The importance of glucocorticoid receptors in systemic lupus erythaematosus. A systematic review

Copyright © 2015 Elsevier B.V. All rights reserved..

The therapeutic management of systemic lupus erythaematosus (SLE) is still a great debate. Despite the latest innovation agents or developing trials, there is not an integrated and common approach for treating SLE. For decades, natural and synthetic glucocorticoids (GCs) have been the first and most frequently used immune suppressive agents in SLE. Therefore, GCs are the most important therapy in SLE in daily routine, however the response to GCs differs widely and long-term therapy is associated with side-effects. Still now, clinicians and physicians are unable to predict the exact and ideal dose and term of therapy for patients suffering from various symptoms and degree of disease activity of SLE. The biological mechanism of GCs is regulated through activation of glucocorticoid receptors (GRs). There are two major isoforms of GRs: GRα and GRβ; however, the GRα is the predominant one which binds steroids and activates target genes. In the present review, we summarise the anti-inflammatory and immune suppressive effects of GCs via GRs to regulate the target genes.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Autoimmunity reviews - 14(2015), 4 vom: 20. Apr., Seite 349-51

Sprache:

Englisch

Beteiligte Personen:

Bazsó, Anna [VerfasserIn]
Szappanos, Ágnes [VerfasserIn]
Patócs, Attila [VerfasserIn]
Poór, Gyula [VerfasserIn]
Shoenfeld, Yehuda [VerfasserIn]
Kiss, Emese [VerfasserIn]

Links:

Volltext

Themen:

Anti-Inflammatory Agents
Genetic polymorphisms
Glucocorticoid receptors
Glucocorticoids
Journal Article
Receptors, Glucocorticoid
Review
SLE
Systematic Review

Anmerkungen:

Date Completed 27.04.2015

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.autrev.2014.12.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM24475280X