in 4 experiment(s), a significant marker in 3.

ExperimentMarker?Max mean expression
E-GEOD-131882yes1300.12
E-CURD-119yes1206.69
E-GEOD-99795no154.62
E-ANND-3no0.00

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): CEBPB, EGR1, ESR1, MYC, NF1, NFIC, NFKB1, NFKB, NR3C1, PGR, PPARD, RELA, SP1, SP3, STAT5A

miRNA regulators (miRDB)

43 targeting HSD11B2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-101-3P99.9475.032230
HSA-MIR-452599.9464.38675
HSA-MIR-515-5P99.9269.822343
HSA-MIR-519E-5P99.9269.622358
HSA-MIR-4731-5P99.8967.232537
HSA-MIR-7110-5P99.8067.841712
HSA-MIR-6842-5P99.8067.541587
HSA-MIR-10394-5P99.6566.831852
HSA-MIR-120599.6566.761826
HSA-MIR-6752-5P99.5967.321243
HSA-MIR-6751-5P99.5664.991145
HSA-MIR-4649-3P99.5666.901783
HSA-MIR-17-3P99.5566.771311
HSA-MIR-443799.5265.291266
HSA-MIR-127599.4767.902749
HSA-MIR-569599.4167.481047
HSA-MIR-3678-3P99.3167.101432
HSA-MIR-450599.2767.812678
HSA-MIR-578799.2267.862628
HSA-MIR-6803-5P99.1963.901026
HSA-MIR-544B99.1867.411632
HSA-MIR-4687-5P99.1466.26488
HSA-MIR-3688-5P99.1269.671091
HSA-MIR-511-5P98.9770.942268
HSA-MIR-2467-3P98.6567.181969
HSA-MIR-1227-5P98.6565.321549
HSA-MIR-806098.6166.931187
HSA-MIR-5089-5P98.4566.061388
HSA-MIR-4665-5P97.9167.691536
HSA-MIR-63797.9164.051517

Literature-anchored findings (GeneRIF, showing 40)

  • Effect of cellular differentiation on 11beta-hydroxysteroid dehydrogenase activity in the intestine (PMID:11755176)
  • effect of ATP on activity in human placental microsomes (PMID:11787058)
  • in vivo footprinting of promoter and cell-specific regulation by Sp1 and Sp3 (PMID:11850421)
  • Weak associations between the HSD11B2 gene, type 1 diabetes mellitus and nephropathy. (PMID:11916625)
  • Human adrenal cortex and aldosterone secreting adenomas express both 11beta-hydroxysteroid dehydrogenase type 1 and type 2 genes. (PMID:11956655)
  • chenodeoxycholic acid and deoxycholic acid, by inhibiting 11 beta HSD2, mediate cortisol-dependent nuclear translocation and transcriptional activation of Mineralocorticoid receptor (PMID:12015312)
  • 11beta-Hydroxysteroid dehydrogenase types 1 and 2 are up- and downregulated in cortisol-secreting adrenal adenomas. (PMID:12109593)
  • The expression of 11 beta-hydroxysteroid dehydrogenase type 2 is induced during trophoblast differentiation: effects of hypoxia. (PMID:12161498)
  • first report to suggest that 11 beta-hydroxysteroid dehydrogenase 2 is O(2) dependent in first and third trimester placenta during human gestation (PMID:12364476)
  • In small preterm infants, reduced placental 11 beta-HSD2 function is asociated with low relative birth weight and severe fetal distress. (PMID:12519895)
  • Nonfunctioning adenomas and those causing preclinical and overt Cushing’s syndrome may represent a continuum with clinical manifestations depending mainly on tumor size and HSD11B2 expression levels. (PMID:12574226)
  • determination of abnormal expression in pituitary adenomas (PMID:12642869)
  • 11 beta-Hydroxysteroid dehydrogenase type 2 (11 beta-HSD2) plays a crucial role in converting hormonally active cortisol to inactive cortisone, thereby conferring specificity on the mineralocorticoid receptor. Review. (PMID:12788832)
  • Homozygous mutation in exon 4 Asp223Asn changed the enzyme’s surface electrostatic potential affecting the cofactor and substrate enzyme-binding capacity. (PMID:12788846)
  • Late-onset apparent mineralocorticoid excess caused by novel compound heterozygous mutations in the HSD11B2 gene. (PMID:12860834)
  • Ang II decreases activity of 11beta-HSD2 by AT2 receptor- and MAPK-dependent mechanism. Decreased activity of 11beta-HSD2 increases intracellular availability of cortisol. May be relevant for pathogenesis of hypertension and preeclampsia. (PMID:12911547)
  • An increase in the expression of 11 beta-HSD2 may result in faster glucocorticoid breakdown in lung cells in patients with acute respiratory distress syndrome (ARDS). (PMID:14629298)
  • results suggest that renal 11-hydroxysteroid dehydrogenase 2 is a main factor controlling the equilibrium of plasma cortisol and cortisone concentrations in the periphery (PMID:14681848)
  • Patients with essential hypertension and without any biological evidence of aldosterone excess have an overall significant 39% reduction in ex vivo HSD2 catalytic activity in sweat gland ducts, as compared with normotensive subjects. (PMID:14981055)
  • Decrease of 11betaHSD2 mRNA abundance and enzyme activity is associated with colorectal cancer (PMID:15172126)
  • The antiproliferative effects of glucocorticosteroids were reversed and total cell growth boosted by overexpression of 11beta-HSD2. The increase in cell proliferation was attained by low 11beta-HSD2 overexpression. (PMID:15305225)
  • These results indicate a role for DNA methylation in 11 beta-hydroxysteroid dehydrogenase type 2 gene repression and suggest an epigenetic mechanism affecting this gene causally linked with hypertension. (PMID:15489962)
  • 11beta-HSD2 is an additional target for PPAR delta, which may regulate human placental function (PMID:15591138)
  • Critical role of 11betaHSD2 for ensuring selectivity of the mineralocarticoid receptors in the distal nephron (PMID:15643119)
  • hypertensives with suppressed renin activity may have an impairment in the cortisol inactivation catalyzed by the enzyme 11betaHSD2, which could be associated with the length of CA-repeat microsatellite in intron 1 of the HSD11B2 gene (PMID:15643127)
  • Reduced renal 11beta-HSD2 expression may lead to occupancy of the MR by glucocorticoids such as cortisol and may contribute to the increased sodium retention seen in patients with impaired renal function (PMID:16061836)
  • Study identifies placental 11 beta-HSD2 as a novel molecular target of cadmium. (PMID:16144812)
  • The reduced placental 11beta-HSD2 in fetal growth restriction is not due to intrinsic abnormalities in trophoblast cells, but likely a result of extrinsic factors associated with FGR. (PMID:16271275)
  • lung inflammation reduces local glucocorticoid breakdown and augments glucocorticoid action in the lung by down-regulating 11beta-HSD2 via multiple mechanisms (PMID:16272800)
  • 11BetaHSD-2 and GR were expressed across the mensrual cycle. (PMID:16406280)
  • missense mutations in HSD11B2 do not substantially contribute to essential hypertension in Japanese (PMID:16778331)
  • The 3 most significantly overexpressed genes were in rheumatoid arthritis were laeverin, 11beta-hydroxysteroid dehydrogenase type 2 (a steroid pathway enzyme), and cysteine-rich, angiogenic inducer 61 (a known angiogenic factor). (PMID:16804865)
  • Data show that protein kinase A pathway activators such as arginine vasopressin induce, and protein kinase C pathway activators repress the expression of 11beta-hydroxysteroid dehydrogenase type 2 in human renal epithelial cells. (PMID:16872738)
  • renal 11beta-hydroxysteroid dehydrogenase type 2 is an important regulatory factor of renal Na and K (PMID:16979406)
  • Data show that type 2 1beta-hydroxysteroid dehydrogenase activity in ovarian cancer specimens is significantly higher than enzyme activity measured in normal post-menopausal ovarian tissue. (PMID:17028049)
  • Data show that 11-beta hydroxysteroid dehydrogenase type 2 (HSD2) protein and activity levels increase with differentiation of alveolar type II cells, and that HSD2 protein levels are regulated by 17-beta estradiol in male fetal lung tissue. (PMID:17515840)
  • skeletal muscle 11beta-HSD1 and 11beta-HSD2 are altered in diabetes, which together may reduce intracellular cortisol generation, potentially conferring metabolic protection (PMID:17519316)
  • conclude that the mechanism of glucocorticoid-induced HSD11B2 expression is mainly mediated by cooperation between glucocorticoid receptor and nuclear factor 1 on the HSD11B2 promoter (PMID:17551100)
  • The effect of LOX metabolites on HSD11B2 is mediated by their stimulation of endogenous progesterone output. (PMID:18032417)
  • A role for an attenuated placental as well as fetal 11beta-HSD2 in the pathogenesis of intrauterine growth restriction. (PMID:18061258)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_reriohsd11b2ENSDARG00000001975
mus_musculusHsd11b2ENSMUSG00000031891
rattus_norvegicusHsd11b2ENSRNOG00000017084

