What can long-term corticosteroid use lead to regarding the immune system?

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Long-term corticosteroid use is known to lead to a reduced immune response. This occurs because corticosteroids have immunosuppressive properties, which means they suppress the activity of the immune system. They work by inhibiting the function of various immune cells, such as lymphocytes, and reducing the production of pro-inflammatory cytokines. As a result, the body's ability to respond to infections or inflammatory processes diminishes, making it less effective in fighting off pathogens.

In contrast, the other options suggest outcomes that are contrary to the immunosuppressive effects of long-term corticosteroid therapy. For instance, increased immune function, enhanced antibody production, and improved resistance to infections all imply a strengthened immune response, which is not characteristic of corticosteroid use over an extended period. Instead, the immunosuppressive nature of corticosteroids can leave individuals more susceptible to infections and can also hinder the body's ability to mount an adequate immune response to vaccinations.

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