Safer steroids

Glucocorticoid receptors on steroids.Doctors have used steroids for decades to control autoimmune and inflammatory diseases such as rheumatoid arthritis, lupus and inflammatory bowel disease, but their potentially serious side effects — including bone loss, obesity, diabetes and growth impairment — have made it difficult to keep patients on the drugs for prolonged periods of time. Endocrinologist Louis Muglia, M.D., Ph.D., associate professor of molecular biology and pharmacology and of pediatrics at Washington University School of Medicine in St. Louis, and colleagues have recently identified a key component of steroids’ effects on the immune system, a possible first step toward developing new drugs that can offer the same benefits as steroids without the many potentially serious side effects.