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The Journal of Clinical Endocrinology & Metabolism Vol. 83, No. 5 1592-1597
Copyright © 1998 by The Endocrine Society


Original Studies

Protein Kinase A, Protein Kinase C, and Ca2+-Regulated Expression of 21-Hydroxylase Cytochrome P450 in H295R Human Adrenocortical Cells1

Ian M. Bird, J. Ian Mason and William E. Rainey

Department of Obstetrics and Gynecology, University of Wisconsin (I.M.B.), Madison, Wisconsin 53715; the Department of Clinical Biochemistry, University of Edinburgh, Royal Infirmary of Edinburgh (J.I.M.), Edinburgh, Scotland EH3 9YW; and the Department of Obstetrics and Gynecology and the Cecil H. and Ida Green Center for Reproductive Biology Sciences, University of Texas Southwestern Medical Center (W.E.R.), Dallas, Texas 75235

Address all correspondence and requests for reprints to: Dr. Ian M. Bird, 7E Meriter Hospital Park, 202 South Park Street, Madison, Wisconsin 53715. E-mail: imbird{at}facstaff.wisc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The physiological importance of adrenal 21-hydroxylase cytochrome P450 (CYP21) expression is clearly demonstrated by 21-hydroxylase deficiency, which results in adrenal hyperplasia and overproduction of C19 steroids, leading to virilization. The mechanisms regulating normal expression of this key enzyme in human adrenocortical cells are ill defined. Herein we examine the role of the calcium, protein kinase C, and protein kinase A signaling pathways in the expression of CYP21 messenger ribonucleic acid (mRNA) using the H295R human adrenocortical cell model. Forskolin (10 µmol/L) treatment caused a progressive increase in CYP21 mRNA levels (maximum, 4-fold; P < 0.05) over 36 h of treatment, whereas angiotensin II (AII; 10 nmol/L) produced a smaller, biphasic rise (maximum, 1.8-fold at 12 h; P < 0.05). K+ (14 mmol/L) also induced a time-dependent (maximal, 1.5-fold at 12 h; P < 0.05) and dose-dependent (P < 0.05 12 mmol/L or above at 20 h) rise in CYP21 mRNA levels. The action of forskolin was reproduced by dibutyryl cAMP, confirming the involvement of cAMP in this response. The action of AII was greater than that of K+ or the calcium channel agonist BAYK8644, suggesting that AII action was not solely through the Ca2+ signaling pathway. The action of AII was reproduced and indeed exceeded by the protein kinase C activator 12-O-tetradecanoylphorbol 13-acetate (TPA; 10 nmol/L; 5.5-fold increase; P < 0.05). The actions of forskolin alone were not significantly increased by combined treatment with AII, suggesting neither synergy nor attenuation of the effects of protein kinase A activation. This was further demonstrated at the level of mRNA and 21-hydroxylase activity by the observation that the effect of forskolin and TPA in combination did not exceed that of TPA alone. Inhibition of protein synthesis with cycloheximide blocked induction of CYP21 as well as type II 3ß-hydroxysteroid dehydrogenase (3ßHSDII) mRNA expression in response to AII, forskolin, and dibutyryl cAMP, but had no effect on 17{alpha}-hydroxylase cytochrome P450 (CYP17) or cholesterol side-chain cleavage cytochrome P450 (CYP11A) mRNA. Together, these findings were remarkably similar to those of our previous studies regarding mechanisms regulating 3ßHSDII expression and underline the existence of a subset of steroidogenic enzymes regulated positively (CYP21 and 3ßHSDII) as opposed to negatively (CYP17 and CYP11A) by the protein kinase C signaling pathway. The additional finding of a small induction of CYP21 expression in response to increased Ca2+, as previously reported for CYP17, but not 3ßHSDII, expression, also demonstrates that the mechanisms of control of CYP21 and 3ßHSDII are not identical. This latter finding may also relate to how CYP21 as well as CYP17 expression continues in the zona reticularis after adrenarche, whereas 3ßHSD expression declines.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE THREE separate adrenocortical zones of the human and higher mammals secrete distinct products, namely mineralocorticoids [zona glomerulosa (zg)], glucocorticoids [zona fasciculata (zf)], and C19 steroids [zona reticularis (zr)]. Although all three zones must express cholesterol side-chain cleavage cytochrome P450 (CYP11A), the subsequent steroid-metabolizing pathways in the three zones show distinct differences. Although this includes expression of unique enzymes such as aldosterone synthase cytochrome P450 (CYP11B2) in the zg (1), multiple zones may also express the same enzymes, including 17{alpha}-hydroxylase (CYP17) in the zf and zr (2, 3), 3ß-hydroxysteroid dehydrogenase/isomerase (3ßHSD) in the zg and zf (3, 4, 5), and 21-hydroxylase (CYP21) in the zg, zf, and zr (6, 7). It is the different ratios of CYP17 vs. 3ßHSD expression in the three zones that appear to determine the control of glucocorticoid vs. C19 steroid secretion, primarily due to the pivotal position of these enzymes in controlling the flux of pregnenolone into the {Delta}5- or {Delta}4-steroid metabolic pathways (reviewed in Ref.8). Thus, although the expression of CYP17 is high in both the zf and zr, the poor 3ßHSD expression after adrenarche in the zr (5) ensures efficient conversion of pregnenolone to 17-hydroxypregnenolone and subsequent conversion to dehydroepiandrosterone by 17,20-lyase action. Conversely, the high level of 3ßHSD expression with CYP17 in the zf ensures the metabolism of pregnenolone to the {Delta}4-steroid 17-hydroxyprogesterone, which is a commitment to cortisol biosynthesis in the face of poor 17,20-lyase activity for {Delta}4-steroids. For this pathway to be maximally active, however, once {Delta}5-pathway steroid precursors have been successfully converted to {Delta}4-pathway products (progesterone and 17-hydroxyprogesterone), it is important to rapidly remove them because 3ßHSD will otherwise suffer product inhibition (9). This is achieved by expression of 21-hydroxylase, which has a low Km for its substrates, is normally expressed at high levels in the human adrenal cortex, and so is not normally rate limiting to glucocorticoid or mineralocorticoid production (8). Partial or total deficiency of CYP21 expression, however, results in increasing degrees of {Delta}5-pathway activity in the zf with corresponding C19 steroid production excess, cortisol deficiency, and adrenal hyperplasia from elevated circulating ACTH. Near-complete deficiency can also result in inadequate mineralocorticoid synthesis and associated salt-wasting disorders (10).

