Endocrinology Vol. 141, No. 5 1705-1710
Copyright © 2000 by The Endocrine Society
Effect of Osmolarity on Aldosterone Production by Rat Adrenal Glomerulosa Cells1
Judit K. Makara,
Gábor L. Petheö,
Attila Tóth and
András Spät
Department of Physiology and Laboratory of Cellular and Molecular
Physiology, Semmelweis University Medical School, H-1444, Budapest,
Hungary
Address all correspondence and requests for reprints to: Dr. András Spät, Department of Physiology, Semmelweis University Medical School, P.O. Box 259, H-1444, Hungary. E-mail:
spat{at}puskin.sote.hu
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Abstract
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The effect of osmotic changes on aldosterone production,
[Ca2+]i and voltage-gated Ca2+
currents, was studied in cultured rat glomerulosa cells. Alteration of
osmolarity by sucrose addition in the 250330 mosM
range did not influence aldosterone production per se,
but it substantially affected K+-stimulated aldosterone
production. Hyposmosis markedly increased the hormone response evoked
by raising [K+] from 3.6 to 5 mM, whereas
hyperosmosis had a mild decreasing effect. Cytoplasmic
[Ca2+]i, measured in single glomerulosa
cells, did not show detectable change in response to either hyposmotic
or hyperosmotic exposure, but the [Ca2+]i
signal evoked by elevation of [K+] to 5 mM
was augmented in hyposmotic solution. The osmosensitivity of the
transient (T)-type and long-lasting (L)-type voltage-gated
Ca2+ currents was studied using the nystatin-perforated
voltage-clamp technique. Lowering osmolarity to 250 mosM
significantly increased the amplitude of the T-type current, and it had
a transient augmenting effect on L-type current amplitude. Hyperosmotic
solution (330 mosM) reduced L-type current amplitude but
did not evoke significant change in T-type current. These results
indicate that the responsiveness of rat glomerulosa cells to
physiological elevation of [K+] is remarkably influenced
by changes in osmolarity by means of modulating the function of
voltage-gated Ca2+ channels.
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Introduction
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THE MOST IMPORTANT physiological stimuli of
aldosterone secretion by adrenocortical glomerulosa cells are
extracellular K+, angiotensin II (AII), and ACTH.
Elevation of [K+] evokes plasma membrane
depolarization and Ca2+ influx through
voltage-gated Ca2+ channels (VGCCs), AII acts by
activating Ca2+ release from intracellular stores
followed by Ca2+ influx from the extracellular
space, and ACTH exerts its effect by stimulating cAMP formation (1).
Besides these well-known regulators, clinical observations and studies
conducted in vivo suggest that aldosterone secretion may be
directly modulated by alterations of plasma
[Na+] or osmolarity, as well. Hyponatremia,
induced by hemodialysis in anephric man (2) in intact or nephrectomized
dogs (3), or induced by peritoneal dialysis in rats after
pharmacological inhibition of the renin-angiotensin system (RAS) and
ACTH secretion (4), increased plasma concentration of aldosterone
(PAC). In peritoneally dialysed, dexamethasone-treated rats with
functioning RAS, the plasma concentration of Na+
(122142 mM) correlated negatively with PAC, and
the ratio of PAC-to-PRA rose steeply below 132
mM Na+, suggesting that
either hyponatremia increases the sensitivity of glomerulosa cells to
AII or factors other than RAS may also contribute to the induction of
hyperaldosteronism (5). In water-deprived dogs, dehydration was
followed by increased PRA without increased PAC (6), and the
authors concluded that the induced hypernatremia or hyperosmosis
reduced the sensitivity of the adrenal cortex to AII. Though certainly
this is a possibility, the significance of K+
loss, observed in this study, should also be considered. In a clinical
study on adipsic diabetes insipidus, the ratio of PAC to plasma renin
concentration showed negative correlation with plasma
[Na+] and [osm] (7), also suggesting a role
of [Na+] or [osm] in the control of
aldosterone secretion.
