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[Immunosuppressive effects of glucocoriticoid]
1The First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|January 15, 2008
Summary
Glucocorticoids (GC) treat autoimmune and inflammatory diseases but cause infections via immunosuppression. GC receptor (GR) interacts with transcription factors, modulating immune responses and gene expression.
Area of Science:
- Immunology
- Molecular Biology
- Pharmacology
Context:
- Glucocorticoids (GC) are essential therapeutics for autoimmune, inflammatory, and allergic conditions.
- GC therapy is associated with significant side effects, notably increased susceptibility to infections due to immunosuppression.
- The mechanism involves GC binding to the GC receptor (GR), a transcription factor.
Purpose:
- To elucidate the molecular mechanisms underlying GC-induced immunosuppression.
- To investigate the crosstalk between the GC receptor (GR) and other transcription factors (TF).
- To understand how GR-TF interactions modulate gene expression in immune responses.
Summary:
- GC exert effects by binding to the GR, influencing transcription.
- GR engages in crosstalk with TFs like NF-kappaB, AP-1, STAT, and IRF3, which are activated by cytokines or TLR signaling.
- This interaction modulates the transcription of genes critical for innate and acquired immunity, allergy, and inflammation.
Impact:
- Provides insights into GC-induced side effects, particularly infections.
- Identifies key molecular players and pathways involved in immune regulation by GCs.
- Offers potential targets for mitigating GC side effects while preserving therapeutic benefits.
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