Glucocorticoids and stress: permissive and suppressive actions.

Abstract:

:Protection against stress by glucocorticoids is discussed in relation to their permissive and suppressive actions. Evidence from the last decade is summarized regarding the physiological nature of the suppressive actions, and the hypothesis that they prevent stress-activated defense mechanisms from overshooting and damaging the organism. Support for this hypothesis has come from observations on how endogenous or administered glucocorticoids control inflammatory and immune responses, protect in endotoxic and hemorrhagic shock, regulate central nervous system responses to stimuli, and moderate many defense reactions through suppression of cytokines and other mediators. Studies showing that glucocorticoids permissively induce receptors for several mediators that they suppress have led to a model in which stimulated activity of a mediator system is increased permissively through induction of mediator receptors and decreased through suppression of mediator production.

journal_name

Ann N Y Acad Sci

authors

Munck A,Náray-Fejes-Tóth A

doi

10.1111/j.1749-6632.1994.tb39221.x

subject

Has Abstract

pub_date

1994-11-30 00:00:00

pages

115-30; discussion 131-3

eissn

0077-8923

issn

1749-6632

journal_volume

746

pub_type

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