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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Ulrike Baschant - , Department of internal Medicine 3, Leibniz Institute on Aging - Fritz Lipmann Institute (Author)
  • Lucien Frappart - , Hospices civils de Lyon (Author)
  • Una Rauchhaus - , Novosom AG (Author)
  • Lisa Bruns - , Friedrich Schiller University Jena (Author)
  • Holger M. Reichardt - , University of Göttingen (Author)
  • Thomas Kamradt - , Friedrich Schiller University Jena (Author)
  • Rolf Braüer - , Friedrich Schiller University Jena (Author)
  • Jan P. Tuckermann - , Leibniz Institute on Aging - Fritz Lipmann Institute (Author)

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

Original languageEnglish
Pages (from-to)19317-19322
Number of pages6
JournalProceedings of the National Academy of Sciences of the United States of America
Volume108
Issue number48
Publication statusPublished - 29 Nov 2011
Peer-reviewedYes

External IDs

PubMed 22084093

Keywords

ASJC Scopus subject areas

Keywords

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