{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T22:45:24Z","timestamp":1781304324241,"version":"3.54.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T00:00:00Z","timestamp":1505779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T00:00:00Z","timestamp":1505779200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstracts<\/jats:title><jats:p>Glucocorticoid (GC) resistance is the major obscule in the treatment of pemphigus vulgaris (PV) for both patients and clinicans with unclear mechanism. A hypotheis for this resistance is the mutations or polymorphisms present in the nuclear receptor subfamily 3, group C, member 1 (NR3C1) gene that encodes receptors for steroid hormones. This study aimed to investigate the association between NR3C1 gene polymorphisms and GC effectiveness in PV patients. 94 PV patients (64 GC-sensitive and 30 GC-resistant) and 100 healthy volunteers were enrolled in this case-control study. The genotyping of single nucleotide polymorphisms (SNPs) in BCL1, Arg23Lys, Asn363Ser 1548 t-insert, and le747Met, together with tag-SNP sites of the NR3C1 gene were evaluated. No significant differences were observed in genotypic and allelic frequencies of the 16 SNPs between PV patients and healthy volunteers. However, SNPs rs 11745958\u2009C\/T (OR: 8.95) and rs17209237 A\/G (OR: 4.07) may be associated with an increased risk of GC resistance, while rs 33388\u2009A\/T (OR: 0.45) and rs7701443 A\/G (OR: 0.51) may indicate a decreased risk of GC resistance in PV patients. NR3C1 gene variation may be associated with GC resistance in PV patients. More extensive genetic analyses and mechanistic analysis are required for further exploration.<\/jats:p>","DOI":"10.1038\/s41598-017-12255-0","type":"journal-article","created":{"date-parts":[[2017,9,13]],"date-time":"2017-09-13T13:20:34Z","timestamp":1505308834000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Correlation between polymorphisms of the NR3C1 gene and glucocorticoid effectiveness in patients with pemphigus vulgaris"],"prefix":"10.1038","volume":"7","author":[{"given":"Si-Yue","family":"Fang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Lei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Song","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Hua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2017,9,19]]},"reference":[{"key":"12255_CR1","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1016\/j.jaad.2010.04.039","volume":"64","author":"LK Martin","year":"2011","unstructured":"Martin, L. K., Werth, V. P., Villaneuva, E. V. & Murrell, D. F. A systematic review of randomized controlled trials for pemphigus vulgaris and pemphigus foliaceus. J Am Acad Dermatol \n                           64, 903\u2013908 (2011).","journal-title":"J Am Acad Dermatol"},{"key":"12255_CR2","doi-asserted-by":"publisher","first-page":"396","DOI":"10.7326\/0003-4819-92-3-396","volume":"92","author":"AR Ahmed","year":"1980","unstructured":"Ahmed, A. R., Graham, J., Jordan, R. E. & Provost, T. T. Pemphigus: current concepts. Ann Intern Med \n                           92, 396\u2013405 (1980).","journal-title":"Ann Intern Med"},{"key":"12255_CR3","doi-asserted-by":"publisher","DOI":"10.1186\/s13023-015-0278-x","volume":"10","author":"W Prussmann","year":"2015","unstructured":"Prussmann, W. et al. Prevalence of pemphigus and pemphigoid autoantibodies in the general population. 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Pemphigus vulgaris: approach to treatment. Eur J Dermatol \n                           25, 103\u2013113 (2015).","journal-title":"Eur J Dermatol"},{"key":"12255_CR7","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1001\/jamadermatol.2014.2421","volume":"151","author":"S Ingen-Housz-Oro","year":"2015","unstructured":"Ingen-Housz-Oro, S. et al. First-line treatment of pemphigus vulgaris with a combination of rituximab and high-potency topical corticosteroids. JAMA Dermatol \n                           151, 200\u2013203 (2015).","journal-title":"JAMA Dermatol"},{"key":"12255_CR8","first-page":"408","volume":"127","author":"V Sibaud","year":"2000","unstructured":"Sibaud, V., Beylot-Barry, M., Doutre, M. S. & Beylot, C. Successful treatment of corticoid-resistant pemphigus with high-dose intravenous immunoglobulins. 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