Assessment of genomic and non-genomic molecular indicators for the development of steroid resistance in dermatoses of various etiologies
- 作者: Lepekhova A.A.1, Olisova O.Y.1, Teplyuk N.P.1, Dukhanin A.S.2, Bakasova V.E.1
-
隶属关系:
- The First Sechenov Moscow State Medical University (Sechenov University)
- The Russian National Research Medical University named after N.I. Pirogov
- 期: 卷 27, 编号 6 (2024)
- 页面: 630-639
- 栏目: DERMATOLOGY
- URL: https://bakhtiniada.ru/1560-9588/article/view/313030
- DOI: https://doi.org/10.17816/dv636711
- ID: 313030
如何引用文章
详细
Resistance to systemic glucocorticosteroids in various dermatological conditions represents a serious clinical problem, often leading to treatment failure and exacerbation of the disease. The purpose of the review is to determine the relationships between association of genomic and non-genomic molecular factors and steroid resistance development in dermatoses of various etiologies. Genomic factors, including glucocorticoid receptor polymorphisms and changes in steroid metabolizing enzymes, may alter patient sensitivity to systemic glucocorticosteroids. All authors individually carried out a search of the available literature through PubMed, ScienceDirect, Wiley Online Library, Google Scholar, Cochrane Library, and MeSH using such key words "glucocorticoid receptor," and "glucocorticoid resistance," and "macrophage migration inhibitory factor," and "P-glycoprotein," and "polymorphism NR3C1," and "systemic lupus erythematosus," and "bullous pemphigoid," and "pemphigus vulgaris," and "atopic dermatitis."
Out of 23 analyzed sources, 8 studies were selected that describe various genomic and nongenomic factors potentially influencing the development of steroid resistance in a vast variety of skin conditions including pemphigus, bullous pemphigoid, atopic dermatitis, nummular eczema, localized neurodermatitis, lichen planus, and cutaneous and systemic lupus erythematosus.
We found that the mechanisms of steroid insensitivity were thoroughly studied in patients with systemic lupus erythematosus, including its cutaneous manifestations. Moreover, they differ in all these diseases. Meanwhile, the mechanisms underlying steroid resistance in other dermatological diseases are currently not fully understood. It is of a paramount importance to investigate mechanisms of steroid insensitivity and develop a panel of biomarkers which could predict steroid resistance in advance to optimize therapy of these conditions.
作者简介
Anfisa Lepekhova
The First Sechenov Moscow State Medical University (Sechenov University)
编辑信件的主要联系方式.
Email: anfisa.lepehova@yandex.ru
ORCID iD: 0000-0002-4365-3090
SPIN 代码: 3261-3520
MD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, MoscowOlga Olisova
The First Sechenov Moscow State Medical University (Sechenov University)
Email: olisovaolga@mail.ru
ORCID iD: 0000-0003-2482-1754
SPIN 代码: 2500-7989
MD, Dr. Sci. (Medicine), Professor, Corresponding Member of the Russian Academy of Sciences
俄罗斯联邦, MoscowNatalia Teplyuk
The First Sechenov Moscow State Medical University (Sechenov University)
Email: teplyukn@gmail.com
ORCID iD: 0000-0002-5800-4800
SPIN 代码: 8013-3256