Paralogs (25): HSD17B6 (ENSG00000025423), RDH11 (ENSG00000072042), HSD17B10 (ENSG00000072506), DHRS9 (ENSG00000073737), HSD17B2 (ENSG00000086696), HSD17B14 (ENSG00000087076), DHRS12 (ENSG00000102796), HSDL1 (ENSG00000103160), HSD17B1 (ENSG00000108786), RDH10 (ENSG00000121039), HSD17B3 (ENSG00000130948), HSD17B7 (ENSG00000132196), HSD17B4 (ENSG00000133835), RDH5 (ENSG00000135437), RDH16 (ENSG00000139547), RDH12 (ENSG00000139988), HSD17B12 (ENSG00000149084), BDH1 (ENSG00000161267), DHRS3 (ENSG00000162496), SDR9C7 (ENSG00000170426), HSD17B13 (ENSG00000170509), SDR16C5 (ENSG00000170786), WWOX (ENSG00000186153), HSD17B11 (ENSG00000198189), HSD17B8 (ENSG00000204228)

Protein

Protein identifiers

11-beta-hydroxysteroid dehydrogenase type 2P80365 (reviewed: P80365)

Alternative names: 11-beta-hydroxysteroid dehydrogenase type II, Corticosteroid 11-beta-dehydrogenase isozyme 2, NAD-dependent 11-beta-hydroxysteroid dehydrogenase, Short chain dehydrogenase/reductase family 9C member 3

All UniProt accessions (2): P80365, R4GN04

UniProt curated annotations — full annotation on UniProt →

Function. Catalyzes the conversion of biologically active 11beta-hydroxyglucocorticoids (11beta-hydroxysteroid) such as cortisol, to inactive 11-ketoglucocorticoids (11-oxosteroid) such as cortisone, in the presence of NAD(+). Functions as a dehydrogenase (oxidase), thereby decreasing the concentration of active glucocorticoids, thus protecting the nonselective mineralocorticoid receptor from occupation by glucocorticoids. Plays an important role in maintaining glucocorticoids balance during preimplantation and protects the fetus from excessive maternal corticosterone exposure. Catalyzes the oxidation of 11beta-hydroxytestosterone (11beta,17beta-dihydroxyandrost-4-ene-3-one) to 11-ketotestosterone (17beta-hydroxyandrost-4-ene-3,11-dione), a major bioactive androgen. Catalyzes the conversion of 11beta-hydroxyandrostenedione (11beta-hydroxyandrost-4-ene-3,17-dione) to 11-ketoandrostenedione (androst-4-ene-3,11,17-trione), which can be further metabolized to 11-ketotestosterone. Converts 7-beta-25-dihydroxycholesterol to 7-oxo-25-hydroxycholesterol in vitro. 7-beta-25-dihydroxycholesterol (not 7-oxo-25-hydroxycholesterol) acts as a ligand for the G-protein-coupled receptor (GPCR) Epstein-Barr virus-induced gene 2 (EBI2) and may thereby regulate immune cell migration. May protect ovulating oocytes and fertilizing spermatozoa from the adverse effects of cortisol.

Subunit / interactions. Interacts with ligand-free cytoplasmic NR3C2.

Subcellular location. Microsome. Endoplasmic reticulum.

Tissue specificity. Expressed in kidney, placenta, pancreas, prostate, ovary, small intestine and colon, and in lower levels in the spleen and testis. At midgestation, expressed at high levels in placenta and in fetal kidney and, at much lower levels, in fetal lung and testis.

Disease relevance. Apparent mineralocorticoid excess (AME) [MIM:218030] An autosomal recessive form of low-renin hypertension. It is usually diagnosed within the first years of life and is characterized by polyuria and polydipsia, failure to thrive, hypernatremia, severe hypertension with low renin and aldosterone levels, profound hypokalemia with metabolic alkalosis, and most often nephrocalcinosis. The disease is caused by variants affecting the gene represented in this entry.

Activity regulation. Inhibited by glycyrrhetinic acid (derived from liquorice).

Pathway. Steroid metabolism.

Miscellaneous. Consumption of large amounts of liquorice can lead to apparent mineralocorticoid excess and hypertension.

Similarity. Belongs to the short-chain dehydrogenases/reductases (SDR) family.

RefSeq proteins (1): NP_000187* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR002347SDR_famFamily
IPR020904Sc_DH/Rdtase_CSConserved_site
IPR036291NAD(P)-bd_dom_sfHomologous_superfamily

Pfam: PF00106

Enzyme classification (BRENDA):

  • EC 1.1.1.146 — 11beta-hydroxysteroid dehydrogenase (BRENDA: 26 organisms, 286 substrates, 1331 inhibitors, 120 Km, 10 kcat entries)
  • EC 1.1.1.B40 — (BRENDA: organisms, substrates, inhibitors, Km, kcat entries)

Substrate kinetics (BRENDA)

33 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
CORTISONE0.0003–0.19316
CORTISOL0.0002–0.114
11BETA,17,21-TRIHYDROXY-PREGN-4-ENE-3,20-DIONE0.0014–0.0279
11BETA,21-DIHYDROXYPREGN-4-EN-3,20-DIONE9
CORTICOSTERONE0.0003–0.0438
11-DEHYDROCORTICOSTERONE0.0002–0.00737
17,21-DIHYDROXY-PREGN-4-ENE-3,11,20-TRIONE0.0038–0.00956
NADP+6
7BETA-HYDROXYCHOLESTEROL0.0007–3.55
21-HYDROXY-PREGN-4-EN-3,11,20-TRIONE0.0014–0.00284
7-OXOCHOLESTEROL0.0004–0.00053
NADPH0.0036–0.00373
11BETA-HYDROXYPROGESTERONE2
11BETA-HYDROXYTESTOSTERONE0.00012
5,5-DIMETHYL-3-(3-FLUORPHENYL)-4-(4-METHYLSULPHO0.581–0.9612

