Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  steroids and WBC, RBC,and,,,, 




 
Kaplan Qbank USMLE



Author9 Posts
  #1

Hey guys,

<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

Can Any one please please please, give me the mechanism of action of the effect of the glucocorticosteroid effects on the body cells, ESPECIALLY THE WBC ( and T-cells ), RBCs, and the the platelets.



Is there any effect by the steroids on the adhesion molecules, and t-cell receptors ?!?!?





Thank you so very much in Advance



amer


___________________
email me @: thesolobluesplayer@hotmail.com

  #2

hi
what i have read from my textbook is that glucocorticoids causes lymphocytopenia,monocytopenia,eosinophilopenia....moreover they inhibit proliferation of T-lymphocytes....platelets increase in number....you can also check in your textbook to correct me if i am wrong...hope it helps...

  #3

steroids inhibit chemotaxis. i do not know the mechanism for that. maybe inhibit release of cytokiones from memb stabilisation????. no info on tcr. will look that up.

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #4

my q is what is the mech. of action of steroids both at the pharmaceuticial level and at the molecular level. perhaps we can do a collective project: For starters:

1)they belong to a superfamily of nuclear receptors called "ligand-activated transcription factors"

2)the steroid hormone receptor has a nuclear localization that allow it to reside in the nucleus

3)"heat shock protein is a key word associated with steroid hormon.

all are welcome to add info!


Edited by mjl1717 on 05/31/06 - 02:34 PM

___________________
Smell the coffee! "Is That an Osler move??"

  #5

corticosteroids cause inhibition of Phospholipase A2. Thus LTB4 is not made. LTB4 has 2 functions: 1. activate neutrophil adhesion molecules. 2. cause chemotaxis of neutophils. Thus if corticosteroids are given---->decreased activation of neutrophils adhesion molecules---->increased levels of neutrophils in the blood.

Corticosteroids sequester eosinophils in the lymph nodes---->decreased eosinophils in the blood. Thats why they are used for type I hypersensitivity.

Corticosteroids also decrease blood levels of T and B cells but i dont know the mechanism of that

Hope this helps


  #6

thaks a lot man, this really helps a lot




___________________
email me @: thesolobluesplayer@hotmail.com

  #7

good job slacker, mjl1717


___________________
It has been a looooong hard journey but I am inches away from my destination...

  #8

corticosteroids cause absolute lyhmphopenia by increasing lymphocyte adhesion in the lymph nodes. they also have a lymphocytotoxic effect.

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #9

Roids in simple words: also activate gene transcription.


___________________
Smell the coffee! "Is That an Osler move??"







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.