Endocrinology Vol. 140, No. 10 4390-4398
Copyright © 1999 by The Endocrine Society
Angiotensin II and Cyclic Adenosine 3',5'-Monophosphate Induce Human Steroidogenic Acute Regulatory Protein Transcription through a Common Steroidogenic Factor-1 Element1
Barbara J. Clark and
Rebecca Combs
Department of Biochemistry and Molecular Biology, University of
Louisville School of Medicine, Louisville, Kentucky 40292
Address all correspondence and requests for reprints to: Dr. Barbara J. Clark, Department of Biochemistry and Molecular Biology, University of Louisville School of Medicine, Louisville, Kentucky 40292. E-mail:
bjclark{at}louisville.edu
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Abstract
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Steroidogenic acute regulatory protein (StAR) synthesis and
steroidogenesis are stimulated by activation of divergent signaling
pathways in the adrenal cortex. The two major physiological regulators
of aldosterone synthesis in the adrenal zona glomerulosa are
angiotensin II (AII) and extracellular K+, which both
mediate an increase in intracellular calcium levels, although by
distinct mechanisms. Previously, we demonstrated that increased
mineralocorticoid synthesis by
N6,2'-O-dibutyryl cAMP
(Bt2cAMP), AII, and K+ treatment is paralleled
by an increase in StAR protein in the H295R human adrenocortical cell
line. We now show that StAR steady state messenger RNA levels are
increased by Bt2cAMP and AII, but not by K+ or
12-O-tetradecanoylphorbol-13-acetate, treatment of H295R
cells. Northern analysis detected two major transcripts of 1.7 and 2.7
kb present in H295R cells, with the most prominent effect of agonist
treatment on induction of the 1.7-kb messenger RNA. Similarly, StAR
promoter activity in transient transfections of H295R cells with a
luciferase reporter gene driven by 1.3 kb of the human promoter was
increased only by Bt2cAMP and AII treatment. 5'-Deletion
analysis of the StAR promoter indicates that both the cAMP- and
AII-responsive elements are within 150 bases of the transcriptional
start site. Mutation of a steroidogenic factor-1/AdBP4 element
localized at -95 abolishes both Bt2cAMP- and AII-induced
luciferase activity in these transient transfection assays. Thus,
transcriptional activation of the StAR gene by a steroidogenic
factor-1-dependent mechanism may represent a common pathway for ACTH
(protein kinase A) and AII action in stimulating steroid production in
the adrenal fasciculata and glomerulosa.
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Introduction
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STIMULATION of the adrenal and gonads by
trophic hormones results in an acute increase in steroid hormone
biosynthesis due to the delivery of cholesterol, the steroid precursor,
to the mitochondrial inner membrane where the first enzymatic reaction
catalyzed by the cytochrome P450 side-chain cleavage enzyme occurs
(1, 2, 3, 4, 5). This acute response is rapid, occurring within minutes, and is
dependent upon the hormonally regulated de novo synthesis of
the steroidogenic acute regulatory protein (StAR) (6, 7, 8, 9, 10). In the
absence of StAR synthesis or a functional StAR, cholesterol will
accumulate on the mitochondrial outer membrane in response to hormonal
stimulation, but steroidogenesis is blocked due to the lack of
cholesterol transport to the mitochondrial inner membrane and P450scc
(11, 12, 13). Thus, StAR expression is critical for the efficient
translocation of cholesterol from the outer to the inner mitochondrial
membrane.
The stimulation of StAR synthesis and steroidogenesis by trophic
hormones is mediated by cAMP in general; however, in the adrenal
cortex, activation of divergent signaling pathways can independently
stimulate adrenal steroidogenesis and StAR protein synthesis.
Glucocorticoid synthesis by the adrenal zona fasiculata is regulated by
ACTH via the cAMP-dependent protein kinase A (PKA) pathway, whereas the
two major physiological regulators of aldosterone synthesis in the
adrenal zona glomerulosa are angiotensin II (AII) and extracellular
K+. AII binds to cell surface receptors that, in turn,
activate phospholipase C, which results in the release of
diacylglycerol and inositol 1,4,5-trisphosphate from
phosphatidylinositol-4,5-bisphosphate (14). Diacylglycerol stimulates
protein kinase C (PKC), whereas inositol 1,4,5-trisphosphate increases
intracellular calcium levels ([Ca2+]i) via
stimulating the release of Ca2+ from internal stores. AII
also mediates an influx of external Ca2+ through
dihydropyridine-insensitive Ca2+ channels in the plasma
membrane. K+ action, on the other hand, is specifically
associated with an influx of external Ca2+ via
voltage-gated L- and T-type Ca2+ channels. Therefore, both
agents act mainly by increasing the [Ca2+]i
levels, although by distinct mechanisms.
