1 Institute of Physiology and 2 Institute of Anatomy, University of Zürich, CH-8057 Zürich; 3 Division de Néphrologie, Hôpital Cantonal Universitaire, CH-1211 Geneva; 4 Department of Biological Chemistry, The Weizmann Institute of Science, Rehovot, Israel; 5 Institut de Pharmacologie et de Toxicologie, Université de Lausanne, CH-1005 Lausanne, Switzerland; 6 Department of Molecular and Cell Biology and The Cancer Research Laboratory, University of Califonia, Berkeley 94720; and 7 Division of Nephrology, Department of Medicine and Cellular and Molecular Pharmacology, University of California San Francisco, San Francisco, California 94143
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ABSTRACT |
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Aldosterone controls sodium reabsorption and potassium
secretion in the aldosterone-sensitive distal nephron (ASDN). Although clearance measurements have shown that aldosterone induces these transports within 30-60 min, no early effects have been
demonstrated in vivo at the level of the apical epithelial sodium
channel (ENaC), the main effector of this regulation. Here we show by
real-time RT-PCR and immunofluorescence that an aldosterone injection
in adrenalectomized rats induces -ENaC subunit expression along the
entire ASDN within 2 h, whereas
- and
-ENaC are
constitutively expressed. In the proximal ASDN portions only, ENaC is
shifted toward the apical cellular pole and the apical plasma membrane within 2 and 4 h, respectively. To address the question of whether the early aldosterone-induced serum and glucocorticoid-regulated kinase
(SGK) might mediate this apical shift of ENaC, we analyzed SGK
induction in vivo. Two hours after aldosterone, SGK was highly induced
in all segment-specific cells of the ASDN, and its level decreased
thereafter. In Xenopus laevis oocytes, SGK
induced ENaC activation and surface expression by a kinase
activity-dependent mechanism. In conclusion, the rapid in vivo
accumulation of SGK and
-ENaC after aldosterone injection takes
place along the entire ASDN, whereas the translocation of
,
,
-ENaC to the apical plasma membrane is restricted to its
proximal portions. Results from oocyte experiments suggest the
hypothesis that a localized activation of SGK may play a role in the
mediation of ENaC translocation.
Xenopus laevis oocytes; sodium transport; kidney; collecting duct; epithelial sodium channel; serum and glucocorticoid-regulated kinase
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INTRODUCTION |
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ALDOSTERONE STIMULATES
Na+ reabsorption across its target epithelia, which are
located in the distal part of excretory organs, such as kidney, colon,
and salivary and sweat glands. The aldosterone target cells of the
kidney are the segment-specific cells, which in the case of the
collecting duct are also called principal cells, that form the
epithelium of the aldosterone-sensitive distal nephron (ASDN)
together with intercalated cells (which have no segment-specific characteristics). The ASDN includes the second half of the distal convoluted tubule (DCT2), the connecting tubule (CNT), the cortical collecting duct (CCD), and the medullary collecting duct (MCD). Na+ is reabsorbed across segment-specific cells of the ASDN
by a two-step process consisting of apical influx via the
epithelial Na+ channel (ENaC) and basolateral extrusion by
the Na+ pump (Na-K-ATPase) (8, 17, 25,
40-42). These cells are also characterized by a high
abundance of mineralocorticoid receptor and 11-hydroxysteroid
dehydrogenase type 2 (3, 11).
The action of aldosterone has been shown to depend on transcription and translation. On the basis of studies made in model epithelia, its effect has been operationally divided into three major phases: a lag period of 20-60 min, followed by an early phase of Na+ transport increase mediated by aldosterone-induced regulatory proteins acting on the preexisting transport machinery (39), and a late/very late phase starting ~3 h after hormone addition, during which a further increase in transport activity correlates with an increase in channels, pumps, and other elements of the transport machinery (34, 42). Early effects of aldosterone, as early as in in vitro models, have been observed in vivo on renal Na+ and K+ excretion in adrenalectomized (Adx) animals and on the activity/number of Na-K-ATPase in isolated CCDs (4, 9, 16, 19).
No early aldosterone effects have been documented in vivo at the level of ENaC as yet, although Na+ influx through this channel represents the major limiting step in Na+ reabsorption (17). Functionally, the number of active ENaCs was shown to be extremely low in the apical plasma membrane of isolated CCDs from animals on a standard laboratory diet. This number was drastically increased by a long-term, low-salt diet, which also induced an increase in circulating aldosterone (31). A similar treatment was recently shown to induce a shift of the three ENaC subunits from an intracellular localization toward the apical surface of segment-specific cells of the distal nephron (25, 27).
