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Published on: September 12, 2019
Aldosterone Modulates the Mechanistic Target of Rapamycin Signaling in Male Mice
Danielle L Brooks1, Amanda E Garza1, Isis A Katayama1
1Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Boston, Massachusetts.
Abstract:
Both mechanistic target of rapamycin (mTOR) pathway and aldosterone are implicated in the development of cardiovascular and renal disease. However, the interaction between aldosterone and the mTOR pathway is unknown. We hypothesized the following: that (i) increased aldosterone will modulate the activity of the mTORC1 and mTORC2 molecular pathways in the heart and kidney; (ii) a physiologic increase in aldosterone will affect these pathways differently than a pathophysiologic one; and (iii) the changes in the mTOR level/activity will differ between the heart and kidney. In both kidney and heart tissues, phosphorylation of mTOR is significantly decreased when aldosterone levels are physiologically increased (by dietary sodium restriction), followed by a decrease in phosphorylated p70S6K1 in cardiac, but not renal, tissue. Sirtuin 1, an epigenetic modulator, is decreased in the heart but increased in the kidney. Conversely, pathophysiologic aldosterone levels (an infusion for 3 weeks) had divergent effects on phosphorylated mTOR and the downstream substrates of mTORC1 and mTORC2 in cardiac and renal tissues. Increased aldosterone levels significantly alter mTOR activity in the heart and kidney. In the kidney, substantial differences were noted if the increase was produced physiologically vs pathophysiologically, suggesting that mTOR activity, in part, may mediate aldosterone-induced renal damage. Thus, modulating mTOR activity may reduce aldosterone-dependent renal damage similar to mineralocorticoid receptor blockade but potentially with less adverse side effects.
Insights
Aldosterone significantly alters mechanistic target of rapamycin (mTOR) pathway activity in the heart and kidney. Modulating mTOR may reduce aldosterone-induced renal damage with fewer side effects than current treatments.
Area of Science:
- Cardiovascular and Renal Physiology
- Molecular Signaling Pathways
Background:
- Aldosterone and the mechanistic target of rapamycin (mTOR) pathway are linked to cardiovascular and renal diseases.
- The interaction between aldosterone and the mTOR pathway remains largely unknown.
Purpose of the Study:
- To investigate how aldosterone modulates mTORC1 and mTORC2 pathway activity in the heart and kidney.
- To differentiate the effects of physiological versus pathophysiological increases in aldosterone.
- To compare changes in mTOR activity between cardiac and renal tissues.
Main Methods:
- Assessed phosphorylation of mTOR and its downstream substrates (p70S6K1) in cardiac and renal tissues.
- Measured Sirtuin 1 levels, an epigenetic modulator.
- Administered physiological (dietary sodium restriction) and pathophysiological (3-week infusion) increases in aldosterone.
Main Results:
- Physiological aldosterone increase decreased mTOR phosphorylation in both heart and kidney, with reduced p70S6K1 in the heart.
- Sirtuin 1 levels decreased in the heart but increased in the kidney under physiological conditions.
- Pathophysiological aldosterone levels induced divergent effects on mTOR signaling in cardiac versus renal tissues.
Conclusions:
- Increased aldosterone levels significantly alter mTOR activity in the heart and kidney.
- Differences in mTOR response to physiological versus pathophysiological aldosterone in the kidney suggest mTOR mediates aldosterone-induced renal damage.
- Targeting mTOR activity could offer a novel therapeutic strategy for aldosterone-dependent renal damage, potentially with improved side effect profiles compared to mineralocorticoid receptor blockade.
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