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cortisone

File:Cortison.svg · Wikimedia Commons · See Wikimedia Commons

EntityQ423185· pop 45· linked from 971 articles

Also known as COS237, 11-dehydro-17-hydroxycorticosterone, 17-hydroxy-11-dehydrocorticosterone, Kortison, Cortison, Delta(4)-pregnene-17alpha,21-diol-3,11,20-trione, 4-pregnene-17alpha,21-diol-3,11,20-trione, 17alpha,21-dihydroxy-4-pregnene-3,11,20-trione

Cortisone is a naturally occurring, mostly inactive pregnene (21-carbon) steroid hormone. In the body, cortisone is produced as part of the Cortisol-Cortisone shunt, which protects vulnerable organs like the kidneys from cortisol. These organs produce the enzyme 11β-HSD2 which locally converts cortisol into inactive cortisone. Cortisone is later converted back into the active steroid cortisol by the enzyme 11β-HSD1, particularly in the liver, which maintains blood cortisol levels. Without the reaction converting cortisol into cortisone, cortisol binds with the mineralocorticoid receptors of th

Chemical data

Formula
C21H28O5
Molecular weight
360.4 g/mol
IUPAC name
(8S,9S,10R,13S,14S,17R)-17-hydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-1,2,6,7,8,9,12,14,15,16-decahydrocyclopenta[a]phenanthrene-3,11-dione
SMILES
C[C@]12CCC(=O)C=C1CC[C@@H]3[C@@H]2C(=O)C[C@]4([C@H]3CC[C@@]4(C(=O)CO)O)C
InChIKey
MFYSYFVPBJMHGN-ZPOLXVRWSA-N
XLogP
1.5
Polar surface area
91.7 Ų
H-bond donors
2
H-bond acceptors
5
Formal charge
0

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Research

24,526 papers

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Wikidata facts

Mass
360.193674
Show 8 more facts
MCN code
2937.21.10
chemical formula
C₂₁H₂₈O₅
Commons category
Cortisone
melting point
225.5
isomeric SMILES
C[C@]12CCC(=O)C=C1CC[C@@H]3[C@@H]2C(=O)C[C@]4([C@H]3CC[C@@]4(C(=O)CO)O)C
canonical SMILES
CC12CCC(=O)C=C1CCC3C2C(=O)CC4(C3CCC4(C(=O)CO)O)C
World Health Organisation international non-proprietary name
cortisone
defined daily dose
37.5
Sources (8)

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Article

9 sections
Contents
  • Effects and uses
  • Side effects
  • History
  • Production
  • Popular culture
  • See also
  • External links
  • Notes
  • Bibliography

Cortisone is a naturally occurring, mostly inactive pregnene (21-carbon) steroid hormone. In the body, cortisone is produced as part of the Cortisol-Cortisone shunt, which protects vulnerable organs like the kidneys from cortisol. These organs produce the enzyme 11β-HSD2 which locally converts cortisol into inactive cortisone. Cortisone is later converted back into the active steroid cortisol by the enzyme 11β-HSD1, particularly in the liver, which maintains blood cortisol levels. Without the reaction converting cortisol into cortisone, cortisol binds with the mineralocorticoid receptors of the kidney, causing hypertension along with the other symptoms of apparent mineralocorticoid excess syndrome. Because it gets converted into cortisol by the body, it is sometimes used as a pharmaceutical prodrug as an alternative to directly taking cortisol.

The term "cortisone" is frequently misused to mean either any corticosteroid or hydrocortisone, which is in fact cortisol. Many who speak of receiving a "cortisone shot" or taking "cortisone" are more likely receiving hydrocortisone or one of many other, much more potent synthetic corticosteroids.

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