Target intelligence / Profile preview

Glucocorticoid-induced leucine zipper protein (GILZ)

Target
GILZ
Molecular classification
Transcription factor (Leucine zipper transcriptional regulator), Immunomodulatory protein, Other (regulator of sodium channel protein complexes, stress response molecule)
01

Overview

Glucocorticoid-induced leucine zipper protein (GILZ), encoded by the TSC22D3 gene, is a leucine zipper-class transcriptional regulator essential for mediating the anti-inflammatory and immunosuppressive effects of glucocorticoids and interleukin-10. GILZ is ubiquitously expressed and rapidly induced in immune cells, where it exerts its action primarily by inhibiting inflammatory transcription factors (NF-κB, AP-1) and modulating kinase signaling, thereby reducing pro-inflammatory cytokine production and promoting regulatory T cell differentiation. Beyond immune regulation, GILZ controls cellular proliferation, apoptosis, oncogenic signaling, sodium ion channel transport, and physiological stress responses in tissues such as the kidney, adipose tissue, and the brain. Dysregulation of GILZ is implicated in cancer, chronic inflammation, metabolic and neuropsychiatric disorders, and cardiovascular disease. While glucocorticoids stimulate GILZ expression for therapeutic immunosuppression, overactivation may lead to increased infection risk and suppression of anticancer immunity.

Other names
TSC22 domain family member 3TSC22D3DSIPIProtein DIPhDIPTSC-22RDIPTSC22 domain family protein 3DSIP-immunoreactive peptideDelta sleep-inducing peptide immunoreactorTSC-22-like proteinTSC-22-related proteinDSIP-immunoreactive leucine zipper proteinGILZ
02

Mechanism of action

Induction of GILZ/GILZ isoforms via activation of glucocorticoid receptor, resulting in suppression of pro-inflammatory transcription factors (NF-κB, AP-1). Modulation of anti-apoptotic and pro-apoptotic signaling in immune and epithelial cells. Reduction of cytokine production, immune cell activation, and effector responses.

03

Biological functions

ImmunosuppressionAnti-inflammatory responseRegulation of transcription by RNA polymerase II (DNA-binding)Regulation of apoptosisCell proliferationRegulation of ion transmembrane transportSignal transduction (modulates MAPK signaling, inhibits NF-κB and AP-1)Differenti-ation of regulatory T-cellsModulation of stress response, including neuropsychiatric and metabolic pathwaysRegulation of sodium transport in epithelial cells
04

Disease associations

Cancer (modulates tumor immunity, oncogenic signaling)InflammationHyperaldosteronismSkin atrophyVascular inflammationNeuropsychiatric disorders (e.g., depression, PTSD)Adipose tissue dysfunction and metabolic diseasesDiabetes-related retinal disease (modulates hypoxic stress responses)
05

Safety considerations

Potential for immunosuppression leading to increased infection riskMay promote tumor immune evasion, compromising anticancer immunosurveillance in therapySystemic glucocorticoid treatments upregulating GILZ may result in metabolic and psychiatric adverse effectsModulation of sodium transport has implications for blood pressure and cardiovascular risk
06

Interacting drugs

Glucocorticoids (e.g., prednisolone, dexamethasone; stimulate expression, indirectly target via receptor activation)

2 more in the full profile.

07

Biomarkers

GILZ expression in immune cells (marker for glucocorticoid activity and immune suppression efficacy)Downregulation or upregulation as an indicator of anti-inflammatory drug responsePossibly tissue-specific expression (adipose, kidney epithelial cells), but not a widely established clinical biomarker

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