Glucocorticoid Receptor Function In Vitro in Patients with Major Depression
Open accessAbstract
Clinical studies have demonstrated an impairment of glucocorticoid receptor (GR)-mediated negative feedback on the hypothalamic--pituitary--adrenal (HPA) axis in patients with major depression (GR resistance), and its resolution by antidepressant treatment. Interestingly, a number of studies have also demonstrated that GR function is reduced in vitro, in peripheral tissues of depressed patients, as shown by a decreased sensitivity to the effects of glucocorticoids on immune and metabolic functions. This paper reviews the in vitro studies that have examined GR function in patients with major depression, and the possible molecular mechanisms involved in GR resistance. Since several studies have demonstrated similar regulation of GR in the brain and in peripheral tissues in humans, and given limited access to brain GR in clinical populations, this review claims that in vitro studies are of particular relevance to understand the molecular mechanisms underlying GR abnormalities in patients with major depression and its regulation by antidepressant treatment.
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Salivary cortisol as a biomarker in stress research
Hellhammer, D. H., Wüst, S., & Kudielka, B. M. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.10.026 · Cited by 1,925 · see citing works
The link between childhood trauma and depression: insights from HPA axis studies in humans
Heim, C., Newport, D. J., Mletzko, T., Miller, A. H., & Nemeroff, C. B. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.03.008 · Cited by 1,704 · see citing works
Russell, G., & Lightman, S. (2019) · Nature Reviews Endocrinology · doi:10.1038/s41574-019-0228-0 · Cited by 1,032 · see citing works
Haroon, E., Raison, C. L., & Miller, A. H. (2012) · Neuropsychopharmacology · doi:10.1038/npp.2011.205 · Cited by 1,000 · see citing works
Pace, T. W. W., Hu, F., & Miller, A. H. (2007) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2006.08.009 · Cited by 621 · see citing works
Moylan, S., Maes, M., Wray, N. R., & Berk, M. (2013) · Molecular Psychiatry · doi:10.1038/mp.2012.33 · Cited by 529 · see citing works
Tyrka, A. R., Price, L. H., Marsit, C., Walters, O. C., & Carpenter, L. L. (2012) · PLoS ONE · doi:10.1371/journal.pone.0030148 · Cited by 486 · see citing works
Neural control of chronic stress adaptation
Herman, J. P. (2013) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2013.00061 · Cited by 384 · see citing works
Immune suppression and immune activation in depression
Blume, J., Douglas, S. D., & Evans, D. L. (2011) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2010.10.008 · Cited by 338 · see citing works
Stress induces endotoxemia and low-grade inflammation by increasing barrier permeability
de Punder, K., & Pruimboom, L. (2015) · Frontiers in Immunology · doi:10.3389/fimmu.2015.00223 · Cited by 321 · see citing works
Bornstein, S. R., Schuppenies, A., Wong, M., & Licinio, J. (2006) · Molecular Psychiatry · doi:10.1038/sj.mp.4001873 · Cited by 267 · see citing works
Loftis, J. M., Huckans, M. S., & Morasco, B. J. (2009) · Neurobiology of Disease · doi:10.1016/j.nbd.2009.11.015 · Cited by 252 · see citing works
Origin of ultradian pulsatility in the hypothalamic–pituitary–adrenal axis
Walker, J. J., Terry, J. R., & Lightman, S. L. (2010) · Proceedings of the Royal Society B: Biological Sciences · doi:10.1098/rspb.2009.2148 · Cited by 239 · see citing works
“…been demonstrated by data showing a blunting of endogenous glucocorticoid inhibition following the administration of the synthetic glucocorticoid dexamethasone, or an inhibition of the ACTH response in the dexamethasone-CRH test (Nemeroff 1996; Holsboer 2000; Pariante & Miller 2001; Pariante 2004).”
