Glucocorticoid signaling: a nongenomic mechanism for T-cell immunosuppression

Trends Mol Med. 2007 Apr;13(4):158-63. doi: 10.1016/j.molmed.2007.02.001. Epub 2007 Feb 9.

Abstract

Glucocorticoids were long believed to exert their effects through transcriptional regulation of glucocorticoid-receptor target genes. However, there is accumulating evidence for nongenomic glucocorticoid-receptor-dependent modulation of signal transduction pathways. Here, we review rapid glucocorticoid activities and focus on a novel mechanism that underlies nongenomic glucocorticoid-induced immunosuppression in T cells. The findings demonstrate a physical and functional interaction between the glucocorticoid receptor and the T-cell receptor (TCR) complex. In its unligated state, the glucocorticoid receptor has an important role in TCR signaling but, after glucocorticoid-receptor-ligand binding (caused by short-term treatment with the synthetic glucocorticoid dexamethasone), the TCR complex is disrupted, leading to impaired TCR signaling. These data reveal a dichotomal functional role for glucocorticoid receptors: one in the cytosol as part of the TCR complex and the other as a nuclear regulator of gene transcription. Drugs that selectively target membrane-bound glucocorticoid receptors might represent a novel immunosuppressive approach.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Glucocorticoids / metabolism
  • Glucocorticoids / pharmacology*
  • Humans
  • Immunosuppressive Agents / metabolism
  • Immunosuppressive Agents / pharmacology*
  • Models, Biological
  • Receptors, Antigen, T-Cell / metabolism
  • Receptors, Glucocorticoid / drug effects
  • Receptors, Glucocorticoid / metabolism
  • Receptors, Steroid / drug effects
  • Receptors, Steroid / metabolism
  • Signal Transduction / drug effects
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / metabolism

Substances

  • Glucocorticoids
  • Immunosuppressive Agents
  • Receptors, Antigen, T-Cell
  • Receptors, Glucocorticoid
  • Receptors, Steroid