Table 1

Cell-specific GC effects

Cell typeEffects
Global↓ Proinflammatory and chemotactic factors17
~ Coagulopathy37
↓ Wound healing28
↑ Infection risk (long term)40
Lymphocyte↑ Apoptosis3
↓ Proliferation33
↓ Circulating counts5
Neutrophil↓ Recruitment21,22
↓ Inflammatory genes22
↓ Apoptosis275
↑ Circulating counts22
Monocyte, macrophage↓ ROS, inflammasome20
↓ Shift M1,21 M2276
↓ Chemotactic factors43
↓ Adhesion, recruitment, accumulation5,43
↓ Efferocytosis, phagocytosis43
↓ Circulating counts5
Alveolar and airway epithelium↑ Barrier integrity18,19,277–279
↑ SPA, SPD280,281
↑ Type II maturation282
↓ MUC5AC283
↓ Type I>type II27,282
↑ Apoptosis23
↓ Proliferation, repair24–26
Fibroblast↑ Contractility35
↓ Collagen deposition28
~ Proliferation28 34
Endothelium↓ NOS/vasoconstriction15
↓ Angiogenesis284
↑ VWF, TF, ICAM, VCAM30–32
↑ Neutrophil adhesion30–32
  • GC, glucocorticoid; ROS, reactive oxygen species ; VWF, von Willebrand factor.