Article ; Online: Calcineurin regulates aldosterone production via dephosphorylation of NFATC4.
JCI insight
2023 Volume 8, Issue 14
Abstract: The mineralocorticoid aldosterone, secreted by the adrenal zona glomerulosa (ZG), is critical for life, maintaining ion homeostasis and blood pressure. Therapeutic inhibition of protein phosphatase 3 (calcineurin, Cn) results in inappropriately low ... ...
Abstract | The mineralocorticoid aldosterone, secreted by the adrenal zona glomerulosa (ZG), is critical for life, maintaining ion homeostasis and blood pressure. Therapeutic inhibition of protein phosphatase 3 (calcineurin, Cn) results in inappropriately low plasma aldosterone levels despite concomitant hyperkalemia and hyperreninemia. We tested the hypothesis that Cn participates in the signal transduction pathway regulating aldosterone synthesis. Inhibition of Cn with tacrolimus abolished the potassium-stimulated (K+-stimulated) expression of aldosterone synthase, encoded by CYP11B2, in the NCI-H295R human adrenocortical cell line as well as ex vivo in mouse and human adrenal tissue. ZG-specific deletion of the regulatory Cn subunit CnB1 diminished Cyp11b2 expression in vivo and disrupted K+-mediated aldosterone synthesis. Phosphoproteomics analysis identified nuclear factor of activated T cells, cytoplasmic 4 (NFATC4), as a target for Cn-mediated dephosphorylation. Deletion of NFATC4 impaired K+-dependent stimulation of CYP11B2 expression and aldosterone production while expression of a constitutively active form of NFATC4 increased expression of CYP11B2 in NCI-H295R cells. Chromatin immunoprecipitation revealed NFATC4 directly regulated CYP11B2 expression. Thus, Cn controls aldosterone production via the Cn/NFATC4 pathway. Inhibition of Cn/NFATC4 signaling may explain low plasma aldosterone levels and hyperkalemia in patients treated with tacrolimus, and the Cn/NFATC4 pathway may provide novel molecular targets to treat primary aldosteronism. |
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MeSH term(s) | Animals ; Humans ; Mice ; Aldosterone/metabolism ; Calcineurin/metabolism ; Cytochrome P-450 CYP11B2/genetics ; Hyperkalemia ; NFATC Transcription Factors/genetics ; Tacrolimus/pharmacology |
Chemical Substances | Aldosterone (4964P6T9RB) ; Calcineurin (EC 3.1.3.16) ; Cytochrome P-450 CYP11B2 (EC 1.14.15.4) ; NFATC Transcription Factors ; NFATC4 protein, human ; Tacrolimus (WM0HAQ4WNM) |
Language | English |
Publishing date | 2023-07-24 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ISSN | 2379-3708 |
ISSN (online) | 2379-3708 |
DOI | 10.1172/jci.insight.157027 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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