Little is known of the mechanisms controlling zonal CYP21 expression in the human. In this study we have focused on the roles for protein kinase A and C, both alone and in combination, as well as the role of Ca2+ in the control of CYP21 expression in the human adrenocortical cell model H295R. Functionally, CYP21 expression would be expected to follow that of 3ßHSD, yet zonal expression in the human shows clear differences in the zr after adrenarche (5, 11). Our findings show that, consistent with its physiological role of withdrawing {Delta}4 products and so supporting efficient 3ßHSD type II (3ßHSDII) activity, CYP21 expression is largely similar to that previously seen for 3ßHSDII expression in the human, with both enzymes being strongly induced by protein kinase A and C, alone or in combination. Furthermore, the induction of CYP21 and 3ßHSDII messenger ribonucleic acid (mRNA) required rapid protein synthesis, but that of CYP17 and, indeed, CYP11A mRNA did not. An increased expression of CYP21 was also seen, however, in response to elevation of cellular Ca2+, a response not previously observed for 3ßHSD in these cells (12). Thus, important additional differences in the mechanism for control of CYP21 and 3ßHSD have been newly identified that may relate to the differential expression of these enzymes in the zr after adrenarche.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture

H295R cells were initially obtained as NCI-H295 cells from the American Type Culture Collection (Rockville, MD) and then selected as described previously (13). Because of growth and culture differences between the original American Type Culture Collection cells and the selected subpopulation used for this study, these cells are designated H295R cells. Cells were maintained in a 1:1 mixture of DMEM and Ham’s F-12 medium (DMEM/F12 containing pyridoxine HCl, L-glutamine, and 15 mmol/L HEPES; Life Technologies, Gaithersburg, MD; catalogue no. 11331-014) supplemented with insulin (6.25 µg/mL), transferrin (6.25 µg/mL), selenium (6.25 ng/mL), and linoleic acid (5.35 µg/mL) added as 1% ITS Plus (Collaborative Research, Bedford, MA), 2% Ultroser G (Sepracore, France), and antibiotics. Cells were maintained and grown on 75-cm2 flasks at 37 C under an atmosphere of 5% CO2-95% air. Cells were subcultured; after 48 h, medium was removed, and cells were treated as indicated.

