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How do glucocorticoids inhibit inflammation?

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User Fmb
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Final answer:

Glucocorticoids inhibit inflammation by downregulating the immune system, reducing pro-inflammatory cytokines, and suppressing T cell proliferation. They regulate the synthesis of inflammatory mediators by inhibiting phospholipase A2 and modulate gene expression to favor anti-inflammatory proteins. Glucocorticoids are controlled by negative feedback in the HPA axis and can increase the risk of infection if used excessively.

Step-by-step explanation:

Glucocorticoids, such as cortisol, play a critical role in the body's response to stress and are involved in a range of physiological processes, including the regulation of inflammation. These hormones inhibit inflammation by downregulating the immune system, reducing the production of pro-inflammatory cytokines, and decreasing the proliferation of T cells, among other effects.

Glucocorticoids, which are produced in the adrenal cortex, are released in response to stress and regulated by the hypothalamic-pituitary-adrenal (HPA) axis through a negative feedback loop. When glucocorticoid levels in the blood are elevated, they provide negative signals to the pituitary gland and hypothalamus to reduce their production. Furthermore, glucocorticoids inhibit the action of phospholipase A2, which is involved in the synthesis of prostaglandins and leukotrienes, both of which are potent mediators of inflammation.

By doing this, glucocorticoids prevent the cascade of events that lead to inflammation. In addition, they can also induce the production of anti-inflammatory proteins while inhibiting pro-inflammatory genes. Because of these anti-inflammatory and immunosuppressive effects, glucocorticoids are prescribed for treating various inflammatory and autoimmune conditions. However, their use can lead to a suppressed immune response and increase the risk of infection, which is a significant drawback.

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User Apoorv Kansal
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