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Published in: European Archives of Oto-Rhino-Laryngology 2/2011

Open Access 01-02-2011 | Laryngology

Molecular mechanisms of glucocorticoids action: implications for treatment of rhinosinusitis and nasal polyposis

Authors: Alicja Grzanka, Maciej Misiołek, Wojciech Golusiński, Jerzy Jarząb

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2011

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Abstract

Intra-nasal glucocorticoids are the most effective drugs available for rhinosinusitis and nasal polyposis treatment. Their effectiveness depends on many factors and not all of them have been well recognized so far. The authors present the basic information on molecular mechanisms of glucocorticoid action, direct and indirect effects of glucocorticoids on transcription of genes encoding inflammatory mediators. They focus on recently proved nongenomic mechanisms which appear quickly, from several seconds to minutes after glucocorticoid administration and discuss clinical implications resulting from this knowledge. Discovery of nongenomic glucocorticoid actions allows for better use of these drugs in clinical practice.
Literature
1.
go back to reference Schalek P, Otruba L, Hahn A (2010) Quality of life in patients with chronic rhinosinusitis: a validation of the Czech version of SNOT-22 questionnaire. Eur Arch Otorhinolaryngol 267:473–475CrossRefPubMed Schalek P, Otruba L, Hahn A (2010) Quality of life in patients with chronic rhinosinusitis: a validation of the Czech version of SNOT-22 questionnaire. Eur Arch Otorhinolaryngol 267:473–475CrossRefPubMed
2.
go back to reference Dudvarski Z, Pendjer I, Djukic V, Janosevic L, Mikic A (2008) The analysis of clinical characteristics of the chronic rhinosinusitis: complicated and uncomplicated form. Eur Arch Otorhinolaryngol 265:923–927CrossRefPubMed Dudvarski Z, Pendjer I, Djukic V, Janosevic L, Mikic A (2008) The analysis of clinical characteristics of the chronic rhinosinusitis: complicated and uncomplicated form. Eur Arch Otorhinolaryngol 265:923–927CrossRefPubMed
3.
go back to reference Scadding GK, Durham SR, Mirakian R et al (2008) BSACI guidelines for the management of rhinosinusitis and nasal polyposis. Clin Exp Allergy 38(2):260–275CrossRefPubMed Scadding GK, Durham SR, Mirakian R et al (2008) BSACI guidelines for the management of rhinosinusitis and nasal polyposis. Clin Exp Allergy 38(2):260–275CrossRefPubMed
4.
go back to reference Thomas M, Yawn B, Price D et al (2008) EPOS primary care guidelines: European position paper on the primary care diagnosis and management of rhinosinusitis and nasal polyps 2007––a summary. Prim Care Resp J 17(2):79–89CrossRef Thomas M, Yawn B, Price D et al (2008) EPOS primary care guidelines: European position paper on the primary care diagnosis and management of rhinosinusitis and nasal polyps 2007––a summary. Prim Care Resp J 17(2):79–89CrossRef
5.
go back to reference Wallace DV, Dykewicz MS, Bernstein DI et al (2008) The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 122:1–84CrossRef Wallace DV, Dykewicz MS, Bernstein DI et al (2008) The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 122:1–84CrossRef
6.
go back to reference Bousquet J, Khaltaev N, Cruz AA et al (2008) Allergic rhinitis and its impact on asthma (ARIA) 2008 update. Allergy 63:8–160CrossRefPubMed Bousquet J, Khaltaev N, Cruz AA et al (2008) Allergic rhinitis and its impact on asthma (ARIA) 2008 update. Allergy 63:8–160CrossRefPubMed
7.
go back to reference Shirasaki H, Watanabe K, Kanaizumi E, Konno N, Sato J, Narita S, Himi T (2004) Expression and localization of steroid receptors in human nasal mucosa. Acta Otolaryngol 124(8):958–963CrossRefPubMed Shirasaki H, Watanabe K, Kanaizumi E, Konno N, Sato J, Narita S, Himi T (2004) Expression and localization of steroid receptors in human nasal mucosa. Acta Otolaryngol 124(8):958–963CrossRefPubMed
8.
go back to reference Leung DY, Bloom JW (2003) Update on glucocorticoid action and resistance. J Allergy Clin Immunol 111:3–22CrossRefPubMed Leung DY, Bloom JW (2003) Update on glucocorticoid action and resistance. J Allergy Clin Immunol 111:3–22CrossRefPubMed
9.