Northern analysis

To assess the effects of treatments on CYP21 mRNA, experiments were performed in medium containing 0.5% Ultroser G and antibiotics. Cells subcultured onto 100-mm dishes were maintained for 24 h in DMEM/F12 medium containing 0.5% Ultroser G and antibiotics. Medium was then renewed (10 mL/dish), and treatment was begun with the agents shown for a 20-h period unless otherwise indicated. Media were removed, and cells were lysed at 4 C into 1 mL RNAzol B solution (Cinna Biotecx, Houston, TX) before transfer to a microfuge tube. Phase separation was achieved by mixing with 0.15 mL CHCl3, incubation at 4 C for 5 min, and centrifugation (12,000 x g; 20 min; 4 C). The upper phase (0.7 mL) was transferred to a second microfuge tube, and RNA was then precipitated by the addition of 0.8 mL isopropanol and standing for 1 h at -20 C. RNA was recovered by centrifugation (30 min; 12,000 x g; 4 C), and the recovered pellet was washed once in 75% ethanol (1.0 mL) before drying under air and dissolving in 1 mm ethylenediamine tetraacetate, pH 7.0 (0.1 mL). After determination of recovery and purity by measuring absorbance at 260 and 280 nm, samples were precipitated by the addition of 1 mL absolute ethanol and 0.01 mL sodium acetate (3 m; pH 5.2) and were stored at -70 C before analysis.

Samples of RNA (20 µg) were separated by electrophoresis on gels containing 1.1% agarose in the presence of formaldehyde. The presence and integrity of the major RNA species were examined under UV light to ensure consistency between lanes. RNA was transferred to a Magna NT membrane (MSI, Westborough, MA) by pressure blotting (75 psi, 1 h; PossiBlot Pressure Blotter, Stratagene, La Jolla, CA) and was cross-linked under UV light. Prehybridization was carried out at 42 C overnight in a final buffer composition of 50% formamide, 5 x SSC, 1 x PE, and 50 µg/mL transfer RNA [20 x SSC contains 3.0 mol/L NaCl and 0.3 mol/L trisodium citrate, pH 7.0; 5 x PE contains 250 mm Tris-HCl (pH 7.5), 0.5% sodium pyrophosphate, 5% SDS, 1% polyvinylpyrrolidone, 1% Ficoll, 25 mm ethylenediamine tetraacetate, and 1% BSA]. Hybridizations were performed in the same buffer at 42 C for 16–24 h using antisense probes to CYP21 mRNA. The antisense probe was labeled with 32P by asymmetric PCR in the presence of [32P]deoxy (d)-CTP; (Amersham, Arlington Heights, IL) (14). The blots were then washed in 2 x SSC containing 0.1% SDS at room temperature for 15 min, and in 0.1 x SSC containing 0.1% SDS at room temperature twice for 30 min each time before direct radioimaging quantification of bound probe using a PhosphorImager (4-h exposure, GS250 PhosphorImager and Molecular Analyst V1.4 Software, Bio-Rad, Hercules, CA) and subsequent exposure to film (Hyperfilm, Amersham). Blots were then stripped by repeated washing in 0.1 x SSC-0.5% SDS at 65 C and checked for lack of radioactivity before reprobing. Finally, all blots were probed for glyceraldehyde 3-phosphate dehydrogenase (GAPDH) mRNA using an antisense probe generated by asymmetric PCR (14) against bases 39–900 of the human complementary DNA (cDNA), and bound probe was quantified as described above. Binding of GAPDH probe per lane was then used to normalize data for CYP21 mRNA against minor variations in lane loading.

