Although glucocorticoids are widely used in the treatment of immunohematologic disease, their relative efficacy is uncertain. We used an animal model, which has helped to elucidate the role of splenic macrophage Fc'y receptors in the clearance of IgG-coated cells, to investigate whether each Fc'y receptor is modulated by glucocorticoids to the same extent and to examine the relative potency of three commonly used glucocorticoids. Cortisol, prednisone, and dexamethasone all impaired the clearance ofIgG-coated erythrocytes. However, dexamethasone was more effective than either prednisone or cortisol (P < 0.001). Furthermore, splenic macrophages isolated from glucocorticoid-treated animals expressed impaired Fcy receptor function. This effect was greater in macrophages isolated from dexamethasone-treated animals, as compared to either cortisol-or prednisone-treated animals (P < 0.001). To assess the effect of glucocorticoids on the two types of guinea pig splenic macrophage Fc-y receptors, FcyR1,2 and FcyR2, specific immunoglobulin isotypes were used to measure macrophage binding of IgG-sensitized erythrocytes. Cortisol and prednisone primarily affected FcyR2, whereas dexamethasone inhibited the function of both guinea pig Fcy receptors. Furthermore, dexamethasone was more effective (P < 0.01) than either prednisone or cortisol in inhibiting the ability of both receptors to bind IgG-sensitized cells. Fluorescence-activated cell sorter analysis and fluorescence microscopy with monoclonal antibodies specific for each of these two receptors demonstrated that essentially all splenic macrophages expressed both receptors, and that these glucocorticoids decreased the level of each Fcy receptor protein expressed, rather than altering receptor mobility and clustering in the macrophage membrane. The effect on both Fcy receptors was greatest with dexamethasone and least with cortisol. These studies demonstrate the significant role of guinea pig splenic macrophage (J. Clin. Invest. 1991. 88:149-157.)