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, MoscowAlexander Dukhanin
The Russian National Research Medical University named after N.I. Pirogov
Email: das03du@mail.ru
ORCID iD: 0000-0003-2433-7727
SPIN 代码: 5028-6000
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, MoscowValeria Bakasova
The First Sechenov Moscow State Medical University (Sechenov University)
Email: valeria-bakasova@mail.ru
ORCID iD: 0009-0006-6798-881X
俄罗斯联邦, Moscow
参考
- Dodiuk-Gad RP, Ish-Shalom S, Shear NH. Systemic glucocorticoids: Important issues and practical guidelines for the dermatologist. Int J Dermatol. 2015;54(6):723–729. doi: 10.1111/ijd.12642
- Martins CS, de Castro M. Generalized and tissue specific glucocorticoid resistance. Mol Cell Endocrinol. 2021;530:111277. doi: 10.1016/j.mce.2021.111277
- Kubin ME, Hägg PM, Kokkonen N, et al. Expression of glucocorticoid receptors GRα and GRβ in bullous pemphigoid. Acta Derm Venereol. 2016;96(7):922–926. doi: 10.2340/00015555-2443
- Pujols L, Mullol J, Picado C. Alpha and beta glucocorticoid receptors: Relevance in airway diseases. Curr Allergy Asthma Rep. 2007;7(2):93–99. doi: 10.1007/s11882-007-0005-3
- Frank F, Ortlund EA, Liu X. Structural insights into glucocorticoid receptor function. Biochem Soc Trans. 2021;49(5):2333–2343. doi: 10.1042/BST20210419
- Ramamoorthy S, Cidlowski JA. Exploring the molecular mechanisms of glucocorticoid receptor action from sensitivity to resistance. Endocr Dev. 2013;24:41–56. doi: 10.1159/000342502
- Timmermans S, Souffriau J, Libert C. A general introduction to glucocorticoid biology. Front Immunol. 2019;10:1545. doi: 10.3389/fimmu.2019.01545
- Sevilla LM, Jiménez-Panizo A, Alegre-Martí A, et al. Glucocorticoid resistance: Interference between the glucocorticoid receptor and the MAPK signalling pathways. Int J Mol Sci. 2021;22(18):10049. doi: 10.3390/ijms221810049
- Adcock IM, Mumby S. Glucocorticoids. Handb Exp Pharmacol. 2017;237:171–196. doi: 10.1007/164_2016_98
- Barnes PJ, Adcock IM. Glucocorticoid resistance in inflammatory diseases. Lancet. 2009;373(9678):1905–1917. doi: 10.1016/S0140-6736(09)60326-3
- Oakley RH, Cidlowski JA. The biology of the glucocorticoid receptor: New signaling mechanisms in health and disease. J Allergy Clin Immunol. 2013;132(5):1033–1044. doi: 10.1016/j.jaci.2013.09.007
- Nicolaides NC, Charmandari E. Chrousos syndrome: From molecular pathogenesis to therapeutic management. Eur J Clin Invest. 2015;45(5):504–514. doi: 10.1111/eci.12426
- Barnes PJ. Mechanisms and resistance in glucocorticoid control of inflammation. J Steroid Biochem Mol Biol. 2010;120(2-3):76–85. doi: 10.1016/j.jsbmb.2010.02.018
- Barnes PJ. Corticosteroid resistance in patients with asthma and chronic obstructive pulmonary disease. J Allergy Clin Immunol. 2013;131(3):636–645. doi: 10.1016/j.jaci.2012.12.1564
- Kirwan JR. Glucocorticoid resistance in patients with rheumatoid arthritis. Scand J Rheumatol. 2007;36(3):165–166. doi: 10.1080/03009740701340263
- Luo J, Wang Y, Lan D, et al. Differential expression of serum microRNAs in glucocorticoid-resistant patients with ulcerative colitis. Int J Clin Exp Pathol. 2018;11(2):936–946.