Catalyzed reactions (Rhea), 5 shown:

  • corticosterone + NAD(+) = 11-dehydrocorticosterone + NADH + H(+) (RHEA:42204)
  • cortisol + NAD(+) = cortisone + NADH + H(+) (RHEA:50208)
  • an 11beta-hydroxysteroid + NAD(+) = an 11-oxosteroid + NADH + H(+) (RHEA:53116)
  • 11beta,17beta-dihydroxyandrost-4-ene-3-one + NAD(+) = 17beta-hydroxyandrost-4-ene-3,11-dione + NADH + H(+) (RHEA:69368)
  • 11beta-hydroxyandrost-4-ene-3,17-dione + NAD(+) = androst-4-ene-3,11,17-trione + NADH + H(+) (RHEA:69408)

UniProt features (41 total): sequence variant 20, mutagenesis site 9, sequence conflict 4, region of interest 2, compositionally biased region 2, binding site 2, chain 1, active site 1

Structure

Experimental structures (PDB)

0 structures.

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P80365-F187.490.60

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (1): 232 (proton acceptor)

Ligand- & substrate-binding residues (2): 82–111; 219

Mutagenesis-validated functional residues (9):

PositionPhenotype
115abolishes cofactor specificity.
335reduced enzyme activity.
335no effect on enzyme activity.
336almost complete loss of enzyme activity.
336reduced enzyme activity.
337almost complete loss of enzyme activity.
337reduced enzyme activity.
338complete loss of enzyme activity.
339reduced enzyme activity.

Function

Pathways and Gene Ontology

Reactome pathways

2 pathways

IDPathway
R-HSA-194002Glucocorticoid biosynthesis
R-HSA-9757110Prednisone ADME

MSigDB gene sets: 231 (showing top): GOBP_RESPONSE_TO_NITROGEN_COMPOUND, MYOGENIN_Q6, GOBP_REGULATION_OF_BLOOD_PRESSURE, chr16q22, GOBP_CIRCULATORY_SYSTEM_PROCESS, PEREZ_TP63_TARGETS, GOBP_RESPONSE_TO_CORTICOSTEROID, GOBP_GLUCOCORTICOID_METABOLIC_PROCESS, GCANCTGNY_MYOD_Q6, GOBP_RENAL_SYSTEM_PROCESS_INVOLVED_IN_REGULATION_OF_BLOOD_VOLUME, GRAESSMANN_APOPTOSIS_BY_SERUM_DEPRIVATION_UP, GRAESSMANN_RESPONSE_TO_MC_AND_SERUM_DEPRIVATION_UP, GRAESSMANN_APOPTOSIS_BY_DOXORUBICIN_UP, GRAESSMANN_RESPONSE_TO_MC_AND_DOXORUBICIN_UP, GOBP_REGULATION_OF_SYSTEMIC_ARTERIAL_BLOOD_PRESSURE

GO Biological Process (12): response to hypoxia (GO:0001666), regulation of blood volume by renal aldosterone (GO:0002017), female pregnancy (GO:0007565), glucocorticoid metabolic process (GO:0008211), response to xenobiotic stimulus (GO:0009410), response to food (GO:0032094), response to insulin (GO:0032868), cortisol metabolic process (GO:0034650), response to glucocorticoid (GO:0051384), lipid metabolic process (GO:0006629), steroid metabolic process (GO:0008202), response to steroid hormone (GO:0048545)

GO Molecular Function (5): steroid binding (GO:0005496), NAD binding (GO:0051287), 11-beta-hydroxysteroid dehydrogenase (NAD+) activity (GO:0070523), oxidoreductase activity (GO:0016491), oxidoreductase activity, acting on the CH-OH group of donors, NAD or NADP as acceptor (GO:0016616)

GO Cellular Component (3): endoplasmic reticulum membrane (GO:0005789), endoplasmic reticulum (GO:0005783), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-2 pathways:

CategoryPathways
Metabolism of steroid hormones1
Drug ADME1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
response to chemical2
response to stress1
response to decreased oxygen levels1
regulation of systemic arterial blood pressure by hormone1
positive regulation of systemic arterial blood pressure1
multi-organism reproductive process1
multi-multicellular organism process1
steroid metabolic process1
response to nutrient levels1
response to peptide hormone1
glucocorticoid metabolic process1
primary alcohol metabolic process1
ketone metabolic process1
olefinic compound metabolic process1
tertiary alcohol metabolic process1
response to corticosteroid1
primary metabolic process1
lipid metabolic process1
response to hormone1
response to lipid1
lipid binding1
adenyl nucleotide binding1
steroid dehydrogenase activity, acting on the CH-OH group of donors, NAD or NADP as acceptor1
catalytic activity1
oxidoreductase activity, acting on CH-OH group of donors1
organelle membrane1
nuclear outer membrane-endoplasmic reticulum membrane network1
endoplasmic reticulum subcompartment1
cytoplasm1
endomembrane system1
intracellular membrane-bounded organelle1
cellular anatomical structure1

Protein interactions and networks

STRING

1288 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
HSD11B2CYP11B1P15538919
HSD11B2NR3C2P08235918
HSD11B2CYP11B2P19099901
HSD11B2H6PDO95479878
HSD11B2POMCP01189868
HSD11B2CYP17A1P05093856
HSD11B2CYP11A1P05108851
HSD11B2CYP21A2P04033846
HSD11B2NR3C1P04150816
HSD11B2HPGDP15428804
HSD11B2SRD5A1P18405800
HSD11B2CRHP06850784
HSD11B2MC2RQ01718770
HSD11B2RENP00797757
HSD11B2AKR1D1P51857752

IntAct

0 interactions, top by confidence:

BioGRID (12): HSD11B2 (Affinity Capture-MS), HSD11B2 (Affinity Capture-RNA), HSD11B2 (Affinity Capture-RNA), HSD11B2 (Affinity Capture-MS), HSD11B2 (Proximity Label-MS), HSD11B2 (Affinity Capture-Western), HSD11B2 (Affinity Capture-Western), HSD11B2 (Biochemical Activity), HSD11B2 (Biochemical Activity), CTBP1 (Affinity Capture-Western), HSD11B2 (Affinity Capture-Western), HSD11B2 (Affinity Capture-Western)

ESM2 similar proteins: A0A0U1RPR8, A1A4J8, A6H751, A6H784, A7YY46, D3ZBP4, F1MH07, O08644, O15197, O19179, O43542, O43819, O43824, O75880, O88561, O88941, P0C0K6, P0C0K7, P0C7A1, P50233, P51839, P51840, P51976, P52785, P55203, P80365, Q02846, Q05932, Q08DH8, Q13724, Q3U6U5, Q5JTZ9, Q5K4L6, Q5SS80, Q5SUC9, Q69ZP3, Q80UM7, Q8N490, Q8NFI3, Q8TDZ2

Diamond homologs: A0A0E3D8L9, A0A140JWS5, A0A1L5BUG8, A0A2G0QDN4, A0A3R5XUE6, A0A8I6GJ95, A4IFM3, A6SG70, A7F8T1, A7IQF2, D2WKD9, D4YYG1, F1QLP1, O14756, O16881, O31680, O54909, O55240, O74628, O75452, O88451, P0A0H9, P0A0I0, P0A2C9, P0A2D0, P0AEK2, P0AEK3, P0AFP4, P0AFP5, P0CU71, P0DKC7, P14697, P16543, P16544, P23238, P25145, P28643, P29147, P37059, P37959

SIGNOR signaling

3 interactions.

