Therapeutic mechanisms of glucocorticoids

J Vandewalle, A Luypaert, K De Bosscher… - Trends in Endocrinology & …, 2018 - cell.com
J Vandewalle, A Luypaert, K De Bosscher, C Libert
Trends in Endocrinology & Metabolism, 2018cell.com
Glucocorticoids (GCs) have been used clinically for decades as potent anti-inflammatory
and immunosuppressive agents. Nevertheless, their use is severely hampered by the risk of
developing side effects and the occurrence of glucocorticoid resistance (GCR). Therefore,
efforts to understand the complex mechanisms underlying GC function and GCR are
ongoing. The goal is to generate new glucocorticoid receptor (GR) ligands that can
dissociate anti-inflammatory from metabolic side effects and/or overcome GCR. In this …
Glucocorticoids (GCs) have been used clinically for decades as potent anti-inflammatory and immunosuppressive agents. Nevertheless, their use is severely hampered by the risk of developing side effects and the occurrence of glucocorticoid resistance (GCR). Therefore, efforts to understand the complex mechanisms underlying GC function and GCR are ongoing. The goal is to generate new glucocorticoid receptor (GR) ligands that can dissociate anti-inflammatory from metabolic side effects and/or overcome GCR. In this review paper we discuss recent insights into GR-mediated actions in GCR and novel therapeutic strategies for acute and chronic inflammatory diseases.
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