Abstract
Glucocorticoids have a broad array of life-sustaining functions, such as for the maintenance
of the basal- and stress-related organ homeostasis. They are also frequently used
as therapeutic compounds for many pathologic conditions. Thus, changes of tissue sensitivity
to glucocorticoids play important roles in the physiologic conditions and are associated
with and influence the course of numerous pathologic states. Changes in tissue glucocorticoid
sensitivity may present on either side of an optimal range, respectively as glucocorticoid
resistance or hypersensitivity, and may be generalized or tissue-specific. Recent
insights into the mechanisms of the glucocorticoid receptor (GR) action indicated
that the glucocorticoid signaling system is highly stochastic. Indeed, numerous factors
contribute to the hormonal action at each step of the GR signaling cascade, such as
ligand availability, receptor isoform expression, intracellular circulation, promoter
association, attraction of cofactors, and finally clearance of the receptor from the
target genes. Importantly, these regulatory mechanisms appear to be functional in
tissue-, gene- and cellular biologic state-specific fashions. As an example of such
phase-specific factors, we discussed influence of the cyclin-dependent kinase 5 to
the GR transcriptional activity, which specifically functions in the central nervous
system and may thus play an important role in the regulation of glucocorticoid action
in this organ.
Key words
Tissue glucocorticoid sensitivity - glucocorticoid receptor - cyclin-dependent kinase
5
References
1
Chrousos GP.
The hypothalamic-pituitary-adrenal axis and immune-mediated inflammation.
N Engl J Med.
1995;
332
1351-1362
2 Orth DN, Kovacs WJ, DeBold CR.
The adrenal cortex. In: Wilson JD, Foster DW, Kronenberg HM, Larsen R (eds). Textbook of Endocrinology. 9th
ed. Philadelphia: W. B. Saunders Co. 1998: 517-664
3 Chrousos GP.
Glucocorticoid therapy. In: Felig P, Frohman LA (eds). Endocrinology & Metabolism. 4th ed. New York: McGraw-Hill
2001: 609-632
4
Kino T, Chrousos GP.
Glucocorticoid and mineralocorticoid receptors and associated diseases.
Essays Biochem.
2004;
40
137-155
5 Kino T, Chrousos GP.
Glucocorticoid effects on gene expression. In: Steckler T, Kalin NH, Reul JMHM (eds). Handbook of stress and the brain. Amsterdam,
The Netherlands: Elsevier B. V. 2005: 295-311
6
Galon J, Franchimont D, Hiroi N, Frey G, Boettner A, Ehrhart-Bornstein M, O’Shea JJ,
Chrousos GP, Bornstein SR.
Gene profiling reveals unknown enhancing and suppressive actions of glucocorticoids
on immune cells.
FASEB J.
2002;
16
61-71
7
Bamberger CM, Bamberger AM, de Castro M, Chrousos GP.
Glucocorticoid receptor beta, a potential endogenous inhibitor of glucocorticoid action
in humans.
J Clin Invest.
1995;
95
2435-2441
8
Lu NZ, Cidlowski JA.
Translational regulatory mechanisms generate N-terminal glucocorticoid receptor isoforms
with unique transcriptional target genes.
Mol Cell.
2005;
18
331-342
9
Hollenberg SM, Weinberger C, Ong ES, Cerelli G, Oro A, Lebo R, Thompson EB, Rosenfeld MG,
Evans RM.
Primary structure and expression of a functional human glucocorticoid receptor cDNA.
Nature.
1985;
318
635-641
10
Chrousos GP, Kino T.
Intracellular glucocorticoid signaling: a formerly simple system turns stochastic.
Sci STKE.
2005;
2005
pe48
11
Kino T, De Martino MU, Charmandari E, Mirani M, Chrousos GP.
Tissue glucocorticoid resistance/hypersensitivity syndromes.
J Steroid Biochem Mol Biol.
2003;
85
457-467
12
De Martino MU, Bhattachryya N, Alesci S, Ichijo T, Chrousos GP, Kino T.
The glucocorticoid receptor and the orphan nuclear receptor chicken ovalbumin upstream
promoter-transcription factor II interact with and mutually affect each other's transcriptional
activities: implications for intermediary metabolism.