AEffectBMechanism
EGR1“down-regulates quantity by repression”HSD11B2“transcriptional regulation”
NfKb-p65/p50“up-regulates quantity by expression”HSD11B2“transcriptional regulation”
PPARD“down-regulates quantity by repression”HSD11B2“transcriptional regulation”

Disease & clinical

Clinical variants and AI predictions

ClinVar

211 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic11
Likely pathogenic8
Uncertain significance115
Likely benign50
Benign9

Top pathogenic / likely-pathogenic (19)

Variant IDHGVSClassification
12093NM_000196.4(HSD11B2):c.622C>T (p.Arg208Cys)Pathogenic
12094NM_000196.4(HSD11B2):c.637C>T (p.Arg213Cys)Pathogenic
12095NM_000196.4(HSD11B2):c.1009C>T (p.Arg337Cys)Pathogenic
12098NM_000196.4(HSD11B2):c.835C>T (p.Arg279Cys)Pathogenic
12099NM_000196.4(HSD11B2):c.680C>T (p.Pro227Leu)Pathogenic
2033856NM_000196.4(HSD11B2):c.83_177del (p.Leu28fs)Pathogenic
2789381NM_000196.4(HSD11B2):c.735dup (p.Phe246fs)Pathogenic
2876313NM_000196.4(HSD11B2):c.168_195del (p.Ala57fs)Pathogenic
31131NM_000196.4(HSD11B2):c.1012T>C (p.Tyr338His)Pathogenic
31132NM_000196.4(HSD11B2):c.77_78del (p.Arg25_Ser26insTer)Pathogenic
974390NM_000196.4(HSD11B2):c.1020del (p.Gly341fs)Pathogenic
2137838NM_000196.4(HSD11B2):c.556C>T (p.Arg186Cys)Likely pathogenic
3581148NM_000196.4(HSD11B2):c.433dup (p.Ile145fs)Likely pathogenic
3581156NM_000196.4(HSD11B2):c.662C>T (p.Ala221Val)Likely pathogenic
3581157NM_000196.4(HSD11B2):c.665-1G>ALikely pathogenic
3581159NM_000196.4(HSD11B2):c.665-1G>CLikely pathogenic
3581160NM_000196.4(HSD11B2):c.695_703del (p.Tyr232_Thr234del)Likely pathogenic
3581165NM_000196.4(HSD11B2):c.917_927del (p.Gln306fs)Likely pathogenic
974391NM_000196.4(HSD11B2):c.983C>T (p.Ala328Val)Likely pathogenic

SpliceAI

804 predictions. Top by Δscore:

VariantEffectΔscore
16:67431510:ACCGG:Adonor_loss1.0000
16:67431512:CGG:Cdonor_loss1.0000
16:67431514:G:GGdonor_gain1.0000
16:67431514:G:Tdonor_loss1.0000
16:67431515:T:Gdonor_loss1.0000
16:67435841:G:GGdonor_gain1.0000
16:67435941:T:TAacceptor_gain1.0000
16:67435946:T:TAacceptor_gain1.0000
16:67435948:T:TAacceptor_gain1.0000
16:67435952:CCCA:Cacceptor_loss1.0000
16:67435954:CA:Cacceptor_loss1.0000
16:67435955:A:AGacceptor_gain1.0000
16:67435955:A:Gacceptor_loss1.0000
16:67435955:AG:Aacceptor_gain1.0000
16:67435956:G:Aacceptor_loss1.0000
16:67435956:G:GCacceptor_gain1.0000
16:67435956:GG:Gacceptor_gain1.0000
16:67435956:GGC:Gacceptor_gain1.0000
16:67435956:GGCC:Gacceptor_gain1.0000
16:67435956:GGCCT:Gacceptor_gain1.0000
16:67436139:GCGG:Gdonor_gain1.0000
16:67436140:CGGG:Cdonor_loss1.0000
16:67436141:GG:Gdonor_gain1.0000
16:67436142:GG:Gdonor_gain1.0000
16:67436143:G:GAdonor_loss1.0000
16:67436144:T:Adonor_loss1.0000
16:67436243:CCGCA:Cacceptor_loss1.0000
16:67436244:CGCAG:Cacceptor_loss1.0000
16:67436245:GCAG:Gacceptor_loss1.0000
16:67436246:CA:Cacceptor_loss1.0000

AlphaMissense

2559 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
16:67436133:A:CS219R0.995
16:67436135:C:AS219R0.995
16:67436135:C:GS219R0.995
16:67436288:C:TS235F0.995
16:67436291:A:TK236I0.995
16:67435972:T:AV165D0.994
16:67436288:C:AS235Y0.994
16:67435658:C:AA99D0.993
16:67435976:C:AN166K0.992
16:67435976:C:GN166K0.992
16:67436297:C:AA238D0.992
16:67431508:T:AI87N0.991
16:67436116:G:CR213P0.991
16:67436122:T:AV215E0.991
16:67436363:T:AI260N0.991
16:67436377:T:CF265L0.991
16:67436379:C:AF265L0.991
16:67436379:C:GF265L0.991
16:67435969:T:CL164P0.990
16:67435632:T:GC90W0.989
16:67435682:T:CF107S0.989
16:67436356:A:CS258R0.989
16:67436358:C:AS258R0.989
16:67436358:C:GS258R0.989
16:67435667:T:CL102P0.988
16:67436292:A:CK236N0.988
16:67436292:A:TK236N0.988
16:67436333:T:CL250P0.988
16:67435631:G:AC90Y0.987
16:67435642:T:CF94L0.987

dbSNP variants (sampled 300 via entrez): RS1000032379 (16:67435961 G>A), RS1000061644 (16:67429773 T>C), RS1000085328 (16:67432384 G>A), RS1000541781 (16:67435084 G>T), RS1000606523 (16:67436349 C>T), RS1000636396 (16:67437110 T>C), RS1001242751 (16:67429302 T>TG), RS1002098242 (16:67432290 T>G), RS1002637010 (16:67434537 A>G), RS1003017986 (16:67435015 TGA>T), RS1003049396 (16:67434455 G>A), RS1003386383 (16:67432679 C>A), RS1003967640 (16:67432050 T>G), RS1006132034 (16:67427828 T>C,G), RS1006189913 (16:67433285 G>A,C)

Disease associations

OMIM: gene MIM:614232 | disease phenotypes: MIM:218030

GenCC curated gene-disease

DiseaseClassificationInheritance
apparent mineralocorticoid excessStrongAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
apparent mineralocorticoid excessDefinitiveAR

Mondo (1): apparent mineralocorticoid excess (MONDO:0009025)

Orphanet (1): Apparent mineralocorticoid excess (Orphanet:320)

