Regulation of epithelial Na+ channels by adrenal steroids: mineralocorticoid and glucocorticoid effects

Am J Physiol Renal Physiol. 2012 Jan 1;302(1):F20-6. doi: 10.1152/ajprenal.00480.2011. Epub 2011 Oct 19.

Abstract

Epithelial Na+ channels (ENaC) can be regulated by both mineralocorticoid and glucocorticoid hormones. In the mammalian kidney, effects of mineralocorticoids have been extensively studied, but those of glucocorticoids are complicated by metabolism of the hormones and cross-occupancy of mineralocorticoid receptors. Here, we report effects of dexamethasone, a synthetic glucocorticoid, on ENaC in the rat kidney. Infusion of dexamethasone (24 μg/day) for 1 wk increased the abundance of αENaC 2.26 ± 0.04-fold. This was not accompanied by an induction of Na+ currents (I(Na)) measured in isolated split-open collecting ducts. In addition, hormone treatment did not increase the abundance of the cleaved forms of either αENaC or γENaC or the expression of βENaC or γENaC protein at the cell surface. The absence of hypokalemia also indicated the lack of ENaC activation in vivo. Dexamethasone increased the abundance of the Na+ transporters Na+/H+ exchanger 3 (NHE3; 1.36 ± 0.07-fold), Na(+)-K(+)-2Cl(-) cotransporter 2 (NKCC2; 1.49 ± 0.07-fold), and Na-Cl cotransporter (NCC; 1.72 ± 0.08-fold). Surface expression of NHE3 and NCC also increased with dexamethasone treatment. To examine whether glucocorticoids could either augment or inhibit the effects of mineralocorticoids, we infused dexamethasone (60 μg/day) together with aldosterone (12 μg/day). Dexamethasone further increased the abundance of αENaC in the presence of aldosterone, suggesting independent effects of the two hormones on this subunit. However, I(Na) was similar in animals treated with dexamethasone+aldosterone and with aldosterone alone. We conclude that dexamethasone can occupy glucocorticoid receptors in cortical collecting duct and induce the synthesis of αENaC. However, this induction is not sufficient to produce an increase in functional Na+ channels in the apical membrane, implying that the abundance of αENaC is not rate limiting for channel formation in the kidney.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aldosterone / pharmacology*
  • Animals
  • Dexamethasone / pharmacology*
  • Epithelial Sodium Channels / biosynthesis
  • Epithelial Sodium Channels / drug effects*
  • Epithelial Sodium Channels / physiology
  • Glucocorticoids / physiology*
  • Mineralocorticoids / physiology*
  • Protein Subunits / biosynthesis
  • Rats
  • Sodium Chloride Symporters / drug effects
  • Sodium-Hydrogen Exchanger 3
  • Sodium-Hydrogen Exchangers / drug effects
  • Sodium-Potassium-Chloride Symporters / drug effects
  • Solute Carrier Family 12, Member 1

Substances

  • Epithelial Sodium Channels
  • Glucocorticoids
  • Mineralocorticoids
  • Protein Subunits
  • Slc12a1 protein, rat
  • Slc9a3 protein, rat
  • Sodium Chloride Symporters
  • Sodium-Hydrogen Exchanger 3
  • Sodium-Hydrogen Exchangers
  • Sodium-Potassium-Chloride Symporters
  • Solute Carrier Family 12, Member 1
  • Aldosterone
  • Dexamethasone