0 14 Glucocorticoid glucocorticoid NN 15 24 receptors receptor NNS 25 27 in in IN 28 36 anorexia anorexia NN 37 44 nervosa nervosa NN 45 48 and and CC 49 56 Cushing cushing NN 56 58 ’s 's POS 59 66 disease disease NN 66 67 . . . 69 79 BACKGROUND background NN 79 80 : : : 81 89 Patients patient NNS 90 94 with with IN 95 103 anorexia anorexia NN 104 111 nervosa nervosa NN 112 114 do do VBP 115 118 not not RB 119 126 display display VB 127 137 cushingoid cushingoid JJ 138 146 features feature NNS 147 149 in in IN 150 155 spite spite NN 156 158 of of IN 159 167 elevated elevated JJ 168 176 cortisol cortisol NN 177 183 plasma plasma NN 184 190 levels level NNS 190 191 . . . 192 199 Whether whether IN 200 201 a a DT 202 210 cortisol cortisol NN 211 221 resistance resistance NN 222 224 or or CC 225 226 a a DT 227 234 reduced reduce VBN 235 247 availability availability NN 248 250 of of IN 251 254 the the DT 255 264 metabolic metabolic JJ 265 275 substrates substrate NNS 276 285 necessary necessary JJ 286 288 to to TO 289 296 develop develop VB 297 300 the the DT 301 307 effect effect NN 308 310 of of IN 311 326 glucocorticoids glucocorticoid NNS 327 329 is be VBZ 330 341 responsible responsible JJ 342 345 for for IN 346 350 this this DT 351 354 has have VBZ 355 358 not not RB 359 363 been be VBN 364 375 established establish VBN 375 376 . . . 377 384 METHODS methods NNS 384 385 : : : 386 396 Twenty-two twenty-two CD 397 405 patients patient NNS 406 410 with with IN 411 417 severe severe JJ 418 429 restrictive restrictive JJ 430 438 anorexia anorexia NN 439 446 nervosa nervosa NN 446 447 , , , 448 450 10 10 CD 451 459 patients patient NNS 460 464 with with IN 465 471 active active JJ 472 479 Cushing cushing NN 479 481 ’s 's POS 482 489 disease disease NN 489 490 , , , 491 494 and and CC 495 497 24 24 CD 498 505 healthy healthy JJ 506 516 volunteers volunteer NNS 517 524 without without IN 525 536 psychiatric psychiatric JJ 537 546 disorders disorder NNS 547 549 or or CC 550 554 mood mood NN 555 566 alterations alteration NNS 567 571 were be VBD 572 584 investigated investigate VBN 584 585 . . . 586 600 Glucocorticoid glucocorticoid NN 601 609 receptor receptor NN 610 625 characteristics characteristic NNS 626 630 were be VBD 631 639 examined examine VBN 640 642 on on IN 643 654 mononuclear mononuclear JJ 655 665 leukocytes leukocyte NNS 666 668 by by IN 669 678 measuring measure VBG 679 680 [ [ ( 680 696 3H]dexamethasone 3H]dexamethasone NNP 697 704 binding binding NN 705 708 and and CC 709 712 the the DT 713 719 effect effect NN 720 722 of of IN 723 736 dexamethasone dexamethasone NN 737 739 on on IN 740 741 [ [ ( 741 753 3H]thymidine 3H]thymidine NNP 754 767 incorporation incorporation NN 767 768 , , , 769 774 which which WDT 775 785 represents represent VBZ 786 788 an an DT 789 794 index index NN 795 797 of of IN 798 801 DNA DNA NNP 802 811 synthesis synthesis NN 811 812 . . . 813 820 RESULTS results NNS 820 821 : : : 822 825 The the DT 826 832 number number NN 833 835 of of IN 836 850 glucocorticoid glucocorticoid NN 851 860 receptors receptor NNS 861 863 on on IN 864 875 mononuclear mononuclear JJ 876 886 leukocytes leukocyte NNS 887 888 ( ( ( 888 891 MNL MNL NNP 891 892 ) ) ) 893 896 was be VBD 897 907 comparable comparable JJ 908 910 in in IN 911 919 patients patient NNS 920 924 with with IN 925 933 anorexia anorexia NN 934 941 nervosa nervosa NN 941 942 , , , 943 951 patients patient NNS 952 956 with with IN 957 963 active active JJ 964 971 Cushing cushing NN 971 973 ’s 's POS 974 981 disease disease NN 981 982 , , , 983 986 and and CC 987 993 normal normal JJ 994 1002 subjects subject NNS 1003 1004 ( ( ( 1004 1011 binding binding NN 1012 1020 capacity capacity NN 1021 1024 3.3 3.3 CD 1025 1028 +/- +/- SYM 1029 1033 0.23 0.23 CD 1034 1037 vs. vs. IN 1038 1041 3.7 3.7 CD 1042 1045 +/- +/- SYM 1046 1050 0.30 0.30 CD 1051 1054 and and CC 1055 1058 3.5 3.5 CD 1059 1062 +/- +/- SYM 1063 1067 0.20 0.20 CD 1068 1078 fmol/10(6) fmol/10(6) NN 1079 1084 cells cell NNS 1084 1085 ) ) ) 1085 1086 . . . 