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Endocrinology Vol. 139, No. 2 772-780
Copyright © 1998 by The Endocrine Society


ARTICLES

Basal Steroidogenic Activity of Adrenocortical Cells Is Increased 10-Fold by Coculture with Chromaffin Cells1

A. Haidan, S. R. Bornstein, A. Glasow, K. Uhlmann, C. Lübke and M. Ehrhart-Bornstein

Department of Internal Medicine III, University of Leipzig (A.H., S.R.B., A.G., K.U., M.E.-B.), 04103 Leipzig; and Research Institute of Molecular Pharmacology (C.L.), 10315 Berlin, Germany; and the National Institute of Child Health and Human Development, National Institutes of Health (S.R.B.), Bethesda, Maryland 20892

Address all correspondence and requests for reprints to: A. Haidan, Medizinische Klinik und Poliklinik III der Universität Leipzig, Philipp Rosenthal Strasse 27, 04103 Leipzig, Germany.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Historically, catecholamine-producing chromaffin cells and steroid-producing adrenocortical cells have been regarded as two independent endocrine systems that are united under a common capsule to form the adrenal gland. There is increasing evidence for bidirectional interactions, with regulatory influences of adrenocortical secretory products on adrenomedullary functions and vice versa. However, the direct involvement of chromaffin cells on the regulation and maintenance of cortical function has not yet been demonstrated. Therefore, we analyzed glucocorticoid secretion and P450 messenger RNA (mRNA) expression in bovine adrenocortical cells in cocultures with chromaffin cells compared with those in pure cortical cell cultures.

Cortisol release from cortical cells in coculture with chromaffin cells was 10 times as high (mean ± SEM, 1035 ± 119%) as that from the same number of isolated cortical cells (100 ± 11%). By a [3H]thymidine incorporation assay, it was demonstrated that this effect was not due to a higher proliferation rate. Northern analysis revealed an increasing expression of P45017{alpha} mRNA in the coculture from days 1–5, whereas in isolated cortical cells, P45017{alpha} mRNA decreased, leading to a 6-fold difference on day 5. Inhibitors of protein (cycloheximide) or RNA (actinomycin D) synthesis completely annulled the observed increase in cortisol release, indicating that de novo protein synthesis is required for this activation of adrenocortical steroidogenesis. Addition of the cyclooxygenase inhibitor indomethacin reduced the stimulatory effect, suggesting that this stimulation is in part mediated by PGs. Locally produced ACTH, catecholamines, and interleukin-1 accounted for 43% of the effect. Secretory products of chromaffin cells that act in concert are believed to be responsible for the stimulation of steroidogenesis in the coculture.

The coculture system is an in vitro model that corresponds to the in vivo situation in the intact adrenal gland, where both endocrine cell systems are in close contact. Our data demonstrate the requirement of intraadrenal cellular communication for the full strength of the adrenocortical hormonal response.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ADRENOCORTICAL function is influenced by various secretory products of chromaffin cells in addition to the regulation by pituitary ACTH. Catecholamines, ACTH, cytokines, neuropeptides, and transmitters synthesized in chromaffin cells have been shown to modulate adrenocortical steroidogenesis. For instance, the neuropeptides vasoactive intestinal polypeptide, galanin, vasopressin, oxytocin, neuropeptide Y, substance P, neuromedin N, and serotonin and the cytokine interleukin-1 (IL-1) stimulate cortical steroidogenesis. Other peptides, such as atrial natriuretic peptide, dynorphin, somatostatin, and enkephalins and the cytokine transforming growth factor-ß have an inhibiting effect (1, 2, 3). From the available data, it is impossible to evaluate how these adrenomedullary secretory products will influence adrenocortical function in vivo.

It has been known for many years from hypophysectomized patients (4, 5) and from animal models (6, 7, 8, 9) that adrenocortical function can be stimulated by several secretagogues, even in the absence of ACTH. Intraadrenal interactions could be responsible for this remaining adrenocortical activity.

Despite the knowledge of the complex intraadrenal regulatory mechanisms, the in vitro functions of chromaffin and cortical cells were studied in isolated primary cultures. However, results obtained from those cultures do not accurately reflect the situation in vivo. In addition, the investigation of effects of adrenomedullary secretory products on adrenocortical function has to take into account that chromaffin cells secrete a cocktail of transmitters and neuropeptides that may interact in the regulation of adrenocortical function. Therefore, the isolated investigation of adrenocortical cells and the isolated investigation of single adrenomedullary secretory products on adrenocortical function are certainly unreliable.

In the last few years the importance of coculturing cells that occur together in the intact organ or intact tissue was shown in different fields of research. For instance, embryo coculture systems are used to enhance embryo development (10, 11, 12). Various types of helper cells improve the rate of development, reduce the cell fragmentation rate, and, in some instances, increase pregnancy and implantation rates (10). The rapid loss of many cytochromes P450 (CYP) from hepatocytes grown in culture, comparable to the loss of CYP11B, CYP21, CYP17, and CYP11A from bovine adrenocortical cells in culture (13), can be prevented by adding liver epithelial cells (14). Another impressive example for cell to cell communication in vitro is that of isolated rat pituitary cells, which aggregate during gyratory shaking and become organized in a tissue-like configuration within a few days. Ultrastructural and functional investigations indicated that these reaggregates are viable and functional multicellular structures that have maintained in vivo characteristics (15).

