Human CYP11B1 and CYP11B2 are shown to convert spironolactone and canrenone.
Metabolites are identified by NMR as 11β-, 18- and 19-hydroxylated derivatives.
Metabolism alters the antagonistic effects on the mineralocorticoid receptor.
Consideration of CYP11B1 and CYP11B2 as drug-metabolizers is conclusively suggested.