Abstract:Glucocorticoids control the expression of a small number of transcriptionally active genes by increasing or decreasing mRNA concentration. Either effect can result from a transcriptional or a post-transcriptional mechanism. Induction of mouse mammary tumour virus RNA results from a stimulation of transcription initiation and depends on the presence of defined regions in proviral DNA. These regions bind the glucocorticoid receptor and behave functionally as proto-enhancers. Glucocorticoid-inducible genes can re… Show more
“…and effect, as has been done previously, 4 the quality of fitting was significantly poorer for blood histamine when fitted to the E max and the threshold models (Table V). For the sigmoid E max model, inconsistancy in parameter estimates such as the IC 50 between doses (Table V), the Hill coefficient value greater than one, which contradicts current steroid-receptor binding data, 1,[15][16][17] and the lack of physiologic meaning for "k co " and the "effect compartment" for this rapid glucocorticoid response, severely limits its usefulness. In addition, for the cortisol data, no effect model has attempted to date to incorporate its physiologic circadian rhythm under baseline and poststeroid elimination conditions.…”
Section: Pharmacodynamicsmentioning
confidence: 99%
“…1,2,[15][16][17] Free steroid that diffuses from plasma and from within the cell binds reversibly to phospho-protein cytosolic receptor (typically termed glucocorticoid receptor), forming a steroid-receptor complex. Through a process termed activation, presumably dissociation and dephosphorylation of the receptor, this complex is rapidly transformed to an activated steroid-receptor form.…”
Pharmacodynamic models for "directly suppressive" effects of methylprednisolone are based on the premise that receptor interactions of steroids are followed by immediate suppression of either the circadian secretion of cortisol or the constant rate recirculation of histamine-containing basophils that persists until inhibitory concentrations of methylprednisolone disappear. Methylprednisolone doses of 0, 10, 20, and 40 mg were given as the 21-succinate sodium salt in a balanced crossover study to six normal men. Plasma steroid concentrations and blood histamine were measured simultaneously. Both forms of methylnisolone exhibited linear kinetic parameters. One dynamic model quantitates the baseline circadian pattern and the decline and return of cortisol with similar parameter estimates for all three dose levels. A similar model describes the monoexponential decline and the log-linear return to steady-state baseline of blood histamine. Similar inhibitory concentration values for both effects approximated the equilibrium dissociation constant of in vitro steroid receptor binding. The new models are more physiologically appropriate for these steroid effects than three other models that are commonly employed in pharmacodynamics. Steroid effects generally appear to be receptor mediated with either nongene immediate responses or gene-mediated delayed effects. These models allow quantitation of the rapid effects of steroids with simple equations and common fitted parameters for all steroid dose levels.The diverse immunosuppressive and the antiinflammatory effects of glucocorticoids in human beings complicate the development of realistic and comprehensive kinetic and dynamic models for this class of agents. This is partly because of the complex mode of action of corticosteroids, which involves receptor binding and the formation of second messengers and proteins (which is mediated by deoxyribonucleic acid [DNA]). Such responses are typically characterized by a slow and delayed induction period. This receptorReprint requests: William J. Jusko, PhD, 565 Hochstetter Hall, School of Pharmacy, State University of New York at Buffalo, Buffalo, NY 14260. Presented in part at the Third Annual Meeting of American Association of Pharmaceutical Scientists (AAPS), Orlando, Florida, Oct. 30 to Nov. 3, 1988. NIH Public Access
Author ManuscriptClin Pharmacol Ther. Author manuscript; available in PMC 2014 October 23.
Published in final edited form as:Clin Pharmacol Ther. 1989 December ; 46(6): 616-628.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript gene mode of action has been successfully modeled for prednisolone effects in rats. 1,2 In human beings, pharmacodynamic modeling of glucocorticoid responses has focused on Sheiner's model 3 of linkage of a hypothetical "effect compartment" to the plasma concentration. This approach has been used to characterize the fall and return of OKT3-and OKT4-positive lymphocytes in peripheral blood after single oral doses of prednisolone. 4 A threshold concentratio...
