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Endocrinology Section (C.E.G.-S., M.F.F., E.P.G.-S.), Medical Service and Research Service, Harry S. Truman Memorial Veterans Hospital, and Department of Internal Medicine (C.E.G.-S., M.Y.Z., H.M., E.P.G.-S.), and Department of Veterinary Biomedical Sciences (E.P.G.-S.), University of Missouri-Columbia, Columbia, Missouri 65201; and Facultad de Ciencias Exactas y Naturales (E.N.C.), Universidad de Buenos Aires, 1428 Buenos Aires, Argentina
Address all correspondence and requests for reprints to: Elise P. Gomez-Sanchez, D.V.M., Ph.D., Research Service, Harry S. Truman Memorial Veterans Hospital, Columbia, Missouri 65201. E-mail: intmdceg{at}showme.missouri.edu
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| Introduction |
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| Materials and Methods |
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RT-PCR of the aldosterone synthase
Total RNA from adrenal and extraadrenal tissues from six male
and female rats (180200 g), placed on a low-sodium diet, was
extracted using RNAZol (13). Reverse transcription was performed using
Superscript II and a poly-T primer. PCR was performed using the
primers: sense GGA TGT CCA GCA AAG TCT CTT C, antisense CCT GAG TTA TTA
GTG CTG CCA C (amplified a 332-bp specific fragment of the aldosterone
synthase) to amplify a 332-bp fragment from exons 35 (the genomic DNA
will have 717 bp). A total of 27 cycles were run and the product was
electrophoresed in agarose and then transferred to a nylon membrane for
Southern blotting. The biotin-labeled fragment for hybridization was
generated using the PCR Nonradioactive Labeling System from Life
Technologies. Negative controls comprised a water blank and tubes in
which the RNA and all of the reagents for RT-PCR, except RT, were
present. The amount of RNA from the adrenal sample was 1/50 that of the
other tissues. RT-PCR of a hypothalamic sample was run for 40 cycles
and the band sequenced using the Taq DyeDeoxy Terminator
Cycle sequencing Kit and ABI 373A DNA sequencer (Applied Biosystems,
Foster City, CA).
Incubation of rat brain minces
Minces from various brain sections (
100 mg) from eight intact
male rats and eight male rats, 5 days after bilateral adrenalectomy,
were incubated in 1 ml of Ham F12 medium (n = 3) at 37 C in an
atmosphere of 5% CO2 in air for 3 h. The supernatant
(50 µl) was assayed for aldosterone by enzyme-linked immunosorbent
assay (ELISA) using specific antibodies (14). The experiment was
repeated twice.
Incubation of rat brain minces with [1,23H]-DOC and
[1,23H]-corticosterone.
Minces (
100 mg) from various brain areas of eight intact male
rats (180200 g) in triplicate were incubated in Ham F12 medium
containing 10 µM DOC plus 10 µCi
[1,23H]-DOC at 37 C in an atmosphere of 5%
CO2 in air for 3 h. The supernatant was separated and
extracted initially with 7% dichloromethane in hexane to remove
nonpolar steroids (DOC), followed by extraction of the aqueous phase
with dichloromethane. The organic extract was evaporated under air and
purified using TLC with Silica Gel GF254 plates and
chloroform:methanol:water (300:20:1). The areas corresponding to
aldosterone and corticosterone were scraped and eluted twice with 1 ml
chloroform:methanol (3:1). Eluates were then chromatographed in
chloroform:acetone (82:18). The areas corresponding to aldosterone,
corticosterone, 18-OH-DOC, and 11-dehydrocorticosterone were eluted and
processed as above and rechromatographed in benzene:acetone (2:1) for
aldosterone and benzene:acetone (3:1) for corticosterone, 18-OH-DOC,
and 11-dehydrocorticosterone. Recoveries were estimated by incubating
tissues in a similar way with unlabeled DOC, and at the end of the
incubation, known amounts of tritiated corticosterone,
11-dehydrocorticosterone, 18-OH-DOC, and aldosterone were added and
handled as above. The recoveries varied between 3545%. After
correction for recoveries, the production was expressed as mol/mg of
wet tissue. Similar incubations and purifications were done with
[1,23H]-corticosterone.
To further demonstrate that 3H-aldosterone was formed from 3H-DOC, 200 mg of cerebellar minces were incubated with 1 µCi 3H-DOC in 5 ml Ham F12 medium for 3 h at 37 C. The medium was extracted with 40 ml of dichloromethane, washed with 2 ml N NaOH and water, and evaporated. The extract was then subjected to TLC using chloroform:methanol:water (300:20:1). The area corresponding to aldosterone was eluted as above, evaporated, and dissolved in 5 ml dichloromethane and treated with 0.5 ml of 0.1 M periodic acid for 1 h in the dark. The dichloromethane was then washed with 1 ml N NaOH twice and water. The evaporated extract was then subjected to reverse-phase HPLC using a C-18 column (Whatman EQC S100A ODS 5 µ, 5 x 250 mm) and eluted with methanol water 50%, and 1-ml fractions were collected and counted in a liquid scintillation counter.
Inhibition of steroid synthesis by cortisol and metyrapone
Cerebellar minces were incubated in triplicate with
[1,23H]-DOC in the presence and absence of 10
µM cortisol and 10 µM metyrapone and the
supernatants assayed as described above.
Measurement of aldosterone by ELISA
ELISA for aldosterone was done using a monoclonal antibody as
previously described (14). The sensitivity of the assay is 1 pg/well.
