• At the cellular level, the actions of glucocorticoids are mediated by a 94-kd protein, the glucocorticoid receptor (GR). The human (h) GR belongs to the steroid/thyroid/retinoic acid superfamily of nuclear receptors and functions as a ligand-dependent transcription factor that regulates the expression of glucocorticoid-responsive genes positively or negatively. (medscape.com)
  • Abstract The glucocorticoid stress response, regulated by the hypothalamic-pituitary-adrenal (HPA) axis, enables individuals to cope with stressors through transcriptional effects in cells expressing the appropriate receptors. (baughlab.org)
  • The two receptors that bind glucocorticoids-the mineralocorticoid receptor (MR) and glucocorticoid receptor (GR)-are present in a variety of vertebrate tissues, but their expression in the brain is especially important. (baughlab.org)
  • Prenatal alcohol exposure is associated with altered subcellular distribution of glucocorticoid and mineralocorticoid receptors in the adolescent mouse hippocampal formation. (unm.edu)
  • Still not completely understood is how specificity for glucocorticoids (e.g. cortisol) and mineralocorticoids (e.g. aldosterone) evolved in these receptors. (scivee.tv)
  • Acute stress increases glutamate release, membrane trafficking of AMPA and NMDA receptors, and potentially glutamate clearance in the prefrontal cortex through various mechanisms that involve glucocorticoid regulation. (nature.com)
  • Recent studies have shed light on the mechanisms by which stress and glucocorticoids affect glutamate transmission, including effects on glutamate release, glutamate receptors and glutamate clearance and metabolism. (nature.com)
  • The AR is part of a large family of steroid receptors that also includes the glucocorticoid, progesterone, and mineralocorticoid receptors. (nih.gov)
  • Although glucocorticoid receptors (GRs) in the hippocampus play a vital role in the regulation of physiological and behavioural responses to stress, the regulation of receptor expression remains unclear. (karger.com)
  • Consistent with its postulated role in mineralocorticoid biosynthesis, the product of the AS gene efficiently synthesized aldosterone. (elsevierpure.com)
  • A) Schematic representation of the structure of the human glucocorticoid receptor (hGR) gene. (medscape.com)
  • Nuclear factor-kappaB- and glucocorticoid receptor alpha- mediated mechanisms in the regulation of systemic and pulmonary inflammation during sepsis and acute respiratory distress syndrome. (medscape.com)
  • Neural receptor patterns have the potential to integrate multiple behavioral and physiological traits simultaneously, including self-regulation of glucocorticoid secretion through negative feedback processes. (baughlab.org)
  • Understanding intra- and interspecific patterns of glucocorticoid receptor expression can inform us about the behavioral processes (e.g. song learning) that may be sensitive to stress and stimulate future hypotheses concerning the relationships between receptor expression, circulating hormone concentrations and performance traits under selection, including behavior. (baughlab.org)
  • The glucocorticoid receptor (GR) and mineralocorticoid receptor (MR) are key regulators of hippocampal formation development, structure, and functioning and, thus, are potential mediators of PAE's effects on this brain region. (unm.edu)
  • Background The glucocorticoid receptor (GR) and mineralocorticoid receptor (MR) evolved from a common ancestor. (scivee.tv)
  • Glucocorticoid receptor activity was also enhanced when RanBPM was overexpressed, whereas estrogen receptor activity remained unchanged. (nih.gov)
  • It is a selective antagonist of the progesterone receptor at low doses and blocks the glucocorticoid receptor (GR-II) at higher doses. (centerwatch.com)
  • Mifepristone has high affinity for the GR-II receptor but little affinity for the GR-I (MR, mineralocorticoid) receptor. (centerwatch.com)
  • This study was designed to evaluate the role of pre-receptor glucocorticoid metabolism in the development of insulin resistance and obesity. (endocrine-abstracts.org)
  • The levels should be measured when cortisol, according to its physiologic circadian rhythm, is supposed to be suppressed, meaning at midnight or when a patient is given exogenous glucocorticoids. (medscape.com)
