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1 Department of Pathology and Laboratory Medicine, The Miriam Hospital, Lifespan, and Brown University School of Medicine, Providence, Rhode Island 02903; 2 Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213; and 3 Department of Medicine, Division of Endocrinology, Medical College of Virginia, Richmond, Virginia 23298
We have confirmed that A6 cells (derived from
kidney of Xenopus laevis), which
contain both mineralocorticoid and glucocorticoid receptors, do not
normally possess 11
-hydroxysteroid dehydroxgenase (11
-HSD1 or
11
-HSD2) enzymatic activity and so are without apparent "protective" enzymes. A6 cells do not convert the glucocorticoid corticosterone to 11-dehydrocorticosterone but do, however, possess steroid 6
-hydroxylase that transforms corticosterone to
6
-hydroxycorticosterone. This hydroxylase is cytochrome
P-450 3A (CYP3A). We have now
determined the effects of 3
,5
-tetrahydroprogesterone and
chenodeoxycholic acid (both inhibitors of 11
-HSD1) and
11-dehydrocorticosterone and
11
-hydroxy-3
,5
-tetrahydroprogesterone (inhibitors of
11
-HSD2) and carbenoxalone, which inhibits both 11
-HSD1 and
11
-HSD2, on the actions and metabolism of corticosterone and active
Na+ transport [short-circuit
current
(Isc)] in
A6 cells. All of these 11
-HSD inhibitory substances induced a
significant increment in corticosterone-induced
Isc, which was
detectable within 2 h. However, none of these agents caused an increase
in Isc when
incubated by themselves with A6 cells. In all cases, the additional
Isc was inhibited
by the mineralocorticoid receptor (MR) antagonist, RU-28318, whereas
the original Isc
elicited by corticosterone alone was inhibited by the glucocorticoid
receptor antagonist, RU-38486. In separate experiments, each agent was
shown to significantly inhibit metabolism of corticosterone to
6
-hydroxycorticosterone in A6 cells, and a linear relationship
existed between 6
-hydroxylase inhibition and the MR-mediated
increase in Isc
in the one inhibitor tested. Troleandomycin, a selective inhibitor of
CYP3A, inhibited 6
-hydroxylase and also significantly enhanced
corticosterone-induced Isc at 2 h. These
experiments indicate that the enhanced MR-mediated Isc in A6 cells
may be related to inhibition of 6
-hydroxylase activity in these
cells and that this 6
-hydroxylase (CYP3A) may be protecting the
expression of corticosterone-induced active Na+ transport in A6 cells by
MR-mediated mechanism(s).
steroid 6
-hydroxylase; sodium transport
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