The molecular mechanisms by which [Ca2+]i
mediates an increase in steroidogenesis are only recently emerging
(15, 16, 17, 18, 19). Early reports demonstrated that de novo protein
synthesis was important in AII- and K+-stimulated
steroidogenesis, as had been documented for the ACTH-cAMP-PKA pathway
(6, 7, 20, 21). In terms of StAR expression, pp30 mitochondrial
proteins (StAR) were shown to be radiolabeled in isolated bovine
glomerulosa cells in an AII- or K+-dependent manner. Atrial
natriuretic peptide, which blocks AII-stimulated steroidogenesis,
blocked the AII-dependent increase in the pp30 proteins (22). Our
previous studies in human adrenocortical H295R cells confirmed that
increased mineralocorticoid synthesis by AII and K+
treatment is paralleled by an increase in StAR protein (15). Based on
these data we proposed that StAR regulation may be a common mechanism
by which the divergent signaling pathways control adrenal steroid
production. In support of a role for increased
[Ca2+]i mediating the AII or K+
signal, recent studies using calcium clamp techniques that elevate
[Ca2+]i levels have shown that StAR synthesis
is increased in bovine glomerulosa cells and that the effect is blocked
by atrial natriuretic peptide, consistent with previous reports using
AII and K+ (19). StAR messenger RNA (mRNA) levels were
shown to be induced by increased [Ca2+]i
(calcium clamp), and nuclear run-on assays indicated transcriptional
activation as the mechanism for increased StAR expression.
In some cases, such as the human c-fos and human
proenkephalin genes, the Ca2+-responsive element has been
shown to be identical to the cAMP-responsive elements (CRE) (23, 24).
For activation of c-fos, for example, the cAMP and
Ca2+ pathways converge at the point of phosphorylation of
the CRE-binding protein (24, 25). However, the StAR promoter lacks a
consensus CRE as well as a classical phorbol ester element (26).
5'-Deletion analyses of the mouse, human, porcine, bovine, and rat StAR
promoters indicate that the cAMP-responsive region is within 254, 150,
60, 100, and 342 bp of the transcriptional start site, respectively
(26, 27, 28, 29). Inspection of these promoter regions indicates high sequence
identity within the first 150 bp that includes conserved elements that
have been shown to bind steroidogenic factor-1 (SF-1) (30). SF-1 is an
orphan nuclear receptor that plays a critical role in organogenesis of
the adrenal and gonads as well as the developmental and tissue-specific
regulation of genes encoding the cytochrome P450 steroid hydroxylases
(31, 32, 33). SF-1 has also been shown to trans-activate StAR
promoter-dependent reporter gene activity in transiently transfected
nonsteroidogenic cells (27, 28, 30, 34). In these studies, cAMP
enhanced the SF-1-dependent response. Similarly, studies on reporter
gene expression in human granulosa-lutein cells demonstrated that
mutation of SF-1 elements located at -95 and -42 in the human StAR
promoter greatly diminished basal expression as well as the
cAMP-dependent response, although induction by forskolin was not
abolished (35). On the other hand, mutation of SF-1 elements located at
-42 and -135 in the mouse promoter did not affect cAMP induction in
MA-10 mouse Leydig cells or Y1 adrenocortical cells (26). Clearly, more
studies are required to determine the precise role of SF-1 in StAR gene
activation. It may be that the cAMP-dependent response of StAR is
dependent upon SF-1 in a tissue- or species-specific manner.
In this study we evaluated the effects of
N6,2'-O-dibutyryl cAMP
(Bt2cAMP), AII, and K+ on StAR mRNA levels
in H295R cells to determine whether these physiological regulators of
aldosterone synthesis mediate a transcriptional or posttranscriptional
response for StAR synthesis and acute steroid production. A second
objective was to compare the AII, K+, and
Bt2cAMP responses to determine the point of convergence for
these multiple second messengers on StAR expression. We demonstrate
that StAR steady state mRNA levels are increased by Bt2cAMP
and AII, but not by K+ or
12-O-tetradecanoylphorbol-13-acetate (TPA), treatment of
H295R cells. Transient transfection assays using a luciferase reporter
gene driven by the StAR promoter indicate that only Bt2cAMP
and AII stimulate an increase in luciferase activity. Together these
data suggest that the AII-mediated induction of StAR gene expression
cannot be mimicked by K+ treatment alone. 5'-Deletion
analysis of the StAR promoter indicates that both the cAMP and AII
response elements are within 150 bases of the transcriptional start
site. Mutation of an SF-1/AdBP4 element localized at -95 abolishes
both Bt2cAMP- and AII-induced luciferase activity in these
transient transfection assays. Thus, transcriptional activation of StAR
gene by a SF-1-dependent mechanism may represent a common pathway for
ACTH (PKA) and AII action in stimulating steroid production in adrenal
zona fasciculata and glomerulosa cells.
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Materials and Methods
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Materials
[Val5]AII acetate salt, TPA, KCl, and
Bt2cAMP were purchased from Sigma Chemcial Co.
(St. Louis, MO). Aldosterone RIA kits were obtained from
Diagnostics Systems Laboratories, Inc. (Webster, TX). A
1:1 mixture of DMEM and Hams F-12 medium (DMEM/F12), Trizol reagent,
Moloney murine leukemia virus reverse transcriptase, lipofectamine, and
penicillin/streptomycin antibiotics were supplied by Life Technologies, Inc. (Gaithersburg, MD). Hybond-N+,
Rapid-Hyb buffer, random hexamers, and deoxynucleotide triphosphates
were purchased from Pharmacia Biotech (Piscataway, NJ).
[
-32P]Deoxy (d)-CTP was obtained from NEN Life Science Products (Wilmington, DE). RNAsin and
Taq DNA polymerase were purchased from Promega Corp. (Madison, WI).
H295R cell culture
H295R cells were a gift from Dr. William E. Rainey, University
of Texas Southwestern Medical Center (Dallas, TX). The cells were grown
and maintained in DMEM/F12 containing 2.5% NuSerum type I and 1% ITS
culture supplements (Collaborative Biomed Products, Bedford, MA) in
75-cm2 flasks at 37 C under a humid atmosphere of
5% CO2-95% air as previously detailed (15).