- Fang SY, Li CL, Liu XS, et al. Correlation between polymorphisms of the NR3C1 gene and glucocorticoid effectiveness in patients with pemphigus vulgaris. Sci Rep. 2017;7(1):11890. doi: 10.1038/s41598-017-12255-0
- Gao H, Wang Q, Yu X, et al. Molecular mechanisms of glucocorticoid resistance in systemic lupus erythematosus: A review. Life Sci. 2018;209:383–387. doi: 10.1016/j.lfs.2018.08.038
- Methkal A, Kuts L. Revealing the molecular-genetic and clinical predictors of glucocorticoid resistance in patients with hand eczema. Wiad Lek. 2022;75(9, Pt. 1):2076–2080. doi: 10.36740/WLek202209105
- Zhang MK, Sun YH, Xu Y, et al. Glucocorticoid receptor polymorphisms: Lack of association with glucocorticoid resistance among Chinese bullous disease patients. J Dermatol. 2015;42(7):759–760. doi: 10.1111/1346-8138.12879
- Inui S, Sumikawa Y, Asada H, Itami S. Glucocorticoid resistance in atopic dermatitis associated with decreased expression of glucocorticoid receptor-alpha in peripheral blood mononuclear cells. J Dermatol. 2010;37(5):496–499. doi: 10.1111/j.1346-8138.2010.00866.x
- Kubin ME, Hägg PM, Kokkonen N, et al. Glucocorticoid receptors GRα and GRβ are expressed in inflammatory dermatoses. Eur J Dermatol. 2016;26(1):21–27. doi: 10.1684/ejd.2015.2691
- De la Fuente H, Baranda L, Hernández MI, et al. Lack of involvement of P-glycoprotein (P-gp) in pemphigus patients with poor response to steroid therapy. J Dermatol Sci. 2002;28(3):219–226. doi: 10.1016/s0923-1811(01)00169-4
- Hägg PM, Hurskainen T, Palatsi R, et al. Increased expression of glucocorticoid receptor beta in lymphocytes of patients with severe atopic dermatitis unresponsive to topical corticosteroid. Br J Dermatol. 2010;162(2):318–324. doi: 10.1111/j.1365-2133.2009.09518.x
- Melo AK, Melo MR, Saramago AB, et al. Persistent glucocorticoid resistance in systemic lupus erythematosus patients during clinical remission. Genet Mol Res. 2013;12(2):2010–2019. doi: 10.4238/2013.February.19.1
- Perez-Guerrero EE, Gamez-Nava JI, Muñoz-Valle JF, et al. Serum levels of P-glycoprotein and persistence of disease activity despite treatment in patients with systemic lupus erythematosus. Clin Exp Med. 2018;18(1):109–117. doi: 10.1007/s10238-017-0459-0
- Beltrán-Ramírez A, Muñoz-Valle JF, Gamez-Nava JI, et al. Steroid resistance associated with high MIF and P-gp serum levels in SLE patients. Molecules. 2022;27(19):6741. doi: 10.3390/molecules27196741
- Mollazadeh S, Sahebkar A, Hadizadeh F, et al. Structural and functional aspects of P-glycoprotein and its inhibitors. Life Sci. 2018;214:118–123. doi: 10.1016/j.lfs.2018.10.048
- Li Y, Yuan H, Yang K, et al. The structure and functions of P-glycoprotein. Curr Med Chem. 2010;17(8):786–800. doi: 10.2174/092986710790514507
- Elmgren J, Nyberg F. Clinical aspects of cutaneous lupus erythematosus. Front Med (Lausanne). 2023;9:984229. doi: 10.3389/fmed.2022.984229
- Yell JA, Mbuagbaw J, Burge SM. Cutaneous manifestations of systemic lupus erythematosus. Br J Dermatol. 1996;135(3):355–362.
- Kang I, Bucala R. The immunobiology of MIF: Function, genetics and prospects for precision medicine. Nat Rev Rheumatol. 2019;15(7):427–437. doi: 10.1038/s41584-019-0238-2
- Xuan M, Li H, Fu R, et al. Lack of association between NR3C1 polymorphism and glucocorticoid resistance in Chinese patients with immune thrombocytopenia. Platelets. 2014;25(2):125–128. doi: 10.3109/09537104.2013.779369
- Kozaci DL, Chernajovsky Y, Chikanza IC. The differential expression of corticosteroid receptor isoforms in corticosteroid-resistant and -sensitive patients with rheumatoid arthritis. Rheumatology (Oxford). 2007;46(4):579–585. doi: 10.1093/rheumatology/kel276
- Zhang H, Ouyang Q, Wen ZH, et al. [Study on glucocorticoid receptor alpha and beta in colonic mucosal cell of patients with ulcerative colitis. (In Chinese)]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2004;35(5):630–633.
补充文件