Surprisingly, the effect of coculturing cortical and chromaffin cells on the regulation of steroidogenesis in mammals has never been analyzed. The objective of the present study was to establish a coculture system of bovine adrenocortical and chromaffin cells that comes close to the in vivo situation in the intact adrenal gland. The regulation of basal steroidogenic activity was investigated for the first time by comparing cortisol secretion in cocultures of chromaffin and cortical cell with the steroidogenic activity in isolated cortical cells. The effect was further characterized by measuring P45017{alpha} messenger RNA (mRNA) expression and by inhibiting transcription and ribosomal protein synthesis. The possible involvement of catecholamines, medullary ACTH, and IL-1 was investigated.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents
Unless otherwise indicated, all reagents were purchased from Sigma Chemical Co. (Munich, Germany).

Cell preparation and culture
Bovine adrenal glands were obtained from freshly slaughtered 1- to 3-yr-old steers, trimmed free of adipose tissue, and transported to the laboratory in ice-cold PBS. The adrenals were put into 70% ethanol for 10 s, and connective tissue was removed.

For the preparation of cortical cells, the glands were cut in half by longitudinal incision. The medulla was removed and the cortex was scraped off the capsule, cut into small pieces and washed three times for 15 min each time in washing medium [DMEM-Ham’s F-12 (Life Technologies, Eggenstein, Germany) containing 200 U/ml penicillin, 200 µg/ml streptomycin, and 50 µg/ml gentamicin]. Digestion was performed in washing medium with 2.5% trypsin (Life Technologies) at 37 C with shaking. The digestion medium was replaced every 20 min. The cells were pelleted by centrifugation and filtered through gauze.

Medullary cells were prepared by a modification of the method developed by Livett and co-workers (16, 17). For washing, the intact adrenal was infused several times through the vein with PBS using a syringe. For digestion, performed at 37 C, PBS containing 0.3% collagenase from Clostridium histolyticum (Serva, Heidelberg, Germany) and 0.01% deoxyribonuclease I was infused through the vein every 15 min. After a total time of 1 h, the adrenals were cut in half, and the digested medullary cells could be easily separated from the undigested cortex. Traces of adhering cortical tissue were carefully cut away. The medullary cells were filtered through gauze and washed six times. After this cell preparation, chromaffin cells were purified by differential plating, a method that exploits the different adhesiveness of chromaffin and nonchromaffin cells (18). Briefly, cells were suspended in culture medium (DMEM-Ham’s F-12 containing 10% FCS; Life Technologies) and plated on glass petri dishes. After 4 h, floating cells were transferred to plastic flasks. Floating cells were transferred to new plastic flasks every 90 min, three times. The cells that were not sessile 90 min after the third plating step were the purified chromaffin cells.

Erythrocytes were removed from cortical and medullary cell preparations by treatment with erythrocyte lysis buffer (0.15 M NH4Cl, 0.1 mM Na2EDTA, and 12 mM NaHCO3) for 2 min at 37 C. Lysis was stopped by adding ice-cold PBS and subsequently centrifuging the preparations.

The viability of isolated cells was checked by the trypan blue exclusion test and was found to be higher than 90%.

The cells were cultured in DMEM-Ham’s F-12 containing 10% (vol/vol) FCS, 100 U/ml penicillin, 100 µg/ml streptomycin, and 50 µg/ml gentamicin at 37 C under 5% CO2 in air. The day of cell preparation and cell seeding is subsequently described as day 0. Culture medium was replaced every 24 h. The serum-free medium that was used from days 4–5 contained 10-7 M ascorbic acid, 0.001% wt/vol transferrin, and 0.01% wt/vol bacitracin (19, 20).

Staining of chromaffin and cortical cells
Cells were grown on chamber slides (Nunc, Naperville, IL) for 4 days. For immunohistochemistry, the cells were fixed for 30 min in 4% formaldehyde. Immunostaining was performed by the avidin-biotin technique using the UniTect immunohistochemistry detection system (Dianova, Hamburg, Germany) as previously described (21). Cortical cells were stained by a 1-h incubation at 37 C with a 1:10 dilution of the rabbit antiserum to 17{alpha}-hydroxyprogesterone (Sigma). For specific staining of chromaffin cells, cells were incubated for 1 h at room temperature with a 1:1000 dilution of the rabbit antibovine dopamine-ß-hydroxylase antibody (Incstar, Stillwater, MN). Visualization was achieved by immersing the cells for 15 min in 3-amino-9-ethyl-carbazole (Dianova-Immunotech, Hamburg, Germany) chromogen solution containing 0.05% H2O2. Hematoxylin was used for counterstaining.

Day-dependent insertion of chromaffin cells
Cortical cells were seeded on 24-well plates at a density of 2 x 105 cells/well. Chromaffin cells were seeded in inserts (2 x 105 cells/insert) with a 0.02-µm anopore membrane (Nunc). The chromaffin cell-containing inserts were transferred in wells with cortical cells in a day-dependent manner. The first inserts were transferred 1 h after seeding the cortical cells (day 0), resulting in 5 days of coculture. Inserts were transferred to cortical cell-containing wells every 24 h until day 4, when the last inserts were transferred. On day 4, the FCS-containing culture medium was replaced by serum-free medium, and on day 5, the supernatants were collected for cortisol measurement.