HPO phenotypes

22 total (22 of 22 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000083Renal insufficiency
HP:0000121Nephrocalcinosis
HP:0000822Hypertension
HP:0001095Hypertensive retinopathy
HP:0001297Stroke
HP:0001508Failure to thrive
HP:0001510Growth delay
HP:0001511Intrauterine growth retardation
HP:0001518Small for gestational age
HP:0001712Left ventricular hypertrophy
HP:0001959Polydipsia
HP:0001960Hypokalemic metabolic alkalosis
HP:0002900Hypokalemia
HP:0003351Decreased circulating renin concentration
HP:0004319Decreased circulating aldosterone concentration
HP:0004322Short stature
HP:0011463Childhood onset
HP:0011731Abnormality of circulating cortisol level
HP:0012603Abnormal urine sodium concentration
HP:0012606Renal sodium wasting
HP:0200114Metabolic alkalosis

GWAS associations

3 associations (top):

StudyTraitp-value
GCST004518_2Waist-to-hip ratio adjusted for body mass index5.000000e-08
GCST005751_5Empathy quotient8.000000e-07
GCST010002_113Refractive error2.000000e-14

EFO canonical traits (2, from GWAS)

EFO IDTrait name
EFO:0007788BMI-adjusted waist-hip ratio
EFO:0009183empathy measurement

MeSH disease descriptors (1)

DescriptorNameTree numbers
D043204Mineralocorticoid Excess Syndrome, ApparentC16.320.565.925.500; C18.452.648.925.500

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (2): CHEMBL3542430 (PROTEIN FAMILY), CHEMBL3746 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

5 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 202,383 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL499915CARBENOXOLONE43,947
CHEMBL140CURCUMIN393,882
CHEMBL297453EPIGALOCATECHIN GALLATE322,804
CHEMBL230006ENOXOLONE224,361
CHEMBL441687GLYCYRRHIZIN257,389

PharmGKB: 1 entry (VIP=true, CPIC=false)

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: enzyme — 1.-.-.- Oxidoreductases

Most potent curated ligand interactions (1 total), top 1:

LigandActionAffinityParameter
enoxoloneInhibition8.92pIC50

Binding affinities (BindingDB)

64 measured of 80 human assays (80 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
4-[[2-[3-methyl-1,1-dioxo-6-(2,4,6-trichlorophenyl)-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC500.1 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[1,1-dioxo-6-(2,4,6-trichlorophenyl)-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC500.2 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[1,1-dioxo-7-(2,4,6-trichlorophenyl)-1,2,7-thiadiazepan-2-yl]acetyl]amino]adamantane-1-carboxamideIC500.4 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
spiro-carboxamide scaffold, 13IC500.5 nM
4-[[2-[methyl-[methyl-(2,4,6-trichlorophenyl)sulfamoyl]amino]acetyl]amino]adamantane-1-carboxamideIC500.8 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[4-methyl-1,1-dioxo-6-(2,4,6-trichlorophenyl)-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC501 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[(4R)-6-[2,6-dichloro-4-(trifluoromethyl)phenyl]-4-methyl-1,1-dioxo-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC501.3 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[6-(3-fluorophenyl)-1,1-dioxo-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC503 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
2-(hexahydro-2,5-methanopentalen-3a(1H)-ylamino)-1-thia-3-azaspiro[4.4]non-2-en-4-oneKI3 nM
4-[[2-[6-[2,6-dichloro-4-(trifluoromethyl)phenyl]-4-methyl-1,1-dioxo-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC504.8 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
(1R,3R,4S,7S)-4-(2-methyl-2-phenoxypropanamido)adamantane-1-carboxamideIC505 nM
4-[[2-[6,6-dioxo-7-(2,4,6-trichlorophenyl)-6lambda6-thia-5,7-diazaspiro[2.5]octan-5-yl]acetyl]amino]adamantane-1-carboxamideIC505 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[4,4-dimethyl-1,1-dioxo-6-(2,4,6-trichlorophenyl)-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC505 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]adamantane-1-carboxamideIC506 nM
(1R,3R,4S,7S)-4-[2-(4-methoxyphenoxy)-2-methylpropanamido]adamantane-1-carboxamideIC506 nM
spiro-carboxamide scaffold, 6IC506 nM
(1R,3R,4S,7S)-4-[2-(2-chlorophenoxy)-2-methylpropanamido]adamantane-1-carboxylic acidIC508 nM
2-(4-chlorophenoxy)-N-[(1R,2S,5R,7S)-5-(hydroxymethyl)adamantan-2-yl]-2-methylpropanamideIC509 nM
2-(2-chloro-4-fluorophenoxy)-2-methyl-N-[(1R,2S,5R,7S)-5-(1H-1,2,3,4-tetrazol-5-yl)adamantan-2-yl]propanamideIC5011 nM
N-[(1R,2S,5R,7S)-5-[(carbamoylmethyl)carbamoyl]adamantan-2-yl]-2-(4-chlorophenoxy)-2-methylpropanamideIC5012 nM
N-(2-adamantyl)-2-(1,1-dioxo-6-phenyl-1,2,6-thiadiazinan-2-yl)acetamideIC5012 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
2-(4-chlorophenoxy)-2-methyl-N-[(1R,2S,5R,7S)-5-{[(methylcarbamoyl)amino]carbonyl}adamantan-2-yl]propanamideIC5013 nM
5-ethyl-5-methyl-2-{tricyclo[3.3.1.0^{3,7}]nonan-3-ylamino}-4,5-dihydro-1,3-thiazol-4-oneKI13 nM
5,5-diethyl-2-{tricyclo[3.3.1.0^{3,7}]nonan-3-ylamino}-4,5-dihydro-1,3-thiazol-4-oneKI13 nM
4-[[2-[6-(2-fluorophenyl)-1,1-dioxo-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC5014 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[4-methylidene-1,1-dioxo-6-(2,4,6-trichlorophenyl)-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC5014 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
2-(cyclooctylamino)-1-thia-3-azaspiro[4.4]non-2-en-4-oneKI14 nM
(1R,3R,4S,7S)-4-[2-(3-chlorophenoxy)-2-methylpropanamido]adamantane-1-carboxylic acidIC5015 nM
4-({[(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]adamantan-1-yl]formamido}methyl)benzoic acidIC5015 nM
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]-N-{[4-(1H-1,2,3,4-tetrazol-5-yl)phenyl]methyl}adamantane-1-carboxamideIC5016 nM
4-[[2-(1,1-dioxo-6-phenyl-1,2,6-thiadiazinan-2-yl)acetyl]amino]adamantane-1-carboxamideIC5017 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
4-[[2-[1,1-dioxo-6-(2,4,6-trifluorophenyl)-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC5020 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]adamantane-1-carboxylic acidIC5022 nM
spiro-carboxamide scaffold, 5IC5022 nM
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]-N-{[4-(methanesulfonylcarbamoyl)phenyl]methyl}adamantane-1-carboxamideIC5025 nM
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]-N-(pyridin-4-ylmethyl)adamantane-1-carboxamideIC5025 nM
spiro-carboxamide scaffold, 3IC5025 nM
2-(cyclooctylamino)-5,5-diethyl-4,5-dihydro-1,3-thiazol-4-oneKI26 nM
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]-N-(1,3-thiazol-5-ylmethyl)adamantane-1-carboxamideIC5027 nM
2-(cyclooctylamino)-5-methyl-5-propyl-4,5-dihydro-1,3-thiazol-4-oneKI28 nM
2-(cycloheptylamino)-5-methyl-5-propyl-4,5-dihydro-1,3-thiazol-4-oneKI32 nM
(1R,3R,4S,7S)-4-(2-methyl-2-phenoxypropanamido)adamantane-1-carboxylic acidIC5039 nM
2-(cyclooctylamino)-5-ethyl-5-methyl-4,5-dihydro-1,3-thiazol-4-oneKI47 nM
(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]-N-[(4-sulfamoylphenyl)methyl]adamantane-1-carboxamideIC5051 nM
2-{bicyclo[2.2.1]heptan-1-ylamino}-5-ethyl-5-methyl-4,5-dihydro-1,3-thiazol-4-oneKI73 nM
4-[[2-[6-(4-fluorophenyl)-1,1-dioxo-1,2,6-thiadiazinan-2-yl]acetyl]amino]adamantane-1-carboxamideIC5079 nMUS-9073906: Sulfamide derivative having an adamantyl group and its pharmaceutically acceptable salt
2-(cycloheptylamino)-5-ethyl-5-methyl-4,5-dihydro-1,3-thiazol-4-oneKI82 nM
(1R,3R,4S,7S)-4-[2-(2-chlorophenoxy)-2-methylpropanamido]-N-methanesulfonyladamantane-1-carboxamideIC5096 nM
CHEMBL4160328IC50100 nM
2-{[(1R,3R,4S,7S)-4-[2-(4-chlorophenoxy)-2-methylpropanamido]adamantan-1-yl]methoxy}acetic acidIC50110 nM