Although several in vitro studies investigated the direct
regulatory effect of Na+ concentration on the
adrenal gland or isolated glomerulosa cells (8, 9, 10), much less interest
was focused on the possible role of osmotic concentration
changes. However, studies performed on canine adrenal glands (11, 12) and cultured bovine glomerulosa cells (13) demonstrated the
regulatory effect of osmolarity on aldosterone production. In these
studies, aldosterone production increased in hyposmotic and
decreased in hyperosmotic environment, and hyposmosis enhanced,
whereas hyperosmosis suppressed the stimulatory effect of
K+ and AII. In spite of the potential
significance of osmotic effects, these observations have not been
appropriately considered in the literature. Therefore, in the present
study, we examined the effect of osmotic concentration on the function
of rat glomerulosa cells, with special attention to the behavior of
plasma membrane ion channels under osmotic stress. Our results show
that hyposmosis significantly augments the stimulatory effect of
physiological elevation of [K+] on aldosterone
production. An increase in the amplitude of voltage-gated
Ca2+ currents is an essential component of this
response.
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Materials and Methods
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Cell preparation and culture
Wistar rats were used with the approval (No. 17/1998) of the
Animal Care and Ethics Committee of the Semmelweis University. All
procedures followed legal and institutional guidelines for animal care.
Rat glomerulosa cells were prepared from the adrenal capsular tissue of
rats (200300 g) kept on a standard semisynthetic diet (100 mmol
kg-1 Na+, 120 mmol
kg-1 K+) with collagenase
digestion, as described (14). Freshly digested cells were plated onto
polylysine-coated 24-well tissue culture dishes (for aldosterone
measurements) or polylysine-coated glass coverslips (for
[Ca2+]i and patch-clamp
measurements) and were kept in an incubator in 5%
CO2 at 37 C in a mixture (38:62, vol/vol) of
modified Krebs-Ringer bicarbonate solution and M199 [final
concentrations: 146 mM Na+, 3.6
mM K+, 0.5 mM
Mg2+ (pH 7.4), 290 mosM] for 3
h (aldosterone measurements), 1 day
([Ca2+]i measurements),
or 2 days (patch-clamp measurements).
Aldosterone production
After a preincubation of 3 h, glomerulosa cells (
2
x 105 cells/well, equivalent to one adrenal)
were exposed to different osmolarities, ranging from 250330
mosM, with control (3.6 mM) or elevated (5
mM) [K+] for 1 h. After 1
h incubation, the media (500 µl/well) were removed, and
aldosterone was measured directly by RIA, as described (15).
Measurement of cytoplasmic [Ca2+] in single cells
Cells plated on glass coverslips were loaded with Indo-1
acetoxymethyl esther (2 µM, TefLabs, Austin,
TX) in cell culture medium for 4560 min in a
CO2-incubator at 37 C. Test solutions (see
below) were applied by a gravity-driven perfusion system located
at about 50 µm from the cells. Fluorescence was monitored
at 30 C on the stage of a Diaphot 300 inverted microscope
(Nikon, Tokyo, Japan), applying a monochromator and two
photomultipliers (PTI, South Brunswick, NJ), using the ratio mode.
Excitation was performed at 355 nm; emission wavelengths were 400 and
500 nm. The intracellular [Ca2+] was calculated
from the formula [Ca2+]i
= KD x ß x
[(R-Rmin)/(Rmax-R)] (16),
where R is the ratio F400/F500, ß is the ratio of the 500
nm fluorescence signal at zero and saturating
[Ca2+], and KD is
the dissociation constant of Indo-1 for Ca2+ (230
nM). Rmin,
Rmax, and ß were determined by
calibration in Indo-loaded cells (n = 5).
Rmin was measured in the presence of 10
µM ionomycin in a nominal
Ca2+-free extracellular solution, and
Rmax was obtained by adding 10
mM Ca2+. Resting
[Ca2+]i, measured with
Indo-1 (204 ± 28 nM, n = 54) was
higher than that measured in the same cell preparations with Fura-2
(132 ± 25 nM, n = 9).
Electrophysiological recordings
For patch-clamp measurements, the nystatin-perforated
voltage-clamp method was applied. Nystatin was freshly dissolved in
dimethylsulfoxide and added to the pipette solution at a final
concentration of 240 µg/ml. Pipettes were pulled from hard
borosilicate glass (B12090-10, Sutter, Novato, CA) using a P-87
puller (Sutter) and fire-polished. Pipette resistance ranged between 3
and 7 Mohms when filled with the pipette solution, containing
(in mM) 140 Cs-gluconate, 5
MgCl2, 1 EGTA, and 10 HEPES (pH 7.3). Composition
of the extracellular test solutions is given below. The perfusion
system was the same as for Ca2+ measurements. All
experiments were carried out at 30 C. The pipette was mounted on the
headstage of an Axopatch-1D patch-clamp amplifier (Axon Instruments,
Foster City, CA) or an RK-400 patch-clamp amplifier (Biologic Science
Instruments, Claix, France). Seals with Gohm resistance only
were used. Recordings were started when series resistance
reached a value less than 40 Mohms. Currents were low-pass
filtered at 1 kHz (-3 decibel) with an eight-pole Bessel
filter, and digitally sampled at 4 kHz by a Digidata 1200 interface
board (Axon). Experiments, data storage, and analysis were performed
with P-Clamp software, version 6.0 (Axon). No leak correction was made
in the current analysis.