Effects of different culture conditions
Isolated cortical cells were cultured in wells (2 x 105 cells/well; Fig. 1AGo). For the coculture, cortical cells were seeded in wells (2 x 105 cells/well), and medullary cells were seeded at the same density in inserts (Fig. 1BGo). In mixed cultures, cortical and chromaffin cells were mixed 1:1 and seeded at a density of 4 x 105 cells/well (Fig. 1CGo). Chromaffin-cell conditioned medium was prepared by replacing the culture medium from the medullary cells every 24 h. The conditioned medium was either immediately transferred to cortical cells or kept frozen at -20 C. In all experiments the same volume of medium per cells (0.4 ml medium/2 x 105 cells) was used. On day 4, the FCS-containing culture medium was replaced by serum-free medium, and on day 5, the supernatants were collected for cortisol measurement.



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Figure 1. A, Isolated cortical cells were cultured on 24-well plates at a density of 2 x 105 cells/well for hormone measurements. B, For the coculture, 2 x 105 cortical cells were seeded per well and 2 x 105 medullary cells were seeded per insert. The inserts had a membrane that allowed the exchange of soluble substances. C, In mixed cultures, cortical and chromaffin cells were mixed 1:1 and seeded at a density of 4 x 105 cells/well.

 
Effect of chromaffin cell-conditioned medium (day dependency)
Cortical cells were seeded on 24-well plates at a density of 2 x 105 cells/well and cultured either in unconditioned FCS containing medium for 5 days or in chromaffin cell-conditioned FCS containing medium for 5 days. The media were changed every 24 h, and these daily removed supernatants were used for cortisol measurement.

[3H]Thymidine incorporation assay
Cortical cells were seeded on 96-well plates at a density of 5 x 104 cells/well and cultured either in unconditioned FCS-containing medium or in chromaffin cell-conditioned FCS containing medium. The media were changed every 24 h. To assess cell growth, cells were incubated with 2.5 µCi/ml [3H]thymidine (Peninsula Laboratories, Belmont, CA) for 24 h (days 4–5). All equipment was purchased from Packard (Meriden, CT). Cells were removed from the culture plate by trypsinization and harvested with Filtermate 196. After drying the filter with the harvested cells at 60 C for 1 h, a plastic scintillator sheet (FlexiScint) was placed over the filter, placed in an oven at 70 C for approximately 30 min, and counted in a microplate scintillation and luminescence counter (TopCount).

Northern analysis
Cortical cells were seeded on six-well plates at a density of 106 cells/well and maintained either in culture alone or in coculture with chromaffin cells (106 cells/insert). Total RNA was isolated from 2 x 106 cortical cells/experiment using the RNAzol B RNA isolation kit from AGS (Heidelberg, Germany). Equal amounts of total RNA (5 µg) were loaded onto the gel based on ethidium bromide staining of the 28S and 18S ribosomal RNA bands. RNA was fractionated by electrophoresis through a 1.2% agarose gel containing 0.61 mol/liter formaldehyde under denaturing conditions and transferred to uncharged nylon membranes (Quiagen, Hilden, Germany).

Bovine cytochrome P45017{alpha} complementary DNA was labeled with digoxigenin (Dig)-UTP using the Dig RNA labeling kit (SP6/T7) from Boehringer Mannheim (Mannheim, Germany) by in vitro transcription. The P45017{alpha} complementary DNA was provided by Prof. M. R. Waterman, Department of Biochemistry, Vanderbilt University School of Medicine (Nashville, TN).

The filters were prehybridized for 1 h and hybridized overnight with Dig-UTP-labeled RNA probe at 68 C. Filters were washed twice for 5 min each time in 2 x SSC (standard saline citrate)-1% SDS at room temperature, followed by 0,1 x SSC-1% SDS at 68 C twice for 15 min each time. For detection of chemiluminesence, CDP-Star was used according to the manufacturer’s protocol for the Dig luminescence detection kit (Boehringer Mannheim). The resultant blots were exposed to Hyperfilm-ECL (Amersham, Braunschweig, Germany) for 2–5 min. Hybridization signals in the blots were analyzed quantitatively by densitometric scanning. A sense probe were used to control the specificity of the antisense P45017{alpha} probe.

Effects of inhibitors
Cortical cells were incubated with an inhibitor of transcription [actinomycin D (Act D); 10 µg/ml] or an inhibitor of protein synthesis [cycloheximide (CHX); 10 µg/ml] as described by Yuhi et al. (22). From days 2–3, isolated cortical cells were pretreated for 24 h with or without the addition of the inhibitors. After this pretreatment, dishes were divided into two groups and incubated for an additional 24 h (days 3–4) with culture medium or chromaffin cell-conditioned medium in the continued absence or presence of Act D or CHX.

To inhibit PG synthesis, cortical cells were pretreated for 1 h with indomethacin. After the pretreatment, cells were incubated for 24 h (days 3–4) with culture medium or chromaffin cell-conditioned medium in the continued absence or presence of indomethacin.