ChEMBL bioactivities

121 potent at pChembl≥5 of 180 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
9.40IC500.4nMGLYCYRRHIZIN
9.15IC500.7nMGLYCYRRHIZIN
9.00EC501nMGLYCYRRHIZIN
9.00IC501nMGLYCYRRHIZIN
8.92IC501.2nMENOXOLONE
8.91IC501.22nMENOXOLONE
8.89IC501.3nMENOXOLONE
8.54IC502.9nMCHEMBL1269273
8.52IC503nMCHEMBL373257
8.31IC504.9nMCHEMBL1271410
8.12IC507.5nMCHEMBL1761313
8.00IC5010nMCHEMBL597481
7.96IC5011nMCHEMBL1689172
7.96IC5011nMCHEMBL1689280
7.84IC5014.5nMCHEMBL1269877
7.82IC5015nMCHEMBL1689282
7.77IC5017nMCHEMBL1689283
7.70IC5020nMCHEMBL384650
7.52IC5030.4nMCHEMBL2391969
7.51IC5031.2nMCHEMBL1761321
7.48IC5033nMCHEMBL1689279
7.35IC5045nMCHEMBL1689284
7.22IC5060nMCHEMBL425772
7.21IC5061.1nMCHEMBL1270688
7.00IC50100nMCHEMBL4160328
7.00IC50100nMCHEMBL4170932
6.98IC50104nMCHEMBL1689173
6.91IC50122nMCHEMBL1271303
6.77IC50170nMCARBENOXOLONE
6.75IC50180nMCHEMBL200513
6.74IC50183nMCHEMBL200513
6.71IC50194nMCHEMBL1689277
6.70IC50201nMACETOXOLONE
6.67IC50216nMCHEMBL256090
6.64IC50228nMCHEMBL372768
6.59IC50257nMENOXOLONE
6.57IC50268nMCHEMBL1270589
6.55IC50280nMCHEMBL382614
6.54IC50290nMCHEMBL1761135
6.48IC50329nMCHEMBL493512
6.42IC50380nMCHEMBL240269
6.41IC50386nMCHEMBL1911698
6.40IC50400nMCALONCOBIC ACID B
6.40IC50400nMCHEMBL1563246
6.34IC50458nMCHEMBL1270093
6.34IC50460nMCHEMBL1761142
6.31IC50490nM11BETA-HYDROXYPROGESTERONE
6.30IC50503nMCHEMBL256515
6.29IC50510nMCHEMBL597063
6.28IC50530nMCHEMBL240053