Northern analysis of the effects of cycloheximide on expression of steroid-metabolizing enzymes was performed exactly as described above, with cycloheximide (35 µmol/L) added 10 min before the addition of other agents. Northern analysis was performed using 25 µg RNA/lane as described, except the membranes were probed first for 3ßHSDII, CYP17, and then CYP11A mRNA using human cDNA antisense probes, exactly as previously described (14), and then stripped and reprobed for CYP21 mRNA, as described above. Because of the inhibitory action of cycloheximide on GAPDH expression, loading was normalized by probing for 28S subunit (below).

Probe preparation

Antisense probes were prepared by PCR in a 50-µL volume under standard conditions, but with the following modifications; forward to reverse primers were added at a 1:100 ratio (0.3 and 30 pmol), the free dCTP concentration was reduced to 5 µmol/L, and 50 µCi [32P]dCTP (3000 Ci/mmol; Amersham) were added. Template was added at 10 ng/kilobase, and labeling was performed through 40 cycles. Incorporation of label was routinely 60–75% by this procedure (14). Human CYP21 probe template was pc21/3c encoding a near-complete human cDNA (15), and the forward and reverse oligonucleotides were 5'-CTG CTG TGG AAC TGG TG-3' and 5'-TCG TGG TCT AGC TCC TC-3', respectively, encoding a probe of 861 bases. All antisense probes generated by asymmetric PCR were of similar specific activity (14).

28S ribosomal subunit probe was prepared by incubation of the ligonucleotide 5'-AAACGATCAGAGTAGTGGTATTTCACCG-3' with T4 polynucleotide kinase (Life Technologies) in the presence of [{gamma}-32P]dATP (6000 Ci/mmol; Amersham). Prehybridization and hybridization steps were performed exactly as described above.

Analysis of 21-hydroxylase activity

To assess the effects of treatments on 21-hydroxylase activity, cells were subcultured onto 12-well plates and maintained for 24 h in DMEM/F12 medium containing 0.5% Ultroser G and antibiotics. Medium was then renewed (1 mL/well), and treatment was begun with the agents shown for a 48-h period. After treatment, cells were rinsed in DMEM/F12 medium and incubated for 2 h at 37 C with medium (1 mL) consisting of DMEM/F12/0.01% BSA supplemented with 100,000 dpm/mL [14C]17-hydroxyprogesterone (New England Nuclear-DuPont, Boston, MA) and 20 µmol/L 17-hydroxyprogesterone. At the end of the incubation, the medium was recovered and extracted into dichloromethane (twice, 4 mL each time). Samples were then concentrated, applied to thin layer chromatography plates (Keiselgel 60 F254, Merck/EM Science, Gibbstown, NJ), and developed twice in chloroform-ethyl acetate (90:10). 21-Hydroxylase activity was computed from the fractional conversion of [14C]17{alpha}-hydroxyprogesterone to deoxycortisol plus cortisol, as identified against authentic standards. Results were expressed as nanomoles per h/mg protein.

Protein determination

Cells were solubilized in Tris-HCl (50 mmol/L; pH 7.4), containing NaCl (150 mmol/L), SDS (1%), ethyleneglycol-bis-(ß-aminoethyl ether)-N,N,N',N'-tetraacetic acid (5 mmol/L), MgCl2 (0.5 mmol/L), MnCl2 (0.5 mmol/L), and phenylmethylsulfonylfluoride (0.2 mmol/L), and stored frozen at -20 C. The protein content of samples was then determined by bicinchoninic acid protein assay, using the BCA assay kit (Pierce, Rockford, IL).

Statistical analysis

Statistical analysis of the data was accomplished using ANOVA, followed by Student-Newman-Keuls multiple comparison analysis.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To define the signaling pathways involved in CYP21 expression, H295R cells were treated with forskolin, angiotensin II (AII), and K+. Time dependency studies (Fig. 1Go) revealed that forskolin induced a progressive increase in CYP21 mRNA levels in H295R cells over a 36-h period, whereas AII induced a smaller, biphasic rise to maximal levels by 12 h and submaximal, but still elevated, levels by 24 h. Treatment with K+ (14 mmol/L) also induced a time-dependent rise in CYP21 mRNA levels, which was maximal at 1.5-fold by 12 h of treatment (P < 0.05). Because of the small magnitude of this response, we confirmed this increase by performing further studies of dose dependency at 20 h of stimulation (Fig. 2Go). We found that K+ induced a dose-dependent increase in CYP21 mRNA, achieving significance at doses of 12 mmol/L or above.



