ligand-activated glucocorticoid receptor (GR) induces or represses the transcription of thousands of genes through direct binding to DNA response elements, physically associating with other transcription factors, or both.
there are many GR variants which are derived from a single gene by alternative splicing and alternative translation initiation mechanisms
posttranslational modifications of these GR isoforms further expand the heterogeneity of glucocorticoid signaling
the central DBD of the GR is the most conserved domain across all the nuclear receptor proteins and harbors two zinc finger motifs that bind target DNA sequences called glucocorticoid response elements (GREs) which are palindromic sequences comprised of 2 half sites (GGAACAnnnTGTTCT) separated by a 3-nucleotide spacer. GR binds GRE as a dimer and each half site is occupied by one receptor and thus the 3-nucleotide spacer between the 2 half sites is strictly required for GR:DNA interaction.
there is also a negative glucocorticoid-responsive element (nGRE) that mediates glucocorticoid-dependent repression of target genes by recruiting co-repressors (NCoR1 and SMRT) and histone deacetlyases (HDACs). nGRE is palindromic (CTCC(n)0-2GGAGA), but differ from the classic GRE in having a variable spacer that ranges from 0-2 nucleotides and is occupied by 2 GR monomers
the NTD part of GR contains transcription activation function (AF1) that activates target genes in a ligand-independent fashion and is the primary site for all the posttranslational modifications
in the absence of hormone, GR predominantly resides in the cytoplasm of cells as part of a large multi-protein complex that includes chaperone proteins (hsp90, hsp70, and p23) and immunophilins (FKBP51 and FKBP52)
on binding ligand GR undergoes a conformational change, resulting in the dissociation of the multi-protein complex leading to a structural reorganization of the GR protein exposing the 2 nuclear localization signals, and the ligand bound GR is rapidly translocated into the nucleus through nuclear pores. Binding of glucocorticoids to GR not only activates the receptor, but also liberates accessory proteins that participate in secondary signaling cascades (eg. c-Src activates signaling cascades that inhibit phospholipase A2 activity, phosphorylate annexin 1, and impair the release of arachidonic acid)
Once inside the nucleus, GR binds directly to GREs and stimulates target gene expression.
specific GR binding sites vary between tissues due to differences in chromatin landscape which influences GRE accessibility
GR transcriptional activity can be regulated in many ways:
inheritable polymorphisms in the GR gene that alter the amino acid sequence are linked to impaired GR function as a transcriptional activator or repressor.
N363S polymorphism, located within exon 2 occurs in ~4% of the population, results in modest increases in GR transcriptional activity, and is associated with generalized increases in glucocorticoid sensitivity. Carriers have been reported to have an increased body mass index, coronary artery disease and decreased bone mineral density.
ER22/23EK polymorphism that occurs in ~3% of individuals results in an arginine (R) to lysine (K) change at position 23 (R23K) within the N terminus and is associated with decreased GR transcriptional activity and has been shown to increase the ratio of GRα-A to GRα-B and the carriers of ER22/23EK polymorphism have a lower tendency to develop impaired glucose tolerance, type-2 diabetes and cardiovascular disease
A3669G polymorphism in GRβ 3’ untranslated region results in an increase of both GRβ mRNA and protein. Carriers of A3669G polymorphism have a higher incidence of rheumatoid arthritis and cardiovascular disease. Those homozygous for A3669G polymorphism were associated with a pro-inflammatory phenotype with an increased risk for myocardial infarction and coronary heart disease
alternative splicing GR variants (GRα, GRβ, GRγ, GR-A, and GR-P)
translational GR isoforms (GRα-A, -B, -C1, -C2, -C3, -D1, -D2 and -D3)
down-regulation of GR
covalent phosphorylation of GR modifies other properties of GR that affect GR signaling
GR is ubiquitinated at a conserved lysine residue located at position 419 (Lys-419), and this modification targets the receptor for degradation by the 26S proteasome
acetylation of GR by clock transcription factor reduces GR transcriptional activity
covalent addition of a small ubiquitin-related modifier-1 “sumoylation” which can promote its degradation and inhibit the transcriptional activity of GR in a promoter-specific manner by recruiting co-repressors
in thymocytes, activated GR translocates to mitochondria and regulates apoptosis
additionally, GR can physically interact with the members of the signal transducer and activator of transcription (STAT) family, either in conjunction with binding a GRE or apart, to enhance transcription of certain target genes