Abstract:The mineralocorticoid aldosterone is essential for the adequate regulation of electrolyte homeostasis, extracellular volume and blood pressure. As a steroid hormone it influences cellular functions by genomic actions. Previously it has been shown that aldosterone can activate Na+/H+-exchange (NHE) by a rapid, nongenomic mechanism. Because (1) NHE can be regulated by ERK1/2 (extracellular signal-regulated kinase) and (2) steroids have been reported to rapidly activate ERK1/2, we tested the hypothesis that activ… Show more
“…The molecular mechanisms that regulate expression of CYP11B2 and production of aldosterone in the heart in general and in HCM in particular remain to be established. Aldosterone imparts a diverse array of biological effects comprising genomic (slow) and nongenomic (rapid) components, including but not limited to changes in the intracellular calcium concentration, 36 Na ϩ /H ϩ exchanger, 37 and activation of extracellular signal-regulated kinases p22/44, 25 phospholipase C, 23 and calcineurin. 24 The present findings implicate PKD and PI3K-p110␦ as the molecular mediators of cardiac hypertrophic and profibrotic effects and provide for novel mechanisms for the actions of aldosterone.…”
Background-Human hypertrophic cardiomyopathy (HCM), the most common cause of sudden cardiac death in the young, is characterized by cardiac hypertrophy, myocyte disarray, and interstitial fibrosis. The genetic basis of HCM is largely known; however, the molecular mediators of cardiac phenotypes are unknown. Methods and Results-We show myocardial aldosterone and aldosterone synthase mRNA levels were elevated by 4-to 6-fold in humans with HCM, whereas cAMP levels were normal. Aldosterone provoked expression of hypertrophic markers (NPPA, NPPB, and ACTA1) in rat cardiac myocytes by phosphorylation of protein kinase D (PKD) and expression of collagens (COL1A1, COL1A2, and COL3A1) and transforming growth factor-1 in rat cardiac fibroblasts by upregulation of phosphoinositide 3-kinase (PI3K)-p100␦. Inhibition of PKD and PI3K-p110␦ abrogated the hypertrophic and profibrotic effects, respectively, as did the mineralocorticoid receptor (MR) antagonist spironolactone. Spironolactone reversed interstitial fibrosis, attenuated myocyte disarray by 50%, and improved diastolic function in the cardiac troponin T (cTnT)-Q92 transgenic mouse model of human HCM. Myocyte disarray was associated with increased levels of phosphorylated -catenin (serine 38) and reduced -catenin-N-cadherin complexing in the heart of cTnT-Q92 mice. Concordantly, distribution of N-cadherin, predominantly localized to cell membrane in normal myocardium, was diffuse in disarrayed myocardium. Spironolactone restored -catenin-N-cadherin complexing and cellular distribution of N-cadherin and reduced myocyte disarray in 2 independent randomized studies. Conclusions-The results implicate aldosterone as a major link between sarcomeric mutations and cardiac phenotype in HCM and, if confirmed in additional models, signal the need for clinical studies to determine the potential beneficial effects of MR blockade in human HCM.
“…The molecular mechanisms that regulate expression of CYP11B2 and production of aldosterone in the heart in general and in HCM in particular remain to be established. Aldosterone imparts a diverse array of biological effects comprising genomic (slow) and nongenomic (rapid) components, including but not limited to changes in the intracellular calcium concentration, 36 Na ϩ /H ϩ exchanger, 37 and activation of extracellular signal-regulated kinases p22/44, 25 phospholipase C, 23 and calcineurin. 24 The present findings implicate PKD and PI3K-p110␦ as the molecular mediators of cardiac hypertrophic and profibrotic effects and provide for novel mechanisms for the actions of aldosterone.…”
Background-Human hypertrophic cardiomyopathy (HCM), the most common cause of sudden cardiac death in the young, is characterized by cardiac hypertrophy, myocyte disarray, and interstitial fibrosis. The genetic basis of HCM is largely known; however, the molecular mediators of cardiac phenotypes are unknown. Methods and Results-We show myocardial aldosterone and aldosterone synthase mRNA levels were elevated by 4-to 6-fold in humans with HCM, whereas cAMP levels were normal. Aldosterone provoked expression of hypertrophic markers (NPPA, NPPB, and ACTA1) in rat cardiac myocytes by phosphorylation of protein kinase D (PKD) and expression of collagens (COL1A1, COL1A2, and COL3A1) and transforming growth factor-1 in rat cardiac fibroblasts by upregulation of phosphoinositide 3-kinase (PI3K)-p100␦. Inhibition of PKD and PI3K-p110␦ abrogated the hypertrophic and profibrotic effects, respectively, as did the mineralocorticoid receptor (MR) antagonist spironolactone. Spironolactone reversed interstitial fibrosis, attenuated myocyte disarray by 50%, and improved diastolic function in the cardiac troponin T (cTnT)-Q92 transgenic mouse model of human HCM. Myocyte disarray was associated with increased levels of phosphorylated -catenin (serine 38) and reduced -catenin-N-cadherin complexing in the heart of cTnT-Q92 mice. Concordantly, distribution of N-cadherin, predominantly localized to cell membrane in normal myocardium, was diffuse in disarrayed myocardium. Spironolactone restored -catenin-N-cadherin complexing and cellular distribution of N-cadherin and reduced myocyte disarray in 2 independent randomized studies. Conclusions-The results implicate aldosterone as a major link between sarcomeric mutations and cardiac phenotype in HCM and, if confirmed in additional models, signal the need for clinical studies to determine the potential beneficial effects of MR blockade in human HCM.