Mol Endocrinol.
2004;
18
820-833
13
Ichijo T, Voutetakis A, Cotrim AP, Bhattachryya N, Fujii M, Chrousos GP, Kino T.
The Smad6-histone deacetylase 3 complex silences the transcriptional activity of the
glucocorticoid receptor: potential clinical implications.
J Biol Chem.
2005;
280
42067-42077
14
Rosenfeld MG, Lunyak VV, Glass CK.
Sensors and signals: a coactivator/corepressor/epigenetic code for integrating signal-dependent
programs of transcriptional response.
Genes Dev.
2006;
20
1405-1428
15
Huang EY, Zhang J, Miska EA, Guenther MG, Kouzarides T, Lazar MA.
Nuclear receptor corepressors partner with class II histone deacetylases in a Sin3-independent
repression pathway.
Genes Dev.
2000;
14
45-54
16
Wang Q, Blackford Jr. JA, Song LN, Huang Y, Cho S, Simons Jr. SS.
Equilibrium interactions of corepressors and coactivators with agonist and antagonist
complexes of glucocorticoid receptors.
Mol Endocrinol.
2004;
18
1376-1395
17
Schulz M, Eggert M, Baniahmad A, Dostert A, Heinzel T, Renkawitz R.
RU486-induced glucocorticoid receptor agonism is controlled by the receptor N terminus
and by corepressor binding.
J Biol Chem.
2002;
277
26238-26243
18
Kino T, Chrousos GP.
Tissue-specific glucocorticoid resistance-hypersensitivity syndromes: multifactorial
states of clinical importance.
J Allergy Clin Immunol.
2002;
109
609-613
19
Meduri GU, Yates CR.
Systemic inflammation-associated glucocorticoid resistance and outcome of ARDS.
Ann N Y Acad Sci.
2004;
1024
24-53
20
Chrousos GP.
The role of stress and the hypothalamic-pituitary-adrenal axis in the pathogenesis
of the metabolic syndrome: neuro-endocrine and target tissue-related causes.
Int J Obes Relat Metab Disord.
2000;
24
((Suppl 2))
S50-S55
21
Kino T, Gragerov A, Kopp JB, Stauber RH, Pavlakis GN, Chrousos GP.
The HIV-1 virion-associated protein vpr is a coactivator of the human glucocorticoid
receptor.
J Exp Med.
1999;
189
51-62
22
Kino T, Mirani M, Alesci S, Chrousos GP.
AIDS-related lipodystrophy/insulin resistance syndrome.
Horm Metab Res.
2003;
35
129-136
23
Webster JI, Carlstedt-Duke J.
Involvement of multidrug resistance proteins (MDR) in the modulation of glucocorticoid
response.
J Steroid Biochem Mol Biol.
2002;
82
277-288
24
Kinyamu HK, Chen J, Archer TK.
Linking the ubiquitin-proteasome pathway to chromatin remodeling/modification by nuclear
receptors.
J Mol Endocrinol.
2005;
34
281-297
25
Ismaili N, Garabedian MJ.
Modulation of glucocorticoid receptor function via phosphorylation.
Ann N Y Acad Sci.
2004;
1024
86-101
26
Krstic MD, Rogatsky I, Yamamoto KR, Garabedian MJ.
Mitogen-activated and cyclin-dependent protein kinases selectively and differentially
modulate transcriptional enhancement by the glucocorticoid receptor.
Mol Cell Biol.
1997;
17
3947-3954
27
Wang Z, Frederick J, Garabedian MJ.
Deciphering the phosphorylation “code” of the glucocorticoid receptor in vivo.
J Biol Chem.
2002;
277
26573-26580
28
Miller AL, Webb MS, Copik AJ, Wang Y, Johnson BH, Kumar R, Thompson EB.
p38 Mitogen-activated protein kinase (MAPK) is a key mediator in glucocorticoid-induced
apoptosis of lymphoid cells: correlation between p38 MAPK activation and site-specific
phosphorylation of the human glucocorticoid receptor at serine 211.
Mol Endocrinol.
2005;
19
1569-1583
29
Itoh M, Adachi M, Yasui H, Takekawa M, Tanaka H, Imai K.