RT-PCR
H295R cells were grown in 60-mm tissue culture dishes to
7080% confluence, then placed in serum-free medium for 24 h
before treatment. The cells were treated for 6 h with serum-free
medium alone (control) or containing Bt2cAMP (1
mM), AII (10 nM), K+ (16
mM), or TPA (10 nM). The medium was removed,
and total RNA was isolated using the Trizol reagent following the
instructions of the manufacturer (Life Technologies, Inc.). The RT and PCR reactions were performed as described
previously (36). The StAR oligonucleotide primer sequences are
5'-CCAGATGTGGGCAAGGTG-3' (forward; synthesized by Midland Certified
Reagent Co., Midland, TX) and 5'-CCTCTGCGCTTGGTACAGC-3' (reverse;
synthesized by Synthetic Genetics, San Diego, CA). These primers span
nucleotides 466708 of the human (h) StAR complementary DNA (cDNA) to
generate a product of 242 bp. The 1 x Taq buffer
(Promega Corp.) and 2.5 mM MgCl2
concentrations were maintained for both the RT and amplification
reactions. Random hexamer oligonucleotides were used for the RT
reaction (20 µl), which contained dNTPs, RNAsin, MgCl2,
200 U Moloney murine leukemia virus reverse transcriptase, and 1.0 µg
total RNA. For amplification of the cDNA, the RT reaction was first
heat inactivated, then diluted to a final volume of 100 µl that
included 50 pmol of the primer pair for hStAR, 10 pmol of the human
ß-actin primer pair (CLONTECH, Palo Alto, CA), 2.5 µCi
[32P]dCTP, and Taq polymerase. In experiments
in which hStAR and ß-actin were amplified separately, the RT reaction
for an individual treatment was split (8 µl/reaction) and added to a
PCR reaction containing either the hStAR primer pair or the ß-actin
primer pair. After 25 cycles of PCR, the products were separated on a
2% agarose gel along with a 100-bp DNA ladder (GenSura Laboratories,
Del Mar, CA) and visualized by ethidium bromide staining. The gel was
dried and exposed to a phosphorscreen, and quantitation of the products
was performed using a Molecular Dynamics, Inc., PSF
PhosphorImager (Sunnyvale, CA). The gel was then exposed to x-ray film
and visualized by autoradiography.
Northern analysis
Treatment of H295R cells and RNA isolation were performed as
described above for RT-PCR. Thirty micrograms of total RNA were
separated on an agarose-formaldehyde gel (1.25%:3%) as previously
detailed (37). The RNA was transferred to Hybond-N+ nylon
membrane and fixed by UV cross-linking (StrataLinker,
Stratagene, La Jolla, CA). The blot was probed with the
hStAR PCR product that was purified and radiolabeled using
[
-32P]dCTP and the Prime-A-Gene kit (Promega Corp.). The RNA was sized using a 500-bp fluorescein ruler
(Bio-Rad Laboratories, Inc., Hercules, CA) and an
end-labeled 1-kb DNA ladder. The blot was exposed to a phosphorscreen,
and the products were quantitated using a Molecular Dynamics, Inc., PSF PhosphorImager, then exposed to x-ray film and
visualized by autoradiography. The blot was stripped and reprobed with
human ß-actin PCR product that was purified and radiolabeled using
[
-32P]dCTP and the Prime-A-Gene kit and detected as
described above.
Plasmids and transient transfection of H295R cells
Plasmids containing DNA for human StAR promoter in
pGL2 vector were a gift from Dr. Jerome F. Strauss III,
University of Pennsylvania (Philadelphia, PA), and are the constructs
described and used in previous manuscripts (27, 35). pGL2 containing
-1521 bp of the CYP11B2 promoter was a gift from Dr. William E.
Rainey, University of Texas Southwestern Medical Center (Dallas, TX)
(18). H295R cells were plated onto 24-well tissue culture dishes at
300,000 cells/well the day before transfection. The cells were
cotransfected with the indicated luciferase reporter gene construct (2
µg/ml) and pCMVß-galactosidase expression vector (2 µg/ml) using
lipofectamine reagent (20 µg/ml) and serum-free, antibiotic-free
DMEM/F12 following the instructions of the manufacturer (Life Technologies, Inc.) as previously described (9). The cells were
treated with the lipid/DNA mixture for 6 h, then the medium was
replaced with complete DMEM/F12 for 16 h. Cells were placed in
serum-free medium for 24 h, then treated for 6 h with either
Bt2cAMP (1 mM), AII (10 nM),
K+ (16 mM), or TPA (10 nM). The
luciferase assay system (Promega Corp.) was used to
prepare cell lysates and measure luciferase activity (Lumat LB 9507
luminometer, Wallac, Inc., Gaithersburg, MD).
ß-Galactosidase activity was determined using
ß-D-galactopyranoside (Roche Molecular Biochemicals, Indianapolis, IN) as a substrate and monitoring
the absorbance at 595 nm. Each treatment was performed in triplicate,
and the luciferase (relative light units) and ß-galactosidase
activities were corrected for background activity (nontransfected cell
lysates), then the relative light units were normalized to
ß-galactosidase. The means ± SD were determined for
each treatment group, then the data were expressed relative to the
control value (unstimulated sample). To determine a statistical
significance, the mean ± SEM for the relative fold
induction from each experiment was determined and used in Students
pooled t test to calculate the confidence interval.
P < 0.05 was considered statistically significant.
