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Departments of Pathology (G.H., H.S., K-I.T., T.S., H.N.), Medicine (G.H., N.H., T.T.), and Surgery (K.F.), Tohoku University School of Medicine, Sendai, Japan; Laboratory of Molecular Hypertension (Z.S.K.), Baker Medical Research Institute, Prahran, Australia
Address correspondence and requests for reprints to: Hironobu Sasano, M.D., Department of Pathology, Tohoku University School of Medicine, 2-1 Seiryou-machi, Sendai, Japan 980.
The enzyme 11ß-hydroxysteroid dehydrogenase type II (11ßHSD2) has been shown to confer specificity on mineralocorticoid receptors (MR) by inactivating glucocorticoids. In the present study we examined the colocalization of 11ßHSD2 and MR in various exocrine and secretory glands by immunostaining of serial mirror tissue sections with subsequent computerized image analysis. Both 11ßHSD2 and MR proteins were expressed in the same cells in the distal convoluted tubules, Henles loop, and collecting tubules of the kidney and the absorptive epithelia of duodenum, jejunum, ileum, colon, and excretory ducts of anal and esophageal glands. Significantly, 11ßHSD2 and MR immunoreactivity also colocalized in the respiratory tract, in collecting ducts of the tracheal and bronchial glands, ciliated bronchial epithelial cells, and type II alveolar epithelial cells, suggesting important and unexpected roles for mineralocorticoids in the lung. In the skin, 11ßHSD2 and MR were present only in excretory ducts of eccrine sweat glands, but not in sebaceous or apocrine glands. In eccrine glands, MR immunoreactivity was present in the basal cells of excretory ducts, while 11ßHSD2 immunoreactivity was localized in the luminal cells. Neither 11ßHSD2 nor MR proteins were expressed in the lacrimal gland, prostate, bile ducts, gall bladder, urinary bladder, urethra, or ureter. These results indicate that 11ßHSD2 protein colocalizes with MR protein in the great majority of sodium-transporting epithelia involved in serous secretion and supports the proposal that 11ßHSD2 is a pivotal determinant of mineralocorticoid receptor occupancy in man. Furthermore, our demonstration of colocalization in discrete areas of the lung suggests that mineralocorticoid agonists or antagonists, and/or inhibitors of 11ßHSD2, may have unexpected applications in respiratory disease.
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