Incubation with ACTH-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24), epinephrine, norepinephrine, propranolol, and IL-1ß
ACTH-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24) (Synacthen, Ciba Geigy, Wehr, Germany), norepinephrine, and/or human recombinant IL-1ß (Endogen, Woburn, MA) were added to isolated cortical cells every 24 h during the entire time of culture (days 0–5). Epinephrine (Jenapharm, Jena, Germany) was added to isolated cortical cells every 24 h from days 0–5 or from days 4–5. Propranolol (1-(isopropylamino)-3-(1-naphthyloxy)-2-propanol, Obsidan, Isis Pharma, Zwickau, Germany) was added to isolated cortical cells and to mixed cultures every 24 h from days 0–5. On day 4, the FCS-containing culture medium was replaced by serum-free medium, and on day 5, the supernatants were collected for cortisol measurement.

Hormone measurements
For cortisol measurements, the supernatants were kept frozen at -20 C; for ACTH and catecholamine measurements, the supernatants were stored at -80 C. ACTH was stabilized by addition of 4 mM Na2EDTA as demanded by the manufacturer of the ACTH RIA kit. To prevent oxidation of catecholamines, 0.027 mM Na2EDTA and 0.57 mM ascorbic acid were added (23).

Hormone concentrations in the incubation media were measured by RIA, using the following kits. The cortisol RIA was purchased from Biermann (Bad Nauheim, Germany; sensitivity, 5.5 nmol/liter; cross-reactivity: cortisol, 100%; prednisolone, 76%; 11-deoxycortisol, 11.4%; prednisone, 2.3%; other steroids, <1%; intra- and interassay variations, 5.1% and 6.4%, respectively). The DYNOtest for ACTH was obtained from Brahms Diagnostica (Berlin, Germany; sensitivity, 0.44 pmol/liter; intra- and interassay variations, <10 and <20%, respectively). Norepinephrine and epinephrine were measured by HPLC according to the manufacturer’s protocol for plasma levels (Chromsystems, Munich, Germany). Catecholamines were detected with the Waters 460 electrochemical detector (Waters Associates, Milford, MA), and the evaluation of the chromatogram was performed using Millennium 2000 software (Millipore, Milford, MA).

Statistical analysis
Results are expressed as the mean ± SEM, and statistical significance was determined by ANOVA using the software package SPSS for Windows, version 6. Differences were considered significant at P < 0.05, and very significant at P < 0.01. All experiments for cortisol measurements were repeated for a minimum of three different cell preparations (n) using four wells per experiment.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Staining of cortical and chromaffin cells
Adrenocortical cells grew to confluence on days 3–4 after cell preparation. They were immunohistochemically defined by an antibody directed against 17{alpha}-hydroxyprogesterone. (Fig. 2AGo). Besides 17{alpha}-hydroxyprogesterone-positive cells, these primary cultures contained 6.8 ± 1.7% (mean ± SEM; n = 4) other cell types, such as fibroblasts, macrophages, lymphocytes, and endothelial cells. In contrast to cortical cells, chromaffin cells did not grow to confluent monolayers, but in cell groups. They were characterized with an antibody against dopamine-ß- hydroxylase (Fig. 2BGo). Chromaffin cells obtained by differential plating were highly purified and contained, in accordance with the report by Unsicker and Mueller (18), only 2.5 ± 0.6% (mean ± SEM; n = 4) other cell types. When adrenocortical and adrenomedullary cells were cultured together in mixed cultures, both cell types formed close cellular contacts (Fig. 2CGo).



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Figure 2. A, Cortical cells were stained with an antibody against 17{alpha}-hydroxyprogesterone. The cells grew to confluence on days 3–4 after cell preparation. Besides 17{alpha}-hydroxyprogesterone-positive cells, these primary cultures contained 6.8 ± 1.7% (mean ± SEM; n = 4) other cell types such as fibroblasts, macrophages, lymphocytes, and endothelial cells. Bar = 13 µm. B, Chromaffin cells, purified by differential plating, were stained with a dopamine-ß-hydroxylase antibody. As all cells appeared in a red color, there was no relevant contamination with other cell types. Chromaffin cells did not grow to confluent monolayers, but grew in cell groups with only small cell extensions. Bar = 26 µm. C, Chromaffin cells in a mixed culture of cortical and chromaffin cells were immunostained with a dopamine-ß-hydroxylase antibody. Cortical cells were unstained. Bar = 15 µm.

 
Day-dependent insertion of chromaffin cells
This study revealed large differences in the basal steroidogenic activity in cocultures of cortical with chromaffin cells compared with isolated cortical cells. The cortisol release in 24 h was 150 ± 32 pmol/well when the chromaffin cells were inserted directly after seeding of the cells (5 days of coculture). In contrast, cortisol release was only 29.2 ± 7.4 pmol/well when the chromaffin cells were inserted on day 4 (1 day of coculture; Fig. 3Go). No cortisol was detectable in the supernatants from chromaffin cells (days 0–5).



