What is the role of the enzyme 11-beta-hydroxysteroid dehydrogenase II in fetal development?

Study for the Maternal-Fetal Medicine (MFM) Qualifying Exam. Explore comprehensive flashcards and detailed multiple-choice questions, each with hints and explanations to prepare effectively. Achieve success with confidence!

The enzyme 11-beta-hydroxysteroid dehydrogenase II plays a crucial role in fetal development by metabolizing maternal glucocorticoids. This process is critical in protecting the developing fetus from excessive exposure to maternal cortisol and other glucocorticoids that can cross the placenta. In the context of pregnancy, high levels of maternal glucocorticoids can have deleterious effects on fetal growth and development, including potential impacts on brain development and other organ systems.

By inactivating cortisol to its less active form cortisone, 11-beta-hydroxysteroid dehydrogenase II ensures that the fetal environment is shielded from high levels of maternal stress hormones. This selective breakdown is essential for maintaining appropriate fetal growth and development, particularly in key stages of organ development and maturation.

The other options, while they may relate to steroid metabolism or development, do not directly describe the protective role of 11-beta-hydroxysteroid dehydrogenase II regarding the regulation and management of maternal glucocorticoids within the fetal context. The specific inactivation of these maternal hormones is what underscores the importance of this enzyme in fetal development.

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