Glucocorticoids for Human Skin: New Aspects of the Mechanism of Action
Abstract
Topical glucocorticoids have always been considered first-line drugs for inflammatory diseases of the skin and bronchial system. Applied systemically, glucocorticoids are used for severe inflammatory and immunological diseases and the inhibition of transplant rejection. Owing to the progress in molecular pharmacology, the knowledge of the mechanism of action has increased during the last years. Besides distinct genomic targets, which are due to the activation of specific cytoplasmatic receptors resulting in the (trans-) activation or (trans-) repression of target genes, there are non-genomic effects on the basis of the interference with membrane-associated receptors as well as with membrane lipids. In fact, various glucocorticoids appear to differ with respect to the relative influence on these targets. Thus, the extended knowledge of glucocorticoid-induced cellular signalling should allow the design and development of even more specifically acting drugs - as it has been obtained with other steroids, e.g. estrogens for osteoporosis prevention.
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Glucocorticoids bind and activate GRs, which migrate to the nucleus, form homodimers, and bind glucocorticoid response elements in target genes.
“Glucocorticoids bind to and activate glucocorticoid receptors (GRs), which migrate to the cell nucleus, form homodimers and bind to specific DNA-binding elements, i.e., glucocorticoid response elements, in the promoter or enhancer regions of target genes [137].”
From Transition from inflammation to proliferation: a critical step during wound healing (2016) · cites this paper as [137]
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- Authors
- Schäfer-Korting, M., Kleuser, B., Ahmed, M., Höltje, H.-D., & Korting, H. C.
- Affiliations
- Freie Universität Berlin (DE)
- Heinrich Heine University Düsseldorf (DE)
- ORCID
- Kleuser, B.
- Venue
- Skin Pharmacology and Physiology
- Publisher
- S. Karger AG
- Published
- 2005
- Volume
- 18
- Issue
- 3
- Pages
- 103-114
- ISSN
- 1422-2868 (ISSN-L)
- 1660-5527
- 1660-5535
- OpenAlex
- W2097295349
- Cited by
- 56
- References
- 82
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 4 · 2012: 4
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Skin Pharmacology and Physiology (publishedVersion)
- PubMed (publishedVersion)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- topical corticosteroids, mechanism of action, genomic effects, non-genomic effects, glucocorticoid receptor, cell surface receptors, membrane lipids, skin inflammation, glucocorticoid signaling, steroid pharmacology
- MeSH terms
- Administration, Topical, Animals, Eczema, Glucocorticoids, Humans, Receptors, Glucocorticoid, Skin, Skin Diseases, Cytokines
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