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Induction of Atherosclerotic Plaques Through Activation of Mineralocorticoid Receptors in Apolipoprotein E-deficient Mice
Published on: September 26, 2018
Aldosterone activates the oncogenic signals ERK1/2 and STAT3 via redox-regulated mechanisms
Nina Queisser1,2, Nicole Schupp1, Eva Schwarz1
1Institute of Toxicology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.
Abstract:
Epidemiological studies found an increased risk for kidney cancer in hypertensive patients, of which a subgroup has high aldosterone (Ald) levels. We recently showed that Ald is genotoxic both in kidney tubular cells and in rats with mineralocorticoid-mediated hypertension. The present work investigated in vitro and in vivo, if the oxidative stress-mediated activation of the ERK1/2 pathway, and its downstream target STAT3, could be one mechanism involved in the potential oncogenic capability of excess Ald exposure. The effects of excess Ald were investigated in LLC-PK1 cells and in Ald-induced hypertensive rats. Ald caused cRaf, MEK1/2, and ERK1/2 phosphorylation both in LLC-PK1 cells and in rat kidneys. ERK1/2 activation led to an increased phosphorylation of MSK1, p90RSK, and STAT3. The involvement of ERK1/2 in the activation of STAT3 was evidenced by the capacity of the MEK inhibitor U0126 to prevent Ald-mediated ERK1/2 and STAT3 phosphorylation. Both in vitro and in vivo, the activation of ERK1/2 and STAT3 by Ald was dependent on the mineralocorticoid receptor and was triggered by an increase in cellular oxidants. Ald-mediated oxidant increase was in part due to the activation of the enzymes NADPH oxidase and NO synthase. Proliferation was significantly enhanced and apoptosis decreased in Ald-treated rat kidneys and/or LLC-PK1 cells. Results support the concept that the oxidant-mediated long-term activation of ERK1/2/STAT3 by persistently high Ald levels could trigger proliferative and prosurvival events. Ald-mediated promotion of cell survival and DNA damage could result in kidney cell transformation and initiation of cancer in hypertensive patients with hyperaldosteronism.
Insights
High aldosterone levels in hypertension may promote kidney cancer by activating the ERK1/2/STAT3 pathway through oxidative stress, leading to increased cell proliferation and survival.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Hypertension is linked to increased kidney cancer risk, particularly in patients with high aldosterone (Ald) levels.
- Aldosterone has demonstrated genotoxic effects in kidney cells and hypertensive rats.
- The potential oncogenic mechanisms of excess aldosterone exposure require further investigation.
Purpose of the Study:
- To investigate if oxidative stress-mediated activation of the ERK1/2 pathway and its downstream target STAT3 are involved in aldosterone's potential oncogenic capability.
- To explore the effects of excess aldosterone on cell proliferation and apoptosis in vitro and in vivo.
Main Methods:
- Aldosterone's effects were studied in LLC-PK1 cells and in rats with aldosterone-induced hypertension.
- Key signaling proteins (cRaf, MEK1/2, ERK1/2, MSK1, p90RSK, STAT3) were analyzed for phosphorylation.
- The role of the mineralocorticoid receptor and cellular oxidants (NADPH oxidase, NO synthase) was assessed.
- A MEK inhibitor (U0126) was used to confirm pathway involvement.
Main Results:
- Excess aldosterone induced phosphorylation of cRaf, MEK1/2, and ERK1/2 in kidney cells and rat kidneys.
- ERK1/2 activation led to increased phosphorylation of MSK1, p90RSK, and STAT3.
- Aldosterone-mediated ERK1/2 and STAT3 activation was dependent on the mineralocorticoid receptor and cellular oxidants.
- Aldosterone increased cell proliferation and decreased apoptosis in kidney cells and rat kidneys.
Conclusions:
- Oxidant-mediated activation of the ERK1/2/STAT3 pathway by high aldosterone levels promotes cell survival and proliferation.
- These aldosterone-induced events may contribute to kidney cell transformation and cancer initiation in hyperaldosteronism.
- The findings elucidate a potential molecular mechanism linking aldosterone excess to kidney cancer development.
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