As yet, two gene products, K-Ras2 and serum and glucocorticoid-regulated kinase (SGK), which are potential mediators of the early stimulatory action of aldosterone on ENaC function in vivo, have been isolated (6, 17, 28, 30, 36 ). Both are rapidly regulated by aldosterone and have been shown to activate coexpressed ENaC in the Xenopus laevis oocyte expression system and, in the case of K-Ras2, in A6 cell epithelia (6, 28, 30, 38). The effect of SGK on ENaC-mediated Na+ transport in X. laevis oocytes was recently shown to depend on an intact SGK kinase site (21) and to be caused by an increase in channel surface expression (1).
SGK is a serine/threonine kinase known to be expressed in several tissues (43, 45). Its physiological target(s) likely includes ENaC; other targets are not yet known. The activity of SGK has been shown to depend on its own phosphorylation, for instance, by PDK1, a phosphatidylinositol-3-phosphate-dependent kinase (20, 32).
SGK was shown to be induced very rapidly and strongly at the mRNA and protein levels by dexamethasone or aldosterone in A6 epithelia (6). In the kidney of Adx rats, in situ hybridizations indicated that SGK mRNA is induced within 4 h by aldosterone in structures that probably correspond to the collecting system (6). This in vivo induction has been corroborated by in vitro studies on rabbit CCD primary cell cultures showing a rapid SGK mRNA induction by both mineralocorticoid receptor- and glucocorticoid receptor-specific agonists (30).
In the present study we perfomed in vivo (rat kidney) and in vitro
(X. laevis oocytes) studies to localize -ENaC and SGK induction by aldosterone in kidney tubules and address the question of
how their induction might relate to ENaC surface expression.
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METHODS |
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Animals for tubule dissection and kidney morphology. Adult male Adx Wistar rats, with a body weight of 180-200 g, were purchased from Iffa Credo (l'Arbresle, France) and kept on a normal diet and water supplemented with 9 g/l NaCl. Aldosterone was injected subcutaneously (50 µg/100 g) 1 wk after adrenalectomy. The animals were anesthetized with thiopental (10 mg/100 g body wt ip) or pentobarbital sodium (5 mg/100 g body wt ip).
Preparation of rat tubule RNA.
Single proximal convoluted tubules (PT) and CCDs (1-2 mm each)
were isolated by microdissection as described previously
(12) and frozen in groups of two or three at 80°C.
Yeast tRNA (10 µg; Fluka, Buchs, Switzerland) was added to the
tubules with 500 µl TRIzol Reagent (GIBCO-BRL), and RNA was extracted
according to the manufacturer's protocol. RNA was resuspended in
H2O at a concentration of 0.1 µg/µl and 1/100 of the
input RNA (corresponding to 9-24 cells) was reverse transcribed
for each real-time PCR reaction.
Real-time RT-PCR.
RNA was first reverse transcribed with MultiScribe reverse
transcriptase (PE Applied Biosystems, Foster City, CA) according to the
manufacturer's instructions by using 2.5 µM random hexamers (with
tissue RNA) or oligo (dT)16 (with tubule RNA) for priming and a total RNA concentration of 10 ng/µl. Fluorescence changes during real- time quantitative PCR were measured with an ABI Prism 7700 sequence detector (PE Biosystems). All reactions were performed by
using the TaqMan PCR kit according the manufacturer's
recommendation (PE Biosystems). The PCR primers used were the
following: 5'-GCCAGGATAGAGCCACCAATC (actin);
3'-ACTGCCCTGGCTCCTAGCA (actin); 5'-GAGGGAGCGCTGCTTCCT (SGK); 3'-ACCCAAGGCACTGGCTATTTC (SGK); 5'-CAGGGTGATGGTGCATGGT (-ENaC); 3'-CCACGCCAGGCCTCAAG (
-ENaC);
5'-CATAATCCTAGCCTGTCTGTTTGGA (
-ENaC);
3'-CAGTTGCCATAATCAGGGTAGAAGA (
-ENaC); 5'-TGCAAGCAATCCTGTAGCTTTAAG (
-ENaC); and 3'-GAAGCCTCAGACGGCCATT (
-ENaC). The fluorescent oligonucleotide probes that hybridize to the template between the PCR
primers were covalently labeled at their 5' ends with the reporter dye
6-carboxyfluorescin (FAM) and at their 3' ends via a linker arm with
the quencher 6-carboxytetramethylrhodamine (TAMRA; PE Biosystems).
