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.

Endocrinology
|February 7, 2019
PubMed

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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