Die Pharmazie is published by IMR Press from Volume 81 Issue 1 (2026). Previous articles were published by another publisher under the CC-BY licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement.
Transrepression and transactivation potencies of inhaled glucocorticoids
N. L. Dirks 1, S. Li 1, B. Huth 1, G. Hochhaus 2, C. R. Yates 1, B. Meibohm 3
Affiliations
Article Info
1 Department of Pharmaceutical Sciences, College of Pharmacy, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
2 Department of Pharmaceutics, College of Pharmacy, University of Florida, Gainesville, Florida, USA
3 Department of Pharmaceutical Sciences, College of Pharmacy, The University of Tennessee Health Science Center, 874 Union Avenue, Suite 5p, Memphis, Tennessee, Tn 38163, USA, Email: bmeibohm@utmem.edu
Abstract
The anti-inflammatory activity of inhaled glucocorticoids is primarily mediated through transrepression of pro-inflammatory transcription factors such as Ap-1 and Nf-κB, while systemic side effects are largely attributed to transactivation via glucocorticoid response elements (Gre) in the promoter region of responsive genes. The objective of this study is to investigate whether inhaled corticosteroids exhibit differences in their transactivation and transrepression potencies. A549 human alveolar epithelial type Ii like cells, stably transfected with a reporter plasmid containing an Ap-1, Nf-κB or Gre induced secreted alkaline phosphatase reporter gene (Seap), were exposed to a panel of concentrations of the six inhaled and three systemic glucocorticoids. Glucocorticoid-induced changes in Seap expression were quantified by chemiluminescence. For eight glucocorticoids (budesonide, desisobutyryl-ciclesonide, dexamethasone, flunisolide, fluocortolone, fluticasone propionate, mometasone furoate, prednisolone) the Ec50 for Nf-κB mediated transrepression was significantly larger than that for both transactivation and transrepression via Ap-1. For the remaining glucocorticoid (triamcinolone acetonide), it was greater than that for transactivation. It is concluded that, within the studied cell system, inhaled corticosteroids did not exhibit preferential transrepression, but had higher potencies for transactivation than for transrepression via Nf-κB and had differential potencies for the two transrepression pathways.
