P450 enzymes are able to incorporate one of the two
oxygen atoms of an O
2
molecule into a broad variety of
substrates with concomitant reduction of the other oxy-
gen atom by two electrons to H
2
O. The most common re-
action catalyzed is hydroxylation, but P450 enzymes can
perform a wide spectrum of reactions including N-oxida-
tion, sulfoxidation, epoxidation, N-, S-, and O-dealkyla-
tion, peroxidation, deamination, desulfuration and de-
halogenation (Ortiz de Montellano, 1995; Bernhardt,
1996). Apart from the monooxygenase activity of the ma-
jority of P450s, a few family members like CYP5A1 (Hau-
rand and Ullrich, 1985) or CYP8A1 (DeWitt and Smith,
1983) catalyze intramolecular transfer of an oxygen atom
(see Guengerich, 1996). Currently the sequences of more
than 2000 members of the P450 superfamily are known
(http://drnelson.utmem.edu/CytochromeP450.html), and
many more are to be expected as genome sequencing
projects advance. To aid in communication, a standard-
ized curated nomenclature has been established several
years ago (Nelson et al., 1996) that uses the abbreviation
CYP for cy tochrome P 450 followed by the number of the
respective P450 family, a letter designating the subfamily
and another number that identifies the individual mem-
bers in a subfamily, e.g. CYP1A1 or CYP11B2. The func-
tions of P450s are very broad: besides being involved in
steroidogenesis in mammals (see below), they are essen-
tial for drug metabolism, blood hemostasis, cholesterol
biosynthesis and other reactions. Insect P450s are also
actively studied because of their importance in agricul-
tural problems. P450s of higher plants have attracted
much attention in recent years (Harvey et al., 2002), and
many P450s with novel metabolic activities have been
found and characterized (Durst and Nelson, 1995). Vari-
ous P450s have been shown to be involved in the syn-
thesis of numerous secondary metabolites of higher
plants like lignins, flavonoids, terpenoids, alkaloids, phy-
toalexins, and of plant hormones including gibberellins,
abscisic acid, and brassinosteroids. In fungi, P450s are
key players in ergosterol biosynthesis and, consequently,
fungal CYP51 (lanosterol 14α-demethylase) is the pri-
mary target of antifungal triazole drugs. Bacterial P450s
participate in antibiotic synthesis and catabolic reac-
tions. Eukaryotic P450s can be subdivided into two ma-
jor groups according to their subcellular localization: mi-
crosomal and mitochondrial P450s, and both utilize
NADPH as the electron donor of the monooxygenation
reactions, whereas most bacterial P450s receive elec-
trons from NADH. Two soluble components, the flavopro-
Biol. Chem., Vol. 383, pp. 1537 – 1551, October 2002 · Copyright © by Walter de Gruyter · Berlin · New York
Matthias Bureik, Michael Lisurek and
Rita Bernhardt*
Universität des Saarlandes, FR 8.8 Biochemie,
Postfach 151150, D-66041 Saarbrücken, Germany
* Corresponding author
Major advances have been made during the last
decade in our understanding of adrenal steroid hor-
mone biosynthesis. Two key players in these path-
ways are the human mitochondrial cytochrome P450
enzymes CYP11B1 and CYP11B2, which catalyze the
final steps in the biosynthesis of cortisol and aldos-
terone. Using data from mutations found in patients
suffering from steroid hormone-related diseases,
from mutagenesis studies and from the construction
of three-dimensional models of these enzymes,
structural information could be deduced that provide
a clue to the stereo- and regiospecific steroid hydrox-
ylation reactions carried out by these enzymes. In this
review, we summarize the current knowledge on the
physiological function and the biochemistry of these
enzymes. Furthermore, the pharmacological and tox-
icological importance of these steroid hydroxylases,
the means for the identification of their potential in-
hibitors and possible biotechnological applications
are discussed.
Key words: Aldosterone / Aldosterone synthase /
Blood pressure / Cortisol / Cytochrome P450 /
Steroid-11β hydroxylase.
Introduction
In 1958, Garfinkel (Garfinkel, 1958) and Klingenberg (Klin-
genberg, 1958) detected a carbon monoxide binding pig-
ment in liver microsomes of pigs and rats, which was re-
ducible by either NADPH or dithionite and displayed an
absorption maximum of the reduced CO-bound complex
at 450 nm. However, it was not until 1964 that the hemo-
protein nature of this CO-binding pigment could be veri-
fied by Omura and Sato (Omura and Sato, 1964). Today
we know that the name-giving spectrum is caused by a
thiolate anion acting as the 5
th
ligand to the heme moiety,
and the cytochrome P450 superfamily has been found to
comprise a highly diversified set of proteins. Cytochrome
Review
The Human Steroid Hydroxylases CYP11B1 and
CYP11B2
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