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Table 1 Main anti-inflammatory effects of glucocorticoids

From: Clinical review: Corticotherapy in sepsis

Anti-inflammatory effect

Details

Proinflammatory cytokine production

Inhibition of IL-2, IL-3, IL-4(?), IL-5, IFN-γ, GM-CSF synthesis by T lymphocytes

 

Inhibition of IL-1, TNF-α, IL-6, IL-8, IL-12, MIF synthesis by macrophages/monocytes

 

Inhibition of IL-8 synthesis by neutrophils

Anti-inflammatory cytokine production

Increase in IL-10, TGF-β, IL-1 receptor antagonist synthesis

Inflammatory cell migration

Inhibition of chemokine production (MCP-1, IL-8, MIP-1α)

 

Stimulation of MIF and lipocortine-1 production by macrophages

Inflammation mediator expression

Inhibition of soluble PLA2, inducible COX-2 and inducible NOS synthesis

Cell membrane markers expression

Inhibition of CD14 expression on macrophages/monocytes

 

Inhibition of adhesion molecule expression (ICAM-1, ECAM-1, LFA-1, CD2) on endothelial cells

Apoptosis

Activation of eosinophils and mature T lymphocyte apoptosis

  1. COX, cylo-oxygenase; ECAM, endothelial cell adhesion molecule; GM-CSF, granulocyte–macrophage colony-stimulating factor; ICAM, intercellular adhesion molecule; IFN, interferon; IL, interleukin; LFA, leucocyte function associated antigen; MCP, monocyte chemoattractant protein; MIF, migration inhibitory factor; MIP, macrophage inflammatory peptide; NOS, nitric oxide synthase; PL, phospholipase; TGF, transforming growth factor; TNF, tumour necrosis factor.