Hydrocortisone Flashcards

1
Q

What is hydrocortisone?

A

A glucocorticoid nuclear receptor agonist

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2
Q

how does hydrocorisone work

A

binds to the cortisol receptor forming a receptor-ligand complex, which translocates to the nucleus, binds to glucocorticoid response elements (GRE) in the promoter region of the target genes, causing the increase in their expression

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3
Q

what are corticosteriods thought to cause

A

cause the expression of lipocortins, which inhibit phospholipase A2, thereby reducing arachidonic acid synthesis and production of inflammatory mediators

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4
Q

what do corticosteroids do to the immune system and why?

A

the immune system is suppressed by corticosteroids due to a decrease in the function of the lymphatic system, a reduction in immunoglobulin and complement concentrations, the precipitation of lymphocytopenia, and interference with antigen-antibody binding.

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