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-hydroxysteroid dehydrogenase in some women with the polycystic ovary syndrome. The interconversion of cortisol and hormonally inactive cortisone is catalyzed by at least two isoforms of 11
-hydroxysteroid dehydrogenase, a nicotinamide-adenine dinucleotide-dependent, unidirectional dehydrogenase (type 2) found predominantly in the placenta and kidneys, and the type 1 enzyme, which has both NADP-dependent dehydrogenase and 11-oxo-reductase activity and is found predominantly in the liver and gonads. The contribution of each type of enzyme to the urinary ratios of 11-oxo to 11-hydroxy metabolites of cortisol and corticosterone used References
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