The blank of the assay, when using control incubations with Ham F12
medium, varied between undetectable amounts to 2 pg/50 µl of medium
and were less than 10% of that measured in the various samples. The
data are presented as the mean ± SEM.
| Results |
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| Discussion |
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-hydroxy-pregnenolone from cholesterol within the brain (4), but
the term has been extended to encompass the biosynthesis of any steroid
within the CNS (3). Though most research on brain biosynthesis of
steroids has focused on pregnenolone, progesterone, DHEA, and their
derivatives, there is increasing evidence that adrenal steroids also
are synthesized within the CNS (3, 6, 7, 18). The first regulated step
in steroid biosynthesis is the conversion of cholesterol to
pregnenolone by the cytochrome P-450 side-chain cleavage (scc) enzyme.
In addition to adrenal and gonadal cells, this reaction has been
reported to occur in oligodendrocytes, glial cells, and rat C6 glioma
cells (4, 7). The mRNA expression of the scc enzyme is very low,
requiring RT-PCR, combined with Southern blotting, for its
demonstration (7); however, the enzyme can be demonstrated rather
easily using immunocytochemistry or Western blots (19, 20), suggesting
that the protein is very stable in the CNS. The next step in steroid
synthesis, conversion of pregnenolone to progesterone by the
3ß-hydroxysteroid dehydrogenase
45 isomerase, also has been
demonstrated in glial and Schwann cells (9). Activity and
immunoreactivity of the microsomal cytochrome P-45021-hydroxylase,
the enzyme responsible for the hydroxylation of progesterone and
17-hydroxy-progesterone to 11-DOC and 11-deoxycortisol, respectively,
have been demonstrated in the brain, especially in the myelinated
tracts of the ascending reticulothalamic fibers (8). Expression of the 11ß-hydroxylase genes, CYP11B1 and CYP11B3 (7, 21, 22), but not the CYP11B2 gene (7), have been demonstrated previously in the brain by ribonuclease protection assays, in situ hybridization, and RT-PCR (7, 22, 23). The cytochrome P-450 11ß-hydroxylase, product of the CYP11B1 gene, converts 11-DOC to corticosterone and 18-hydroxy-DOC in the rat, and 11-deoxycortisol to cortisol in the human. 11ß-Hydroxylase immunoreactivity has been found in the myelinated tracts in the same general areas of the brain where the P450scc has been located (6); however, unlike the P450scc, the 11ß-hydroxylase was not found in cultured glia, suggesting that it may be found in neurons (7). The production of corticosterone plus its metabolic product, 11-dehydrocorticosterone, was significantly greater than that of 18-OH-DOC. The CYP11B3 mRNA is expressed in similar amounts in the adrenal gland and brain (22). It is not known if the gene product of the CYP11B3, the 18/11ß-hydroxylase mRNA is translated into protein in the brain or adrenal; however, if this enzyme were present in significant quantities, one would have expected a greater proportion of 18-OH-DOC, compared with corticosterone and 11-dehydrocorticosterone, to have been formed (22).
The aldosterone synthase message and activity has been reported to be expressed in human endothelial cells and rat mesenteric arteries (12), but we could not demonstrate it in mesenteric artery. We cannot explain this discrepancy (12), and further studies need to be done. Aldosterone has been measured previously in various areas of the brain, but its source was assumed to be the adrenal (24). Our studies show the presence of the mRNA for the CYP11B2 gene in various areas of the brain and the synthesis of aldosterone from endogenous substrate and exogenous DOC and corticosterone. The demonstration of the CYP11B2 gene product and aldosterone synthase activity in the brain may have important implications for the control of blood pressure under certain conditions. In addition to increasing sodium retention by the kidney and vascular smooth muscle reactivity, aldosterone produces hypertension via mineralocorticoid receptors in the brain (25). The SS/jr rat is an inbred strain of the Dahl Salt Sensitive rat, which is spontaneously hypertensive, given enough time, but which develops malignant hypertension if fed a high-salt diet. We have shown that the salt-induced hypertension in this strain can be prevented by the intracerebroventricular infusion of a mineralocorticoid receptor antagonist at doses that are too low to be effective when infused systemically (26), yet circulating aldosterone is not elevated in these animals. An analogy to the blood pressure-lowering response to mineralocorticoid antagonist in the SS/jr rat may be present in a significant subset of people with essential hypertension, who respond to mineralocorticoid antagonist therapy, even though their plasma renin and aldosterone levels are normal or low. 19-Ethynyldeoxycorticosterone is a mechanism-based inhibitor of various 11ß-hydroxylases (27), which was shown to decrease salt-induced blood pressure in the SS/jr rat when administered as an sc implant (28). The intracerebroventricular infusion of doses of 19-ethynyldeoxycorticosterone, which were too low to have a systemic effect, resulted in the mitigation of the increase in blood pressure produced by increasing salt intake in the SS/jr rat (21).
The amounts of mRNA for steroidogenic enzymes of the late adrenocorticosteroid synthetic pathways are quite low, as are the amounts of the steroids measured in the supernatant from tissue incubations. If aldosterone synthesized in the CNS is relevant to blood pressure control, it almost certainly acts in an paracrine fashion, directly or indirectly in the areas that have been identified by ablation and infusion studies to be important in blood pressure regulation (2). These studies did not show impressive differences in the regional synthesis of aldosterone in the brain; however, the minces of the various brain regions that were used comprise several nuclei, whereas aldosterone may be synthesized in only a few cells and act in a paracrine fashion. The relatively large and indiscriminate anatomic areas harvested would mask differential secretion in discrete nuclei or their member cells. Aldosterone paracrine actions might explain why mineralocorticoid antagonists effectively lower blood pressure in some low-renin, low/normal aldosterone forms of essential hypertension in man and genetic and experimental hypertension models in animals in which circulating mineralocorticoids are not elevated (29).
| Footnotes |
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2 Recipient of a J. William Fulbright International Scholarship. ![]()
Received December 30, 1996.
| References |
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