These probes were for actin (CCATGAAGATCAAGATCATTGCTCCTCCT); SGK
(CCCCGTGCTCGCTTCTACGCA);
-ENaC (TGAAGCCACCATCATCCATAAAGGCAG);
-ENaC (CCCTGCAGTCATCGGAACTTCACACCT); and
-ENaC
(AATGGACACTGACCACCAGCTTGGC). Standard curves were generated by
using rat colon total RNA as template. The detection limit for actin,
SGK,
-ENaC, and
-ENaC was <80 pg of the RNA. The ratio of the
different signals to that of actin was calculated for every sample. The
results obtained for the different test conditions are given normalized
to the control values (fractional change in mRNA × expression,
relative to actin). The validity of the method was verified by
comparing the results obtained by real-time RT-PCR with those obtained
by Northern blotting on the same tissue RNA samples (r = 0.904, data not shown).
Immunohistochemistry on kidney sections.
Two and four hours after injection of vehicle (2 Adx rats/time point)
or aldosterone (3 Adx rats/time point), kidneys were fixed by vascular
perfusion and processed for immunohistochemistry as previously
described (23). Serial cryosections (4-8 µm) were incubated overnight at 4°C with either a polyclonal,
affinity-purified anti-SGK antiserum (dilution 1:500) or polyclonal
rabbit antisera against -ENaC (dilution 1:1,000),
-ENaC (dilution
1:1,000), or
-ENaC (dilution 1:20,000). In some experiments,
sections were coincubated with a mouse monoclonal antibody (Ab) against
the vacuolar H+-ATPase (dilution 1:4). All antibodies have
been characterized previously (5, 8, 18). The binding
sites of the primary antibodies were revealed with a Cy3-conjugated
donkey anti-rabbit IgG (Jackson Immuno Research Labs, West Grove, PA)
diluted 1:1,000 and a FITC-conjugated goat anti-mouse IgG (Jackson
Immuno Research Laboratories) diluted 1:40, respectively. Subsequently,
the sections were processed according to routine procedures. Digitized
images were acquired with a Visicam charge-coupled device camera
(Visitron, Puchheim, Germany) and processed by Image-Pro Plus v3.0
software (Media Cybernetics, Silver Spring, MD). In control
experiments, the primary antibodies were omitted or replaced by a
non-immune rabbit serum. All control experiments yielded no
immunofluorescent staining.
Criteria for cortical distal segment identification on kidney sections. The initial segments of the ASDN, DCT2, and CNT are situated in the cortical labyrinth. The "landmark" for the CNT is its close vicinity to the cortical radial vessels. The CCDs are identified in the medullary rays.
Expression in oocytes and two-electrode, voltage-clamp
measurements.
X. laevis ENaC cDNAs in pSDeasy with a FLAG epitope sequence
(- and
-ENaCF for binding and immunofluorescence) or
without (electrophysiology) were used (13, 28, 33). The
vector pSDeasy/SGK has been described (6). The K130A
mutation (with an alanine replacing lysine in the putative ATP binding
pocket) was introduced by PCR together with a silent AflII
restriction site (CTTAAG replacing CTCAAA) located 18 nucleotides
downstream of the lysine-alanine mutation (nucleotide sequence GCA
replacing AAA). Amplicons containing the mutations were digested with
AflII and flanking enzymes (BamHI for the
upstream and XbaI for the downstream fragment) and ligated into pSDeasy. PCR-amplified sequences were verified by DNA sequencing and SGK protein expression by Western blot (not shown). cDNA encoding the human ribosomal protein L28 was used as control (14).
After plasmids were linearized with BglII
(
-XENaC, XSGK), AflIII (
- and
-XENaC), or XhoI (L28), capped cRNA was
synthetized by using SP6 or T3 (L28) RNA polymerase, as previously
described (28). XENaC subunits (0.05 ng each wt
cRNA for electrophysiology or 5 ng cRNA with FLAG sequence for binding
and immunofluorescence) were coinjected either alone or together with 5 ng cRNA (10 ng for binding and immunofluorescence) of SGK, SGK-K130A,
or L28. Incubation of the oocytes and two-electrode voltage clamp were as previously described (28).
Iodination of M2Ab and binding assay. The iodination and binding procedures were as previously shown (28) and corresponded essentially to those described by Firsov et al. (13). The specific activity of the labeled M2 anti-FLAG monoclonal Ab (Kodak, Rochester, NY) ranged between 0.3 and 0.7 × 1018 cpm/mol, where cpm is counts/min. Background binding measured on H2O-injected oocytes amounted to 33% of the total binding on oocytes injected with ENaC cRNAs alone and was subtracted.
