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.

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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