Immunoblot analysis
H295R cells were grown in 60-mm tissue culture dishes to
7080% confluence, then placed in serum-free medium for 24 h
before treatment. The cells were treated for 6 h with serum-free
medium alone (control) or medium containing Bt2cAMP (1
mM), AII (10 nM), K+ (16
mM), or TPA (10 nM). The cells were washed with
PBS, and the cells were collected in 0.25 M sucrose, 10
mM Tris-HCl (pH 7.4), and 0.1 mM EDTA plus
protease inhibitors as described previously (9). The cells were lysed
by repeated freeze-thaw cycles, and the protein concentration of
postnuclear supernatant (800 x g supernatant) was
determined by the method of Bradford using Bio-Rad Laboratories, Inc., reagent (Bio-Rad Laboratories, Inc.,
Hercules, CA). Fifty micrograms of cell lysate were separated on 12.5%
SDS-PAGE using standard procedures as described previously (9), and the
proteins were transferred to polyvinylidene difluoride membranes
(Bio-Rad Laboratories, Inc., Hercules, CA) using 20
mM Tris-HCl (pH 7.4), 150 mM glycine, 10%
methanol, and 0.01% SDS. Immunoblot analysis was performed as
described previously, except that the primary antibody used was a
rabbit anti-StAR polyclonal antibody raised against purified mouse StAR
protein and was provided by Drs. Dale B. Hales and Karen Held-Hales,
University of Illinois (Chicago, IL) (9, 36). The secondary antibody
was a donkey antirabbit IgG conjugated with horseradish peroxidase
(Amersham Pharmacia Biotech, Arlington Heights, IL), and
the signal was detected by chemiluminescence using the Renaissance kit
from NEN Life Science Products (Boston, MA). In some
cases the proteins were isolated from the phenol-ethanol supernatant
saved from the RNA isolations with Trizol reagent following the
instructions of the manufacturer.
Aldosterone assay
The medium was saved from the transient transfection experiments
or RNA isolation experiments, and aldosterone was measured directly in
the cell medium by RIA using a commercial kit from Diagnostics Systems Laboratories, Inc. (Webster, TX). The assays were
performed in duplicate, and data were expressed as picograms of
aldosterone per ml medium. The mean ± SD for each
treatment (triplicate samples for transient transfection or duplicate
samples for RNA) were determined, and the data were normalized to
control values. The relative fold induction was then determined for
each experiment, and the mean ± SEM for all
experiments were determined.
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Results
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StAR steady state mRNA levels are increased by divergent signaling
pathways
RT-PCR (Fig. 1
) was used to
determine whether steady state levels of StAR mRNA are increased in
H295R cells treated with Bt2cAMP, AII, K+, and
TPA. Activation of the PKA pathway by Bt2cAMP resulted in a
1.8-fold increase in StAR mRNA compared with the control value, and AII
activation of the Ca2+ and PKC pathways resulted in a
1.5-fold induction within 6 h of treatment (Table 1
). Although an increase in mRNA levels
was observed in each experiment for K+ treatment of cells,
the fold induction over control levels was not statistically
significant. TPA had no effect on StAR mRNA levels, and cotreatment
with both agents, K+ and TPA, was indistinguishable from
K+ alone (data not shown). Northern analysis (Fig. 2
) demonstrated that two major StAR
transcripts of 1.7 and 2.7 kb are present in H295R cells. In addition,
the increase in StAR steady state mRNA levels detected by RT-PCR
appears to be due mainly to an increase in the 1.7-kb transcript.
Induction levels determined by Northern analysis were consistent with
the RT-PCR data (Table 1
). As the AII response was only 50% increased
over the control level, we tested the response of the promoter by
transient transfection of H295R cells with a luciferase reporter gene
driven by 1.3 kb of the 5'-flanking region of the human StAR gene. The
data support the results of the endogenous StAR gene expression;
luciferase activity was induced 3.9-fold by Bt2cAMP and
2.4-fold by AII, whereas K+ and TPA resulted in 1.6- and
1.3-fold changes, respectively (Fig. 3
).
Neither the K+ nor the TPA response was significantly
increased over the control value within each individual experiment.
However, fold induction from all experiments indicates that
K+, but not TPA, can modestly induce transcriptional
activity of the StAR promoter in transient transfection assays. These
data clearly discriminate between induction of StAR by AII signaling
and K+ depolarization of H295R cells.

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Figure 1. StAR steady state mRNA levels are increased by
Bt2cAMP and AII treatment of H295R cells. Shown are the
results of a RT-PCR analysis of StAR steady state mRNA levels. H295R
cells were placed in serum-free medium for 24 h, then treated for
6 h with Bt2cAMP (1 mM), AII (10
nM), K+ (16 mM), or TPA (10
nM). Total RNA was isolated, then RT followed by
amplification of StAR mRNA or ß-actin mRNA were performed as
described in Materials and Methods. A, Shown is a
scanned image of an autoradiograph of the radiolabeled amplified
products. ß-Actin and StAR were amplified in separate PCR reactions
using an equivalent volume of a single RT reaction as template for each
treatment group. The gel was exposed to a PhosphorImager, and the
products were quantitated and expressed as the ratio of the StAR/actin
integrated ODs (IOD). The fold increase above the control value is
shown below the autoradiograph. B, Shown are the
mean ± SEM fold induction values determined from six
independent experiments. The numeric values presented as a percentage
of the control value are given in Table 1 . *, Statistically significant
increase (P < 0.05).
