Glucocorticoid Receptor 

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  • ||||||||||  dexamethasone / Generic mfg.
    Preclinical, Journal:  Gomisin G improves muscle strength by enhancing mitochondrial biogenesis and function in disuse muscle atrophic mice. (Pubmed Central) -  Sep 18, 2022   
    Although Schisandra chinensis extract has beneficial effects on muscle atrophy induced by various conditions (e.g., dexamethasone and aging), the effect of gomisin G, a lignan component of S. chinensis, on disuse muscle atrophy is unclear...Mechanistically, mitochondrial biogenesis is regulated by gomisin G via the Sirt 1/PGC-1α signaling pathway, targeting NRF1 and TFAM. These data suggest that gomisin G has a potential therapeutic effect on disuse muscle atrophy.
  • ||||||||||  zabedosertib (BAY1834845) / Bayer
    Journal:  Oral IRAK4 inhibitor BAY-1834845 prevents acute respiratory distress syndrome. (Pubmed Central) -  Sep 18, 2022   
    Interestingly, unlike the dexamethasone group, BAY-1834845 largely preserved the signatures of naïve lymphocytes and stromal cells such as endothelial cells, chondrocytes, and smooth muscle cells. Differential gene enrichment suggested that BAY-1834845 downregulated genes more efficiently than dexamethasone, especially TNF, IL-17, interferon, and Toll-like receptor signaling.
  • ||||||||||  dexamethasone / Generic mfg.
    Preclinical, Journal:  High Monocyte Count Associated with Human Cytomegalovirus Replication In Vivo and Glucocorticoid Therapy May Be a Hallmark of Disease. (Pubmed Central) -  Sep 18, 2022   
    Furthermore, glucocorticoids equivalent to 10 and 20 mg of dexamethasone during a 2-3-week period caused monocytosis-significant increase (to 1604 and 2214/µL, respectively)...In the COVID-19 era, presence of high virus level, especially part of virome (CMV) in the molecular technique, is not sufficient for the definition of either proven or probable CMV replication at any site. These preliminary observations merit additional studies to establish whether this clinical response is mediated by monocyte production or by decrease of differentiation to macrophages.
  • ||||||||||  hydrocortisone / Generic mfg.
    Journal:  Acute adrenal insufficiency: an entity that should not be missed (Pubmed Central) -  Sep 18, 2022   
    When acute adrenal insufficiency is suspected, 100 mg of hydrocortisone should be administered as soon as possible, even before biological confirmation. This article, illustrated by a clinical case, will review the clinical presentation, diagnostic approach, and treatment of adrenal insufficiency.
  • ||||||||||  dexamethasone / Generic mfg.
    Preclinical, Journal:  Biomimetic cardiac tissue culture model (CTCM) to emulate cardiac physiology and pathophysiology ex vivo. (Pubmed Central) -  Sep 18, 2022   
    Therefore, following small molecule screening, we found that the incorporation of 100 nM tri-iodothyronine (T3) and 1 μM dexamethasone (Dex) into our culture media preserved the microscopic structure of the slices for 12 days...Furthermore, overstretching the cardiac tissue induced cardiac hypertrophic signaling in culture, which provides a proof of concept for the ability of the CTCM to emulate cardiac stretch-induced hypertrophic conditions. In conclusion, CTCM can emulate cardiac physiology and pathophysiology in culture for an extended time, thereby enabling reliable drug screening.
  • ||||||||||  dexamethasone / Generic mfg.
    Preclinical, Journal:  The "time-response" effect of Wenyang Pingchuan Formula on miR-19a in asthmatic mice experiment. (Pubmed Central) -  Sep 18, 2022   
    80 BALB/c mice were randomly divided into four groups: control (CON) group, model (MDL) group, dexamethasone (DEX) group, and WPCF group...The longer the intervention time, the more effective the treatment. The down-regulation of miR-19a mRNA by activating JAK/STAT and NF-κB signal pathways may be a possible mechanism by which WPCF alleviates airway inflammation.
  • ||||||||||  hydrocortisone / Generic mfg.
    Journal:  Just Anorexia? (Pubmed Central) -  Sep 18, 2022   
    The evaluation proved Addison's disease due to an autoimmune polyendocrine syndrome type 2 with Hashimoto thyreoiditis. Under substitution with hydrocortisone and fludrocortisone all the symptoms subsided completely.
  • ||||||||||  methimazole / Generic mfg., hydrocortisone / Generic mfg., digoxin / Generic mfg.