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Figure 1. Time-dependent changes in level of mRNA coding CYP21 in response to forskolin, AII, and K+. Cells were maintained as described for the times shown in the presence of forskolin (10 µmol/L), AII (10 nmol/L), or K+ (14 mmol/L). Medium was then removed, and cellular RNA was recovered and subjected to Northern analysis for CYP21 mRNA. Results were quantified directly by PhosphorImager analysis and normalized to levels of GAPDH mRNA determined in the same lane. Results shown are the combined data (mean ± SE) from at least three independent experiments in each case. Data are expressed as levels relative to the control value at time zero, and significant differences from control are indicated (*, P < 0.05).

 


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Figure 2. Concentration-dependent changes in the level of mRNA coding CYP21 in response to K+. Cells were maintained for 20 h in the presence of K+ at the doses shown. Medium was then removed, and cellular RNA was recovered and subjected to Northern analysis as described. Results were quantified directly by PhosphorImager and normalized to levels of GAPDH mRNA in the same lane. Results shown are the combined data (mean ± SE) from three independent experiments in each case. Data are expressed as levels relative to the control value (4 mmol/L K+), and significant differences from the control are indicated (*, P < 0.05).

 
To clarify further the mechanisms behind the induction of CYP21 mRNA by forskolin, AII, and K+, we compared their effects after 20-h stimulation with other agents known to mimic an increase in cAMP or diacylglycerol or, alternatively, increase intracellular Ca2+ (Fig. 3Go). The action of forskolin alone on CYP21 expression was reproduced by treatment with dibutyryl cAMP (dbcAMP), confirming the involvement of cAMP in this response. The action of AII was greater than that of K+ or the calcium channel agonist BAYK8644, suggesting that AII action was not solely through the Ca2+ signaling pathway. The action of AII was reproduced and indeed exceeded by the protein kinase C activator, TPA, as has been previously shown for induction of 3ßHSDII (12, 13, 16). The actions of forskolin alone were not significantly different from those of TPA or AII alone, nor were they increased by combined treatment with AII, suggesting no synergy of the effects of protein kinase A and protein kinase C. This was confirmed by the finding that the actions of forskolin and TPA in combination did not exceed that of TPA alone.



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Figure 3. Changes in the level of mRNA coding CYP21 in response to agonists alone or in combination. Cells were maintained as described for 20 h in the presence of AII (10 nmol/L), K+ (14 mmol/L), BAY K8644 (1 µmol/L), TPA (10 nmol/L), dbcAMP (1 mmol/L), and forskolin (10 µmol/L) alone or in the combinations shown. Medium was then removed, and cellular RNA was recovered and subjected to Northern analysis for CYP21 mRNA. Results were quantified directly by PhosphorImager analysis and normalized to levels of GAPDH mRNA determined in the same lane. Results shown are the combined data (mean ± SE) from at least three independent experiments in each case. Data are expressed as levels relative to the control value at time zero, and significant differences from control are indicated (*, P < 0.05).

 
To establish that the changes in CYP21 mRNA resulted in changes at the level of enzyme activity, we examined the effects of forskolin and TPA treatment (48 h) on 21-hydroxylase activity. Our findings (Fig. 4Go) agreed with those at the level of CYP21 mRNA, with TPA inducing a significantly greater increase in activity than forskolin, and the combined action of forskolin plus TPA being significantly higher than that of forskolin, but similar to that of TPA alone.



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Figure 4. Effects of agonists on 21-hydroxylase activity. Cells were treated for 48 h in fresh medium alone (control) or containing forskolin (25 µmol/L) or TPA (10 nmol/L) alone or in combination. At the end of this time, media were removed, and cells were assayed for 21-hydroxylase activity by the metabolism of exogenous 17-hydroxyprogesterone (20 µmol/L, 2 h) as described. After recovery of medium for thin layer chromatographic analysis, cells were solubilized in protein lysis buffer and assayed for protein as described. Results are the mean ± SE of data from three separate experiments, each performed with triplicate incubations, and activity is expressed as nanomoles per mg cellular protein/h. Significant differences from control are indicated (*, P < 0.05).