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Figure 3. Cortisol secretion from isolated cortical cells (open bar) and cortical cells cocultured with chromaffin cells (hatched bars). The inserts containing chromaffin cell were transferred to the cortical cell-containing wells in a day-dependent manner from days 0–4. Day 0 is the day of cell preparation and seeding. On day 4, the culture medium was replaced by serum-free medium, and after 24 h, the supernatants were collected for cortisol measurement. Cortisol release in 24 h was 150 ± 32 pmol/well when the chromaffin cells were inserted directly after seeding the cells and only 29.2 ± 7.4 pmol/well when the chromaffin cells were inserted on day 4. Cortisol was undetectable in the supernatants of chromaffin cells (days 0–5).

 
Effects of different culture conditions
Cortisol levels (days 4–5) in cocultures (142 ± 26 pmol/well·24 h) were identical to the levels in mixed cultures (138 ± 11 pmol/well·24 h). Even freshly prepared and thawed chromaffin cell-conditioned medium had the same effect (138 ± 10 and 129 ± 16 pmol/well·24 h, respectively). The control with cortical cells cultured in the well and in the insert resulted in a doubling of cortisol secretion (28 ± 7 pmol/well·24 h per 4 x 105 cortical cells compared with 13.7 ± 1.6 pmol/well·24 h per 2 x 105 cortical cells (Fig. 4Go), indicating that the increased cortisol release in mixed cultures and cocultures was not due to the doubled cell number.



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Figure 4. Comparison of the effects of different culture types on cortisol release. a, Isolated cortical cells; b, isolated chromaffin cells; c, mixed culture (cortical and chromaffin cells together in the well); d, coculture (cortical cells in the well, chromaffin cells in the insert); e, cortical cells cultured in chromaffin cell-conditioned medium; f, like e, but the chromaffin-cell conditioned medium was kept frozen at -20 C for a minimum of 1 week before use; g, control with cortical cells in the well and in the insert. After 4 days in culture, the FCS-containing medium was replaced by serum-free medium, and after 24 h, the supernatants were collected for cortisol measurement. The 10-fold increase in cortisol release in c–f compared with that in a is highly significant (P < 0.001), whereas differences between c, d, e, and f are not significant (P > 0.05). No cortisol secretion of chromaffin cells due to a contamination with cortical cells could be measured (b). The control (g) shows that the effects in the mixed culture and coculture were not caused by the doubled cell number.

 
Effect of chromaffin cell-conditioned medium (day dependency)
The effect of chromaffin cell-conditioned medium was investigated in a day-dependent manner (Fig. 5Go). The cortisol secretion from isolated cortical cells was on a near-constant low level, ranging from 4.0–7.9 pmol/well·24 h. In contrast, the cortisol secretion from chromaffin cell-conditioned medium-treated cortical cells was on a much higher level and increased during culture, reaching a value of 139.3 ± 10.3 pmol/well·24 h on days 4–5.



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Figure 5. Cortisol secretion from cortical cells that were cultured in untreated culture medium containing 10% FCS (•) compared with that from cortical cells that were cultured in chromaffin cell-conditioned medium containing 10% FCS ({blacktriangleup}). The medium was changed every 24 h, and the removed supernatant was used for cortisol measurement. Cortisol secretion from isolated cortical cells was on a near-constant low level, ranging from 4.0–7.9 pmol/well·24 h. In contrast, cortisol secretion from cortical cells treated with conditioned medium was on a much higher level and increased during culture, reaching a value of 139.3 ± 10.3 pmol/well·24 h on days 4–5.

 
[3H]Thymidine incorporation assay
The [3H]thymidine incorporation assay revealed that the large difference in basal cortisol release was not caused by an increased proliferation rate of cortical cells treated with chromaffin cell-conditioned medium. [3H]Thymidine was added for 24 h from days 4–5, and the incorporation in cells treated with chromaffin cell-conditioned medium during the entire time of culture was 76.4 ± 6.2% (n = 4; four wells per experiment) compared with that in cortical cells cultured in unconditioned medium.

Northern analysis
Day-dependent cytochrome P45017{alpha} mRNA expression in isolated cortical cells compared with that in cortical cells in coculture with chromaffin cells was investigated by Northern analysis (Fig. 6Go). The amount of P45017{alpha} mRNA in the coculture increased from days 1–5, whereas it decreased in isolated cortical cells. This led to a sixfold increased P45017{alpha} mRNA expression (605 ± 61% of the hybridization signal for isolated cortical cells; n = 3) on day 5, as revealed by densitometric scanning.



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Figure 6. Detection of cytochrome P45017{alpha} mRNA expression in isolated cortical cells (lanes 1, 3, 5, 7, and 9) compared with that in cortical cells in coculture with chromaffin cells (lanes 2, 4, 6, 8, and 10) by Northern analysis. RNA was isolated from the cells on day 1 (lanes 1 and 2), day 2 (lanes 3 and 4), day 3 (lanes 5 and 6), day 4 (lanes 7 and 8), and day 5 (lanes 9 and 10). Equal amounts of RNA were used, as demonstrated here by the ethidium bromide fluorescence of the 18S ribosomal RNA band. An increasing expression of P45017{alpha} mRNA in the coculture from days 1–5 and a decrease in only cortical cells could be shown. Densitometric scanning revealed that a difference of 6-fold on day 5 was reached. The results from Northern analysis were repeated for a minimum of two times; the day 5 result was repeated four times.