Immunohistochemical detection of ENaC in X. laevis oocytes. Fixation (24 h after injection with cRNA), embedding, and cryosectioning were as described previously (28). A tyramide signal amplification (TSA-Direct) kit (NEN, Boston, MA) was used for immunofluorescence according to the manufacturer's instructions, and XENaCF was detected with the M2 anti-FLAG IgG Ab as described (28). No staining was observed in experiments where the primary Ab was omitted. Sections were studied by epifluorescence.
Statistics. Data are expressed as means ± SE. The difference between control and test values was evaluated by using Student's t-test (2 tailed, unpaired, or 1 sample).
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RESULTS |
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Rapid induction of -ENaC by aldosterone in ASDN.
To quantitate the effect of aldosterone on tubular ENaC subunit mRNAs,
PTs and CCDs were microdissected from Adx rats and Adx rats that had
received a single subcutaneous injection of aldosterone (50 µg/100 g)
2 h before. As shown in Fig. 1, the mRNA of
-ENaC was induced in CCDs by a factor of 1.92 ± 0.25 (n = 12, from 4 rats/condition), whereas those for
-
and
-ENaC subunits were not significantly altered. ENaC mRNA was not
detected in PTs.
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Aldosterone shifts ENaC toward the apical plasma membrane in
initial portions of the ASDN.
Immunohistochemistry disclosed that, in the initial portions of the
ASDN, aldosterone not only increased the abundance of -ENaC but also
profoundly affected the subcellular localization of all three ENaC
subunits (Fig. 3). In Adx rats without
aldosterone administration,
- and
-subunits of ENaC were found in
a fine granular staining pattern exclusively throughout the cytoplasm of all segment-specific cells, and
-ENaC was undetectable (Fig. 3).
Two hours after aldosterone injection,
-ENaC was visible in the
cytoplasm of the segment-specific cells of the CNT. At that time point,
the intracellular staining for all three ENaC subunits was more
condensed in the upper third of most CNT cells. At 4 h, ENaC
subunits were shifted from the diffuse intracellular localization
toward the apical plasma membrane. The aldosterone-induced translocation of ENaC was most obvious for
-ENaC and was seen predominantly in the initial ASDN (DCT2 and the early CNT). Apical labeling decreased progressively along the CNT and was absent in the
CCD (Fig. 2).
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SGK is rapidly induced by aldosterone in the ASDN.
Our previous in situ hybridization data suggested that, in Adx rats,
aldosterone induces SGK selectively in the distal nephron (6). Now, we quantified the induction of SGK mRNA in
microdissected PTs and CCDs from Adx rats by using real-time RT-PCR.
Two hours after aldosterone administration, SGK was increased by a
factor of 3.6 ± 0.5 in CCDs, whereas it remained unchanged in PTs
(Fig. 4). These results confirm that SGK
mRNA is rapidly induced by aldosterone on the mRNA level in rat CCDs.
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SGK increases ENaC activity in X. laevis oocytes by a mechanism
involving its kinase activity.
We and others have previously shown that SGK expression in X. laevis oocytes increases the transport activity of
coexpressed ENaC (6, 30). We have now tested
whether the kinase activity of X. laevis SGK might be
required to mediate this effect by selectively mutating a single amino
acid (K130A) known to be required for the function of its consensus
kinase site (32). Although expression of wild-type SGK
increased the amiloride-sensitive current fourfold, expression of the
kinase-dead mutant SGK decreased it (Fig.
7A). The lack of ENaC activity
upregulation by the kinase-dead SGK indicates that its kinase activity
is required for this action. The twofold lower current observed in the
presence of kinase-dead SGK further suggests a competition of
this overexpressed mutant protein with an endogenous one (dominant
negative effect). The fact that coexpression of an unrelated protein
(ribosomal protein L28) did not interfere with the ENaC-mediated sodium
current (data not shown) excludes the possibility that the effect of
kinase-dead SGK was due to competition at the translational level.
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SGK acts on ENaC activity by increasing its surface expression in
X. laevis oocytes.
To test whether the functional change induced by SGK coexpression might
be explained by changes in XENaC surface expression, we
measured the binding of monoclonal antibodies (M2Ab) to
epitope tags introduced in the extracellular loop of the - and
-ENaC subunits (Fig. 7B) (13, 28). The
results of this binding experiment correlate with the functional
results shown in Fig. 7A. Coexpressed SGK increased the
surface binding by a factor of 3.26 ± 0.72, and kinase-dead SGK
decreased it by a factor of 0.76 ± 0.12.
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DISCUSSION |
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Aldosterone induces -ENaC accumulation and
,
,
-ENaC
surface expression in ASDN.