go back to reference Pujols L, Mullol J, Torrego A, Picado C (2004) Glucocorticoid receptors in human airways. Allergy 59:1042–1052CrossRefPubMed Pujols L, Mullol J, Torrego A, Picado C (2004) Glucocorticoid receptors in human airways. Allergy 59:1042–1052CrossRefPubMed
10.
go back to reference Pujols L, Mullol J, Picado C (2007) Alpha and beta glucocorticoid receptors: relevance in airway diseases. Curr Allergy Asthma Rep 7:93–99CrossRefPubMed Pujols L, Mullol J, Picado C (2007) Alpha and beta glucocorticoid receptors: relevance in airway diseases. Curr Allergy Asthma Rep 7:93–99CrossRefPubMed
11.
go back to reference Pujols L, Alobid I, Benitez P, Martinez-Antón A, Roca-Ferrer J, Fokkens WJ, Mullol J, Picado C (2008) Regulation of glucocorticoid receptor in nasal polyps by systemic and intranasal glucocorticoids. Allergy 63:1377–1386CrossRefPubMed Pujols L, Alobid I, Benitez P, Martinez-Antón A, Roca-Ferrer J, Fokkens WJ, Mullol J, Picado C (2008) Regulation of glucocorticoid receptor in nasal polyps by systemic and intranasal glucocorticoids. Allergy 63:1377–1386CrossRefPubMed
12.
go back to reference Stjärne P, Mösges R, Jorissen M, Passàli D, Bellussi L, Staudinger H, Danzig M (2006) A randomized controlled trial of mometasone furoate nasal spray for the treatment of nasal polyposis. Arch Otolaryngol Head Neck Surg 132(2):179–185CrossRefPubMed Stjärne P, Mösges R, Jorissen M, Passàli D, Bellussi L, Staudinger H, Danzig M (2006) A randomized controlled trial of mometasone furoate nasal spray for the treatment of nasal polyposis. Arch Otolaryngol Head Neck Surg 132(2):179–185CrossRefPubMed
13.
go back to reference Duma D, Jewell CM, Cidlowski JA (2006) Multiple glucocorticoid receptor isoforms and mechanisms of post-translational modification. J Steroid Biochem Mol Biol 102:11–21CrossRefPubMed Duma D, Jewell CM, Cidlowski JA (2006) Multiple glucocorticoid receptor isoforms and mechanisms of post-translational modification. J Steroid Biochem Mol Biol 102:11–21CrossRefPubMed
14.
go back to reference Bartholome B, Spies CM, Gaber T et al (2004) Membrane glucocorticoid receptors (mGCR) are expressed in normal peripheral blood mononuclear cells and upregulated following in vitro stimulation and in patients with rheumatoid arthritis. FASEB J 18:70–80CrossRefPubMed Bartholome B, Spies CM, Gaber T et al (2004) Membrane glucocorticoid receptors (mGCR) are expressed in normal peripheral blood mononuclear cells and upregulated following in vitro stimulation and in patients with rheumatoid arthritis. FASEB J 18:70–80CrossRefPubMed
15.
go back to reference Barnes PJ (2006) How corticosteroids control inflammation: quintiles prize lecture 2005. Br J Pharmacol 148:245–254CrossRefPubMed Barnes PJ (2006) How corticosteroids control inflammation: quintiles prize lecture 2005. Br J Pharmacol 148:245–254CrossRefPubMed
16.
go back to reference Ito K, Chung KF, Adcock IM (2006) Update on glucocorticoid action and resistance. J Allergy Clin Immunol 117:522–543CrossRefPubMed Ito K, Chung KF, Adcock IM (2006) Update on glucocorticoid action and resistance. J Allergy Clin Immunol 117:522–543CrossRefPubMed
17.
go back to reference Stellato C (2004) Post-transcriptional and nongenomic effects of glucocorticoids. Proc Am Thorac Soc 1:255–263CrossRefPubMed Stellato C (2004) Post-transcriptional and nongenomic effects of glucocorticoids. Proc Am Thorac Soc 1:255–263CrossRefPubMed
18.
