2002
DOI: 10.1038/nm0502-473
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Acute cardiovascular protective effects of corticosteroids are mediated by non-transcriptional activation of endothelial nitric oxide synthase

Abstract: Corticosteroids have been shown to exert beneficial effects in the treatment of acute myocardial infarction, but the precise mechanisms underlying their protective effects are unknown. Here we show that high-dose corticosteroids exert cardiovascular protection through a novel mechanism involving the rapid, non-transcriptional activation of endothelial nitric oxide synthase (eNOS). Binding of corticosteroids to the glucocorticoid receptor (GR) stimulated phosphatidylinositol 3-kinase and protein kinase Akt, lea… Show more

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Cited by 506 publications
(351 citation statements)
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“…In a genomics screen of acute lymphoblastic leukemia (ALL) cells, genes associated with the PI3-kinase/AKT pathway were highly enriched in a gene signature of GC-resistance [42]. A physical interaction between the GR and the p85 regulatory sub-unit of PI3-kinase has been reported in a number of different cell systems and this interaction was shown to counteract the tumorigenicity of activated AKT in a mouse skin cancer transgenic model [43][44][45]. Interaction of nuclear hormone receptors with members of the FOXO protein family downstream of PI3-kinase/ AKT has also been reported.…”
Section: Discussionmentioning
confidence: 99%
“…In a genomics screen of acute lymphoblastic leukemia (ALL) cells, genes associated with the PI3-kinase/AKT pathway were highly enriched in a gene signature of GC-resistance [42]. A physical interaction between the GR and the p85 regulatory sub-unit of PI3-kinase has been reported in a number of different cell systems and this interaction was shown to counteract the tumorigenicity of activated AKT in a mouse skin cancer transgenic model [43][44][45]. Interaction of nuclear hormone receptors with members of the FOXO protein family downstream of PI3-kinase/ AKT has also been reported.…”
Section: Discussionmentioning
confidence: 99%
“…Glucocorticoids have been shown to activate PI3K in endothelial cells (Hafezi-Moghadam et al, 2002). The activity of PI3K was measured to address whether CT treatment resulted in activation of PI3K/AKT signaling pathway in cardiomyocytes.…”
Section: Lack Of Pi3k/akt Signaling Pathway Activation By Ct Treatmentmentioning
confidence: 99%
“…Recent findings suggest that there is yet another level of GR action with particular importance for the vascular system. A rapid, nontranscriptional effect of GR was found to mediate tissue protection in myocardial infarction and stroke through activation of endothelial nitric oxide synthase (eNOS), which is mediated by the phosphatidylinositol 3-kinase (PI3K)/Akt pathway [9,10].…”
Section: Introductionmentioning
confidence: 99%