BackgroundFrey, B. N., Andreazza, A. C., Houenou, J., Jamain, S., Goldstein, B. I., Frye, M. A., Leboyer, M., Berk, M., Malhi, G. S., Lopez-Jaramillo, C., et al. (2013) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867413478217 · Cited by 234 · see citing works
Mendlewicz, J., Kriwin, P., Oswald, P., Souery, D., Alboni, S., & Brunello, N. (2006) · International Clinical Psychopharmacology · doi:10.1097/00004850-200607000-00005 · Cited by 229 · see citing works
A new model for the HPA axis explains dysregulation of stress hormones on the timescale of weeks
Karin, O., Raz, M., Tendler, A., Bar, A., Korem Kohanim, Y., Milo, T., & Alon, U. (2020) · Molecular Systems Biology · doi:10.15252/msb.20209510 · Cited by 200 · see citing works
Alboni, S., van Dijk, R. M., Poggini, S., Milior, G., Perrotta, M., Drenth, T., Brunello, N., Wolfer, D. P., Limatola, C., Amrein, I., et al. (2017) · Molecular Psychiatry · doi:10.1038/mp.2015.142 · Cited by 207 · see citing works
The glucocorticoid receptor: part of the solution or part of the problem?
Pariante, C. M. (2006) · Journal of Psychopharmacology · doi:10.1177/1359786806066063 · Cited by 192 · see citing works
Self-citationRisk Factors for Development of Depression and Psychosis
Pariante, C. M. (2009) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.04978.x · Cited by 181 · see citing works
Self-citationGlucocorticoid Dysregulations and Their Clinical Correlates: From Receptors to Therapeutics
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Bertollo, A. G., Santos, C. F., Bagatini, M. D., & Ignácio, Z. M. (2025) · Frontiers in Neuroscience · doi:10.3389/fnins.2025.1541075 · Cited by 177 · see citing works
Different responses to dexamethasone and prednisolone in the same depressed patients
Juruena, M. F., Cleare, A. J., Papadopoulos, A. S., Poon, L., Lightman, S., & Pariante, C. M. (2006) · Psychopharmacology · doi:10.1007/s00213-006-0555-4 · Cited by 147 · see citing works
Self-citationRohleder, N., Wolf, J. M., & Wolf, O. T. (2010) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.12.003 · Cited by 150 · see citing works
Major depression, cognitive dysfunction and Alzheimer's disease: Is there a link?
Sierksma, A. S. R., van den Hove, D. L. A., Steinbusch, H. W. M., & Prickaerts, J. (2010) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2009.10.021 · Cited by 139 · see citing works
Rohleder, N. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.12.015 · Cited by 136 · see citing works
The HPA Axis as Target for Depression
Menke, A. (2024) · Current Neuropharmacology · doi:10.2174/1570159x21666230811141557 · Cited by 131 · see citing works
“To reinstate homeostasis after stress response, negative feedback mechanisms are activated; cortisol binds to GR of the pituitary, the hippocampus, and the PVN, and inhibits the further release of CRH [43, 44].”
