Effects of glucocorticoids in rheumatoid arthritis. Diminished glucocorticoid receptors do not result in glucocorticoid resistance

Arthritis Rheum. 1994 Aug;37(8):1127-31. doi: 10.1002/art.1780370803.

Abstract

Objective: Lymphocytes of patients with rheumatoid arthritis (RA) have diminished receptor density; thus, patients with RA should show partial resistance to glucocorticoids. We investigated the glucocorticoid sensitivity of lymphocytes in RA patients compared with healthy subjects.

Methods: We determined the effects of glucocorticoids on lymphocyte proliferation and cytokine release.

Results: Proliferation and cytokine release were inhibited in RA patients to the same extent as in healthy controls.

Conclusion: Diminished receptor density in RA patients does not result in glucocorticoid resistance.

MeSH terms

  • Adult
  • Aged
  • Arthritis, Rheumatoid / blood*
  • Arthritis, Rheumatoid / pathology*
  • Cell Division
  • Drug Resistance
  • Female
  • Fluocortolone / metabolism
  • Glucocorticoids / pharmacology*
  • Humans
  • Hydrocortisone / metabolism
  • Interleukin-1 / metabolism
  • Interleukin-6 / metabolism
  • Leukocytes, Mononuclear / metabolism
  • Lymphocytes / chemistry*
  • Lymphocytes / ultrastructure*
  • Male
  • Middle Aged
  • Mitogens / pharmacology
  • Receptors, Glucocorticoid / analysis*

Substances

  • Glucocorticoids
  • Interleukin-1
  • Interleukin-6
  • Mitogens
  • Receptors, Glucocorticoid
  • Fluocortolone
  • Hydrocortisone