Heise N, Shumilina E, Nurbaeva MK, Schmid E, Szteyn K, Yang W, Xuan NT, Wang K, Zemtsova IM, Duszenko M, Lang F. Effect of dexamethasone on Na+/Ca2+ exchanger in dendritic cells. Am J Physiol Cell Physiol 300: C1306-C1313, 2011. First published February 9, 2011; doi: 10.1152/ajpcell.00396.2010.-Ca+-dependent signaling regulates the function of dendritic cells (DCs), antigen-presenting cells linking innate and adaptive immunity. The activity of DCs is suppressed by glucocorticoids, potent immunosuppressive hormones. The present study explored whether the glucocorticoid dexamethasone influences the cytosolic Ca2+ concentration ([Ca2+](i)) in DCs. To this end, DCs were isolated from mouse bone marrow. According to fura-2 fluorescence, exposure of DCs to lipopolysaccharide (LPS, 100 ng/ml) increased [Ca2+](i), an effect significantly blunted by overnight incubation with 10 nM dexamethasone before LPS treatment. Dexamethasone did not affect the Ca2+ content of intracellular stores, sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA)2 and SERCA3 expression, ryanodine receptor (RyR)1 expression, or Ca2+ entry through store-operated Ca2+ channels. In contrast, dexamethasone increased the transcript level and the membrane protein abundance of the Na+/Ca2+ exchanger NCX3. The activity of Na+/Ca2+ exchangers was assessed by removal of extracellular Na+ in the presence of external Ca2+, a maneuver triggering the Ca2+ influx mode. Indeed, Na+ removal resulted in a rapid transient increase of [Ca2+](i) and induced an outwardly directed current as measured in whole cell patch-clamp experiments. Dexamethasone significantly augmented the increase of [Ca2+](i) and the outward current following removal of extracellular Na+. The NCX blocker KB-R7943 reversed the inhibitory effect of dexamethasone on LPS-induced increase in [Ca2+](i). Dexamethasone blunted LPS-induced stimulation of CD86 expression and TNF-alpha production, an effect significantly less pronounced in the presence of NCX blocker KB-R7943. In conclusion, our results show that glucocorticoid treatment blunts LPS-induced increase in [Ca2+](i) in DCs by increasing expression and activity of Na+/Ca2+ exchanger NCX3. The effect contributes to the inhibitory effect of the glucocorticoid on DC maturation.