Glucocorticoid receptor action in beneficial and side effects of steroid therapy: lessons from conditional knockout mice
Open accessAbstract
Glucocorticoids (GCs) are potent immune suppressive drugs with unfortunately severe side effects. Different molecular modes of actions of the GC receptor (GR) have been identified. Transcriptional transactivation by binding of a dimerized GR protein complex to the promoter of GC regulated genes or interference with activity of pro-inflammatory transcription factors by GR monomers are considered as the two major mechanisms. It has been hypothesized that selective GR agonists (SEGRAs) addressing dimer-independent function would reveal potent steroid therapeutic activity with reduced side effects. Recent studies of a mouse knock-in strain with a dimerization-deficient GR demonstrate that some inflammatory processes can be suppressed by GCs, while others cannot. Also side effects of GCs occur in these mice. Thus, depending on the process that is treated, SEGRA could be therapeutically more or less effective and not all side effects of steroid therapy may be reduced.
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Chronic exposure to glucocorticoids results in adverse side effects such as osteoporosis, diabetes, hypertension, dyslipidemia, and neurodegeneration.
“As a matter of fact, chronic exposure to GCs results in various adverse side effects such as osteoporosis, diabetes, hypertension, dyslipidemia, and even neurodegeneration (5, 22).”
From The HPA – Immune Axis and the Immunomodulatory Actions of Glucocorticoids in the Brain (2014) · cites this paper as [22]
The non-liganded GR-α is sequestered in the cytoplasm by a multiprotein chaperone complex; ligand binding causes conformational change, chaperone dissociation, nuclear localization signal unmasking, and nuclear translocation where it modulates gene expression.
“The non-liganded GR-α is sequestered in the cytoplasm by a multiprotein complex that may be composed of heat-shock protein (HSP) 90, 70, 56, or 40, as well as co-chaperones p23, p60, Src kinase, and immunophilins FKBP51, 52 (22, 75, 79). These cytoplasmic chaperones conceal the nuclear localization signal (NLS) of the steroid receptor and thereby preclude its shuttling to the nucleus. Importantly,”
From The HPA – Immune Axis and the Immunomodulatory Actions of Glucocorticoids in the Brain (2014) · cites this paper as [22]
Differential expression of transcription factors, co-activators, co-repressors, and other binding partners is critical in tailoring the actions of GCs through the GR.
“In similar fashion, the differential expression of transcription factors, co-activators, co-repressors, and other binding partners are critical in tailoring the actions of GCs through the GR (22).”
From The HPA – Immune Axis and the Immunomodulatory Actions of Glucocorticoids in the Brain (2014) · cites this paper as [22]
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- Authors
- Kleiman, A., & Tuckermann, J. P.
- Affiliations
- Leibniz Institute on Aging - Fritz Lipmann Institute (FLI) (DE)
- Corresponding author
- Tuckermann, Jan P.
- Venue
- Molecular and Cellular Endocrinology
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 275
- Issue
- 1-2
- Pages
- 98-108
- ISSN
- 0303-7207 (ISSN-L)
- OpenAlex
- W2086871852
- Cited by
- 165
- References
- 118
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 8 · 2020: 9 · 2019: 12 · 2018: 8 · 2017: 5 · 2016: 8 · 2015: 14 · 2014: 12 · 2013: 13 · 2012: 14
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- green
- hal.science
- Licence
- Locations
- Molecular and Cellular Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- glucocorticoid receptor, glucocorticoids, selective glucocorticoid receptor agonists, conditional knockout mice, transcriptional activation, immunosuppression, inflammation
- MeSH terms
- Animals, Gene Expression Regulation, Glucocorticoids, Inflammation, Receptors, Glucocorticoid, Mice, Knockout, Receptor Cross-Talk, Mice
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