 
Effects of Act D and CHX
Protein synthesis in adrenocortical cells was inhibited at different levels. Incubation of cortical cells with Act D, an inhibitor of the DNA-dependent RNA polymerase, and CHX, an inhibitor of ribosomal protein synthesis, both completely abolished the stimulatory effect of chromaffin cell-conditioned medium on cortisol secretion (Fig. 7Go).



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Figure 7. Effects of treatment with Act D (10 µg/ml) or CHX (10 µg/ml) on cortisol secretion from isolated cortical cells (open bars) and from cortical cells incubated with chromaffin cell-conditioned medium (hatched bars). Dishes pretreated for the first 24 h with or without the addition of the inhibitors were divided into two groups and incubated for an additional 24 h with culture medium (open bars) or chromaffin cell-conditioned medium (hatched bars) in the continued absence or presence of the indicated inhibitors. Act D and CHX both completely inhibited the stimulatory effect of chromaffin cell-conditioned medium.

 
Effects of IL-1 and indomethacin
IL-1 at concentrations of 10-11–10-8 M stimulated cortisol secretion from isolated adrenocortical cells in a dose-dependent manner (Fig. 8Go). It has been shown previously that in bovine adrenals, the stimulatory effect of IL-1 on adrenocortical steroidogenesis is mediated by the local release of PGs and could be totally blocked by indomethacin (24). Therefore, PG synthesis was inhibited by adding the cyclooxygenase inhibitor indomethacin to the culture medium. Indomethacin partly inhibited the stimulatory effect of chromaffin cell-conditioned medium. Cortisol secretion decreased from 133 ± 10 to 99 ± 9 pmol/well·24 h by the addition of 10 µM indomethacin and to 72 ± 7 pmol/well·24 h by the addition of 100 µM indomethacin (Fig. 9Go).



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Figure 8. Effect of increasing doses of IL-1ß on cortisol secretion from isolated cortical cells. Cortical cells were incubated with IL-1ß during the entire period of culture from days 0–5. After 4 days in culture, the FCS-containing medium was replaced by serum-free medium, and after 24 h the supernatants were collected for cortisol measurement. The lowest concentration that caused a significant increase in cortisol release was 10-10 M (1.5-fold stimulation; P < 0.05). IL-1ß at 10-9 M stimulated cortisol release 1.7-fold.

 


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Figure 9. The effect of the cyclooxygenase inhibitor indomethacin on cortisol secretion in isolated cortical cells (open bars) and in cortical cells treated with chromaffin cell-conditioned medium (hatched bars). Cells were incubated with indomethacin for 24 h after a 1-h pretreatment. The inhibitor was added at 10 µM (In 10) and 100 µM (In 100) and partly inhibited the stimulatory effect of chromaffin-cell conditioned medium.

 
ACTH-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24), epinephrine, norepinephrine, and propranolol
The most prominent secretory products are the catecholamines epinephrine and norepinephrine, and the most effective stimulator of steroidogenesis secreted by medullary cells is ACTH. Therefore, the concentrations of ACTH and catecholamines were determined. The ACTH concentration in the day 3–4 and the day 4–5 supernatant of mixed cultures was at, or even below, the detection limit of the RIA of 0.44 pmol/liter (n = 3).

Epinephrine and norepinephrine concentrations in mixed cultures ranged from 6.5 x 10-8 to 4 x 10-7 M and from 2.3 x 10-8 to 3.6 x 10-7 M, respectively, on day 3. On day 5, the epinephrine concentration ranged from 9.2 x 10-10 to 4.3 x 10-9 M, and the norepinephrine concentration ranged from nondetectable to 2.8 x 10-9 M (n = 3; Table 1Go).


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Table 1. Epinephrine and norepinephrine concentrations in the supernatants of mixed cultures of chromaffin and cortical cells on days 3 and 5 of culture

 
Epinephrine at 10-7 M did not stimulate cortisol release significantly when it was added from days 4–5, whereas a 2.2-fold stimulation was reached when it was added during the whole time of culture. Addition of 10-6 M epinephrine to the medium during the whole time of culture resulted in 1.6 times the stimulation of cortisol release, whereas 4.2 times the stimulation was reached when 10-6 M epinephrine was added for only 24 h from days 4–5 (Fig. 10Go).



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Figure 10. Cortisol secretion from isolated cortical cells (open, gray, and black bars) and from mixed cultures of chromaffin and cortical cells (hatched bars) with or without the addition of 10-6 M propranolol (Pr) during the entire period of culture. Epinephrine (Ep) at concentrations of 10-7 M (gray bars) and 10-6 M (black bars) was added from days 4–5 or during the entire period of culture (days 1–5). On day 4, the FCS-containing culture medium was replaced by serum-free medium, and after 24 h, the supernatants were collected for cortisol measurement. Epinephrine at 10-6 M stimulated cortisol release from cortical cells by 1.6 times when it was added during the entire period of culture (P < 0.05 compared with the release from isolated cortical cells) and 4.2 times when it was added on day 4 (P < 0.01). Epinephrine at 10-7 M did not stimulate cortisol release significantly when it was added from days 4–5, whereas an increase of 2.2 times was reached when it was added during the entire period of culture (P < 0.01). Propranolol was added at a concentration of 10-6 M during the entire period of culture and completely inhibited the effects of coincubated epinephrine (10-7 or 10-6 M). The 10-fold increase in cortisol secretion in mixed cultures of cortical and chromaffin cells was decreased by propranolol to an 8-fold increase in cortisol release from isolated cortical cells.