1087 1097 Conversely conversely RB 1097 1098 , , , 1099 1113 glucocorticoid glucocorticoid NN 1114 1122 receptor receptor NN 1123 1131 affinity affinity NN 1132 1135 was be VBD 1136 1149 significantly significantly RB 1150 1159 decreased decrease VBN 1160 1162 in in IN 1163 1171 anorexia anorexia NN 1172 1179 nervosa nervosa NN 1180 1182 as as RB 1183 1187 well well RB 1188 1190 as as IN 1191 1193 in in IN 1194 1201 Cushing cushing NN 1201 1203 ’s 's POS 1204 1212 patients patient NNS 1213 1221 compared compare VBN 1222 1224 to to TO 1225 1232 control control JJ 1233 1241 subjects subject NNS 1242 1243 ( ( ( 1243 1255 dissociation dissociation NN 1256 1264 constant constant NN 1265 1268 4.0 4.0 CD 1269 1272 +/- +/- CC 1273 1277 0.31 0.31 CD 1278 1281 and and CC 1282 1285 4.1 4.1 CD 1286 1289 +/- +/- SYM 1290 1294 0.34 0.34 CD 1295 1298 vs. vs. IN 1299 1302 2.9 2.9 CD 1303 1306 +/- +/- SYM 1307 1311 0.29 0.29 CD 1312 1318 nmol/L nmol/l NN 1318 1319 , , , 1320 1321 p p NN 1322 1323 < < SYM 1324 1328 .001 .001 CD 1328 1329 ) ) ) 1330 1333 and and CC 1334 1343 inversely inversely RB 1344 1354 correlated correlate VBD 1355 1359 with with IN 1360 1363 the the DT 1364 1370 levels level NNS 1371 1373 of of IN 1374 1381 urinary urinary JJ 1382 1386 free free JJ 1387 1395 cortisol cortisol NN 1396 1398 in in IN 1399 1403 both both DT 1404 1410 groups group NNS 1411 1413 of of IN 1414 1422 patients patient NNS 1422 1423 . . . 1424 1429 Basal basal JJ 1430 1431 [ [ ( 1431 1443 3H]thymidine 3H]thymidine NNP 1444 1457 incorporation incorporation NN 1458 1460 in in IN 1461 1464 MNL MNL NNP 1465 1468 was be VBD 1469 1482 significantly significantly RB 1483 1490 reduced reduce VBN 1491 1493 in in IN 1494 1502 anorexia anorexia NN 1503 1510 nervosa nervosa NN 1511 1513 as as RB 1514 1518 well well RB 1519 1521 as as IN 1522 1524 in in IN 1525 1532 Cushing cushing NN 1532 1534 ’s 's POS 1535 1543 patients patient NNS 1544 1552 compared compare VBN 1553 1555 to to TO 1556 1563 control control JJ 1564 1572 subjects subject NNS 1573 1574 ( ( ( 1574 1575 p p NN 1576 1577 < < JJR 1578 1582 .001 .001 CD 1582 1583 ) ) ) 1584 1587 and and CC 1588 1591 was be VBD 1592 1602 diminished diminish VBN 1603 1605 by by IN 1606 1619 dexamethasone dexamethasone NN 1620 1622 to to TO 1623 1625 an an DT 1626 1632 extent extent NN 1633 1640 similar similar JJ 1641 1643 to to TO 1644 1651 control control JJ 1652 1660 subjects subject NNS 1661 1663 in in IN 1664 1672 patients patient NNS 1673 1677 with with IN 1678 1686 anorexia anorexia NN 1687 1694 nervosa nervosa NN 1694 1695 , , , 1696 1699 but but CC 1700 1713 significantly significantly RB 1714 1715 ( ( ( 1715 1716 p p NN 1717 1718 < < JJR 1719 1723 .001 .001 CD 1723 1724 ) ) ) 1725 1729 less less RBR 1730 1732 in in IN 1733 1738 those those DT 1739 1743 with with IN 1744 1751 Cushing cushing NN 1751 1753 ’s 's POS 1754 1761 disease disease NN 1761 1762 . . . 1763 1765 In in IN 1766 1774 patients patient NNS 1775 1779 with with IN 1780 1788 anorexia anorexia NN 1789 1796 nervosa nervosa NN 1796 1797 , , , 1798 1801 the the DT 1802 1815 incorporation incorporation NN 1816 1818 of of IN 1819 1820 [ [ ( 1820 1832 3H]thymidine 3H]thymidine NNP 1833 1837 into into IN 1838 1841 the the DT 1842 1845 MNL MNL NNP 1846 1849 was be VBD 1850 1859 inversely inversely RB 1860 1870 correlated correlate VBN 1871 1875 with with IN 1876 1883 urinary urinary JJ 1884 1888 free free JJ 1889 1897 cortisol cortisol NN 1898 1904 levels level NNS 1904 1905 . . . 1906 1917 CONCLUSIONS conclusions NNS 1917 1918 : : : 1919 1924 These these DT 1925 1929 data datum NNS 1930 1938 indicate indicate VBP 1939 1943 that that IN 1944 1947 the the DT 1948 1952 lack lack NN 1953 1955 of of IN 1956 1966 cushingoid cushingoid JJ 1967 1975 features feature NNS 1976 1978 in in IN 1979 1987 patients patient NNS 1988 1992 with with IN 1993 2001 anorexia anorexia NN 2002 2009 nervosa nervosa NN 2010 2012 is be VBZ 2013 2016 not not RB 2017 2027 ascribable ascribable JJ 2028 2030 to to TO 2031 2032 a a DT 2033 2040 reduced reduce VBN 2041 2052 sensitivity sensitivity NN 2053 2055 to to TO 2056 2071 glucocorticoids glucocorticoid NNS 2072 2075 but but CC 2076 2078 is be VBZ 2079 2083 more more RBR 2084 2090 likely likely JJ 2091 2094 due due IN 2095 2097 to to TO 2098 2101 the the DT 2102 2109 paucity paucity NN 2110 2112 of of IN 2113 2122 metabolic metabolic JJ 2123 2133 substrates substrate NNS 2133 2134 . . .