ON THE MECHANISM THROUGH WHICH HYDROCORTISONE AFFECTS THE RESISTANCE OF TISSUES TO INJURY
Journal of the American Medical Association · 1953 · 185 citations · 5 references
General Adaptation SyndromeImmunologyTissue DamageMany PathogensGlucocorticoidOxidative StressInflammationSoft Tissue InjuryClinical InjuryImmune MediatorNeuroimmunologyTissue InjuryMechanobiologyHealth SciencesPsychoneuroimmunologyAutoimmune DiseaseAllergyAutoimmunityImmune FunctionManifold Therapeutic EffectsPharmacologyPhysiologyPathogenesisImmunosuppressionHost ResistanceMedicine
Glucocorticoids are widely used for their broad therapeutic effects, yet they do not directly attack pathogens; instead, they are thought to form a protective shield around tissues, although they also reduce resistance to certain aggressors. This communication reports experiments suggesting an alternative interpretation that reconciles glucocorticoids’ protective and sensitizing effects on nonspecific tissue injury. No additional information is provided.
In view of the manifold therapeutic effects of glucocorticoids, the mechanism through which they influence disease is of considerable interest to the physician. It is commonplace by now to say that they do not attack pathogens directly. Clinical observations led to the assumption that they might provide some "protective shield" around the tissues of the body, a barrier quite impermeable to many pathogens. This hypothesis would be consonant with the great nonspecificity of their protective effects, but it is hardly in keeping with the well-known fact that cortisone actually diminishes resistance to some aggressors (e. g., certain pathogenic micro-organisms). The purpose of this communication is to report on recent experiments that suggest an alternative interpretation that is compatible with the fact that these hormones can both protect and sensitize to various nonspecifically injurious agents (noxae). As soon as the principal outlines of the general adaptation syndrome had been recognized, it
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Hans Selye · The American Journal of the Medical Sciences · 1952
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Jan Kellgren · Annals of the Rheumatic Diseases · 1952
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Second Annual Report on Stress
Postgraduate Medical Journal · 1953
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