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Figure 2. Two major StAR transcripts are present in H295R
cells. Northern analysis was performed as described in Materials
and Methods. The blot was probed with radiolabeled cDNA
corresponding to region 466708 of human StAR, then exposed to a
phosphorimage screen, and the integrated ODs of the 1.7- and 2.4-kb
StAR transcripts were determined and normalized to ß-actin transcript
levels. Shown is an autoradiograph of a representative Northern blot
probed with the human StAR cDNA and exposed to x-ray film for 6 h.
Similar induction patterns were observed in three separate experiments.
The blot was stripped and reprobed with human actin cDNA. Shown is an
autoradiograph of the Northern blot exposed to x-ray film for 20 min.
The mean ± SEM percent increase over control values
from three independent experiments are given in Table 1 .
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Figure 3. The StAR promoter is responsive to
Bt2cAMP and AII in transiently transfected H295R cells.
StAR promoter strength in response to agonist treatment of H295R cells
was determined by transient transfection assays using a luciferase
reporter gene (pGL2 basic) driven by 1.3 kb of the 5'-flanking region
of the human StAR gene. H295R cells were transfected in triplicate for
each treatment group as described in Materials and
Methods. Shown are the results of one representative experiment
that was repeated four to seven times. The data are presented as the
relative light units (RLU) normalized to ß-galactosidase (ß-gal)
activity and are the mean ± SD of the values obtained
from the triplicate treatment for each group. The data from all
experiments, expressed as the percent increase relative to control
values for each treatment (mean ± SEM), are given in
Table 1 .
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Potassium responsiveness of H295R cells and StAR expression
To confirm that the H295R cells were responsive to K+
stimulation, we tested both aldosterone production and CYP11B2
promoter-dependent luciferase reporter gene activity. CYP11B2 encodes
aldosterone synthase, the enzyme expressed specifically in the adrenal
zona glomerulosa that metabolizes 11-deoxycorticosterone to
aldosterone. The cells were treated with each agonist for 6 h, and
aldosterone production was determined in the cell medium (Table 1
).
Compared with that in unstimulated cells, K+ treatment
resulted in a 3.7-fold increase in aldosterone levels, which verifies
that these cells exhibit a glomerulosa-specific response. As observed
previously, the potency of induction of steroid synthesis was
Bt2cAMP > AII > K+, and TPA did not
stimulate aldosterone production. K+ treatment of H295R
cells transiently transfected with a CYP11B2-luciferase reporter gene
construct resulted in a 1.8-fold increase in luciferase activity (Fig. 4
), and the Bt2cAMP and AII
responses were 3- and 2.7-fold increased over untreated levels,
respectively. These data are consistent with the previous report for
CYP11B2 and verify that the cells are steroidogenically responsive to
K+ treatment (18). Western blot analysis demonstrated that
StAR protein was induced by Bt2cAMP, AII, K+,
and TPA treatment of H295R cells (Fig. 5
). Comparison of the induction of StAR
mRNA, protein, and steroidogenesis by these agonists indicates that the
steroidogenic responsiveness of the cells correlates with the relative
level of agonist-induced StAR protein expression
(Bt2cAMP > AII > K+) with the noted
exception of TPA. The increases in StAR protein and aldosterone
synthesis by K+ treatment were approximately 62% and 69%
of the AII response, respectively (Table 1
), which is consistent with
our previous report (15). Our data indicate that StAR protein levels
and steroid production are markedly increased above control levels in
response to K+ treatment, whereas there is no statistically
significant increase in endogenous StAR mRNA levels. Similarly,
TPA-induced increases in StAR protein occur without concomitant
increases in steady state mRNA levels. Together these data suggest that
a posttranscriptional mechanism(s) contributes to increased StAR
expression in response to K+ and TPA. The AII response, on
the other hand, has a transcriptional component that results in full
responsiveness of the cells to this agonist.

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Figure 4. CYP11B2 promoter activity in H295R cells. H295R
cells were cotransfected with a CYP11B2-luciferase reporter gene and
pCMVß-gal plasmids. Sixteen hours after transfection, the cells were
placed in serum-free medium for 24 h, then treated in triplicate
for 6 h with Bt2cAMP (1 mM), AII (10
nM), K+ (16 mM), or TPA (10
nM). Luciferase activities were measured and normalized to
ß-galactosidase as described in Materials and Methods.
For each experiment the data were expressed as the mean ±
SD of the values obtained from triplicate treatments for
each group. Shown are the results of one representative experiment that
was repeated three times.
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Figure 5. StAR protein is induced by activation of PKA,
Ca2+, and PKC pathways in H295R cells. Shown are the
results of an immunoblot analysis of StAR protein in untreated and
agonist-treated H295R cells. Cells were placed in serum-free medium for
24 h, then treated for 6 h with Bt2cAMP (1
mM), AII (10 nM), K+ (16
mM), or TPA (10 nM). The cells were collected,
and the postnuclear lysate was prepared for immunoblotting as described
in Materials and Methods. An equivalent amount of
protein (50 µg) from each treatment group was analyzed for StAR.
Shown is the chemiluminescent signal for the StAR immunospecific band.
The positions of the prestained mol wt markers are shown. C, Control,
unstimulated cells.
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Induction of StAR gene expression by cAMP and AII is dependent upon
the SF-1 element located at -95 bp of the transcriptional start
site
The region between -85 and -150 bp of the transcriptional start
site was shown to be important for the cAMP response in both JEG cells
cotransfected with SF-1 and hormone-responsive human granulosa cell
cultures (27, 35). In addition, site-directed mutagenesis of an SF-1
element located at -95 greatly diminished the cAMP-dependent response.