PubChem BioAssay actives

130 with measured affinity, of 1147 total; 50 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
Glycyrrhizin664592: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [3H]cortisone into [3H]cortisol by scintillation proximity assayic500.0004uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-hydroxy-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid1202733: Inhibition of human 11beta-HSD2 overexpressed in microsomal fraction of HEK293 cells using [3H]-cortisol as substrate by scintillation proximity assay in presence of NAD+ic500.0012uM
[(3S,4aR,6aR,6bS,8aS,11S,12aR,14aR,14bS)-11-[hydroxy(methyl)carbamoyl]-4,4,6a,6b,8a,11,14b-heptamethyl-14-oxo-2,3,4a,5,6,7,8,9,10,12,12a,14a-dodecahydro-1H-picen-3-yl] acetate526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.0029uM
3-(4-fluorophenyl)-5-[4-[4-methyl-5-[2-(trifluoromethyl)phenyl]-1,2,4-triazol-3-yl]-1-bicyclo[2.2.2]octanyl]-1,2,4-oxadiazole753396: Inhibition of human microsomal 11beta-HSD2 assessed as inhibition of conversion of radiolabeled cortisone to radiolabeled cortisol by cell-based assayic500.0030uM
(2S,4aS,6aR,6aS,6bR,8aR,10R,12aS,14bR)-10-(methoxyamino)-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid;hydrochloride526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.0049uM
3-[4-(2-ethylsulfonylethyl)-1-bicyclo[2.2.2]octanyl]-4-methyl-5-[2-(trifluoromethyl)phenyl]-1,2,4-triazole753396: Inhibition of human microsomal 11beta-HSD2 assessed as inhibition of conversion of radiolabeled cortisone to radiolabeled cortisol by cell-based assayic500.0075uM
2-[1’-(2-adamantylcarbamoyl)-6-methylspiro[1,2-dihydroindene-3,4’-piperidine]-1-yl]acetic acid458825: Inhibition of 11beta-HSD2ic500.0100uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-10-[(5-oxo-4H-1,2,4-oxadiazol-3-yl)oxy]-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.0110uM
(1R,2S,5S,8S,10R,14R,15S,21R)-N-hydroxy-N,1,2,5,8,15,20,20-octamethyl-13,18-dioxo-19-azapentacyclo[12.9.0.02,11.05,10.015,21]tricos-11-ene-8-carboxamide587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.0110uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-(methoxyamino)-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid;hydrochloride526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.0145uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-N-hydroxy-N,2,4a,6a,6b,9,9,12a-octamethyl-13-oxo-10-[(5-oxo-4H-1,2,4-oxadiazol-3-yl)oxy]-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxamide587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.0150uM
[(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-hydroxy-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picen-2-yl]urea587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.0170uM
6-[(1-cycloheptyl-4,4-dimethyl-5-oxopyrrolidin-3-yl)methoxy]pyridine-3-carbonitrile276076: Inhibition of human 11beta-HSD2ic500.0200uM
5-(1,1-difluoroethyl)-3-[4-[4-methyl-5-[2-(trifluoromethyl)phenyl]-1,2,4-triazol-3-yl]-1-bicyclo[2.2.2]octanyl]-1,2,4-oxadiazole753396: Inhibition of human microsomal 11beta-HSD2 assessed as inhibition of conversion of radiolabeled cortisone to radiolabeled cortisol by cell-based assayic500.0304uM
3-[4-(ethylsulfonylmethyl)-1-bicyclo[2.2.2]octanyl]-4-methyl-5-[2-(trifluoromethyl)phenyl]-1,2,4-triazole753396: Inhibition of human microsomal 11beta-HSD2 assessed as inhibition of conversion of radiolabeled cortisone to radiolabeled cortisol by cell-based assayic500.0312uM
[(1R,2S,5S,8S,10R,14R,15S,21R)-1,2,5,8,15,20,20-heptamethyl-13,18-dioxo-19-azapentacyclo[12.9.0.02,11.05,10.015,21]tricos-11-en-8-yl]urea587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.0330uM
[(2S,4aS,6aR,6aS,6bR,8aR,12aS,14bR)-2,4a,6a,6b,9,9,12a-heptamethyl-10,13-dioxo-1,3,4,5,6,6a,7,8,8a,11,12,14b-dodecahydropicen-2-yl]urea587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.0450uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-amino-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid265990: Inhibition of human recombinant 11-beta-HSD2 expressed in HEK293 cellsic500.0600uM
[(3S,4aR,6aR,6bS,8aS,11S,12aR,14aR,14bS)-11-(hydroxycarbamoyl)-4,4,6a,6b,8a,11,14b-heptamethyl-14-oxo-2,3,4a,5,6,7,8,9,10,12,12a,14a-dodecahydro-1H-picen-3-yl] acetate526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.0611uM
4-azatetracyclo[5.3.2.02,6.08,10]dodecan-4-yl(cyclohexyl)methanone1501003: Inhibition of human full-length 11beta-HSD2 expressed in HEK293 cells using cortisol as substrate after 2 hrs by LC-MS analysisic500.1000uM
4-azatricyclo[5.2.2.02,6]undecan-4-yl(cyclohexyl)methanone1501003: Inhibition of human full-length 11beta-HSD2 expressed in HEK293 cells using cortisol as substrate after 2 hrs by LC-MS analysisic500.1000uM
4-azatricyclo[5.2.1.02,6]decan-4-yl(cyclohexyl)methanone1501003: Inhibition of human full-length 11beta-HSD2 expressed in HEK293 cells using cortisol as substrate after 2 hrs by LC-MS analysisic500.1000uM
4-azatricyclo[5.2.1.02,6]dec-8-en-4-yl(cyclohexyl)methanone1501003: Inhibition of human full-length 11beta-HSD2 expressed in HEK293 cells using cortisol as substrate after 2 hrs by LC-MS analysisic500.1000uM
4-azatricyclo[5.2.2.02,6]undec-8-en-4-yl(cyclohexyl)methanone1501003: Inhibition of human full-length 11beta-HSD2 expressed in HEK293 cells using cortisol as substrate after 2 hrs by LC-MS analysisic500.1000uM
[(3S,4aR,6aR,6bS,8aS,11S,12aR,14aR,14bS)-11-(carbamoylamino)-4,4,6a,6b,8a,11,14b-heptamethyl-14-oxo-2,3,4a,5,6,7,8,9,10,12,12a,14a-dodecahydro-1H-picen-3-yl] acetate587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.1040uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-N,10-dihydroxy-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxamide526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.1220uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-(3-carboxypropanoyloxy)-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid1516424: Inhibition of 11beta-HSD2 (unknown origin) expressed in HEK293 cells using cortisone as substrate measured after 2 hrs in presence of NAD+ by HTRF assayic500.1700uM
3-(4-pentyl-1-bicyclo[2.2.2]octanyl)-5,6,7,8,9,10-hexahydro-[1,2,4]triazolo[4,3-a]azocine590789: Inhibition of human 11beta-HSD2 expressed in CHO-K1 cells assessed as conversion of [3H]-cortisol to [3H]-cortisone by scintillation proximity assayic500.1800uM
[(3S,4aR,6aR,6bS,8aS,11S,12aR,14aR,14bS)-4,4,6a,6b,8a,11,14b-heptamethyl-14-oxo-11-(trifluoromethylsulfonylcarbamoylamino)-2,3,4a,5,6,7,8,9,10,12,12a,14a-dodecahydro-1H-picen-3-yl] acetate587116: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-[3H]cortisol to cortisone after 10 mins by scintillation countingic500.1940uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-acetyloxy-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid265990: Inhibition of human recombinant 11-beta-HSD2 expressed in HEK293 cellsic500.2010uM
3-[1-(4-methylphenyl)cyclohexyl]-5,6,7,8,9,10-hexahydro-[1,2,4]triazolo[4,3-a]azocine332064: Inhibition of human 11-beta-HSD2 by SPA assayic500.2160uM
3-(4-chlorophenyl)-5-[4-(5,6,7,8,9,10-hexahydro-[1,2,4]triazolo[4,3-a]azocin-3-yl)-1-bicyclo[2.2.2]octanyl]-1,2,4-oxadiazole257372: Inhibitory activity against human 11beta-HSD2ic500.2280uM
(2S,4aS,6aR,6aS,6bR,8aR,10E,12aS,14bR)-10-methoxyimino-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-1,3,4,5,6,6a,7,8,8a,11,12,14b-dodecahydropicene-2-carboxylic acid526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.2680uM
2-[[(3S,4aR,6aR,6bS,8aS,11S,12aR,14aR,14bS)-11-methoxycarbonyl-4,4,6a,6b,8a,11,14b-heptamethyl-14-oxo-2,3,4a,5,6,7,8,9,10,12,12a,14a-dodecahydro-1H-picen-3-yl]oxy]benzoic acid265990: Inhibition of human recombinant 11-beta-HSD2 expressed in HEK293 cellsic500.2800uM
5-[4-(5,6,7,8,9,10-hexahydro-[1,2,4]triazolo[4,3-a]azocin-3-yl)-1-bicyclo[2.2.2]octanyl]pentan-2-ol590789: Inhibition of human 11beta-HSD2 expressed in CHO-K1 cells assessed as conversion of [3H]-cortisol to [3H]-cortisone by scintillation proximity assayic500.2900uM
(2S,4aS,6aR,6aS,6bR,8aR,12aS,14bR)-2,4a,6a,6b,9,9,12a-heptamethyl-10,13-dioxo-1,3,4,5,6,6a,7,8,8a,11,12,14b-dodecahydropicene-2-carboxylic acid526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.3290uM
5-cyclopentyl-2-(2-fluorophenyl)imino-1,3-thiazolidin-4-one302632: Inhibition of human 11-beta-HSD2 by SPAic500.3800uM
4-benzylsulfanyl-2-oxo-5,6-dihydro-3H-benzo[f]isoquinoline-1-carbonitrile626064: Inhibition of 11beta-HSD2ic500.3860uM
(1S,3R,6S,8R,11R,12R,15R,16R)-15-[(2R,5R)-5,6-dihydroxy-6-methylheptan-2-yl]-6-hydroxy-7,7,16-trimethylpentacyclo[9.7.0.01,3.03,8.012,16]octadecane-12-carboxylic acid664592: Inhibition of human 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [3H]cortisone into [3H]cortisol by scintillation proximity assayic500.4000uM
(8S,9S,10R,11R,13S,14S,17S)-17-acetyl-11-hydroxy-10,13-dimethyl-1,2,6,7,8,9,11,12,14,15,16,17-dodecahydrocyclopenta[a]phenanthren-3-one779927: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as inhibition of [1,2,6,7-3H]-cortisol to [3H]cortisone preincubated for 10 mins before substrate addition by scintillation countingic500.4000uM
(2S,4aS,6aR,6aS,6bR,8aR,10S,12aS,14bR)-10-acetamido-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-3,4,5,6,6a,7,8,8a,10,11,12,14b-dodecahydro-1H-picene-2-carboxylic acid526982: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as conversion of [1,2,6,7-3H]-cortisol to cortisone by scintillation countingic500.4580uM
3-[4-[(4-chlorophenoxy)methyl]-1-bicyclo[2.2.2]octanyl]-4-methyl-5-[2-(trifluoromethyl)phenyl]-1,2,4-triazole590789: Inhibition of human 11beta-HSD2 expressed in CHO-K1 cells assessed as conversion of [3H]-cortisol to [3H]-cortisone by scintillation proximity assayic500.4600uM
(8S,9S,10R,11S,13S,14S,17S)-17-acetyl-11-hydroxy-10,13-dimethyl-1,2,6,7,8,9,11,12,14,15,16,17-dodecahydrocyclopenta[a]phenanthren-3-one779927: Inhibition of human recombinant 11beta-HSD2 expressed in HEK293 cells assessed as inhibition of [1,2,6,7-3H]-cortisol to [3H]cortisone preincubated for 10 mins before substrate addition by scintillation countingic500.4900uM
3-[1-(4-methylphenyl)cyclopentyl]-5,6,7,8,9,10-hexahydro-[1,2,4]triazolo[4,3-a]azocine332064: Inhibition of human 11-beta-HSD2 by SPA assayic500.5030uM
2-[1’-(2-adamantylcarbamoyl)-7-methylspiro[1,2-dihydroindene-3,4’-piperidine]-1-yl]acetic acid458825: Inhibition of 11beta-HSD2ic500.5100uM
5-cyclohexyl-2-(2-fluorophenyl)imino-1,3-thiazolidin-4-one302632: Inhibition of human 11-beta-HSD2 by SPAic500.5300uM
2-(2-chloro-4-fluorophenoxy)-2-methyl-N-[5-(2H-tetrazol-5-yl)-2-adamantyl]propanamide305337: Inhibition of human 11beta-HSD2 by SPAic500.5500uM
2-(2-chloro-4-fluorophenoxy)-2-methyl-N-[(1R)-5-(2H-tetrazol-5-yl)-2-adamantyl]propanamide1797082: Human and Mouse 11beta-HSD1 SPA Assay from Article 10.1016/j.bmcl.2006.10.074: “Discovery of adamantane ethers as inhibitors of 11beta-HSD-1: Synthesis and biological evaluation.”ic500.5500uM
(3R)-4-[[2-(2-chlorophenoxy)-2-methylpropanoyl]amino]-N-methylsulfonyladamantane-1-carboxamide1797082: Human and Mouse 11beta-HSD1 SPA Assay from Article 10.1016/j.bmcl.2006.10.074: “Discovery of adamantane ethers as inhibitors of 11beta-HSD-1: Synthesis and biological evaluation.”ic500.5800uM
4-[[2-(2-chlorophenoxy)-2-methylpropanoyl]amino]-N-methylsulfonyladamantane-1-carboxamide305337: Inhibition of human 11beta-HSD2 by SPAic500.5800uM

