Monocyte chemoattractant protein-1 (MCP-1) plays an important role in attracting monocytes to sites of inflammation and is the dominant mediator of macrophage accumulation in atherosclerotic plaques. We have previously shown that glucocorticoids inhibit the secretion of MCP-1 in arterial smooth muscle cells (SMC) by markedly decreasing MCP-1 mRNA stability. We now report that the destabilization of MCP-1 mRNA is mediated by the glucocorticoid receptor (GR). The GR antagonist, RU486, blocked the effect of the glucocorticoid dexamethasone (Dex) on MCP-1 mRNA stability in SMC culture. Using a previously reported in vitro mRNA gel shift and stability assay, antibodies to the GR blocked the ability of cytoplasmic extracts from Dex-treated SMC to decay MCP-1 mRNA. Recombinant human GR (rhGR) bound in a concentration-dependent manner to in vitro transcribed MCP-1 mRNA, whereas other members of the steroid hormone receptor family did not. Binding of GR to MCP-1 mRNA was specific as it was not found to bind other mRNAs. Immunoprecipitation of GR in extracts from Dex-treated SMC followed by real-time reverse transcription-PCR demonstrated that endogenous GR was bound specifically to MCP-1 mRNA. The addition of exogenous rhGR blocked the ability of extracts from Dex-treated SMC to degrade MCP-1 mRNA, suggesting that exogenous rhGR can compete with an endogenous GR-containing degradative complex. These data suggest a novel role for the GR in binding to and facilitating mRNA degradation. These results provide novel insights into GR function and may provide a new approach to attenuate the inflammatory response mediated by MCP-1.Monocyte chemoattractant protein-1 (MCP-1; 3 also known as CCL2) is a chemokine secreted by endothelial cells, vascular SMC, fibroblasts, and monocytes/macrophages (1). MCP-1 and its rodent analog, JE (2, 3), are not normally present in the arterial media or intima but have been found in human, primate, and rabbit atherosclerotic plaques (4 -7). In addition, MCP-1 mRNA and protein are induced within hours in the media and neointima in rat (8) and porcine (9) models of balloon arterial injury. Recent studies employing mice lacking MCP-1 or its receptor, CCR2, crossed into an atherosclerotic background (e.g. apoE Ϫ/Ϫ or LDLR Ϫ/Ϫ mice), have established that MCP-1 plays a dominant role in attracting monocyte/macrophages to developing atherosclerotic plaques (10 -12). Rupture of unstable atherosclerotic plaques, with exposure of thrombogenic material, plays a major role in acute coronary thrombotic events associated with unstable angina, myocardial infarction, and sudden death (13). In addition, MCP-1 and/or CCR2 appear to mediate intimal hyperplasia in rodent and primate models of arterial injury (14 -17). Therefore, MCP-1 appears to be an important target for attenuating arterial inflammation.Glucocorticoids are clinically important agents that possess a wide variety of anti-inflammatory and anti-proliferative properties. Glucocorticoid treatment is associated with decreased macrophage accumulation in a ...