Therefore, we tested the 5'-deletion constructs of human StAR promoter
in H295R cells to determine whether the same or distinct
cis-acting elements are required for cAMP and AII activation
of the StAR gene. As shown in Fig. 6
, Bt2cAMP or AII treatment of H295R cells that were
transiently transfected with a luciferase reporter gene construct
containing 1.3 of the StAR 5'-flanking region resulted in a 4.3 ±
0.4-fold or 2.4 ± 0.1-fold increase in luciferase activity,
respectively. Deletion to -885 bp did not affect either basal or
Bt2cAMP induction, but further deletion to -235 resulted
in increased basal and Bt2cAMP-dependent luciferase
activities. Nevertheless, the induction by Bt2cAMP or AII
was not affected by deletion of 1065 bp of the promoter. However,
deletion of an additional 85 bp resulted in a 2-fold increase in the
Bt2cAMP response, suggesting the potential for a negative
regulatory element between -150 and -235 bp. The final reporter gene
construct, containing -85 to +39 bp of the StAR promoter, was not
responsive to either Bt2cAMP or AII, suggesting that the
region of the StAR promoter required for the AII-dependent increase in
luciferase activity colocalizes with the cAMP-dependent region (-85 to
-150).

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Figure 6. The Bt2cAMP- and AII-responsive
regions of the human StAR promoter are both within 150 bp of the
transcriptional start site. H295R cells were transiently transfected
with the StAR-luciferase reporter gene constructs and pCMVß-gal
plasmids. Sixteen hours after transfection, the cells were placed in
serum-free medium for 24 h, then treated in triplicate for 6
h with Bt2cAMP (1 mM), AII (10 nM),
K+ (16 mM), or TPA (10 nM).
Luciferase activities were measured and normalized to ß-galactosidase
as described in Materials and Methods. For each
experiment the data were expressed as the mean ± SD
of the values obtained from triplicate treatments for each group, then
the fold induction relative to the basal activity of the 1.3-kb StAR
construct was determined. A, Schematic representation of the StAR
promoter region and the site of the 5'-deletions (27 ). B, Shown are the
mean ± SEM fold induction values determined from
three to five independent experiments.
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|
To determine whether SF-1 is involved in the AII response, constructs
containing mutations in the SF-1-binding sites located at -95 and
-918 were also tested in transient transfection assays. Mutation of
the -95 SF-1 site abolished both cAMP- and AII-dependent reporter gene
activities, whereas mutation of the -918 element had no effect on
promoter activity (Fig. 7
). These data
confirm the importance of the SF-1 element located at -95 for cAMP
responsiveness of the human StAR gene in an acutely hormonally
responsive human cell line. Furthermore, these studies are the first to
demonstrate that the AII response is also dependent upon the SF-1
element located at -95 bp from the transcriptional start site.

View larger version (25K):
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|
Figure 7. SF-1 located at -95 is required for the
Bt2cAMP and AII-dependent transcriptional activation of
StAR. The experiments were performed as described in Fig. 6 and
Materials and Methods. A, Schematic representation of
the StAR promoter with the SF-1 sites and corresponding mutations
indicated (27 ). B, Shown are the mean ± SEM fold
induction values determined from three to five independent experiments.
mSF-1, Mutated SF-1 site.
|
|
 |
Discussion
|
|---|
Two major StAR transcripts of 1.7 and 2.7 kb were detected in the
H295R human adrenocortical cell line. The presence of multiple StAR
transcripts appears to be conserved across species, as two major mRNAs
have been identified for mouse, human, bovine, ovine, and rat (19, 37, 38, 39, 40, 41). Differences in the 3'-untranslated region appear to be
responsible for the three murine transcripts, and it is proposed that
posttranscriptional processing contributes to a switch from the 4.3-kb
to the 2.7-kb transcript in the rat (42). Our initial studies in MA-10
cells demonstrated that the transcripts are coordinately regulated by
Bt2cAMP (37). Herein we have observed a preferential
induction of the 1.7-kb transcript by Bt2cAMP or AII
treatment of H295R cells.
The role of increased intracellular Ca2+ in the AII
response of the adrenal glomerulosa to produce mineralocorticoids is
well established. However, the AII response cannot be mimicked by
K+ depolarization of the plasma membrane (16, 43, 44).
Although intracellular [Ca2+]i was not
determined in the experiments herein, previous studies by Bird et
al. demonstrated a 2-fold increase in
[Ca2+]i in K+-treated H295R cells
(45). In these studies the K+ response was 64% of the AII
response in terms of increased intracellular Ca2+, and
nifedipine blocked the K+-mediated increase, but not the
initial AII response. Similar effects on the differential sensitivity
of the AII and K+ responses to nicardipin, another
Ca2+ channel antagonist, have been shown for bovine adrenal
glomerulosa cells (43). AII-stimulated steroid production was not
blocked by [Ca2+]i channel antagonists, but
it was partially diminished (40%). On the other hand, the dependence
on extracellular Ca2+ for the stimulatory action of
K+ is demonstrated by the inhibition of extracellular
Ca2+ influx and steroid production by nifedipine or
nicardipin (43, 45). These studies indicate that the influx of
extracellular Ca2+ in response to AII is distinct from
K+ for steroidogenesis. Our data also support the proposal
that the Ca2+ pools contributing to the steroidogenic
response of AII are distinct from the K+ response in terms
of StAR regulation. To this end, we first confirmed that K+
treatment of H295R cells results in a 4.6-fold increase in StAR protein
(15). However, the increase in protein observed with K+
treatment is not paralleled by an increase in StAR steady state mRNA
levels, as determined by Northern analysis and RT-PCR. The
K+ induction of StAR protein was approximately 62% of the
AII response, consistent with the K+-stimulated aldosterone
production, which was approximately 69% of the AII-stimulated steroid
production. Similarly, the greater increases in StAR protein as a
result of Bt2cAMP and AII treatment are correlated with
greater increases in steroid production. These data support the premise
of a direct relationship between the levels of StAR protein and the
steroidogenic capacity of the cell. The exception to this rule is that
TPA stimulates an increase in StAR protein without stimulating adrenal
steroid production in H295R cells (15). This point will be discussed
below.
