Glucocorticoids (glucocorticosteroids, corticosteroids) have an import
ant place in the treatment of many inflammatory conditions including t
hose of the respiratory tract. Their mechanisms of action include both
the suppression of inflammatory mediators and the regulation of at le
ast one anti-inflammatory protein, lipocortin 1 (also known as annexin
1). Lipocortin 1 has been convincingly demonstrated to mediate the an
ti-inflammatory effects of glucocorticoids in a variety of in vivo and
in vitro models of inflammation. The actions of lipocortin 1 in the l
ung have not been fully elucidated. If, as initial studies suggest, it
s effects in the respiratory tract are shown to be anti-inflammatory,
it is possible that administration of lipocortin 1 peptides, or other
drugs based on the active site of lipocortin 1, might prove to be usef
ul agents for the control of respiratory tract inflammation.