go back to reference Benson M, Carlsson L, Adner M, Jernås M, Rudemo M, Sjögren A, Svensson PA, Uddman R, Cardell LO (2004) Gene profiling reveals increased expression of uteroglobin and other anti-inflammatory genes in glucocorticoid-treated nasal polyps. J Allergy Clin Immunol 113:1137–1143CrossRefPubMed Benson M, Carlsson L, Adner M, Jernås M, Rudemo M, Sjögren A, Svensson PA, Uddman R, Cardell LO (2004) Gene profiling reveals increased expression of uteroglobin and other anti-inflammatory genes in glucocorticoid-treated nasal polyps. J Allergy Clin Immunol 113:1137–1143CrossRefPubMed
19.
go back to reference George AA, Schiltz RL, Hager GL (2009) Dynamic access of the glucocorticoid receptor to response elements in chromatin. Int J Biochem Cell Biol 41:214–224CrossRefPubMed George AA, Schiltz RL, Hager GL (2009) Dynamic access of the glucocorticoid receptor to response elements in chromatin. Int J Biochem Cell Biol 41:214–224CrossRefPubMed
20.
go back to reference Urbach V, Verriere V, Grumbach Y, Bousquet J, Harvey BJ (2006) Rapid anti-secretory effects of glucocorticoids in human airway epithelium. Steroids 71:323–328CrossRefPubMed Urbach V, Verriere V, Grumbach Y, Bousquet J, Harvey BJ (2006) Rapid anti-secretory effects of glucocorticoids in human airway epithelium. Steroids 71:323–328CrossRefPubMed
21.
go back to reference Verriere V, Hynes D, Faherly S, Devaney J, Bousquet J, Harvey BJ, Urbach V (2005) Rapid effects of dexamethasone on intracellular pH and Na+/H+ exchanger activity in human bronchial epithelial cells. J Biol Chem 280:35807–35814CrossRefPubMed Verriere V, Hynes D, Faherly S, Devaney J, Bousquet J, Harvey BJ, Urbach V (2005) Rapid effects of dexamethasone on intracellular pH and Na+/H+ exchanger activity in human bronchial epithelial cells. J Biol Chem 280:35807–35814CrossRefPubMed
22.
go back to reference Horvath G, Vasas S, Wanner A (2007) Inhaled corticosteroids reduce asthma-associated airway hyperperfusion through genomic and nongenomic mechanisms. Pulm Pharmacol Ther 20(2):157–162CrossRefPubMed Horvath G, Vasas S, Wanner A (2007) Inhaled corticosteroids reduce asthma-associated airway hyperperfusion through genomic and nongenomic mechanisms. Pulm Pharmacol Ther 20(2):157–162CrossRefPubMed
23.
go back to reference Croxtall JD, Choudhury Q, Flower RJ (2000) Glucocorticoids act within minutes to inhibit recruitment of signalling factors to activated EGF receptors through a receptor-dependent, transcription-independent mechanism. Br J Pharmacol 130:289–298CrossRefPubMed Croxtall JD, Choudhury Q, Flower RJ (2000) Glucocorticoids act within minutes to inhibit recruitment of signalling factors to activated EGF receptors through a receptor-dependent, transcription-independent mechanism. Br J Pharmacol 130:289–298CrossRefPubMed
24.
go back to reference Liu L, Wang YX, Zhou J, Long F, Sun HW, Liu Y, Chen YZ, Jiang CL (2005) Rapid non-genomic inhibitory effects of glucocorticoids on human neutrophil degranulation. Inflamm Res 54(1):37–41CrossRefPubMed Liu L, Wang YX, Zhou J, Long F, Sun HW, Liu Y, Chen YZ, Jiang CL (2005) Rapid non-genomic inhibitory effects of glucocorticoids on human neutrophil degranulation. Inflamm Res 54(1):37–41CrossRefPubMed
25.
go back to reference Long F, Wang YX, Liu L, Zhou J, Cui RY, Jiang CL (2005) Rapid nongenomic inhibitory effects of glucocorticoids on phagocytosis and superoxide anion production by macrophages. Steroids 70:55–61CrossRefPubMed Long F, Wang YX, Liu L, Zhou J, Cui RY, Jiang CL (2005) Rapid nongenomic inhibitory effects of glucocorticoids on phagocytosis and superoxide anion production by macrophages. Steroids 70:55–61CrossRefPubMed
26.
go back to reference Löwenberg M, Stan C, Holmes DW, Buttgereit F (2008) Novel insights into mechanisms of glucocorticoid action and the development of new glucocorticoid receptor ligands. Steroids 73:1025–1029CrossRefPubMed Löwenberg M, Stan C, Holmes DW, Buttgereit F (2008) Novel insights into mechanisms of glucocorticoid action and the development of new glucocorticoid receptor ligands. Steroids 73:1025–1029CrossRefPubMed
27.