“…9,11,18,29 Besides its well-known genomic actions, aldosterone induces rapid cellular responses by activating signaling pathways independently of genomic effects. [17][18][19][20][21][22][23][24][25][26][27][28][29] The protein tyrosine kinase c-Src is abundant in the vasculature and appears to be an important signaling molecule in VSMCs. c-Src induces activation of MAPKs (p38MAPK, c-Jun NH 2 -terminal kinase, and ERK1/2), which are associated with cell growth, apoptosis, and collagen deposition.…”
Section: Aldosterone Effects On [ 3 H]proline Incorporationmentioning
confidence: 99%
“…Aldosterone induces rapid cellular responses by modulating intracellular calcium (Ca 2ϩ ) and cAMP levels, Na ϩ /H ϩ exchanger activity, and phosphorylation of signaling molecules, including protein kinase C, epidermal growth factor receptor, and mitogen-activated protein kinases (MAPKs), including c-Jun NH 2 -terminal kinase, and extracellular signal-regulated kinases (ERKs) 1/2. [17][18][19][20][21][22][23][24][25][26][27][28] We recently demonstrated that aldosterone rapidly increases activation of p38 MAPK and NAD(P)H oxidase through c-Src-dependent pathways in vascular smooth muscle cells (VSMCs). In addition, the profibrotic action of aldosterone was dependent on c-Src-regulated p38 MAPK.…”
Abstract-Aldosterone plays an important role in the pathogenesis of hypertension. We previously demonstrated that nongenomic signaling by aldosterone in vascular smooth muscle cells occurs through c-Src-dependent pathways. Here we tested the hypothesis that upregulation of c-Src by aldosterone plays a role in increased mitogen-activated protein (MAP) kinase activation, [ 3 H]-proline incorporation, and NADPH-driven generation of reactive oxygen species, thereby inducing cell growth, collagen production, and inflammation, respectively, in vascular smooth muscle cells from spontaneously hypertensive rats. The time course of c-Src phosphorylation by aldosterone was shifted to the left in vascular myocytes from hypertensive animals. Aldosterone rapidly increased phosphorylation of p38 MAP kinase and extracellular signal-regulated kinase with significantly greater effects in cells from spontaneously hypertensive rats versus control cells (PϽ0.05). Aldosterone increased NADPH oxidase activity with significantly greater responses in vascular smooth muscle cells from hypertensive animals (PϽ0.05). These events were associated with enhanced
“…Specifically, they showed that expression of a dominant negative p44 ERK or of the MAPK phosphatase MKP-1, or treatment with the MEK1 inhibitor PD98059 reduced activation of NHE-1 by mixtures of growth factors by about 50%. Further, it has been shown that short-term activation of ERK leads to rapid stimulation of NHE1 in multiple cell types (erythrocytes, fibroblasts, MDCK-11 cells, rabbit skeletal muscle, and cultured rat neonatal and adult ventricular cardiomyocytes) when activated by diverse stimuli including growth factors, angiotensin II, and aldosterone (Wang et al, 1997;Sabri et al, 1998;Bouboula et al, 1999;Gekle et al, 2001;Wei et al, 2001;Moor et al, 2001;Snabaitis et al, 2002). At least in some cases, the short term-stimulation of NHE1 by ERK is mediated by phosphorylation of NHE1 either by ERK itself, or by p90RSK, an ERK-regulated kinase (Takahashi et al, 1999).…”
Section: Mapk Regulates Nhe1mentioning
confidence: 99%
“…Indeed, in some cell types ERK plays a clear role in either the short or long term activation of NHE1 (Aharonovitz & Granot, 1996;Bianchini et al, 1997;Wang et al, 1997;Sabri et al, 1998;Bouaboula et al, 1999;Gekle et al, 2001). However, several groups were unable to demonstrate any role of ERK in regulation of NHE1 in a number of cell types (Gillis et al, 2001;Kang et al, 1998;Pederson et al, 2002;Garnovskaya et al, 1998;Di Sario et al, 2003).…”
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