F. Verrey et al., Pleiotropic action of aldosterone in epithelia mediated by transcription and post-transcription mechanisms, KIDNEY INT, 57(4), 2000, pp. 1277-1282
The aldosterone-induced increase in sodium reabsorption across tight epithe
lia can be divided schematically into two functional phases: an early regul
atory phase starting after a lag period of 20 to 60 minutes, during which t
he pre-existing transport machinery is activated, and a late phase (>2.5 h)
, which can be viewed as an anabolic action leading to a further amplificat
ion/differentiation of the Na+ transport machinery. At the transcriptional
level, both early and late responses are initiated during the lag period, b
ut the functional impact of newly synthesized regulatory proteins is faster
than that of the structural ones. K-Ras2 and SGK were identified as the fi
rst early aldosterone-induced regulatory proteins in A6 epithelia. Their mR
NAs also were shown to be regulated in vivo by aldosterone, and their expre
ssion (constitutively active K-Ras2 and wild-type SGK) was shown to increas
e the function of ENaC coexpressed in Xenopus oocytes. Recently, aldosteron
e was also shown to act on transcription factors in A6 epithelia: It down-r
egulates the mRNAs of the proliferation-promoting c-Myc, c-Jun, and c-Fos b
y a post-transcriptional mechanism, whereas it up-regulates that. of Fra-2
(c-Fos antagonist) at the transcriptional level. Together, these new data i
llustrate the complexity of the regulatory network controlled by aldosteron
e and support the view that its early action is mediated by the induction o
f key regulatory proteins such as K-Ras2 and SGK. These early induced prote
ins are sites of convergence for different regulatory inputs, and thus, the
ir aldosterone-regulated expression level tunes the impact of other regulat
ory cascades on sodium transport. This suggests mechanisms for the escape f
rom aldosterone action.