Nuclear export of glucocorticoid receptor is enhanced by c-Jun N-terminal kinase-mediated
phosphorylation.
Mol Endocrinol.
2002;
16
2382-2392
30
Ismaili N, Blind R, Garabedian MJ.
Stabilization of the unliganded glucocorticoid receptor by TSG101.
J Biol Chem.
2005;
280
11120-11126
31
Kesavapany S, Li BS, Pant HC.
Cyclin-dependent kinase 5 in neurofilament function and regulation.
Neurosignals.
2003;
12
252-264
32
Kino T, Ichijo T, Amin ND, Kesavapany S, Wang YH, Kim N, Rao S, Player A, Zeng YL,
Garabedian MJ, Kawasaki A, Pant HC, Chrousos GP.
Cyclin-dependent kinase 5 differentially regulates the transcriptional activity of
the glucocorticoid receptor through phosphorylating: clinical implications for the
nervous system response to glucocorticoids and stress.
Mol Endocrinol .
.
2007;
, in press
33
Ohshima T, Ward JM, Huh CG, Longenecker G, Veeranna , Pant HC, Brady RO, Martin LJ,
Kulkarni AB.
Targeted disruption of the cyclin-dependent kinase 5 gene results in abnormal corticogenesis,
neuronal pathology and perinatal death.
Proc Natl Acad Sci USA.
1996;
93
11173-11178
34
Dhavan R, Tsai LH.
A decade of CDK5.
Nat Rev Mol Cell Biol.
2001;
2
749-759
35
Tsai LH, Delalle I, Caviness Jr. VS, Chae T, Harlow E.
p35 is a neural-specific regulatory subunit of cyclin-dependent kinase 5.
Nature.
1994;
371
419-423
36
Tang D, Wang JH.
Cyclin-dependent kinase 5 (Cdk5) and neuron-specific Cdk5 activators.
Prog Cell Cycle Res.
1996;
2
205-216
37
Lau LF, Seymour PA, Sanner MA, Schachter JB.
Cdk5 as a drug target for the treatment of Alzheimer's disease.
J Mol Neurosci.
2002;
19
267-273
38
Lee MS, Kwon YT, Li M, Peng J, Friedlander RM, Tsai LH.
Neurotoxicity induces cleavage of p35 to p25 by calpain.
Nature.
2000;
405
360-364
39
Kusakawa G, Saito T, Onuki R, Ishiguro K, Kishimoto T, Hisanaga S.
Calpain-dependent proteolytic cleavage of the p35 cyclin-dependent kinase 5 activator
to p25.
J Biol Chem.
2000;
275
17166-17172
40
Sun Z, Pan J, Hope WX, Cohen SN, Balk SP.
Tumor susceptibility gene 101 protein represses androgen receptor transactivation
and interacts with p300.
Cancer.
1999;
86
689-696
41
Holsboer F, Barden N.
Antidepressants and hypothalamic-pituitary-adrenocortical regulation.
Endocr Rev.
1996;
17
187-205
42
Ahlijanian MK, Barrezueta NX, Williams RD, Jakowski A, Kowsz KP, McCarthy S, Coskran T,
Carlo A, Seymour PA, Burkhardt JE, Nelson RB, McNeish JD.
Hyperphosphorylated tau and neurofilament and cytoskeletal disruptions in mice overexpressing
human p25, an activator of cdk5.
Proc Natl Acad Sci USA.
2000;
97
2910-2915
43
Patrick GN, Zukerberg L, Nikolic M, de la Monte S, Dikkes P, Tsai LH.
Conversion of p35 to p25 deregulates Cdk5 activity and promotes neurodegeneration.
Nature.
1999;
402
615-622
Correspondence
T. KinoMD, PhD
Pediatric Endocrinology Section
Reproductive Biology and Medicine Branch
National Institute of Child Health and Human Development
National Institutes of Health
Bldg. 10, Clinical Research Center, Rm. 1-3140
10 Center Drive MSC 1109
Bethesda
MD 20892-1109
USA
Telefon: +1/301/496 64 17
Fax: +1/301/402 08 84
eMail: kinot@mail.nih.gov