M. Bostonjoglo et al., 11-BETA-HYDROXYSTEROID DEHYDROGENASE, MINERALOCORTICOID RECEPTOR, ANDTHIAZIDE-SENSITIVE NA-CL COTRANSPORTER EXPRESSION BY DISTAL TUBULES, Journal of the American Society of Nephrology, 9(8), 1998, pp. 1347-1358
Mineralocorticoid hormones regulate salt transport along the distal ne
phron by binding to intracellular receptors and activating gene transc
ription. Previous experiments showed that systemic aldosterone infusio
ns stimulate thiazide-sensitive Na and Cl transport by distal convolut
ed tubule (DCT) cells; this effect could have been direct or secondary
to systemic hormonal effects. Aldosterone target tissues express both
mineralocorticoid receptors and the metabolic enzyme 11 beta-hydroxys
teroid dehydrogenase type 2, Mineralocorticoid receptors have been loc
alized to the DCT in some experiments, but not in others. Expression o
f 11 beta-hydroxysteroid dehydrogenase type 2 by DCT cells has not bee
n investigated. The present experiments were designed to test the hypo
thesis that rat DCT cells are targets of aldosterone action. Patterns
of mineralocorticoid receptor, 11 beta-hydroxysteroid dehydrogenase, t
hiazide-sensitive Na-CI cotransporter, and Na/Ca exchanger expression
along the distal tubule were examined. A polyclonal antibody was gener
ated to localize the thiazide-sensitive Na-Cl cotransporter. Thiazide-
sensitive Na-Cl cotransporter and 11 beta-hydroxysteroid dehydrogenase
expression were examined using both in situ hybridization and immunoc
ytochemistry; Na/Ca exchanger and mineralocorticoid receptor expressio
n were examined by immunocytochemistry. The results indicate that 11 b
eta-hydroxysteroid dehydrogenase is expressed by DCT cells, as well as
connecting tubule cells and principal cells of the collecting duct; e
xpression levels are low near the junction with the thick ascending li
mb and rise near the transition to the connecting tubule. Mineralocort
icoid receptors are expressed by DCT cells, as well as along the thick
ascending limb, connecting tubule, and collecting duct. The results i
ndicate that components of the mineralocorticoid receptor system are e
xpressed by DCT cells, suggesting that these cells are targets of aldo
sterone action.