 
The expression of some steroid-metabolizing enzymes involves newly synthesized trans-acting factors, and as such, their induction can be blocked by treatment with the protein synthesis inhibitor, cycloheximide. Although detailed examination of the genomic mechanisms controlling CYP21 gene transcription are beyond the scope of this study, we examined the actions of cycloheximide on agonist-induced expression of CYP21 as well as CYP11A, CYP17, and 3ßHSDII. [Although our probe is not specific to type II mRNA, we have previously confirmed by Western analysis that this is the only form expressed in these cells on treatment with forskolin or TPA (17).] Cycloheximide successfully blocked induction of CYP21 mRNA in response to AII, forskolin, and dbcAMP, suggesting that such short half-life trans-acting factors are involved in both the kinase A- and kinase C-mediated responses (Fig. 5Go). These findings were also remarkably similar to the action of cycloheximide on induction of 3ßHSDII mRNA, but contrasted with the effects of these agonists on CYP17 or CYP11A mRNA. Cycloheximide had no effect on the expression of CYP17 or CYP11A mRNA in response to AII, forskolin, or dbcAMP.



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Figure 5. Effects of cycloheximide on agonist-induced increases in CYP11A, CYP17, 3ßHSDII, and CYP21 mRNA. Cells were maintained as described for 20 h in the presence of AII (10 nmol/L), forskolin (10 µmol/L), or dbcAMP (1 mmol/L), in the presence or absence of cycloheximide (CX; 35 µmol/L). Medium was then removed, and cellular RNA was recovered and subjected to Northern analysis, probing sequentially for 3ßHSDII, CYP17, CYP11A, and CYP21 mRNA. Results were quantified directly by PhosphorImager analysis and compared to levels of 28S RNA in the same lane. Results shown are from one of three similar experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Many studies in bovine and ovine adrenocortical cells (18, 19, 20, 21) and more recently in human adrenocortical cells (22, 23, 24), including the H295R cell (12, 13, 16), have indicated that the integration of the effects of the kinase A pathway in conjunction with the kinase C pathway is a key determinant for differential expression of several steroid-metabolizing enzymes. Thus, although CYP11A, CYP17, and 3ßHSDII are all expressed in response to agonists of the kinase A pathway, only 3ßHSDII is expressed to a higher level by activation of protein kinase C alone or in conjunction with protein kinase A in the human (12, 16, 24, 25). Conversely, CYP17 and CYP11A expression in response to kinase A are attenuated by activation of the protein kinase C pathway (16, 24, 25). Despite the many studies concerning the control of expression of these three key enzymes, little is known about the control of CYP21 expression in the human adrenal. One study examined the effects of ACTH and TPA on expression in primary cultures of adult and fetal human adrenocortical cells (25), but did not compare the effects of TPA to those of the physiological agonist AII, which is known to signal through the Ca2+ pathway as well as protein kinase C. This comparison is all the more important because we recently showed that the Ca2+ signaling pathway can also act independently of protein kinase C to selectively increase the expression of CYP17 and, to a lesser extent, CYP11A, but without any effect on 3ßHSDII (12). The differential control of steroidogenic enzyme expression through alternate signaling pathways is not confined only to CYP11A, CYP17, and 3ßHSDII expression, as further studies have shown that aldosterone synthase (CYP11B2) and 11ß-hydroxylase (CYP11B1) expression are also differentially regulated in these cells. Thus, both CYP11B1 and CYP11B2 mRNA are induced by protein kinase A activation, but only CYP11B2 mRNA is selectively and strongly induced by Ca2+. Unlike the control of CYP11A, CYP17, and 3ßHSDII expression, activation of protein kinase C has no effect on either CYP11B2 or CYP11B1 expression (26). For these reasons in this study we not only examined the actions of forskolin (activator of protein kinase A pathway) and AII (activator of protein kinase C and Ca2+) on CYP21 expression, but also compared these findings with the effects of TPA (protein kinase C agonist) and K+ (Ca2+ channel agonist).