Although a modest increase in StAR gene expression was detected by
luciferase reporter gene activity, the changes in endogenous StAR gene
activity, as measured by steady state mRNA levels, clearly discriminate
between the effects of AII and K+ or TPA on StAR
expression. Recently, StAR was shown to be transcriptionally activated
by increased [Ca2+]i in bovine adrenal
glomerulosa cells (19). In these studies cells were treated with
ionomycin to maintain intracellular [Ca2+]i
of 600700 nM. StAR mRNA was increased 1.9- and 1.7-fold
over control levels, as determined by Northern and nuclear-run on
assays, respectively, whereas protein levels were increased 2-fold.
Comparison of data from the bovine studies with our data suggests that
the ionomycin treatment mimics the AII pathway for StAR transcriptional
regulation. The lack of a K+-mediated increase in StAR mRNA
in H295R cells could be due to the level of
[Ca2+]i; 600700 nM is
approximately 2-fold greater than the levels measured in H295R cells
with K+ treatment (45). However, localization of
Ca2+ within the cell has been reported to be dependent upon
the stimulus/agonist (44, 46, 47). Therefore, it is likely that the
mechanism of entry of Ca2+ into the cell and its cellular
localization will dictate the response to AII compared with that to
K+ or ionomycin. In our studies the response is StAR
expression, and our results suggest posttranscriptional regulation of
StAR by the influx of [Ca2+]i via
voltage-gated Ca2+ channels (K+ mediated),
whereas AII mediates both transcriptional and posttranscriptional
responses. As TPA treatment did not induce StAR mRNA levels, it is
likely that the transcriptional component of AII action is mediated by
a Ca2+-dependent signaling pathway. However, further
studies are required to determine the transcriptional and
posttranscriptional mechanisms for AII- and AII/K+-mediated
increases in StAR.
To elucidate possible transcriptional regulatory mechanisms, we have
used reporter gene assays to identify the AII-responsive region(s) in
the 5'-flanking region of the hStAR promoter. The hStAR promoter lacks
a consensus CRE as well as a phorbol ester response element, but
5'-deletion analysis narrowed the Bt2cAMP-responsive region
to -150 bp of the start site of transcription. Site-directed
mutagenesis of a SF-1 element at -95 bp demonstrated the importance of
SF-1 in StAR gene expression and in the cAMP-dependent response (27, 48). We show that the same SF-1 element at -95 bp is required for the
Bt2cAMP and AII responses of StAR. This is consistent with
previous studies that have demonstrated that the
Ca2+-responsive region colocalizes with the CRE for the
human proenkephalin and c-fos genes as well as the hCYP11B2
gene (18, 23, 24). CYP11B2 encodes aldosterone synthase and is
expressed in the adrenal glomerulosa. Analysis of the CYP11B2 promoter
in H295R cells indicated that the cAMP-, K+-, and
AII-responsive regions colocalize to a common responsive element,
indicating the potential for cross-talk among multiple signaling
pathways (18). It is possible that phosphorylation of SF-1 mediates the
PKA and Ca2+ responses for StAR gene regulation in H295R
cells (49, 50). However, as we used AII, it is also possible that
Ca2+ is not the direct mediator, but activates another
second messenger, such as cAMP (44).
Potential mediators of the Ca2+ signal in adrenal
glomerulosa cells are the Ca2+-binding protein calmodulin
(CaM) as well as the CaM-binding proteins, calcineurin and
Ca2+/CaM-dependent protein kinase II (CaMKII) (51, 52, 53, 54).
Calmidizolium and KN93, antagonists of calmodulin and CaMKII,
respectively, inhibit AII- and K+-induced aldosterone
production in H295R cells (52). Previously, we demonstrated that AII-
or K+-induced StAR protein expression is not inhibited by
KN93, suggesting that CaMKII is not required for StAR expression (52).
More recently, KN93 was shown to block CYP11B2 mRNA induction by
K+, but had no effect on AII induction of gene expression
(53). Thus, a difference in Ca2+ signaling pathways may
contribute to the AII vs. K+ responsiveness of
CYP11B2. This may also explain the difference in transcriptional
vs. posttranscriptional regulation of StAR by AII and
K+.
