Glucocorticoids are indispensable in the treatment of inflammation although they are not effective in treating neutrophilic inflammation in subsets of patients. Our long-term goal is to understand the mechanisms by which the glucocorticoid receptor (GR) mediates cell-specific functions, as this information may be useful in the development of anti-inflammatory treatments with improved efficacy/risk ratios. The goal of this proposal is to determine the role of GR translational isoforms in neutrophil survival and functions. We have recently discovered that the GR has eight translational isoforms that have profoundly different effects on gene expression and cell functions. We hypothesize that selective GR translational isoforms mediate neutrophil resistance to glucocorticoid-induced apoptosis. We propose to increase the efficacy of glucocorticoids in circumventing neutrophilic inflammation by altering GR isoforms. To test our hypotheses, we will examine lenti virus-transduced human CD34+ cell-derived neutrophils, mouse bone marrow-derived neutrophils, and neutrophils in a murine asthma model. Studies in Aim 1 will determine whether the GR-A isoform will increase the sensitivity of neutrophils to glucocorticoid induced-apoptosis. We have found that primary neutrophils have predominantly the GR-D isoforms. In multiple leukocytes, the GR-A, but not the GR-D, isoform is proapoptotic. Our preliminary data also show that retinoic acid (RA) switches the GR-D to the -A isoform in neutrophils. If GR-A expressing neutrophils are sensitive to glucocorticoids, glucocorticoids may be effective in inhibiting neutrophilic airway inflammation.
Aim 2 will determine whether translation factors such as heterogenous nuclear ribonucleoprotein L (hnRNP-L) regulate the selective expression of GR isoforms and glucocorticoid sensitivity of neutrophils. We have identified hnRNP-L as a GR-D associated translation factor. Knockdown of hnRNP-L in promyelocytic HL-60 cells switched the GR-D to -A isoform. We will test whether knockdown of hnRNP-L in neutrophils alter neutrophil glucocorticoid responses in vitro and in vivo. These studies will improve our understanding of the role of GR translational isoforms in neutrophilc inflammation. The GR-A isoform is anticipated to increase the ability of glucocorticoids to induce neutrophil apoptosis and to inhibi components of neutrophilic inflammation.

Public Health Relevance

Subgroups of patients with neutrophilic inflammation are resistant to glucocorticoid treatments. This proposal is to determine whether altering the GR translational isoforms in neutrophils will increase the efficacy of glucocorticoids in inhibiting neutrophil survival and functions.

National Institute of Health (NIH)
National Institute of Allergy and Infectious Diseases (NIAID)
Exploratory/Developmental Grants (R21)
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Molecular and Cellular Endocrinology Study Section (MCE)
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Nasseri, M Faraz
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Northwestern University at Chicago
Internal Medicine/Medicine
Schools of Medicine
United States
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Banuelos, J; Cao, Y; Shin, S C et al. (2017) Immunopathology alters Th17 cell glucocorticoid sensitivity. Allergy 72:331-341
Saif, Zarqa; Dyson, Rebecca M; Palliser, Hannah K et al. (2016) Identification of Eight Different Isoforms of the Glucocorticoid Receptor in Guinea Pig Placenta: Relationship to Preterm Delivery, Sex and Betamethasone Exposure. PLoS One 11:e0148226
Banuelos, Jesus; Lu, Nicholas Z (2016) A gradient of glucocorticoid sensitivity among helper T cell cytokines. Cytokine Growth Factor Rev 31:27-35
Banuelos, J; Shin, S; Cao, Y et al. (2016) BCL-2 protects human and mouse Th17 cells from glucocorticoid-induced apoptosis. Allergy 71:640-50
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