title: Neonatal dexamethasone treatment increases susceptibility to experimental autoimmune disease in adult rats.
abstract: Major concern has emerged about the possible long term adverse effects of glucocorticoid treatment, which is frequently used for the prevention of chronic lung disease in preterm infants. Here we show that neonatal glucocorticoid treatment of rats increases the severity (p< or = 0.01) and incidence (p< or =0.01) of the inflammatory autoimmune disease experimental autoimmune encephalomyelitis in adult life. In search of possible mechanisms responsible for the increased susceptibility to experimental autoimmune encephalomyelitis, we investigated the reactivity of the hypothalamo-pituitary-adrenal axis and of immune cells in adult rats after neonatal glucocorticoid treatment. We observed that neonatal glucocorticoid treatment reduces the corticosterone response after an LPS challenge in adult rats (p< or =0.001). Interestingly, LPS-stimulated macrophages of glucocorticoid-treated rats produce less TNF-alpha and IL-1beta in adult life than control rats (p<0.05). In addition, splenocytes obtained from adult rats express increased mRNA levels of the proinflammatory cytokines IFN-gamma (p<0.01) and TNF-beta (p<0.05) after neonatal glucocorticoid treatment. Apparently, neonatal glucocorticoid treatment has permanent programming effects on endocrine as well as immune functioning in adult life. In view of the frequent clinical application of glucocorticoids to preterm infants, our data demonstrate that neonatal glucocorticoid treatment may be a risk factor for the development of (auto)immune disease in man.
authors.affiliation: Departments of. Pediatric Immunology and Neonatology, Wilhelmina Children's Hospital of the University Medical Center, and Rudolf Magnus Institute, Utrecht, The Netherlands. j.m.bakker-2@wkz.azu.nl
authors.forename: J M
authors.initials: JM
authors.lastname: Bakker
authors.forename: A
authors.initials: A
authors.lastname: Kavelaars
authors.forename: P J
authors.initials: PJ
authors.lastname: Kamphuis
authors.forename: P M
authors.initials: PM
authors.lastname: Cobelens
authors.forename: H H
authors.initials: HH
authors.lastname: van Vugt
authors.forename: F
authors.initials: F
authors.lastname: van Bel
authors.forename: C J
authors.initials: CJ
authors.lastname: Heijnen
mesh_terms: D000375:Aging / Q000097:blood / Q000276:immunology*; D000818:Animals; D000831:Animals, Newborn / Q000254:growth & development / Q000276:immunology*; D001835:Body Weight / Q000187:drug effects; D002478:Cells, Cultured; D003345:Corticosterone / Q000037:antagonists & inhibitors / Q000097:blood; D016207:Cytokines / Q000096:biosynthesis / Q000235:genetics; D003907:Dexamethasone / Q000008:administration & dosage* / Q000009:adverse effects*; D004198:Disease Susceptibility; D004681:Encephalomyelitis, Autoimmune, Experimental / Q000097:blood / Q000453:epidemiology / Q000276:immunology* / Q000503:physiopathology; D005260:Female; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000009:adverse effects; D015994:Incidence; D007274:Injections, Intraperitoneal; D007375:Interleukin-1 / Q000037:antagonists & inhibitors / Q000096:biosynthesis; D008070:Lipopolysaccharides / Q000008:administration & dosage / Q000037:antagonists & inhibitors; D008213:Lymphocyte Activation / Q000187:drug effects; D017737:Macrophages, Peritoneal / Q000276:immunology / Q000378:metabolism; D008297:Male; D012333:RNA, Messenger / Q000096:biosynthesis; D051381:Rats; D017208:Rats, Wistar; D012720:Severity of Illness Index; D013154:Spleen / Q000166:cytology / Q000187:drug effects / Q000276:immunology; D014409:Tumor Necrosis Factor-alpha / Q000037:antagonists & inhibitors / Q000096:biosynthesis
chemical_list: D016207:Cytokines; D007166:Immunosuppressive Agents; D007375:Interleukin-1; D008070:Lipopolysaccharides; D012333:RNA, Messenger; D014409:Tumor Necrosis Factor-alpha; D003907:Dexamethasone; D003345:Corticosterone