go back to reference Urbach V, Walsh DE, Mainprice B, Bousquet J, Harvey BJ (2002) Rapid non-genomic inhibition of ATP-induced Cl− secretion by dexamethasone in human bronchial epithelium. J Physiol 545:869–878CrossRefPubMed Urbach V, Walsh DE, Mainprice B, Bousquet J, Harvey BJ (2002) Rapid non-genomic inhibition of ATP-induced Cl secretion by dexamethasone in human bronchial epithelium. J Physiol 545:869–878CrossRefPubMed
28.
go back to reference Bernstein JM, Gorfien J, Noble B, Yankaskas JR (1997) Nasal polyposis: immunohistochemistry and bioelectrical findings (a hypothesis for the development of nasal polyps). J Allergy Clin Immunol 99:165–175CrossRefPubMed Bernstein JM, Gorfien J, Noble B, Yankaskas JR (1997) Nasal polyposis: immunohistochemistry and bioelectrical findings (a hypothesis for the development of nasal polyps). J Allergy Clin Immunol 99:165–175CrossRefPubMed
29.
go back to reference Tillmann HC, Stuck BA, Feuring M, Rossol-Haseroth K, Tran BM, Lösel R, Schmidt BM, Hörmann K, Wehling M, Schultz A (2004) Delayed genomic and acute nongenomic action of glucocorticosteroids in seasonal allergic rhinitis. Eur J Clin Invest 34:67–73CrossRefPubMed Tillmann HC, Stuck BA, Feuring M, Rossol-Haseroth K, Tran BM, Lösel R, Schmidt BM, Hörmann K, Wehling M, Schultz A (2004) Delayed genomic and acute nongenomic action of glucocorticosteroids in seasonal allergic rhinitis. Eur J Clin Invest 34:67–73CrossRefPubMed
30.
go back to reference Buttgereit F, Silva JA, Boers M, Burmester GR, Cutolo M, Jacobs J, Kirwan J, Köhler L, Van Riel P, Vischer T, Bijlsma JW (2002) Standardised nomenclature for glucocorticoid dosages and glucocorticoid treatment regimens: current questions and tentative answers in rheumatology. Ann Rheum Dis 61:718–722CrossRefPubMed Buttgereit F, Silva JA, Boers M, Burmester GR, Cutolo M, Jacobs J, Kirwan J, Köhler L, Van Riel P, Vischer T, Bijlsma JW (2002) Standardised nomenclature for glucocorticoid dosages and glucocorticoid treatment regimens: current questions and tentative answers in rheumatology. Ann Rheum Dis 61:718–722CrossRefPubMed
31.
go back to reference Haller J, Makara G, Mikics E (2008) The effects of nongenomic glucocorticoid mechanisms on bodily functions and the central neural system. A critical evaluation of findings. Front Neuroendocrinol 29:273–291CrossRefPubMed Haller J, Makara G, Mikics E (2008) The effects of nongenomic glucocorticoid mechanisms on bodily functions and the central neural system. A critical evaluation of findings. Front Neuroendocrinol 29:273–291CrossRefPubMed
32.
go back to reference Salter M, Biggadike K, Matthews JL et al (2007) Pharmacological properties of the enhanced-affinity glucocorticoid fluticasone furoate in vitro and in an in vivo model of respiratory inflammatory disease. Am J Physiol Lung Cell Mol Physiol 293(3):660–667CrossRef Salter M, Biggadike K, Matthews JL et al (2007) Pharmacological properties of the enhanced-affinity glucocorticoid fluticasone furoate in vitro and in an in vivo model of respiratory inflammatory disease. Am J Physiol Lung Cell Mol Physiol 293(3):660–667CrossRef
33.
go back to reference Issar M, Sahasranaman S, Buchwald P, Hochhaus G (2006) Differences in the glucocorticoid to progesterone receptor selectivity of inhaled glucocorticoids. Eur Respir J 27(3):511–516CrossRefPubMed Issar M, Sahasranaman S, Buchwald P, Hochhaus G (2006) Differences in the glucocorticoid to progesterone receptor selectivity of inhaled glucocorticoids. Eur Respir J 27(3):511–516CrossRefPubMed
34.
go back to reference Newton J, Wong Ah-See K (2008) A review of nasal polyposis. Ther Clin Risk Manag 4(2):507–512PubMed Newton J, Wong Ah-See K (2008) A review of nasal polyposis. Ther Clin Risk Manag 4(2):507–512PubMed
35.
