Abstract

Prolonged elevations of plasma aldosterone levels are associated with renal pathogenesis. We hypothesized that renal distress could be imposed by an augmented aldosterone-induced protein turnover challenging cellular protein degradation systems of the renal tubular cells. Cellular accumulation of specific protein aggregates in rat kidneys was assessed after 7 days of aldosterone administration. Aldosterone induced intracellular accumulation of 60 s ribosomal protein L22 in protein aggregates, specifically in the distal convoluted tubules. The mineralocorticoid receptor inhibitor spironolactone abolished aldosterone-induced accumulation of these aggregates. The aldosterone-induced protein aggregates also contained proteasome 20 s subunits. The partial de-ubiquitinase ataxin-3 was not localized to the distal renal tubule protein aggregates, and the aggregates only modestly colocalized with aggresome transfer proteins dynactin p62 and histone deacetylase 6. Intracellular protein aggregation in distal renal tubules did not lead to development of classical juxta-nuclear aggresomes or to autophagosome formation. Finally, aldosterone treatment induced foci in renal cortex of epithelial vimentin expression and a loss of E-cadherin expression, as signs of cellular stress. The cellular changes occurred within high, but physiological aldosterone concentrations. We conclude that aldosterone induces protein accumulation in distal renal tubules; these aggregates are not cleared by autophagy that may lead to early renal tubular damage.

Highlights

  • Aldosterone, a steroid hormone with pronounced mineralocorticoid action, is expressed in terrestrial mammals to conserve Na+ and control body fluid volume [1,2]

  • Plasma aldosterone levels were 352.66124.3 pmol/l in controls and 1190.26210.2 pmol/l in aldosterone treated rats (n = 11, p = 0.003) similar to an identical experimental protocol [19,20], adrenalectomized rats substituted with dexamethasone and aldosterone [21], and models of low Na+ diet [20,22]

  • The plasma aldosterone concentration can be elevated as a primary overproduction in the adrenal glands or as a response to high plasma K+ or angiotensin II levels

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Summary

Introduction

Aldosterone, a steroid hormone with pronounced mineralocorticoid action, is expressed in terrestrial mammals to conserve Na+ and control body fluid volume [1,2]. Distal tubules are sub-divided into thick ascending limbs (TAL) and distal convoluted tubules (DCT), which empty into the collecting ducts (CD) through the connecting tubules (CNT). The epithelial cells displays aldosterone sensitivity in the late part of DCT (DCT2), the CNT, and the CD [2]. Apart from increasing abundance and/or activity of plasma membrane cation transporters such as the epithelial Na+ channel (ENaC), aldosterone increases the metabolic capacity of its target cells to meet the increased demand of the augmented ion transport rate [4,5]

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