We studied transient (T)- and long-lasting (L)-type
Ba2+ currents in the same cells, using
1000-msec-step depolarizations from the -100-mV holding potential to
-20 mV in every 15 sec. Depolarization steps elicited two inward
currents. The current, which activated and inactivated rapidly and
reached a maximal value within the first 30 msec of the step, was
considered as T-type current. Amplitude of this current was
measured at the peak. The second inward current, activating more slowly
to reach its maximum only after 200 msec, represented L-type current.
We determined L-type current amplitude by averaging maximal sustained
current values in a 100150-msec-long time period.
The amplitude of the T-type current showed decay during repeated
activations at isosmotic conditions. The decrease in current amplitude,
as related to that in the first activating episode
(IX/I1), was described by
the equation: y = (1.008) - 0.361 x log10(X) fitted
by a statistical software (Statistica 4.5, Statsoft, Tulsa, OK),
where X is the episode number. The equation is based on measurements in
eight cells from four independent cell preparations (r = 0.84).
Control values for T-type current were calculated with extrapolation
from this equation. The amplitude of the L-type current showed no
consequent changes in control solution; therefore, control current
amplitude was considered as the mean current of the three preceding
episodes before changing osmolarity. The effect of osmotic changes was
statistically analyzed 30 sec and 60 sec after starting osmotic
stimulation.
Test solutions
Osmotically different test solutions were prepared from
hyposmotic basal solutions containing (in mM), for
[Ca2+]i measurements: 121
NaCl, 3.6 KCl, 2 CaCl2, 0.5
MgCl2, 10 HEPES, and 11 glucose (pH 7.4, 245
mosM); and for patch-clamp studies of
Ca2+ currents: 90
N-methyl-D-glucamine (NMDG)-Cl, 10
BaCl2, 10 tetraethylammonium (TEA)-Cl, 3.6
KCl, 2 NaCl, 0.5 MgCl2, 10 HEPES, 11 glucose (pH
7.4, 240 mosM). For aldosterone measurements, the
hyposmotic basal medium was prepared as the cell culture medium but
with lower Na+ concentration (121 instead of 146
mM, 250 mosM). Osmolarity of the solutions was
raised with sucrose as needed to adjust a final osmolarity of 250, 270,
290, 310, or 330 mosM, checked by a freezing-point
osmometer (MicroOsmometer 3MO, Advanced Instruments, Norwood, MA).
Statistical analysis
Data are expressed as means ± SE. Statistical
significance was estimated in aldosterone measurements by two-way
ANOVA, in current measurements by ANOVA for repeated measures, and in
Ca2+ measurements by Students paired
t test or ANOVA for repeated measures, using a statistical
software (Statistica 4.5 or 5.1, Statsoft). A P < 0.05
was considered significant for all tests.
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Results
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Effect of osmolarity on aldosterone production
Basal aldosterone production by rat glomerulosa cells, incubated
in 290 mosM medium for 1 h, was 0.22 ± 0.02
pmol/105 cells/h, which increased to 0.94 ±
0.12 pmol/105 cells/h in response to elevation of
[K+] from the control 3.6 mM to 5
mM. Variations of osmotic concentration, in the range of
250330 mosM, evoked no significant change in aldosterone
production at 3.6 mM K+. However, the
effect of 5 mM K+ was influenced by
osmotic concentration: hyposmosis markedly enhanced the
K+-stimulated aldosterone production, whereas
hyperosmosis decreased the response to K+ (Fig. 1
). The interaction between the effect of
osmolarity and K+ was significant (n = 4,
P < 0.01).

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Figure 1. Interaction between the effect of [osm] and
[K+] on aldosterone production. Different osmotic
concentrations, in the range of 250330 mosM, were applied
with 3.6 (square) or 5 mM
(circle) [K+]. Aldosterone (aldo)
production was measured after 1 h incubation. Means ±
SE of four independent experiments are shown.