BackgroundThe putative neurodegenerative links between depression and Alzheimer's disease
Wuwongse, S., Chang, R. C., & Law, A. C. K. (2010) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2010.04.005 · Cited by 124 · see citing works
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Successful Antidepressant Therapy Restores the Disturbed Interplay Between TNF-α System and HPA Axis
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Kumar, G., Couper, A., O'Brien, T. J., Salzberg, M. R., Jones, N. C., Rees, S. M., & Morris, M. J. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.05.011 · Cited by 95 · see citing works
Martinez, E. J., Kolb, B., Bell, A., Savage, D. D., & Allan, A. M. (2008) · NeuroToxicology · doi:10.1016/j.neuro.2008.05.004 · Cited by 94 · see citing works
Aznar, S., & Knudsen, G. M. (2011) · Journal of Alzheimer s Disease · doi:10.3233/jad-2010-100390 · Cited by 93 · see citing works
Role of Inflammation in Depression: Implications for Phenomenology, Pathophysiology and Treatment
Raison, C. L., & Miller, A. H. (2013) · Modern Trends in Psychiatry · doi:10.1159/000343966 · Cited by 88 · see citing works
Alboni, S., Tascedda, F., Corsini, D., Benatti, C., Caggia, F., Capone, G., Barden, N., Blom, J. M. C., & Brunello, N. (2011) · Neuropharmacology · doi:10.1016/j.neuropharm.2011.01.050 · Cited by 86 · see citing works
Glucocorticoid Receptor Polymorphisms in Major Depression
Claes, S. J. (2009) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05012.x · Cited by 83 · see citing works
Edwards, K. M., Bosch, J. A., Engeland, C. G., Cacioppo, J. T., & Marucha, P. T. (2010) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2010.03.011 · Cited by 76 · see citing works
Lu, S., Gao, W., Huang, M., Li, L., & Xu, Y. (2016) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2016.03.009 · Cited by 75 · see citing works
Carvalho, L. A., Juruena, M. F., Papadopoulos, A. S., Poon, L., Kerwin, R., Cleare, A. J., & Pariante, C. M. (2008) · Neuropsychopharmacology · doi:10.1038/npp.2008.44 · Cited by 75 · see citing works
Self-citationThe neurobiology of suicide - A Review of post-mortem studies
Furczyk, K., Schutová, B., Michel, T. M., Thome, J., & Büttner, A. (2013) · Journal of Molecular Psychiatry · doi:10.1186/2049-9256-1-2 · Cited by 78 · see citing works
Hohne, N., Poidinger, M., Merz, F., Pfister, H., Bruckl, T., Zimmermann, P., Uhr, M., Holsboer, F., & Ising, M. (2015) · International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyu087 · Cited by 74 · see citing works
Zebrafish models of major depressive disorders
Fonseka, T. M., Wen, X., Foster, J. A., & Kennedy, S. H. (2015) · Journal of Neuroscience Research · doi:10.1002/jnr.23639 · Cited by 72 · see citing works
Glucocorticoid resistance syndrome: a diagnostic and therapeutic approach
van Rossum, E. F. C., & Lamberts, S. W. J. (2006) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2006.09.005 · Cited by 69 · see citing works
Hormones, Stress, and Cognition: The Effects of Glucocorticoids and Oxytocin on Memory
Wirth, M. M. (2014) · Adaptive Human Behavior and Physiology · doi:10.1007/s40750-014-0010-4 · Cited by 72 · see citing works
Nod-like receptors are critical for gut-brain axis signalling in mice
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Leistner, C., & Menke, A. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.01.023 · Cited by 69 · see citing works
Carter, R. N., Paterson, J. M., Tworowska, U., Stenvers, D. J., Mullins, J. J., Seckl, J. R., & Holmes, M. C. (2009) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2009.01899.x · Cited by 68 · see citing works
In vitromodulation of the glucocorticoid receptor by antidepressants
de Carvalho, L. A., & Pariante, C. M. (2008) · Stress · doi:10.1080/10253890701850759 · Cited by 68 · see citing works
Self-citationAre there meaningful biomarkers of treatment response for depression?
