Ignoring steroids

نویسنده

  • Heather L. Van Epps
چکیده

A new study by Ito and colleagues on page 7 may help explain why patients with a severe lung disease called chronic obstructive pulmonary disease (COPD) fail to respond to steroid treatment. Ito and colleagues show that steroids require the enzyme HDAC2 (histone deacetylase 2) to block the inflammatory transcription factor NF-κB. In patients with COPD, HDAC2 activity is reduced, rendering cells impervious to the soothing effects of steroids. Steroids called glucocorticoids (GCs) are powerful antiinflammatory drugs used to treat chronic inflammatory disorders such as asthma and inflammatory bowel disease. But these drugs don't work in patients with COPD—a chronic inflammatory disease of the lungs linked to cigarette smoking. When working properly, GCs calm inflammation in two ways. They bind to the cytoplasmic glucocorticoid receptor (GR), which then binds to NF-κB and prevents it from activating inflammatory gene expression. At high concentrations, GCs also induce the expression of HDAC proteins. Consistent with the induction of HDAC expression in antiinflammatory responses, this group had previously shown that patients with more severe COPD had decreased expression of HDAC2, probably due to oxidative damage to the enzyme inflicted by cigarette smoke. HDAC2 is most well-known for plucking acetyl groups from histones, thus preventing the transcriptional machinery from binding to chromatin. But now Ito and colleagues find that HDAC2 also deacetylates GRs. GRs are acetylated in response to steroid binding, but must be deacetylated by HDAC2 to allow them to block NF-κB–driven inflammation. Overexpressing HDAC2 in macrophages from patients with COPD restored GC-induced suppression of NF-κB–driven cytokine production. These data not only identify GR as the first nonhistone target for HDAC2, but also suggest that strategies aimed at increasing HDAC2 activity, combined with steroids, might be useful for treating patients with COPD. Interferon (IFN)-α gives macrophages the upper hand against HIV, according to a study on page 41. Peng and colleagues show that the cytokine IFN-α enhances the expression of the RNA-editing enzyme APOBEC3G, which mutates HIV DNA, thus triggering its degradation. APOBEC3G is a close relative of the B cell–specific protein AID (activation-induced cytidine deaminase), which mutates immuno-globulin DNA to generate high affinity anti-bodies. APOBEC3G—which may have evolved as a regulator of endogenous retrovi-ruses—recently emerged as an inhibitor of HIV replication in T cells, owing to its propensity to mutate retrotranscribed viral DNA. But HIV effectively counters this defense with the Vif protein, which binds to APOBEC3G and targets it for proteasomal degradation. …

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عنوان ژورنال:
  • The Journal of Experimental Medicine

دوره 203  شماره 

صفحات  -

تاریخ انتشار 2006