Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma

Glucocorticoids are potent inhibitors of inflammatory processes and are widely used in the treatment of asthma. The anti-inflammatory effects are mediated either by direct binding of the glucocorticoid/glucocorticoid receptor complex to glucocorticoid responsive elements in the promoter region of ge...

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Main Author: V. H. J. van der Velden
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Mediators of Inflammation
Subjects:
Online Access:http://dx.doi.org/10.1080/09629359890910
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author V. H. J. van der Velden
author_facet V. H. J. van der Velden
author_sort V. H. J. van der Velden
collection DOAJ
description Glucocorticoids are potent inhibitors of inflammatory processes and are widely used in the treatment of asthma. The anti-inflammatory effects are mediated either by direct binding of the glucocorticoid/glucocorticoid receptor complex to glucocorticoid responsive elements in the promoter region of genes, or by an interaction of this complex with other transcription factors, in particular activating protein-1 or nuclear factor-κB. Glucocorticoids inhibit many inflammation-associated molecules such as cytokines, chemokines, arachidonic acid metabolites, and adhesion molecules. In contrast, anti-inflammatory mediators often are up-regulated by glucocorticoids. In vivo studies have shown that treatment of asthmatic patients with inhaled glucocorticoids inhibits the bronchial inflammation and simultaneously improves their lung function. In this review, our current knowledge of the mechanism of action of glucocorticoids and their anti-inflammatory potential in asthma is described. Since bronchial epithelial cells may be important targets for glucocorticoid therapy in asthma, the effects of glucocorticoids on epithelial expressed inflammatory genes will be emphasized.
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spelling doaj-art-ae6ec201ba5d49e781140ebf2f2d90722025-02-03T01:21:07ZengWileyMediators of Inflammation0962-93511466-18611998-01-017422923710.1080/09629359890910Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthmaV. H. J. van der Velden0Department of Immunology, Erasmus University, PO Box 1738, Rotterdam 3000 DR, The NetherlandsGlucocorticoids are potent inhibitors of inflammatory processes and are widely used in the treatment of asthma. The anti-inflammatory effects are mediated either by direct binding of the glucocorticoid/glucocorticoid receptor complex to glucocorticoid responsive elements in the promoter region of genes, or by an interaction of this complex with other transcription factors, in particular activating protein-1 or nuclear factor-κB. Glucocorticoids inhibit many inflammation-associated molecules such as cytokines, chemokines, arachidonic acid metabolites, and adhesion molecules. In contrast, anti-inflammatory mediators often are up-regulated by glucocorticoids. In vivo studies have shown that treatment of asthmatic patients with inhaled glucocorticoids inhibits the bronchial inflammation and simultaneously improves their lung function. In this review, our current knowledge of the mechanism of action of glucocorticoids and their anti-inflammatory potential in asthma is described. Since bronchial epithelial cells may be important targets for glucocorticoid therapy in asthma, the effects of glucocorticoids on epithelial expressed inflammatory genes will be emphasized.http://dx.doi.org/10.1080/09629359890910GlucocorticoidsAsthmaBronchial epithelial cellsInflammation.
spellingShingle V. H. J. van der Velden
Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma
Mediators of Inflammation
Glucocorticoids
Asthma
Bronchial epithelial cells
Inflammation.
title Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma
title_full Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma
title_fullStr Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma
title_full_unstemmed Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma
title_short Glucocorticoids: mechanisms of action and anti-inflammatory potential in asthma
title_sort glucocorticoids mechanisms of action and anti inflammatory potential in asthma
topic Glucocorticoids
Asthma
Bronchial epithelial cells
Inflammation.
url http://dx.doi.org/10.1080/09629359890910
work_keys_str_mv AT vhjvandervelden glucocorticoidsmechanismsofactionandantiinflammatorypotentialinasthma