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Effect of osmolarity on [Ca2+]i
Resting [Ca2+]i in
single glomerulosa cells, estimated with Indo-1, was 204 ± 28
nM (n = 54). Lowering osmolarity from the control 290
mosM to 250 mosM induced no changes in
[Ca2+]i in 22 of the
total 25 cells where hyposmosis was applied. Even when the exposure to
the osmotic change lasted more than 5 min, neither hyposmosis (Fig. 2A
, n = 4) nor hyperosmosis (Fig. 2B
, n = 3) evoked detectable change in
[Ca2+]i. The
responsiveness of the cells was maintained, as indicated by the
Ca2+ signal produced by 8.6 mM
K+ at the end of the experiments.

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Figure 2. Effect of osmolarity on
[Ca2+]i in single glomerulosa cells. Changes
in [Ca2+]i were monitored fluorimetrically
with Indo-1. Isosmotic (290 mosM) solution was replaced
with either hyposmotic (250 mosM; A) or hyperosmotic (330
mosM; B)solution. Osmotic concentrations were adjusted by
changing sucrose concentration. After restoring 290 mosM,
8.6 mM K+ was applied to test the
responsiveness of the cells. Representative traces for four (A) and
three (B) cells, obtained from two cell preparations, are shown.
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Effect of osmolarity on the K+-induced
[Ca2+]i response
After checking the
[Ca2+]i responsiveness of
the cells to 5 mM K+, we examined
this response parameter in hyposmotic or hyperosmotic environment. At
control osmotic concentration (290 mosM), 5 mM
K+ increased
[Ca2+]i from the control
value of 229 ± 38 by 22 ± 6 nM (n = 15,
P < 0.01). The stimulation was then repeated at 250 or
330 mosM, and again at 290
mosM. In the hyposmotic solution (Fig. 3A
, n = 8), the response attained
67 ± 22 nM; whereas under the restored
isosmotic conditions, it returned to 31 ± 9
nM. The response at 250
mosM was significantly greater (P
< 0.01) than that under isosmotic conditions examined either before or
after the hyposmotic phase. When osmolarity was reduced only after
K+-induced sustained elevation of
[Ca2+]i developed,
hyposmosis further augmented
[Ca2+]i within a few
seconds (Fig. 3B
, n = 4). Hyperosmosis failed to influence
K+-induced Ca2+ signal
(Fig. 3C
, n = 7).

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Figure 3. Effect of osmolarity on the
[Ca2+]i response evoked by 5 mM
K+. Osmotic concentration is shown on the
top of the panels. Elevations of [K+] from
the control (3.6 mM) to 5 mM are indicated by
horizontal bars. A, Effect of lowering osmolarity to 250
mosM (representative trace for eight similar experiments
performed on two cell preparations); B, osmolarity was reduced to 250
mosM after stimulation with K+ (representative
trace for four similar experiments on three cell preparations); C,
effect of increasing osmolarity to 330 mosM (representative
trace for seven experiments performed on 4 cell preparations).
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Effect of osmolarity on VGCCs
The interaction between the effect of osmolarity and
K+ on hormone production, as well as on
Ca2+ concentration, suggests that osmotic changes
may influence the function of VGCCs that are activated by
depolarization at elevated [K+]. To study the
effect of osmolarity on VGCCs, the nystatin-perforated voltage-clamp
method was applied. After obtaining the perforated whole-cell
condition, cells were superfused with isosmotic (290 mosM)
control solution containing 10 mM TEA and 10 mM
Ba2+, to decrease K+
conductance and increase the current through VGCCs. The pipette
solution contained Cs+ instead of
K+ to further eliminate outward potassium
currents. Consecutive depolarizing steps from -100 to -20 mV were
applied, in every 15 sec, to activate the T-type and long-lasting (L)
Ba2+ currents. All studied cells possessed T-type
current, whereas L-type current could be detected in 81% of the cells.
After obtaining at least three control curves, the isosmotic external
solution was replaced by an osmotically different solution (250 or 330
mosM). The currents at 30 sec and 60 sec of perfusion with
hypo or hyperosmotic solutions were compared with control current
values that were calculated as described in Materials and
Methods.