The finding that forskolin treatment induced a progressive increase in CYP21 mRNA levels over 36 h is consistent with the general stimulatory effect of the kinase A pathway on all steroid-metabolizing enzymes in H295R cells studied to date (12, 13, 16, 26, 27, 28). The finding that AII induced a smaller rise in CYP21 expression and that this was exceeded by treatment with TPA alone distinguishes the control of CYP21 expression from that of CYP17 or CYP11A expression and shows that CYP21 expression is more similar to that reported for 3ßHSDII in these cells (12, 13, 16). This is confirmed by the finding that TPA did not attenuate the effect of forskolin alone on CYP21 expression at the level of both mRNA and activity, as also previously reported for 3ßHSDII (12, 13, 16). Thus, the protein kinase C and A pathways did not act in opposition at the level of CYP21 expression, as has previously been shown for CYP17 and CYP11A expression in H295R cells (16).

The finding that treatment of H295R cells with K+ to stimulate the Ca2+ signaling pathways independently of protein kinase C activation induced a small time- and dose-dependent rise in CYP21 mRNA clearly indicates mechanistic differences in the control of expression of CYP21 and 3ßHSDII. In addition, as the magnitude of the response was smaller than that to AII, this suggests that AII could not be acting solely through Ca2+, consistent with the proposed additional involvement of protein kinase C in the AII response. The small magnitude of this CYP21 response, however, makes the physiological significance of K+-regulated CYP21 expression questionable compared to the previously described dramatic effect of K+ on CYP11B2 expression (26) or, to a lesser extent, on CYP17 expression (12).

The expression of some steroidogenic enzymes is dependent on the synthesis of short half-life trans-acting factors, and Staels et al. (27) previously showed CYP21 expression in response to protein kinase A activation to be cycloheximide sensitive in H295 cells. In view of the differential effects of K+ on CYP21 and 3ßHSDII expression, we also tested the effects of cycloheximide on the expression of CYP11A, CYP17, 3ßHSDII, and CYP21 in H295R cells. Our finding that cycloheximide selectively blocked the induction of both CYP21 and 3ßHSDII mRNA in response to AII, forskolin, and dbcAMP, but had no effect on CYP17 or CYP11A mRNA, is again consistent with the idea that expression of CYP21 largely follows that of 3ßHSDII in the human adrenal cortex. The small positive effect of K+ on CYP21 expression, but not on 3ßHSDII expression, however, indicates that the regulatory elements controlling CYP21 expression still differ from those controlling 3ßHSDII expression in H295R cells, even though both may involve common cycloheximide-sensitive factors. This finding may provide a clue as to why the expression of CYP21 as well as that of CYP17 can be maintained in the human zr after adrenarche (11), whereas expression of 3ßHSD declines (5).

In conclusion, we demonstrate that regulation of CYP21 expression in H295R cells was remarkably similar to that previously reported for 3ßHSDII expression and underline the existence of a subset of steroidogenic enzymes regulated positively (CYP21 and 3ßHSDII), as opposed to negatively (CYP17 and CYP11A), by the protein kinase C signaling pathway. The induction of CYP21 in response to both protein kinase A and protein kinase C signaling pathways explains how adrenal CYP21 expression is normally maintained at high levels in the zg and zf in response to circulating ACTH and AII. The hormonal induction of CYP21 and 3ßHSDII then effectively supports rapid and efficient withdrawal of steroid substrate from the {Delta}5-pathway toward aldosterone in the glomerulosa and cortisol in the fasciculata. However, the finding that CYP21 expression, but not 3ßHSDII expression, is increased in response to Ca2+ also demonstrates that mechanistic differences still exist in control of the expression of these two enzymes. Additional studies will be necessary to determine exactly how these mechanistic differences may relate to the differential expression of CYP21 and 3ßHSDII that occurs in the zr after adrenarche.


    Footnotes
 
1 This work was supported in part by NIH awards (to W.E.R.), NIH Grant AG-08175 (to J.I.M.), and USDA Grant 9601773 and NIH Grant HL-56702 (to I.M.B.). Back

Received August 5, 1997.

Revised January 29, 1998.

Accepted February 5, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Ogishima T, Suzuki H, Hata J, Mitani F, Ishimura Y. 1992 Zone-specific expression of aldosterone synthase cytochrome P-450 and cytochrome P-45011ß in rat adrenal cortex: histochemical basis for the functional zonation. Endocrinology130 :2971–2977.
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