Glucocorticoid therapy of antigen-induced arthritis depends on the dimerized glucocorticoid receptor in T cells

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Ulrike Baschant - , Medizinische Klinik und Poliklinik 3, Leibniz-Institut für Alternsforschung – Fritz-Lipmann-Institut (Autor:in)
  • Lucien Frappart - , Hospices civils de Lyon (Autor:in)
  • Una Rauchhaus - , Novosom AG (Autor:in)
  • Lisa Bruns - , Friedrich-Schiller-Universität Jena (Autor:in)
  • Holger M. Reichardt - , Georg-August-Universität Göttingen (Autor:in)
  • Thomas Kamradt - , Friedrich-Schiller-Universität Jena (Autor:in)
  • Rolf Braüer - , Friedrich-Schiller-Universität Jena (Autor:in)
  • Jan P. Tuckermann - , Leibniz-Institut für Alternsforschung – Fritz-Lipmann-Institut (Autor:in)

Abstract

Despite several side effects, glucocorticoids (GCs) have been widely used for 60 y to treat rheumatoid arthritis on the basis of their antiinflammatory effects. However, the cells targeted by GCs and the transcriptional mechanisms underlying their actions through the glucocorticoid receptor (GR) in steroid therapy remain poorly defined. Using cell type-specific GR-deficient mice subjected to antigen-induced arthritis (AIA) as a model of human rheumatoid arthritis, we show that GC action on T cells but not myeloid cells is critical for therapeutic intervention in AIA. Furthermore, the resistance of mice expressing a DNA binding-defective GR (GR dim) to GC treatment reveals that dimerization of the GR is indispensable for the antiinflammatory effects. In these mice, the GC-induced suppression of T H1 and T H17 cell-derived proinflammatory cytokines is impaired. Our finding that IL-17A -/- mice are resistant to GC therapy, whereas IFN-γ -/- mice respond as efficiently as WT mice implies that IL-17-producing T cells and not IFN-γ-producing T cells are the most important targets for an efficient GC therapy. The present study's identification of the critical cell type and the mode of GR action in steroid therapy of AIA significantly advances our understanding of steroid therapy and should lead to therapies with greater efficiency and fewer side effects.

Details

OriginalspracheEnglisch
Seiten (von - bis)19317-19322
Seitenumfang6
FachzeitschriftProceedings of the National Academy of Sciences of the United States of America
Jahrgang108
Ausgabenummer48
PublikationsstatusVeröffentlicht - 29 Nov. 2011
Peer-Review-StatusJa

Externe IDs

PubMed 22084093

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Activated T cells, Chronic inflammation, Conditional knockout mice, Corticosteroid therapy