The effect of hyposmosis (250 mosM) on T-type
Ba2+ current is shown in Fig. 4
, A and B (n = 5). The amplitude of
the T-current significantly increased in hyposmosis, by 37 ± 17%
after 60 sec. The L-type current amplitude measured in the same cells
(Fig. 4
, C and D; n = 5) was augmented 30 sec after starting
hyposmotic exposure. However, in some cells, this effect proved to be
transient; and at 60 sec, no more remarkable change in current
amplitude could be demonstrated.

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Figure 4. Effect of hyposmosis on voltage-gated
Ba2+ currents. Currents were elicited with 1000-msec
voltage steps, from -100 mV holding potential to -20 mV, every 15
sec. Bath solution contained 10 mM Ba2+ and 10
mM TEA; pipette solution contained Cs+ instead
of K+. T- and L-type currents were distinguished by their
different kinetics, as described in Materials and
Methods. A, Traces of the T-type Ba2+ current in a
representative cell (a) before and (b) during lowering osmolarity from
290 to 250 mosM and (c) after return to 290
mosM. The first 100-msec period of the step is presented.
The corresponding voltage protocol is shown on the top.
B, Peak transient currents of the experiment shown in A are plotted as
a function of time. Protocol of changing osmolarity is shown at the
top. The corresponding traces of A are indicated.
Similar results were obtained in five experiments performed on three
cell preparations. C, Traces of the L-type Ba2+ current in
another representative cell (a) before and (b) during lowering
osmolarity from 290 to 250 mosM and (c) after return to 290
mosM. Voltage protocol is shown above. D, 100-msec periods
at the maximum sustained current values (dotted box) in
the experiment shown in Panel C were averaged and plotted as a function
of time. Representative for five experiments. ms, Milliseconds; s,
seconds.
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Elevated osmotic concentration (330 mosM) evoked no
significant change in T-current amplitude (Fig. 5
, A and B; n = 9); although in the
first episode after starting the hyperosmotic exposure, we observed a
mild increase of current amplitude. Because this increase appeared
immediately after changing the isosmotic to hyperosmotic solution, and
was not persistent, it may be attributed to a mechanical artifact.
Significant decrease in L-current amplitude was observed on the same
cell population. The current decreased by 29 ± 8%, 60 sec after
applying hyperosmosis (Fig. 5
, C and D; n = 7; in two further
cells, L-current was negligible). The changes in L-type current
amplitude were usually only partially reversible after restoring 290
mosM.
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Discussion
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The secretion of hormones participating in the control of
salt-water balance was shown to be influenced by changes in
extracellular osmolarity. In addition to vasopressin, this is true for
renin (17) and ANP (18), but the idea that osmotic concentration plays
a role in the control of aldosterone secretion has not been
appropriately considered. Early clinical observations (2, 7) and
in vivo experiments (2, 4, 5) suggested that besides the
well-known stimuli like K+, AII, and ACTH,
aldosterone secretion may be influenced also by changes in plasma
osmolarity. In these studies, [Na+] and the
osmolarity of the blood was markedly altered, and an unexpected
dissociation of aldosterone secretion and the activity of the RAS was
observed. The results could not be explained by changes in
[K+] and ACTH levels, suggesting a direct
regulatory effect of either [Na+] or osmolarity
on aldosterone secretion. The differentiation between these two
possibilities required in vitro examination. The direct
modulatory effect of [Na+] was investigated in
several studies (8, 9, 10), but the participation of this
mechanism in the physiological control of aldosterone secretion
remained debated. Less attempt was made to explore the potential direct
influence of osmotic changes on the production of aldosterone. In
studies performed by Schneider et al. on perfused canine
adrenal glands (11) and on isolated bovine glomerulosa cells (13),
hyposmosis increased both basal and K+- or
AII-stimulated aldosterone production, whereas hyperosmosis had an
opposite effect. The stimulation of hormone production by hyposmosis
was shown to be mediated by Ca2+ influx.
Hyposmosis failed to evoke its effect in canine adrenal glands at
lowered extracellular [Ca2+] or in the presence
of nifedipine (12); whereas in bovine glomerulosa cells, hyposmosis
increased 45Ca2+ uptake and
evoked biphasic Ca2+ signal, which was abolished
in the absence of extracellular Ca2+ (13).
However, the exact cellular mechanism whereby hyposmosis provokes
Ca2+ influx remained unknown.