Although CaMKII is not required for StAR expression, a CaMKII-dependent
phosphorylation of StAR may be required to regulate the function of
StAR. In support of this proposal, previous studies showed that
mutation of Ser194 to Ala, which is within a consensus PKA
and CaMKII phosphorylation motif, decreased StAR function 60% in
transient transfection assays in COS-1 cells (55). Furthermore, StAR
was shown to be synthesized, but not phosphorylated, in MA-10 cells or
rat adrenal glomerulosa cell treated with TPA. In these cells, TPA also
failed to stimulate steroid production (56, 57). Although a potential
PKC phosphorylation site at Thr249 is conserved between
mouse and human StAR, the functional significance of this site has not
been experimentally tested. Herein we confirmed that activation of the
PKC pathway with TPA treatment resulted in increased StAR protein
without stimulating aldosterone synthesis (15). Furthermore, the effect
of PKC appears to be at the posttranscriptional level, as no increase
in StAR gene transcription was detected.
 |
Acknowledgments
|
|---|
The authors thank Dr. Jerome F. Strauss III, Center for Research
on Reproduction and Womens Health and Department of Obstetrics and
Gynecology, University of Pennsylvania Medical Center (Philadelphia,
PA), for his generous gift of the human StAR promoter constructs in
pGL2. These include all of the 5'-deletion constructs as
well as the SF-1 mutation constructs (27). We also thank Dr. William E.
Rainey, Department of Obstetrics and Gynecology, University of Texas
Southwestern Medical Center (Dallas, TX), for providing the luciferase
reporter gene construct containing CYP11B2 promoter (18) and for his
helpful discussions, as well as Dr. William A. Freije, Department of
Obstetrics and Gynecology, University of Texas Southwestern Medical
Center, for sharing his data with us. The StAR antibody was kindly
provided by Drs. Dale B. Hales and Karen Held-Hales, University of
Illinois (Chicago, IL), and we thank them for the gift. Our thanks also
go to Drs. Carolyn M. Klinge and William L. Dean, Department of
Biochemistry and Molecular Biology, University of Louisville School of
Medicine (Louisville, KY), for their critical review of this
manuscript. Finally, we thank Mr. Rami Fasheh for his excellent
technical assistance.
 |
Footnotes
|
|---|
1 This work was supported by NIH Grant DK-51656. 
Received May 10, 1999.
 |
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J. Li, R. E. Feltzer, K. L. Dawson, E. A. Hudson, and B. J. Clark
Janus Kinase 2 and Calcium Are Required for Angiotensin II-dependent Activation of Steroidogenic Acute Regulatory Protein Transcription in H295R Human Adrenocortical Cells
J. Biol. Chem.,
December 26, 2003;
278(52):
52355 - 52362.
[Abstract]
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H. S. Sun, K.-Y. Hsiao, C.-C. Hsu, M.-H. Wu, and S.-J. Tsai
Transactivation of Steroidogenic Acute Regulatory Protein in Human Endometriotic Stromal Cells Is Mediated by the Prostaglandin EP2 Receptor
Endocrinology,
September 1, 2003;
144(9):
3934 - 3942.
[Abstract]
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S. Gambaryan, E. Butt, K. Marcus, M. Glazova, A. Palmetshofer, G. Guillon, and A. Smolenski
cGMP-dependent Protein Kinase Type II Regulates Basal Level of Aldosterone Production by Zona Glomerulosa Cells without Increasing Expression of the Steroidogenic Acute Regulatory Protein Gene
J. Biol. Chem.,
August 8, 2003;
278(32):
29640 - 29648.
[Abstract]
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J. Nicod, D. Bruhin, L. Auer, B. Vogt, F. J. Frey, and P. Ferrari
A Biallelic Gene Polymorphism of CYP11B2 Predicts Increased Aldosterone to Renin Ratio in Selected Hypertensive Patients
J. Clin. Endocrinol. Metab.,
June 1, 2003;
88(6):
2495 - 2500.
[Abstract]
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H. Osman, C. Murigande, A. Nadakal, and A. M. Capponi
Repression of DAX-1 and Induction of SF-1 Expression. TWO MECHANISMS CONTRIBUTING TO THE ACTIVATION OF ALDOSTERONE BIOSYNTHESIS IN ADRENAL GLOMERULOSA CELLS
J. Biol. Chem.,
October 18, 2002;
277(43):
41259 - 41267.
[Abstract]
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J. J. Tremblay, F. Hamel, and R. S. Viger
Protein Kinase A-Dependent Cooperation between GATA and CCAAT/Enhancer-Binding Protein Transcription Factors Regulates Steroidogenic Acute Regulatory Protein Promoter Activity
Endocrinology,
October 1, 2002;
143(10):
3935 - 3945.
[Abstract]
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M. A. El-Masri, B. J. Clark, H. M. Qazzaz, and R. Valdes Jr
Human Adrenal Cells in Culture Produce Both Ouabain-like and Dihydroouabain-like Factors
Clin. Chem.,
October 1, 2002;
48(10):
1720 - 1730.
[Abstract]
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C. Mauduit, I. Goddard, V. Besset, E. Tabone, C. Rey, F. Gasnier, F. Dacheux, and M. Benahmed
Leukemia Inhibitory Factor Antagonizes Gonadotropin Induced-Testosterone Synthesis in Cultured Porcine Leydig Cells: Sites of Action
Endocrinology,
June 1, 2001;
142(6):
2509 - 2520.
[Abstract]
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C. R. Wooton-Kee and B. J. Clark
Steroidogenic Factor-1 Influences Protein-Deoxyribonucleic Acid Interactions within the Cyclic Adenosine 3',5'-Monophosphate-Responsive Regions of the Murine Steroidogenic Acute Regulatory Protein Gene
Endocrinology,
April 1, 2000;
141(4):
1345 - 1355.
[Abstract]
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