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- Title
Clinical Use and Molecular Action of Corticosteroids in the Pediatric Age.
- Authors
Ferrara, Giovanna; Petrillo, Maria Grazia; Giani, Teresa; Marrani, Edoardo; Filippeschi, Cesare; Oranges, Teresa; Simonini, Gabriele; Cimaz, Rolando
- Abstract
Corticosteroids are the mainstay of therapy for many pediatric disorders and sometimes are life-saving. Both endogenous and synthetic derivatives diffuse across the cell membrane and, by binding to their cognate glucocorticoid receptor, modulate a variety of physiological functions, such as glucose metabolism, immune homeostasis, organ development, and the endocrine system. However, despite their proved and known efficacy, corticosteroids show a lot of side effects, among which growth retardation is of particular concern and specific for pediatric age. The aim of this review is to discuss the mechanism of action of corticosteroids, and how their genomic effects have both beneficial and adverse consequences. We will focus on the use of corticosteroids in different pediatric subspecialties and most common diseases, analyzing the most recent evidence.
- Subjects
CORTICOSTEROIDS; DRUG side effects; SYSTEMIC lupus erythematosus; TRANSCRIPTION factors; AUTOIMMUNE diseases; GLUCOCORTICOIDS
- Publication
International Journal of Molecular Sciences, 2019, Vol 20, Issue 2, p444
- ISSN
1661-6596
- Publication type
Article
- DOI
10.3390/ijms20020444