The aim of our study was to investigate the effect of osmolarity on
aldosterone production by rat glomerulosa cells and to explore the
cellular events participating in its action. Osmotic changes
significantly modified the aldosterone response to physiological
elevation of [K+] from the control 3.6
mM to 5 mM. Hyposmosis enhanced markedly
(whereas hyperosmosis suppressed slightly) the response. However, cells
incubated at control [K+] did not respond to
changes in osmotic concentration between 250 and 330 mosM.
Potassium ion exerts its effect on aldosterone production by elevating
cytoplasmic [Ca2+]. Measurements of
[Ca2+]i were concordant
with these observations, because hyposmosis alone did not change
[Ca2+]i but potentiated
the Ca2+ signal evoked by 5 mM
[K+]. It is important to emphasize that the
applied 5 mM K+ falls within the
physiological range of [K+] and that the
osmotic concentrations examined in the present study may occur also in
humans under strenuous physical exercise, under environmental stress,
or in pathological conditions.
Exposure to hyposmosis evokes an increase of
[Ca2+]i in several cell
types (as reviewed in Refs. 19, 20). Ca2+ may
originate from intracellular stores; but in most cases, it is generated
by Ca2+ influx from the extracellular space (19).
The activation of mechanosensitive ion channels, described in many cell
types (21), may contribute to the development of the
Ca2+ signal either directly by being permeable to
Ca2+ (22), or indirectly by causing
depolarization and Ca2+ influx through VGCCs. The
increase of [Ca2+]i can
be involved in the activation of volume-restoring mechanisms, which
bring about regulatory volume decrease after cell swelling in a
persistent hyposmotic environment (19, 23). It is not known whether rat
glomerulosa cells possess volume regulatory mechanisms. Our present
observations, however, cannot be explained by any of the above
described mechanisms, because hyposmosis alone did not have any effect
either on [Ca2+]i or on
aldosterone production. This is in contrast with studies performed on
canine adrenal glands and bovine glomerulosa cells, where low
osmolarity alone increased Ca2+ influx and
aldosterone secretion, raising the possibility that a direct or
indirect stretch-activated Ca2+ influx mechanism
exists in those cells.
Although aldosterone production and
[Ca2+]i were unaffected
by hyposmosis, the Ca2+- and hormone response to
5 mM K+ were augmented significantly
in our study. This strong interaction indicates that osmolarity
influences the development of the cytoplasmic
Ca2+ signal evoked by K+.
The accepted mechanism whereby K+ increases
[Ca2+]i is depolarization
of the cell membrane and a subsequent Ca2+ influx
through VGCCs (1), although a Ca2+ influx pathway
activated by K+ as a ligand was also proposed to
contribute to the unique sensitivity of glomerulosa cells to
K+ (24). In the present study, we tested the
possibility that hyposmosis alters the function of VGCCs. The
patch-clamp experiments presented here clearly show that the amplitude
of both the T- and L-type currents are influenced by osmotic changes:
hyposmosis increases (and hyperosmosis decreases) the current flowing
through VGCCs. Similarly to glomerulosa cells, hyposmosis or cell
inflation increased, whereas hyperosmosis decreased the amplitude of
L-type Ca2+ current in myocytes (25, 26, 27). We are
not aware of studies on the effect of osmotic changes on other VGCC
types within the osmotic range applied in our study. The cytoskeleton
was a possible candidate to transfer the swelling-induced mechanical
stress to the plasma membrane in myocytes (28), although changes in
intracellular ion concentration or ionic strength may also be of
significance. The mechanism underlying this phenomenon in rat
glomerulosa cells is presently not known.
We conclude that T- and L-type voltage-gated Ca2+
currents in rat glomerulosa cells are influenced by extracellular
osmolarity. The change in the function of VGCCs in hyposmosis and
hyperosmosis presumably plays a role in the altered sensitivity of
glomerulosa cells to the physiological elevation of
[K+]. This phenomenon may have special
significance in man during physical exercise, under environmental
stress, and in several pathological states.
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Acknowledgments
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The skillful technical assistance of Ms. Anikó Rajki and
Ms. Erika Kovács is highly appreciated. Aldosterone antibody was
a generous gift from Prof. G. P. Vinson (London, UK). We express
our thanks to Dr. Péter Enyedi for his valuable comments.
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Footnotes
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1 This work was supported by grants from the Hungarian Council for
Medical Sciences (ETT Grant No. 528/96) and National Science Foundation
(OTKA Grant No. T 026173). 
Received December 16, 1999.
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