    A Rare Case of Severe Thyrotoxicosis Induced New Onset Atrial Fibrillation With Rapid Ventricular Response Leading to Heart Failure, Post-COVID-19 Vaccine (Zone 2, Science and Technology Hall, Level 3; Poster Board no. 2082) -  Sep 18, 2022 - Abstract #AHA2022AHA_7424;    
    He was also started on hydrocortisone and PTU...He was weaned off of Cardizem drip as heart rate allowed and was switched to Methimazole within the next few days, was started on Metoprolol, Digoxin and anticoagulation...These cardiovascular changes can be reversible when the underlying thyroid disorder is recognized and treated. To our knowledge, there are no reported cases of thyrotoxicosis induced atrial fibrillation causing acute heart failure post COVID-19 vaccine.
  • ||||||||||  Darzalex (daratumumab) / J&J
    Lightning Strikes Twice - A Case of Light Chain and Attr Amyloidosis (Virtual Only) -  Sep 18, 2022 - Abstract #AHA2022AHA_7141;    
    He was in end stage heart failure requiring inotropic support. Few weeks after chemotherapy, he transitioned toward hospice care.In conclusion, we present a rare case of ATTR and AL amyloidosis coinciding simultaneously that demonstrates the importance of having high index of suspicion for this disease, a stepwise and thorough diagnostic approach highlighting the importance of mass spectroscopy after amyloid protein detection.
  • ||||||||||  Humira (adalimumab) / Eisai, AbbVie
    Effectiveness and Safety of Adalimumab versus Leflunomide in Patients with Takayasu Arteritis – a Retrospective Cohort Study (Virtual Poster Hall) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_2491;    
    However, withdrawal from therapy and mild-to-moderate adverse events were only observed in the LEF group.Table 1 – Baseline features of TAK patients under therapy with ADA and LEF.ADA – Adalimumab; CRP – C-reactive protein; ESR – Erythrocyte sedimentation rate; IV – Intravenous; LEF – Leflunomide; MTP – Methylprednisolone; n – Number of patients; SD – Standard deviation; TAK – Takayasu arteritis; TNFi – TNF inhibitors. Table 2 – Comparison of outcomes between ADA and LEF groups.ADA – Adalimumab; CRP – C-reactive protein; ESR – Erythrocyte sedimentation rate; LEF – Leflunomide; n – Number of patients
  • ||||||||||  prednisolone / Generic mfg.
    CXCR4-targeted Functionally Selective Immunomodulator Shows Robust Efficacy in Pristane-induced Murine Lupus Model (Virtual Poster Hall) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_2331;    
    Treatment rapidly induced decreased levels of anti-dsDNA antibodies, which were maintained, and decreased levels of key pro-inflammatory cytokines in serum at study end. The suppression of kidney interstitial inflammation with ER145 treatment is convincing and suggests that with time, it would have impacted glomerular pathology and tubular cast formation.
  • ||||||||||  prednisone / Generic mfg., methylprednisolone sodium succinate / Generic mfg.
    Giant Cell Arteritis Phenotypes and Diagnosis of Aortitis Among 1852 Patients Before and After 2016 Across 10 French Referral Centers (Virtual Poster Hall) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_2097;    
    Mean oral prednisone dose was 0.80 ±0.18 mg/kg (0.80 ±0.18 vs 0.78 ±0.19) (p=0.06).Differences across centers: significant differences were found for hypertension (36% to 58%; p< 0.0001); diabetes (9 to 14.7%) (p < 0,0001); dyslipidemia (18.6 to 27.4%; p< 0,0001); smoking (past or active) 17.8 to 33.8 (p < 0.0001); fever (20 to 40.4%, p< 0.0001); headache 47.2 vs 81.5 (p=0.0002); aortitis: 10.9 to 36.7% (p < 0.0001); PMR symptoms 24 to 46.2% (p < 0.001); vision loss (transient or permanent) 14.7 to 34.8% (p < 0.0001); CRP 74.8 ±64.9 to 100.7 ±87.8 (p < 0.01); methylprednisolone IV bolus18.9 to 30.6% (p < 0.001). This large French multicentric study gives new information on 1) many differences across time and centers in the phenotype of the disease, 2) a stable proportion of vision loss across time periods 2) the limited use of temporal arteritis duplex ultrasonography and a weaker than expected sensitivity of the halo sign 3) the potential association of hypertension (paradoxically protective) and smoking with presence of aortitis
  • ||||||||||  dexamethasone / Generic mfg.