Previous in vivo studies have shown that chronic elevations of
plamsa aldosterone levels induce in kidney
aldosterone-target epithelia an increase in
-ENaC subunit expression
at the mRNA and protein levels. In contrast,
- and
-ENaC appear
to be expressed constitutively in ASDN (2, 7, 10, 22, 26,
27). The present study shows that, in kidney of Adx rats,
accumulation of
-ENaC protein is recognizable as early as 2 h
after a single aldosterone injection and remains at approximately the
same level during the following 2 h. This upregulation of
-ENaC
occurs in all segment-specific cells of the ASDN. The about twofold
rise in the level of
-ENaC mRNA (2 h after aldosterone injection) appears small compared with the striking increase in immunofluorescence from zero in Adx rats to bright immunostaining in Adx+aldosterone rats.
This suggests that, in the mammalian distal nephron, the regulation of
-ENaC protein abundance might also involve posttranscriptional mechanisms in addition to
-ENaC transcription. A previous in vitro
study on A6 epithelia suggested this possibility (29).
Is SGK a mediator of ENaC surface expression? A recently published study (1) as well as the present study show that coexpression of SGK with ENaC increases the number of active channels at the cell surface in the X. laevis oocyte expression system. To investigate whether SGK, as a mediator of aldosterone, might promote ENaC surface expression in vivo, we visualized the localization of its expression in kidney. Aldosterone injection induced an important SGK accumulation within 2 h in all ENaC-positive segments, the level of which was already reduced after 4 h. This shows that SGK has a short half-life and suggests that it might be regulated as rapidly in mammals in vivo as previously shown in amphibian A6 cell epithelia (6). The onset of SGK accumulation apparently precedes the visible apical translocation of ENaC and also likely precedes or coincides with the physiological response observed at the level of the Na+ and K+ clearance (i.e., between 30 and 60 min after the beginning of an aldosterone treatment) (9, 19). However, the fact that the aldosterone-induced accumulation of SGK is localized to the entire ASDN stands in contrast to the limitation of ENaC translocation to a proximal part of the ASDN. The present study shows that the kinase catalytic site of SGK needs to be intact for promoting ENaC surface expression in X. laevis oocytes. This complements the notion that SGK needs to be phosphorylated to be an active kinase and that 3-phosphoinositide-dependent protein kinase 1 (PDK1) functions as an upstream kinase of SGK (32). Furthermore, recent experiments showed that inhibition of phosphoinositol 3-kinase (PI3-kinase) activity markedly reduces SGK stimulation of ENaC activity in the oocyte system. PI3-kinase inhibition also prevented both phophorylation of SGK and mineralocorticoid-induced Na+ transport in A6 cells (44). Together with these results, our study shows that SGK expression per se is not sufficient to promote ENaC surface expression in X. laevis oocytes as well as in epithelial cells. In the oocyte system, this effect of SGK is shown to depend on its own catalytic activity, and thus, phosphorylation.
Role of SGK and -ENaC induction in ENaC surface expression: a
hypothesis.
Together, the present in vivo and in vitro data suggest the following
hypothesis for the regulation of ENaC cell surface expression by
aldosterone in ASDN: SGK is rapidly induced by aldosterone and, if
activated, promotes the translocation of available
,
,
-ENaC toward the surface. Activation of SGK requires its phosphorylation by a
PDK1(-like) kinase. This phosphorylation could be controlled by an
axially heterogenous mechanism that thereby restricts ENaC translocation to more or less long upstream portions of the ASDN. In
the absence of aldosterone, the availability of preassembled ENaC is
limited by a low level of
-ENaC. Hence, by inducing an upregulation
of
ENaC, aldosterone also leads to a progressive increase in the
pool of assembled
,
,
-ENaC available for translocation to the surface.
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ACKNOWLEDGEMENTS |
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The authors thank Ian Forster for assistance with the electrophysiological experiments, Christian Gasser for artwork, Lea Kläusli for technical assistance, Steven Gluck (St. Louis, MO) for providing the monoclonal anti-vacuolar H+-ATPase antibody, and Annette Audigé (Bern, Switzerland) for providing unpublished primer and probe sequences for real-time PCR measurements of the rat ENaC subunits. The laboratory of F. Verrey was supported by Swiss NSF Grants 31-49727.96 and 31-59141.99, that of B. Kaissling by Swiss NSF Grant 31-47742.96.
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FOOTNOTES |
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* J. Loffing and M. Zecevic contributed equally to this work.
Address for reprint requests and other correspondence: F. Verrey, Institute of Physiology, Univ. of Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland (E-mail: verrey{at}physiol.unizh.ch).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 25 August 2000; accepted in final form 7 November 2000.
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