“…and effect, as has been done previously, 4 the quality of fitting was significantly poorer for blood histamine when fitted to the E max and the threshold models (Table V). For the sigmoid E max model, inconsistancy in parameter estimates such as the IC 50 between doses (Table V), the Hill coefficient value greater than one, which contradicts current steroid-receptor binding data, 1,[15][16][17] and the lack of physiologic meaning for "k co " and the "effect compartment" for this rapid glucocorticoid response, severely limits its usefulness. In addition, for the cortisol data, no effect model has attempted to date to incorporate its physiologic circadian rhythm under baseline and poststeroid elimination conditions.…”
Section: Pharmacodynamicsmentioning
confidence: 99%
“…1,2,[15][16][17] Free steroid that diffuses from plasma and from within the cell binds reversibly to phospho-protein cytosolic receptor (typically termed glucocorticoid receptor), forming a steroid-receptor complex. Through a process termed activation, presumably dissociation and dephosphorylation of the receptor, this complex is rapidly transformed to an activated steroid-receptor form.…”
Pharmacodynamic models for "directly suppressive" effects of methylprednisolone are based on the premise that receptor interactions of steroids are followed by immediate suppression of either the circadian secretion of cortisol or the constant rate recirculation of histamine-containing basophils that persists until inhibitory concentrations of methylprednisolone disappear. Methylprednisolone doses of 0, 10, 20, and 40 mg were given as the 21-succinate sodium salt in a balanced crossover study to six normal men. Plasma steroid concentrations and blood histamine were measured simultaneously. Both forms of methylnisolone exhibited linear kinetic parameters. One dynamic model quantitates the baseline circadian pattern and the decline and return of cortisol with similar parameter estimates for all three dose levels. A similar model describes the monoexponential decline and the log-linear return to steady-state baseline of blood histamine. Similar inhibitory concentration values for both effects approximated the equilibrium dissociation constant of in vitro steroid receptor binding. The new models are more physiologically appropriate for these steroid effects than three other models that are commonly employed in pharmacodynamics. Steroid effects generally appear to be receptor mediated with either nongene immediate responses or gene-mediated delayed effects. These models allow quantitation of the rapid effects of steroids with simple equations and common fitted parameters for all steroid dose levels.The diverse immunosuppressive and the antiinflammatory effects of glucocorticoids in human beings complicate the development of realistic and comprehensive kinetic and dynamic models for this class of agents. This is partly because of the complex mode of action of corticosteroids, which involves receptor binding and the formation of second messengers and proteins (which is mediated by deoxyribonucleic acid [DNA]). Such responses are typically characterized by a slow and delayed induction period. This receptorReprint requests: William J. Jusko, PhD, 565 Hochstetter Hall, School of Pharmacy, State University of New York at Buffalo, Buffalo, NY 14260. Presented in part at the Third Annual Meeting of American Association of Pharmaceutical Scientists (AAPS), Orlando, Florida, Oct. 30 to Nov. 3, 1988. NIH Public Access
Author ManuscriptClin Pharmacol Ther. Author manuscript; available in PMC 2014 October 23.
Published in final edited form as:Clin Pharmacol Ther. 1989 December ; 46(6): 616-628.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript gene mode of action has been successfully modeled for prednisolone effects in rats. 1,2 In human beings, pharmacodynamic modeling of glucocorticoid responses has focused on Sheiner's model 3 of linkage of a hypothetical "effect compartment" to the plasma concentration. This approach has been used to characterize the fall and return of OKT3-and OKT4-positive lymphocytes in peripheral blood after single oral doses of prednisolone. 4 A threshold concentratio...
“…Glucocorticoids exert their multiple metabolic functions by binding to cytoplasmic receptors and subsequent induction of catalytic or regulatory proteins (Rousseau, 1984). Their anti-inflammatory properties have been attributed in part to the liberation and enhanced synthesis of proteins, collectively called lipocortins, which inhibit phospholipase A2, leading to a decreased eicosanoid synthesis (Flower, 1984).…”
1 Prostanoid synthesis was induced in bone marrow-derived macrophages by addition of exogenous arachidonic acid to the cell cultures. When the cells were preincubated with dexamethasone (10'-and 10 6m) overnight, prostaglandin synthesis was inhibited by 66.5 + 2.8% and 56.7 + 2.9% (mean + s.d.; n = 3) respectively. 2 Endogenous membrane bound phospholipase A2 was measured with labelled phospholipids used as substrates. The enzyme activity with phosphatidylcholine and phosphatidylethanolamine as substrates was inhibited by 27.0 + 8.3% and 23.3 + 11.1% (n = 4) respectively, in dexamethasonetreated macrophages compared to control cells. Neither the distribution of radiolabelled arachidonic acid among the different phospholipid species nor the release of arachidonic acid from prelabelled cells were significantly impaired by pretreatment of the macrophages with dexamethasone (1 gM).3 The enzyme activity of the cyclo-oxygenase/prostaglandin E (PGE) isomerase was measured in cell membranes from control cells and dexamethasone-treated cells. It was inhibited by 40.0 + 8.4% (n = 4) in dexamethasone-treated cells as compared to control cells. Thus, glucocorticoids inhibit not only phospholipase A2 in these cells, but predominantly inhibit arachidonic acid metabolism subsequent to its release from phospholipids.
“…To modulate gene expression, glucocorticoids first bind to cytoplasmic receptors [2,3]. In the absence of glucocorticoids, the glucocorticoid receptor (GR) is bound with heat shock proteins in the form of a heterooligomer.…”
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