    Targeting Oxidized Macrophage Migration Inhibitory Factor (oxMIF) – a Novel Treatment Approach for Rheumatoid Arthritis (Virtual Poster Hall) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_1589;    
    ON104 has the potential to become a well-tolerated non-steroidal anti-inflammatory drug for patients with RA. Due to the previously reported synergy of oxMIF neutralization and the anti-inflammatory effects of GCs, ON104 represent a new treatment option for patients with RA, especially for those having frequent rheumatoid flares and significant GCs side effects.Mice with collagen-induced arthritis (CIA) were treated upon onset of the disease twice weekly with anti-oxMIF ON104 and controls
  • ||||||||||  Olumiant (baricitinib) / Incyte, Eli Lilly
    Combination Treatment with Baricitinib and Pulse Steroids in Severe COVID19: A (Center City Stage) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_1445;    
    A “rheumatological approach” seems to be associated with a significant reduction of mortality paralleled by a prompt reduction of inflammatory biomarkers. Our real-life experience confirms the latest evidences on the pathogenetic mechanisms of severe COVID19 phenotype which is not distinguishable from CTD-associated RP-ILD
  • ||||||||||  Olumiant (baricitinib) / Incyte, Eli Lilly
    Combination Treatment with Baricitinib and Pulse Steroids in Severe COVID19: A (Virtual Poster Hall) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_1409;    
    A “rheumatological approach” seems to be associated with a significant reduction of mortality paralleled by a prompt reduction of inflammatory biomarkers. Our real-life experience confirms the latest evidences on the pathogenetic mechanisms of severe COVID19 phenotype which is not distinguishable from CTD-associated RP-ILD
  • ||||||||||  Kineret (anakinra) / SOBI
    Outcomes and Safety of Anakinra for the Treatment of Multisystem Inflammatory Syndrome in Children (Virtual Poster Hall) -  Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_1248;    
    Our findings suggest an alternative strategy associated with resolution of MIS-C-associated hyperinflammation, and may be useful in MIS-C patients for whom steroids may be unfavorable or contraindicated.Primary outcome measurements of MIS-C patients with non-specific, KD-like, and CV shock clinical phenotypes treated with anakinra. The effect of anakinra on defervescence in all patients receiving anakinra (A), as well as those with KD-like features (B) and CV shock phenotypes (C), is shown.
  • ||||||||||  methylprednisolone sodium succinate / Generic mfg.
    Observational data, Journal:  Immunoadsorption versus double-dose methylprednisolone in refractory multiple sclerosis relapses. (Pubmed Central) -  Sep 16, 2022   
    P=N/A
    Outcome differences were significant at discharge and follow-up. Further analyses identified modulation of B cell function as a potential mechanism of action for immunoadsorption, as reduction of B cell subsets correlated with clinical improvement.
  • ||||||||||  Venclexta (venetoclax) / Roche, AbbVie
    Trial completion date, Trial initiation date, Trial primary completion date:  Venetoclax, Daratumumab, and Dexamethasone for Systemic Light-Chain Amyloidosis With Translocation (11;14) (ALTITUDE) (clinicaltrials.gov) -  Sep 16, 2022   
    P1/2,  N=78, Not yet recruiting, 
    Additionally, we compare the bioequivalence evaluations regarding the human studies based on the generic version of Nasonex between Japan and the USA. Trial completion date: Aug 2026 --> Dec 2026 | Initiation date: Sep 2022 --> Jan 2023 | Trial primary completion date: Aug 2026 --> Dec 2026
  • ||||||||||  dexamethasone / Generic mfg., dexmedetomidine / Generic mfg.
    Adjuvant Dexamethasone and Dexmedetomidine in Bupivacaine Penile Nerve Block during Circumcision (NH/VT Room) -  Sep 15, 2022 - Abstract #NEAUA2022NEAUA_109;    
    Intraoperative penile nerve blocks that combine long-acting local anesthetics with dexmedetomidine and dexamethasone can safely enhance immediate post-operative analgesia in non-diabetic patients undergoing circumcision. In patients with diabetes, the use of adjuvant non-opioid pain medications in the preoperative or intraoperative period may reduce opioid use postoperatively.
  • ||||||||||  cloxacillin / Generic mfg.
    Biomarker, Clinical, Observational data, Retrospective data, Review, Journal:  Cloxacillin-induced acute vanishing bile duct syndrome: A case study and literature review. (Pubmed Central) -  Sep 15, 2022   
    She required ICU transfer for hypotension and was started empirically on prednisone...Two months later she was discharged on hydrocortisone and ursodiol with persistently elevated alkaline phosphatase and bilirubin...Cloxacillin-induced cholestasis can be secondary to acute ductopenia, which can result in worse clinical outcomes than previously described "bland" cholestasis. Liver biopsy is recommended to identify cases with acute VBDS.