Breitenstein, B., Scheuer, S., & Holsboer, F. (2014) · Drug Discovery Today · doi:10.1016/j.drudis.2014.02.002 · Cited by 69 · see citing works
Altered functioning of the HPA axis in depressed postpartum women
de Rezende, M. G., Garcia-Leal, C., de Figueiredo, F. P., Cavalli, R. D. C., Schaufelberger, M. S., Barbieri, M. A., Bettiol, H., de Castro, M., & Del‐Ben, C. M. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.12.065 · Cited by 65 · see citing works
Liu, X., Zhou, Y., Li, Z., Cui, J., Li, Z., Gao, X., Sun, H., Zhang, L., Du, G., & Qin, X. (2011) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.2011.01412.x · Cited by 62 · see citing works
Pariante, C. M. (2008) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2007.11.067 · Cited by 58 · see citing works
Self-citationKatz, E. R., Stowe, Z. N., Newport, D. J., Kelley, M. E., Pace, T. W. W., Cubells, J. F., & Binder, E. B. (2011) · Psychological Medicine · doi:10.1017/s0033291711002121 · Cited by 58 · see citing works
Icariin attenuates social defeat-induced down-regulation of glucocorticoid receptor in mice
Wu, J., Du, J., Xu, C., Le, J., Xu, Y., Liu, B., & Dong, J. (2011) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2011.01.008 · Cited by 57 · see citing works
de Carvalho, L. A., Garner, B., Dew, T. K., Fazakerley, H., & Pariante, C. M. (2010) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2010.02.006 · Cited by 56 · see citing works
Self-citationHeijnen, C. J. (2006) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2006.08.008 · Cited by 55 · see citing works
Mailliet, F., Qi, H., Rocher, C., Spedding, M., Svenningsson, P., & Jay, T. M. (2008) · Experimental Neurology · doi:10.1016/j.expneurol.2008.02.030 · Cited by 55 · see citing works
Spiga, F., Harrison, L. R., Wood, S. A., Atkinson, H. C., MacSweeney, C. P., Thomson, F., Craighead, M., Grassie, M., & Lightman, S. L. (2007) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2007.01605.x · Cited by 53 · see citing works
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Neuroimmune endocrine effects of antidepressants
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Abnormalities of the HPA axis in affective disorders: clinical subtypes and potential treatments
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Mechanistic insights into corticosteroids in multiple sclerosis: War horse or chameleon?☆
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Changes in the Hypothalamic-Pituitary-Adrenal Axis and Leptin Levels during Antidepressant Treatment
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Increased expression of splicing factor SRp20 mRNA in bipolar disorder patients
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IFN-γ Reduction by Tricyclic Antidepressants
Himmerich, H., Fulda, S., Sheldrick, A. J., Plümäkers, B., & Rink, L. (2010) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.40.4.e · Cited by 29 · see citing works
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Ex vivo stimulation of whole blood as a means to determine glucocorticoid sensitivity
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Phenytoin: an anti-bipolar anticonvulsant?
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Antiglucocorticoids, Neurogenesis and Depression
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Clinical Pharmacology and Therapeutics of Antidepressants
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Saliva Estriol Levels in Women with and Without Prenatal Antidepressant Treatment
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Malviya, S. A., Kelly, S. D., Greenlee, M. M., Eaton, D. C., Duke, B. J., Bourke, C. H., & Neigh, G. N. (2013) · Physiology & Behavior · doi:10.1016/j.physbeh.2013.03.018 · Cited by 17 · see citing works
- Authors
- Pariante, C. M.
- Affiliations
- King's College London (GB)
- Corresponding author
- Pariante, Carmine M.
- ORCID
- Pariante, Carmine M.
- Venue
- Stress
- Publisher
- Informa UK Limited
- Published
- 2004-12
- Volume
- 7
- Issue
- 4
- Pages
- 209-219
- ISSN
- 1025-3890 (ISSN-L)
- 1607-8888
- OpenAlex
- W2056750568
- Cited by
- 147
- References
- 100
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 7 · 2014: 7 · 2013: 8 · 2012: 9
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Stress (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- Rosetrees Trust
- Department of Science and Technology, Ministry of Science and Technology, India
- Medical Research Council
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Keywords
- glucocorticoid receptor, major depressive disorder, glucocorticoid resistance, hypothalamic-pituitary-adrenal axis, negative feedback, antidepressant treatment, peripheral tissues, immune function, metabolic function, molecular mechanisms
- MeSH terms
- Animals, Antidepressive Agents, Major Depressive Disorder, Humans, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Receptors, Glucocorticoid
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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