go back to reference Lee HS, Myers A, Kim J (2009) Vascular endothelial growth factor drives autocrine epithelial cell proliferation and survival in chronic rhinosinusitis with nasal polyposis. Am J Respir Crit Care Med 180:1056–1067CrossRefPubMed Lee HS, Myers A, Kim J (2009) Vascular endothelial growth factor drives autocrine epithelial cell proliferation and survival in chronic rhinosinusitis with nasal polyposis. Am J Respir Crit Care Med 180:1056–1067CrossRefPubMed
36.
go back to reference Psarras S, Volonaki E, Skevaki CL, Xatzipsalti M, Bossios A, Pratsinis H, Tsigkos S, Gourgiotis D, Constantopoulos AG, Papapetropoulos A, Saxoni-Papageorgiou P, Papadopoulos NG (2006) Vascular endothelial growth factor-mediated induction of angiogenesis by human rhinoviruses. J Allergy Clin Immunol 117:291–297CrossRefPubMed Psarras S, Volonaki E, Skevaki CL, Xatzipsalti M, Bossios A, Pratsinis H, Tsigkos S, Gourgiotis D, Constantopoulos AG, Papapetropoulos A, Saxoni-Papageorgiou P, Papadopoulos NG (2006) Vascular endothelial growth factor-mediated induction of angiogenesis by human rhinoviruses. J Allergy Clin Immunol 117:291–297CrossRefPubMed
37.
go back to reference Pipkorn U, Berge T (1983) Long-term treatment with budesonide in vasomotor rhinitis. Acta Otolaryngol 95:167–171CrossRefPubMed Pipkorn U, Berge T (1983) Long-term treatment with budesonide in vasomotor rhinitis. Acta Otolaryngol 95:167–171CrossRefPubMed
38.
go back to reference Webb DR, Meltzer EO, Finn AF Jr, Rickard KA, Pepsin PJ, Westlund R, Cook CK (2002) Intranasal fluticasone propionate is effective for perennial nonallergic rhinitis with or without eosinophilia. Ann Allergy Asthma Immunol 88(4):385–390CrossRefPubMed Webb DR, Meltzer EO, Finn AF Jr, Rickard KA, Pepsin PJ, Westlund R, Cook CK (2002) Intranasal fluticasone propionate is effective for perennial nonallergic rhinitis with or without eosinophilia. Ann Allergy Asthma Immunol 88(4):385–390CrossRefPubMed
39.
go back to reference Hallen H, Enerdal J, Graf P (1997) Fluticasone propionate nasal spray is more effective and has a faster onset of action than placebo in treatment of rhinitis medicamentosa. Clin Exp Allergy 27:552–558CrossRefPubMed Hallen H, Enerdal J, Graf P (1997) Fluticasone propionate nasal spray is more effective and has a faster onset of action than placebo in treatment of rhinitis medicamentosa. Clin Exp Allergy 27:552–558CrossRefPubMed
40.
go back to reference Meltzer EO, Caballero F, Fromer LM, Krouse JH, Scadding G (2010) Treatment of congestion in upper respiratory diseases. Int J Gen Med 3:69–91PubMed Meltzer EO, Caballero F, Fromer LM, Krouse JH, Scadding G (2010) Treatment of congestion in upper respiratory diseases. Int J Gen Med 3:69–91PubMed
41.
go back to reference Settipane RA, Charnock DR (2007) Epidemiology of rhinitis: allergic and nonallergic. Clin Allergy Immunol 19:23–34PubMed Settipane RA, Charnock DR (2007) Epidemiology of rhinitis: allergic and nonallergic. Clin Allergy Immunol 19:23–34PubMed
42.
go back to reference Kalish LH, Arendts G, Sack R, Craig JC (2009) Topical steroids in chronic rhinosinusitis without polyps: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 141(6):674–683CrossRefPubMed Kalish LH, Arendts G, Sack R, Craig JC (2009) Topical steroids in chronic rhinosinusitis without polyps: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 141(6):674–683CrossRefPubMed
Metadata
Title
Molecular mechanisms of glucocorticoids action: implications for treatment of rhinosinusitis and nasal polyposis
Authors
Alicja Grzanka
Maciej Misiołek
Wojciech Golusiński
Jerzy Jarząb
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 2/2011
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-010-1330-z

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