The mineralocorticoid receptor (MR) acts as a ligand-dependent transcriptio
n factor modulating specific gene expression in sodium-transporting epithel
ia. Physiological evidence suggest a crosstalk between the cAMP- and aldost
erone-signaling pathways. We provide evidence that protein kinase A (PKA),
a major mediator of signal transduction pathways, modulates transcriptional
activity of the human MR (hMR). Using transient transfection assays in Hep
G2 cells, we show that 8-bromo-cAMP, a protein kinase A activator, stimulat
es glucocorticoid response element (GRE)-containing promoters in a ligand-i
ndependent manner. This effect was strictly MR dependent since no activatio
n of the reporter gene was observed in the absence of cotransfected hMR exp
ression plasmid. Furthermore, a synergistic activation was achieved when ce
lls were treated with both aldosterone and cAMP, This synergistic effect wa
s also observed in the CV1 and the stable hMR-expressing M cells but was de
pendent on the promoter used, In particular, synergism was less pronounced
in promoters containing several GREs, We show that (protein kinase-inhibiti
ng peptide (PKI), the peptide inhibitor of PKA, prevented both cAMP and ald
osterone induction, which indicates that a functional cAMP pathway is requi
red for stimulation of transcription by aldosterone. Using MR-enriched bacu
lovirus extracts in gel shift assays, we have shown that the binding of the
MR to a GRE-containing oligonucleotide was enhanced by PKA, Increased DNA
binding of hMR is likely to reflect an increase in the number of active rec
eptors, as measured by Scatchard analysis, Using a truncated MR, we show th
at the N-terminal domain is required for the effect. Finally, the N-termina
l truncated MR was not directly phosphorylated by PKA in vitro. We conclude
that PKA acts indirectly, probably by relieving the effect of an MR repres
sor.