 
Coincubation of propranolol (10-6 M) with epinephrine (10-7 or 10-6 M) completely inhibited the stimulatory effect of epinephrine. The 10-fold increase in cortisol secretion in mixed cultures of cortical and chromaffin cells was decreased by propranolol (10-6 M) to an 8-fold increase in the cortisol release from isolated cortical cells (Fig. 10Go).

The coincubation of ACTH-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24), epinephrine, norepinephrine, and IL-1 during the entire 5-day culture resulted in an additive effect of these substances. On day 5, cortisol secretion was increased 4.3-fold over basal secretion (Fig. 11Go).



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Figure 11. Effects of different secretory products of medullary cells on cortisol secretion by isolated cortical cells. Cells were incubated with Synacthen (10-12 M; Syn), norepinephrine (10-8 M; NE), Synacthen (10-12 M) plus norepinephrine (10-8 M) plus epinephrine (10-7 M; Mix 1), or Synacthen (10-12 M) plus norepinephrine (10-8 M) plus epinephrine (10-7 M) plus IL-1ß (10-9 M; Mix 2) during the entire period of culture from days 0–5. The following increases in cortisol release were caused by the stimulators: 2-fold by Synacthen, 2.5-fold norepinephrine, 3.6-fold by Mix 1, and 4.3-fold by Mix 2.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Using coculture systems of adrenomedullary chromaffin cells and adrenocortical cells, we were able to demonstrate in this study that adrenomedullary cells have a pronounced stimulatory effect on cortisol secretion under basal conditions. Culturing bovine adrenocortical cells in coculture with adrenomedullary cells enhanced the secretion of cortisol 10-fold compared with that by isolated adrenocortical cells.

In previous studies, we have shown that adrenal medulla and adrenal cortex are highly interwoven in the mammalian adrenal (25), and it has been supposed that this interrelationship is the prerequisite for a paracrine regulation of the adrenal cortex by the adrenal medulla (1, 3). Chromaffin cells secrete a wide variety of transmitters and neuropeptides, and it was concluded that under basal conditions, stimulatory and inhibitory effects annul each other (3). However, our data show that stimulatory influences predominate, leading to a pronounced enhancement of steroidogenesis. This stimulatory effect was independent from direct cellular contacts, as cortisol release reached the same values in cultures where both cell types were mixed and therefore were in direct contact as in the coculture where both cell types were separated by a membrane. Chromaffin cell-conditioned medium added every 24 h had the same effect as coculturing, indicating that the factor(s) involved are not subject to fast degradation. The stimulatory effect was clearly time dependent, and the activity of cortical cells increased with the time the two cell types were cultured together or with the time the cortical cells were treated with chromaffin cell-conditioned medium. The increased activity does not reflect an increased proliferation rate of cortical cells. In contrast, the proliferation rate of cortical cells decreased as measured by [3H]thymidine incorporation. This agrees with the effects of other stimulators of adrenocortical function, i.e. ACTH that is a potent stimulator of steroidogenesis, while at the same time inhibiting cell replication (26).

On the transcriptional level, the large differences in cortisol release were reflected by an increased expression of P45017{alpha} mRNA in the coculture compared with a decrease in isolated cortical cells, leading to a 6-fold difference on day 5. Adrenocortical steroid 17{alpha}-hydroxylase is a strongly inducible enzyme. In vitro and in vivo 17{alpha}-hydroxylase is induced and maintained by corticotropin or other stimulators of cAMP production. Enzyme levels correlate with mRNA levels after induction. Although the rate-limiting step in steroid hormone biosynthesis is the side-chain cleavage of cholesterol (27), it is P45017{alpha} mRNA expression that is regulated most rapidly, and a decrease in adrenocortical activity is primarily reflected by a decrease in P45017{alpha} mRNA expression (28, 29). The maintenance and stimulation of P45017{alpha} expression and cortisol production suggest that in the coculture, the environment of cortical cells in vivo is more accurately mimicked than that in primary cultures of isolated adrenocortical cells. In addition, the observed steroidogenic effect may be responsible for the remaining activity of the adrenal cortex after hypophysectomy.

To further determine whether protein synthesis is involved in the stimulation of adrenocortical steroidogenesis by adrenomedullary cells, the effects of inhibitors of protein (CHX) or RNA (Act D) synthesis on steroidogenesis were examined. CHX and Act D both blocked the stimulatory effect of chromaffin cell-conditioned medium on cortisol release from adrenocortical cells, indicating that de novo RNA and protein syntheses are required for this stimulation by adrenomedullary secretagogues.

