Cited by 64Osteoarthritis Treatment and MechanismsRheumatoid Arthritis Research and TherapiesEstrogen and related hormone effects

Arthritis and the role of endogenous glucocorticoids

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Macfarlane, Eugenie, Seibel, Markus J., Zhou, Hong·2020·Bone Research

Abstract

Rheumatoid arthritis and osteoarthritis, the most common forms of arthritis, are chronic, painful, and disabling conditions. Although both diseases differ in etiology, they manifest in progressive joint destruction characterized by pathological changes in the articular cartilage, bone, and synovium. While the potent anti-inflammatory properties of therapeutic (i.e., exogenous) glucocorticoids have been heavily researched and are widely used in clinical practice, the role of endogenous glucocorticoids in arthritis susceptibility and disease progression remains poorly understood. Current evidence from mouse models suggests that local endogenous glucocorticoid signaling is upregulated by the pro-inflammatory microenvironment in rheumatoid arthritis and by aging-related mechanisms in osteoarthritis. Furthermore, these models indicate that endogenous glucocorticoid signaling in macrophages, mast cells, and chondrocytes has anti-inflammatory effects, while signaling in fibroblast-like synoviocytes, myocytes, osteoblasts, and osteocytes has pro-inflammatory actions in rheumatoid arthritis. Conversely, in osteoarthritis, endogenous glucocorticoid signaling in both osteoblasts and chondrocytes has destructive actions. Together these studies provide insights into the role of endogenous glucocorticoids in the pathogenesis of both inflammatory and degenerative joint disease.

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  • Impaired HPA-axis reactivity diminishes anti-inflammatory cortisol secretion and alters glucocorticoid receptor sensitivity, weakening feedback loops between the hypothalamus and pituitary.

    “impaired HPA-axis reactivity diminishes anti-inflammatory cortisol secretion and alters glucocorticoid receptor sensitivity, weakening the feedback loops between the hypothalamus and pituitary [77,78]”

    From Interorgan Communications in Skeletal Pathophysiology: From Molecular Pathways to Multidisciplinary Therapies (2026) · cites this paper as [78]

    The ‘Endogenous glucocorticoid actions in rheumatoid arthritis’ section (page unavailable) reports a reduced cortisol response to stimulation and a failure to increase glucocorticoids during chronic inflammation. It does not establish that impaired reactivity alters receptor sensitivity or weakens hypothalamic–pituitary feedback: its arthritis mouse-model passage instead proposes enhanced pituitary negative feedback. Reduced hypothalamic receptor expression is discussed separately in the context of aging. (LLM, conf=0.87)

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Authors
Macfarlane, E., Seibel, M. J., & Zhou, H.
Affiliations
The University of Sydney (AU)
Corresponding author
  • Macfarlane, Eugenie
  • Zhou, Hong
Venue
Bone Research
Published
2020-09-08
Volume
8
Issue
1
Pages
33-33
ISSN
  • 2095-4700 (ISSN-L)
  • 2095-6231
OpenAlex
W3084192944
Cited by
64
References
15
Citations by year
2026: 6 · 2025: 10 · 2024: 18 · 2023: 9 · 2022: 12 · 2021: 8 · 2020: 1
FWCI
1.17
Type
journal article
Language
en
Open access
Locations
  • Bone Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Australian Government
  • Medical Research Council
  • National Health and Medical Research Council (1087271, 632818, 1143980)
Topics
  • Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
Keywords
endogenous glucocorticoids, rheumatoid arthritis, osteoarthritis, glucocorticoid signaling, joint destruction, articular cartilage, synovium, macrophages, mast cells, chondrocytes, synovial fibroblasts, osteoblasts, osteocytes, aging, pro-inflammatory microenvironment, mouse model

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