When looking at the bigger picture painted by my combined publications over the past several years, it is emerging that transcription factor binding sites are not only cell type, time point and signal specific, but that these cistromes display surprising complexity. Transcription factor binding profiles are not only highly dynamic and exert plasticity in response to external stimuli, but within one cell type, under the same conditions, in response to identical signals, distinct subsets of binding sites exist. That means that the Glucocorticoid Receptor exerts locus specific modes of gene regulation, and that different fractions of target genes are regulated by a combinatorial code consisting of varying co-regulators, cofactors, and co-bound transcription factors. For example, in macrophages, there are some inflammatory enhancers which depend on the COMPASS complex, some that depend on the BRG1 SWI/SNF complex, some that express eRNAs, some that are co-bound by AP-1, by NF-kappaB or by STAT3/5, and some that have yet unknown features. So not all binding sites are the same, which is probably true for all transcription factors, and which is an important contribution to the field.
Overall, our discovery has important implications for the development of novel glucocorticoid receptor agonists or modulators with lower side-effect profiles and for our understanding of transcriptional regulation by GR.