  • Adequate glucocorticoid replacement should prevent excessive concentrations of ACTH from stimulating the adrenal glands to produce abnormal concentrations of adrenal androgens that result in further virilization. (medscape.com)
  • Itraconazole can inhibit CYP3A, thus interfering with synthesis of gluco- and mineralocorticoids, androgens and oestradiol as well as the metabolism of budesonide. (ersjournals.com)
  • The zonas fasciculata and reticularis synthesize glucocorticoids and androgens. (aacc.org)
  • Mineralocorticoid and gonadal steroid function were evaluated by measurements of plasma-renin, follicle stimulating hormone, luteinising hormone, progesterone, oestradiol, testosterone, serum-inhibin A and B. ACTH tests performed as part of a pretransplantation programme in an additional 30 CF patients were used as controls. (ersjournals.com)
  • Glucocorticoid treatment should be started as soon as possible and adjusted on the basis of length, weight and steroid levels. (health.am)
  • Dysregulation of the enzymes that control local tissue steroid metabolism has been implicated in the pathogenesis of obesity and insulin resistant states, however longitudinal changes in glucocorticoid metabolism over time have not been investigated. (endocrine-abstracts.org)
  • causes mineralocorticoid excess Cytochrome P450 oxidoreductase deficiency: prevents production of numerous but not all sex steroids, as well as other metabolic reactions Isolated 17,20-lyase deficiency: prevents androgen and estrogen synthesis. (wikipedia.org)
  • However, because of their increased potency, growth suppression and other signs of glucocorticoid excess are common. (medscape.com)
  • Dekkers AJ, Amaya JM, van der Meulen M, Biermasz NR, Meijer OC, Pereira AM. Long-term effects of glucocorticoid excess on the brain. (medscape.com)
  • 4] Glucocorticoids are involved in almost every cellular, molecular, and physiologic network of the organism and play a pivotal role in critical biologic processes, such as growth, reproduction, intermediary metabolism, immune and inflammatory reactions, and central nervous system and cardiovascular functions. (medscape.com)
  • Mounting evidence suggests that stress, along with the associated hormonal and neurochemical mediators (particularly glucocorticoids), induces changes in glutamate release, transmission and metabolism in cortical and limbic brain areas, thereby influencing cognitive and emotional processing and behaviour. (nature.com)
  • Endogenous glucocorticoid (GC) production and metabolism have been implicated based upon parallels with Cushing s syndrome. (endocrine-abstracts.org)
  • The role of endogenous glucocorticoid (GC) production and metabolism in the pathogenesis of obesity, insulin resistance and type 2 diabetes remains unclear. (endocrine-abstracts.org)
  • The dose of glucocorticoid is adjusted by clinically evaluating the patient (for an absence of symptoms of glucocorticoid deficiency and normal growth) and by periodically measuring the concentrations of precursor hormones. (medscape.com)
  • OBJECTIVES: Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive disorder characterised by isolated glucocorticoid deficiency. (bvsalud.org)
  • We report isolated glucocorticoid deficiency diagnosed in an infant at 10 months of age. (bvsalud.org)
  • In humans, glucocorticoids regulate a broad spectrum of physiologic functions essential for life, and they play an important role in the maintenance of basal and stress-related homeostasis. (medscape.com)
  • Mineralocorticoids are steroids that regulate salt homeostasis and extracellular fluid volume. (aacc.org)
  • Suppression of the adrenal glucocorticoid synthesis was observed in 11 of 25 cystic fibrosis patients treated with both itraconazole and budesonide. (ersjournals.com)
  • Aldosterone, the most potent mineralocorticoid, is made exclusively in the zona glomerulosa. (aacc.org)
  • AMP-activated protein kinase mediates glucocorticoid-induced metabolic changes: a novel mechanism in Cushing's syndrome. (medscape.com)
  • Mounting evidence suggests that acute and chronic stress, especially the stress-induced release of glucocorticoids, induces changes in glutamate neurotransmission in the prefrontal cortex and the hippocampus, thereby influencing some aspects of cognitive processing. (nature.com)
