title: Activity of 11beta-hydroxysteroid dehydrogenase type 2 in normotensive blacks and whites.
abstract: BACKGROUND
  Salt-sensitive hypertension occurs more commonly in Blacks than in Whites. A decrease in activity of the enzyme 11betaHSD2 that results in overstimulation of the mineralocorticoid receptor by cortisol could contribute to greater retention of sodium in Blacks. We tested the hypothesis that less activity of the enzyme 11beta-hydroxysteroid dehydrogenase type 2 (11betaHSD2) is present in Blacks than in Whites.
  
  
  METHODS
  Eighty-nine subjects (42 Whites and 47 Blacks), ages 12 to 24 years were recruited from a young cohort that was followed longitudinally in a study of blood pressure regulation. For purposes of study, they were admitted to the General Clinical Research Center. Excretion of tetrahydrocortisol (THF), 5alpha-THF, and tetrahydrocortisone (THE) was measured in 12-hour overnight urine collections. In vivo 11betaHSD2 activity was estimated from the urinary (THF + 5alpha-THF)/THE) ratio.
  
  
  RESULTS
  Blacks appeared to retain more sodium as evidenced by a lower level of 2-hour upright plasma aldosterone (P<.001) and marginally lower plasma renin activity (P=.06). The (THF + 5alpha-THF)/THE ratio in Blacks and Whites was similar: 0.91 +/- 0.41 (standard deviation), 0.86 +/- 0.52, 1.13 +/- 0.36, and 0.66 +/- 0.26, in White males, White females, Black males, and Black females, respectively; P=.35 for an overall effect of race. CONDUSION: 11betaHSD2 activity appears to be similar in Blacks and Whites and probably contributes minimally, if at all, to race differences in sodium retention.
authors.affiliation: Indiana University School of Medicine Indianapolis, Indiana, USA.
authors.forename: R Ravi
authors.initials: RR
authors.lastname: Shankar
authors.forename: Paolo
authors.initials: P
authors.lastname: Ferrari
authors.forename: Bernard
authors.initials: B
authors.lastname: Dick
authors.forename: Walter T
authors.initials: WT
authors.lastname: Ambrosius
authors.forename: George J
authors.initials: GJ
authors.lastname: Eckert
authors.forename: J Howard
authors.initials: JH
authors.lastname: Pratt
mesh_terms: D043209:11-beta-Hydroxysteroid Dehydrogenase Type 2 / Q000097:blood*; D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000704:Analysis of Variance; D001794:Blood Pressure / Q000502:physiology*; D002648:Child; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D012737:Sex Factors; D012964:Sodium / Q000097:blood*; D044465:White People
chemical_list: D012964:Sodium; D043209:11-beta-Hydroxysteroid Dehydrogenase Type 2