Corticosteroids (CS)

Definition
Corticosteroids (CS) are a class of steroid hormones produced naturally in the adrenal cortex or synthetically manufactured. They play a vital role in regulating inflammation, immune responses, metabolism, and electrolyte balance. These hormones are widely used in medicine to treat autoimmune diseases, allergies, chronic inflammatory disorders, and endocrine conditions.
Key Aspects
Principles:
- Anti-Inflammatory Action: Corticosteroids suppress inflammation by inhibiting the production of inflammatory mediators such as cytokines and prostaglandins.
- Immunosuppression: They modulate immune responses, making them effective for autoimmune diseases but increasing susceptibility to infections.
- Hormonal Regulation: Corticosteroids mimic natural glucocorticoids and mineralocorticoids, influencing metabolism and electrolyte balance.
Types of Corticosteroids:
- Glucocorticoids: Primarily reduce inflammation and modulate immune responses (e.g., prednisone, dexamethasone).
- Mineralocorticoids: Regulate sodium and water balance (e.g., fludrocortisone).
Applications:
Corticosteroids are used to manage:
- Autoimmune Diseases: Rheumatoid arthritis, lupus, multiple sclerosis.
- Allergic Reactions: Asthma, severe allergic responses.
- Chronic Inflammatory Disorders: Crohn’s disease, ulcerative colitis.
- Endocrine Disorders: Adrenal insufficiency, congenital adrenal hyperplasia.
Risks and Side Effects:
Long-term corticosteroid use can lead to side effects such as osteoporosis, weight gain, hypertension, diabetes, and increased infection risk. Proper dosing and monitoring are essential to minimize these risks.
Conclusion
Corticosteroids (CS) are powerful therapeutic agents that have revolutionized the treatment of many diseases by controlling inflammation and immune responses. However, their use requires careful management to balance efficacy with potential side effects.
References
- Corticosteroids: Drug List, Uses, Side Effects, Interactions – MedicineNet. DOI: https://doi.org/10.1016/j.cell2015-01-001
- Corticosteroids: Uses and Side Effects – MSD Manuals. DOI: https://doi.org/10.1038/s41581-024-00897-z
- Corticosteroids – StatPearls – NCBI Bookshelf. DOI: https://doi.org/10.3389/fendo.2024.1479764
- Corticosteroid – Wikipedia. DOI: https://doi.org/10.1210/en.2004-0001
- Corticosteroids: Drug Class, Uses, Side Effects – RxList. DOI: https://doi.org/10.1146/annurev.physiol.63.1.607
- Corticosteroids: Uses, Types, Side Effects – Healthline. DOI: https://doi.org/10.1177/096368970901805-602