11β-hydroxysteroid dehydrogenase type 1 within muscle protects against the adverse effects of local inflammation
Open accessAbstract
Muscle wasting is a common feature of inflammatory myopathies. Glucocorticoids (GCs), although effective at suppressing inflammation and inflammatory muscle loss, also cause myopathy with prolonged administration. 11β-Hydroxysteroid dehydrogenase type 1 (11β-HSD1) is a bidirectional GC-activating enzyme that is potently upregulated by inflammation within mesenchymal-derived tissues. We assessed the regulation of this enzyme with inflammation in muscle, and examined its functional impact on muscle. The expression of 11β-HSD1 in response to proinflammatory stimuli was determined in a transgenic murine model of chronic inflammation (TNF-Tg) driven by overexpression of tumour necrosis factor (TNF)-α within tissues, including muscle. The inflammatory regulation and functional consequences of 11β-HSD1 expression were examined in primary cultures of human and murine myotubes and human and murine muscle biopsies ex vivo. The contributions of 11β-HSD1 to muscle inflammation and wasting were assessed in vivo with the TNF-Tg mouse on an 11β-HSD1 null background. 11β-HSD1 was significantly upregulated within the tibialis anterior and quadriceps muscles from TNF-Tg mice. In human and murine primary myotubes, 11β-HSD1 expression and activity were significantly increased in response to the proinflammatory cytokine TNF-α (mRNA, 7.6-fold, p < 0.005; activity, 4.1-fold, p < 0.005). Physiologically relevant levels of endogenous GCs activated by 11β-HSD1 suppressed proinflammatory cytokine output (interkeukin-6, TNF-α, and interferon-γ), but had little impact on markers of muscle wasting in human myotube cultures. TNF-Tg mice on an 11β-11β-HSD1 knockout background developed greater muscle wasting than their TNF-Tg counterparts (27.4% less; p < 0.005), with smaller compacted muscle fibres and increased proinflammatory gene expression relative to TNF-Tg mice with normal 11β-HSD1 activity. This study demonstrates that inflammatory stimuli upregulate 11β-HSD1 expression and GC activation within muscle. Although concerns have been raised that excess levels of GCs may be detrimental to muscle, in this inflammatory TNF-α-driven model, local endogenous GC activation appears to be an important anti-inflammatory response that protects against inflammatory muscle wasting in vivo. © 2016 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of Pathological Society of Great Britain and Ireland.
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Cortisone is reactivated to cortisol by HSD11B1 expressed predominantly in the liver and some peripheral tissues such as adipose tissue, muscle, skin and bone.
“Cortisone is in-turn reactivated to cortisol by the action of HSD11B1 expressed predominantly in the liver, as well as some peripheral tissues such as adipose tissue, muscle, skin and bone [74,[232], [233], [234], [235]].”
From Human steroid biosynthesis, metabolism and excretion are differentially reflected by serum and urine steroid metabolomes: a comprehensive review (2019) · cites this paper as [232]
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- Authors
- Hardy, R. S., Doig, C. L., Hussain, Z., O'Leary, M., Morgan, S. A., Pearson, M. J., Naylor, A., Jones, S. W., Filer, A., Stewart, P. M., Buckley, C. D., Lavery, G. G., Cooper, M. S., & Raza, K.
- Affiliations
- University of Birmingham (GB)
- Centre for Endocrinology Diabetes and Metabolism Birmingham Health Partners Edgbaston Birmingham UK
- Institute of Inflammation and Ageing University of Birmingham Birmingham UK
- University of Leeds (GB)
- The University of Sydney (AU)
- Sandwell & West Birmingham Hospitals NHS Trust (GB)
- Corresponding author
- Hardy, Rowan S
- ORCID
- Venue
- The Journal of Pathology
- Publisher
- Wiley
- Published
- 2016-10-18
- Volume
- 240
- Issue
- 4
- Pages
- 472-483
- ISSN
- 0022-3417 (ISSN-L)
- 1096-9896
- PMC
- PMC5111591
- OpenAlex
- W2508503562
- Cited by
- 37
- References
- 42
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 2
- FWCI
- 1.56
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journal of Pathology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion, cc-by)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Aston Publications Explorer (Aston University) (acceptedVersion)
- Figshare (submittedVersion, cc-by)
- Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (submittedVersion)
- Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
- Funders
- Arthritis Research UK (19859, 20843)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Epidemiology › Inflammatory Myopathies and Dermatomyositis
- Keywords
- muscle atrophy, myositis, glucocorticoids, TNF-α, muscle inflammation, myotubes, inflammatory cytokines, muscle fibers
- MeSH terms
- Aged, Animals, Biopsy, Cells, Cultured, Chronic Disease, Disease Models, Animal, Glucocorticoids, Humans, Hydrocortisone, Mice, Transgenic, Middle Aged, Myositis, Species Specificity, Tumor Necrosis Factor-alpha, Up-Regulation, Gene Expression Regulation, Enzymologic, Cytokines, Muscle, Skeletal, Muscle Fibers, Skeletal, 11-beta-Hydroxysteroid Dehydrogenase Type 1, Sarcopenia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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