CTD chemical–gene interactions

143 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
bisphenol Aaffects expression, affects methylation, decreases activity, decreases expression, increases activity (+1 more)7
Cadmiumdecreases activity, decreases methylation, increases activity, affects reaction, decreases expression (+3 more)6
Estradiolaffects binding, increases expression, affects cotreatment, decreases expression5
Colforsindecreases activity, decreases expression, decreases reaction, increases expression5
Progesteronedecreases reaction, increases expression, affects cotreatment, decreases activity, decreases expression5
Hydrocortisoneaffects binding, increases metabolic processing, increases oxidation, increases chemical synthesis, decreases expression (+1 more)4
Valproic Aciddecreases expression, affects cotreatment, increases expression4
tributyltindecreases reaction, increases activity, affects reaction, decreases activity, increases expression (+1 more)3
Benzo(a)pyreneaffects cotreatment, increases expression, decreases expression, decreases reaction3
Dexamethasoneincreases metabolic processing, increases oxidation, decreases reaction, increases expression3
Dithiothreitoldecreases reaction, increases activity, decreases activity3
Thiramdecreases activity, decreases reaction, increases reaction, increases oxidation3
Itraconazoledecreases activity3
sodium arseniteincreases expression, decreases expression2
perfluorooctanoic aciddecreases activity, decreases expression2
triphenyltindecreases activity2
hydroxyitraconazoledecreases activity2
posaconazoledecreases activity2
entinostatincreases expression, affects cotreatment2
Acetaminophenincreases expression, decreases expression2
Caffeinedecreases expression, decreases reaction, decreases activity, affects reaction2
Carbenoxolonedecreases activity2
Cortisoneincreases chemical synthesis, increases oxidation, decreases reaction2
Glucocorticoidsdecreases reaction, affects expression, increases activity, decreases activity2
Leukotriene B4increases activity, decreases activity, affects cotreatment, decreases expression, decreases reaction2
Nickeldecreases expression2
Masoprocolaffects cotreatment, decreases expression, decreases activity, increases reaction, decreases reaction (+2 more)2
Testosteroneincreases expression, decreases activity, decreases reaction, affects cotreatment2
8-Bromo Cyclic Adenosine Monophosphateincreases expression, decreases expression, affects cotreatment2
Mifepristoneincreases activity, increases reaction, decreases activity, decreases reaction, decreases expression (+1 more)2

ChEMBL screening assays

125 unique, capped per target: 120 binding, 5 admet

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1013113BindingInhibition of 11betaHSD2 at 100 uM by cell based assayPiperazine sulfonamides as potent, selective, and orally available 11beta-hydroxysteroid dehydrogenase type 1 inhibitors with efficacy in the rat cortisone-induced hyperinsulinemia model. — J Med Chem
CHEMBL4016345ADMETInhibition of human 11beta-HSD2 up to 30 uMDiscovery of Clinical Candidate 2-((2S,6S)-2-Phenyl-6-hydroxyadamantan-2-yl)-1-(3’-hydroxyazetidin-1-yl)ethanone [BMS-816336], an Orally Active Novel Selective 11β-Hydroxysteroid Dehydrogenase Type 1 Inhibitor. — J Med Chem

Clinical trials (associated diseases)

4 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00759525PHASE2/PHASE3COMPLETEDThe Role of Mineralocorticoid Receptors in Vascular Function
NCT00474942Not specifiedCOMPLETEDNatural History of Apparent Mineralocorticoid Excess Syndrome
NCT02939144Not specifiedCOMPLETEDAn Investigation Into the Effect of Liquorice Ingestion on the Salivary Cortisol to Cortisone Molar Ratio
NCT03655223Not specifiedENROLLING_BY_INVITATIONEarly Check: Expanded Screening in Newborns