  • Adrenalectomized monkeys were maintained for 4 mo on physiologic glucocorticoid and mineralocorticoid replacement. (jci.org)
  • These findings suggest that the permissive actions of physiologic glucocorticoid replacement are both necessary and sufficient for primates to tolerate surgical stress. (jci.org)
  • The mainstay of treatment for ABPA in CF, as in patients with bronchial asthma, has been systemic glucocorticoids, but this is associated with serious side-effects particularly in growing children 5 - 7 . (ersjournals.com)
  • We have found that manipulations of glucocorticoid levels during the stress hyporesponsive period profoundly influence the density of pyknotic cells in the dentate gyrus while apparently not affecting the density of healthy cells. (princeton.edu)
  • In order to determine whether increases in circulating glucocorticoids or mineralocorticoids affect the birth of cells in the developing dentate gyrus, 3 H‐thymidine autoradiography was performed on brains of rat pups treated with either corticosterone or aldosterone during the first postnatal week. (princeton.edu)
  • Once the definitions of subjective clinical variables had been standardized, the investigators found that the index adequately correlated with clinical manifestations associated with chronic glucocorticoid use. (medscape.com)
  • Other adrenocortical steroids also have mineralocorticoid activity, but with lesser degree of potency. (aacc.org)
  • Betamethasone, an analog of prednisolone, has a high degree of glucocorticoid activity and a slight degree of mineralocorticoid activity. (nih.gov)
  • Glucocorticoids - They are the most commonly used class of steroids in veterinary medicine. (petcarerx.com)
  • Anxiolytic like effects of selective mineralocorticoid and glucocorticoid antagonists on fearenhanced behavior in the elevated plus-maze. (bvsalud.org)
  • This selective expression of the mouse 11β-OHase isozymes in different adrenocortical zones very likely contributes significantly to its functional separation into glucocorticoid- and mineralocorticoid-producing compartments. (elsevierpure.com)
  • Since these supraphysiologic doses might not be necessary and might have adverse effects, we examined the effects of different doses of glucocorticoids on hemodynamic adaptation during surgical stress in adrenalectomized primates. (jci.org)
  • FSS did not affect GR binding to a putative negative glucocorticoid response element within the Nr3c1 gene. (karger.com)
  • Mineralocorticoid and gonadal insufficiency was not observed in any of the patients. (ersjournals.com)
  • A study by Álvarez-Hernández et al indicated that the clinical severity index of Cushing syndrome, developed by Sonino et al, while useful in endogenous Cushing syndrome, can also effectively be employed in patients with the iatrogenic form of the condition (specifically, in this report, those who had undergone at least 4 weeks of glucocorticoid treatment for rheumatologic disease). (medscape.com)
  • Are patients over- or under-treated with mineralocorticoids? (endocrinology.org)
  • Are patients over- or undertreated with glucocorticoids? (endocrinology.org)
  • Supraphysiological glucocorticoid treatment has no apparent advantage during this form of stress in the primate. (jci.org)
  • 1, 4] Furthermore, glucocorticoids represent one of the most widely used therapeutic compounds, often used in the treatment of inflammatory, autoimmune, and lymphoproliferative disorders. (medscape.com)
  • After appropriate diagnostic studies are performed or after the results are known, glucocorticoid therapy, mineralocorticoid therapy, or both may be started. (medscape.com)
  • The DNA-binding domain (DBD) of the hGRα corresponds to amino acids 420-480 and contains 2 zinc finger motifs through which the hGRα binds to specific DNA sequences, the glucocorticoid-response elements (GREs) in the promoter region(s) of target genes. (medscape.com)
  • Glucocorticoid (GC) production rates are elevated in obese, insulin resistant individuals. (endocrine-abstracts.org)
  • 1, 2, 3] Approximately 20% of the genes expressed in human leukocytes are regulated positively or negatively by glucocorticoids. (medscape.com)
  • Mineralocorticoid should be added if salt losing is documented. (health.am)