[HTML][HTML] Glucocorticoids suppress inflammation via the upregulation of negative regulator IRAK-M

M Miyata, JY Lee, S Susuki-Miyata, WY Wang… - Nature …, 2015 - nature.com
M Miyata, JY Lee, S Susuki-Miyata, WY Wang, H Xu, H Kai, KS Kobayashi, RA Flavell, JD Li
Nature communications, 2015nature.com
Glucocorticoids are among the most commonly used anti-inflammatory agents. Despite the
enormous efforts in elucidating the glucocorticoid-mediated anti-inflammatory actions, how
glucocorticoids tightly control overactive inflammatory response is not fully understood. Here
we show that glucocorticoids suppress bacteria-induced inflammation by enhancing IRAK-
M, a central negative regulator of Toll-like receptor signalling. The ability of glucocorticoids
to suppress pulmonary inflammation induced by non-typeable Haemophilus influenzae is …
Abstract
Glucocorticoids are among the most commonly used anti-inflammatory agents. Despite the enormous efforts in elucidating the glucocorticoid-mediated anti-inflammatory actions, how glucocorticoids tightly control overactive inflammatory response is not fully understood. Here we show that glucocorticoids suppress bacteria-induced inflammation by enhancing IRAK-M, a central negative regulator of Toll-like receptor signalling. The ability of glucocorticoids to suppress pulmonary inflammation induced by non-typeable Haemophilus influenzae is significantly attenuated in IRAK-M-deficient mice. Glucocorticoids improve the survival rate after a lethal non-typeable Haemophilus influenzae infection in wild-type mice, but not in IRAK-M-deficient mice. Moreover, we show that glucocorticoids and non-typeable Haemophilus influenzae synergistically upregulate IRAK-M expression via mutually and synergistically enhancing p65 and glucocorticoid receptor binding to the IRAK-M promoter. Together, our studies unveil a mechanism by which glucocorticoids tightly control the inflammatory response and host defense via the induction of IRAK-M and may lead to further development of anti-inflammatory therapeutic strategies.
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