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loteprednol etabonate

Modality
small molecule
Mechanism
Corticosteroids like loteprednol etabonate inhibit the inflammatory response to a variety of inciting agents and likely delay or slow healing [FDA Label, L4539, A1312]. They inhibit the edema, fibrin deposition, capillary dilation, leukocyte migration, capillary proliferation, fibroblast proliferation, deposition of collagen, and scar formation that are commonly associated with inflammation [FDA Label, A1312]. While glucocorticoids are known to bind to and activate the glucocorticoid receptor, the molecular mechanisms involved in glucocorticoid/glucocorticoid receptor-dependent modulation of inflammation are not clearly established [FDA Label, L4539, A1312]. Moreover, corticosteroids are thought to inhibit prostaglandin production through several independent mechanisms [FDA Label, A1312]. In particular, corticosteroids are thought to act by the induction of phospholipase A2 inhibitory proteins, collectively called lipocortins [F1467]. It is postulated that these proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor arachidonic acid [F1467]. Arachidonic acid is released from membrane phospholipids by phospholipase A2 [F1467]. The use of LE subsequently treats post-operative inflammation and pain following ocular surgery by managing the prostaglandin release, recruitment and travel of neutrophils and macrophages, and production of other inflammatory mediators that are intrinsically associated with the physical trauma of surgery [A1312].
Targets
Glucocorticoid receptor, Estrogen-related receptor gamma, Steroid hormone receptor ERR2, Steroid hormone receptor ERR1
Storage
Approved
acne vulgaris — FDA
In trial
Source
Last verified
2026-04-19
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