How can adrenomedullary secretory products in vivo reach the adrenal cortex? The blood flow within the adrenal is directed centripetally from the cortex to the medulla (30), thus making an effect via the vascular system unlikely. However, the observed interweaving of both cell systems to various degrees in mammals (25, 31, 32, 33, 34, 35) may be the prerequisite for this local regulation of adrenocortical function. The close anatomical colocalization may form the basis for a paracrine interaction of the two endocrine systems. Interestingly, such a stimulatory effect of chromaffin cells on corticosteroid secretion has also been demonstrated in nonmammalian species such as the frog, in which the adrenal is composed of highly intermingled adrenocortical and chromaffin cells (36, 37). In addition to a direct paracrine action, some adrenomedullary secretory products, especially larger molecules such as proteins and neuropeptides, may reach the adrenal cortex via interstitial fluid and lymphatics (38).

Adrenomedullary chromaffin cells produce, store, and secrete a whole series of neuropeptides and transmitters in addition to catecholamines. Which factors are responsible for the stimulation of steroidogenesis in the coculture?

The most dominant secretory products of the adrenal medulla are the catecholamines epinephrine and norepinephrine, which are both able to stimulate corticosteroidogenesis (39, 40, 41) and to up-regulate 17{alpha}-hydroxylase (41, 42). The most effective intraadrenal stimulator of adrenal steroidogenesis is most likely to be adrenomedullary ACTH (1, 43). In the present study, the concentration of ACTH in the supernatant of mixed cultures of chromaffin and cortical cells was at the detection limit of the RIA of 0.44 pmol/liter or even below. Incubation of isolated adrenocortical cells with 10-12 M ACTH-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24) for 5 days led to a doubling of cortisol secretion on day 5 compared with a 10-fold increase in cocultures or by incubation of cortical cells with chromaffin cell-conditioned medium. Therefore, the high up-regulation of basal cortisol release in cocultures is only partly caused by adrenomedullary ACTH. POMC is produced within the medulla, but has been found not to stimulate steroidogenesis itself (44).

In our coculture system, epinephrine concentrations in the supernatant ranged from 6.5 x 10-8 to 4 x 10-7 M on day 3. Therefore, 10-7 and 10-6 M epinephrine were added to isolated adrenocortical cells for 5 days, resulting in an increased cortisol release to 223% and 162% of basal secretion on day 5, respectively (compared with 1080% in cocultures). The observation that 10-6 M epinephrine had a more pronounced stimulatory effect on cortisol release when added for only 24 h than after incubation of the cells for 5 days may be due to a homologous desensitization of the cells (39). The epinephrine-stimulated cortisol release was completely blocked by addition of the ß-blocker propranolol. Propranolol at 10-6 M has been demonstrated to arrest the effect of 10-5 M epinephrine completely, whereas it has no effect on ACTH-induced cortisol production (45, 46). In addition to epinephrine, chromaffin cell-conditioned medium, in lower concentrations, contained norepinephrine (Table 1Go). It has been demonstrated that propranolol blocks not only the effect of epinephrine but also the effect of norepinephrine (39). Only 20% of the cortisol release in mixed cultures of chromaffin and cortical cells was inhibited by propranolol, suggesting the involvement of other factors besides catecholamines.

The partial inhibition of steroidogenesis by indomethacin reflects the involvement of PGs in the stimulation of cortical function in the coculture. It has been shown that different cytokines stimulate adrenal steroidogenesis via the local release of PGs (24, 47, 48). Cytokines are very likely to be involved in such a local paracrine interaction. IL-1, the only cytokine shown to be produced by adrenomedullary chromaffin cells (for review, see Ref.49) stimulates steroidogenesis in bovine adrenocortical cells in culture (this study and Ref.24). This stimulation is mediated via the local release of PGs, which are produced by fibroblasts, leukocytes, and endothelial cells and can be completely abolished by indomethacin (24). Therefore, the stimulation of adrenocortical steroidogenesis by adrenomedullary secretory products involves a paracrine interaction with a small subpopulation of PG-producing cells within the adrenal gland.

ACTH-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24), epinephrine, norepinephrine, and IL-1 stimulated steroidogenesis 4.3-fold when added together to cortical cells during the entire period of culture. In addition to these factors, chromaffin cells produce and secrete a wide variety of factors that are able to stimulate cortical steroidogenesis (for review, see Ref.3). This complex "cocktail" probably is responsible for the observed stimulation of adrenocortical steroidogenesis.

In summary, we have shown that basal steroidogenic activity is remarkably increased in adrenocortical cells cultured together with medullary chromaffin cells compared with that in isolated cortical cells. It is concluded that the coculture system is a model in which the in vivo conditions are mimicked in an in vitro system. It clearly demonstrates that the close anatomical colocalization of the two endocrine systems in the adrenal is of physiological importance for the full strength of steroidogenic response of the adrenal gland. Although there has been some speculation on the influence of adrenomedullary secretory products on adrenocortical function, this is the first study to prove a direct stimulatory influence on adrenocortical function. Further studies based on these results will fully characterize this effect and the factors involved.


    Acknowledgments
 
We thank Silke Brauer for her excellent technical assistance.


    Footnotes
 
1 This work was supported by the Deutsche Forschungsgemeinschaft (Grant Bo 1141/3–3 and a Heisenberg grant to S.R.B.) and the Interdisciplinary Center for Clinical Research at the University of Leipzig (IZKF Leipzig, B1 to S.R.B. and M.E.B.). Back

Received May 30, 1997.


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 Materials and Methods
 Results
 Discussion
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