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LETTER

Glucocorticoid Resistance

right arrow Mitchell A. Lazar, MD, PhD

15 June 1994 | Volume 120 Issue 12 | Pages 1047-1048


TO THE EDITOR:

I would like to clarify an issue raised in the excellent review of glucocorticoid resistance by Chrousos and colleagues [1] regarding a putative variant form of glucocorticoid receptor. Such a variant could indeed be analogous to the {alpha} 2 form of the thyroid hormone receptor, which does not bind thyroid hormone but can inhibit thyroid hormone action [2, 3]. Formation of inactive heterodimers with thyroid hormone receptors has been postulated; however, we have more recently found that the {alpha} 2 thyroid hormone receptor does not form stable heterodimers with other thyroid hormone receptors [4]. Rather, its dominant inhibition of thyroid hormone action is caused by direct competition with the other receptors for thyroid hormone response elements in target genes [5].


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University of Pennsylvania School of Medicine; Philadelphia, PA 19104


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1. Chrousos GP, Detera-Wadleigh SD, Karl M. Syndromes of glucocorticoid resistance. Ann Intern Med. 1993; 119:1113-24.

2. Koenig RJ, Lazar MA, Hodin RA, Brent GA, Larsen PR, Chin WW, et al. Inhibition of thyroid hormone action by a non-hormone binding c-erbA protein generated by alternative mRNA splicing. Nature. 1989; 337:659-61.

3. Lazar MA, Hodin RA, Chin WW. Human carboxyl-terminal variant of {alpha}-type c-erbA inhibits trans-activation by thyroid hormone receptors without binding thyroid hormone. Proc Natl Acad Sci U S A. 1989; 86:7771-4.

4. Katz D, Berrodin TJ, Lazar MA. The unique C-termini of the thyroid hormone receptor variant, c-erbA {alpha} 2, and the thyroid hormone receptor {alpha} 1 mediate different DNA-binding and heterodimerization properties. Mol Endocrinol. 1992; 6:805-14.

5. Katz D, Lazar MA. Dominant negative activity of an endogenous thyroid hormone receptor variant ({alpha} 2) is due to competition for binding sites on target genes. J Biol Chem. 1993; 268:20904-10.

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