Vol.

89,

July

12, 1979

No.

1, 1979

BIOCHEMICAL

AND

BIOPHYSICAL

COMMUNICATIONS

Pages

PARADOXICAL NATURE OF MINERALOCORTICOID +M. K. Agarwal

May 25,

77-84

RECEPTOR ANTAGONISM BY PROGESTINS

and

++

+CNRS and ++ UER Broussais-Hztel Received

RESEARCH

J. Paillard Dieu,

Paris,

France

1979

SUMMARY: Progesterone, but not the synthetic progestagen R-5020, was as good as aldosterone in displacing the mineralocorticoid from its specific receptor in rat kidney both in classical competition studies and in aldosterone binding to MRl and MR2 components of MR during physical separation. Paradoxically, at equimolar (10-S M) concentrations, both gestagens (progesterone = 1, R-5020 = 20) were preferentially bound to the MR4 component which coeluted with serum bound 14C-corticosterone (or 14C-progesterone), which could not be labelled with aldosterone in the kidney, and which could not be detgcted in the liver and the serum under any condition. The MRl entity, at loM, wa:s saturated as: aldosterone = 2, R-5020 = 1 = progesterone. Thus, the agonist and the antagonist function in mineralocorticoid action may be expressed by two or more distinct and different sites. INTRODUCTION: their

target

to nuclear this

specific

bits agoist

only

or via

mediated

binding

in competition

vector,

receptor

we have

corticoids for

an "ideal" recently

Abbreviations glucocorticoid

five

synthetic

of the

either

cellular

vector

(2).

diuresis

(3),

and antagonises

(4).

Contrary

polymorphism separation

of steroid (6),

R-5020

tritiated

form,

by an antihormone that

does not

MR = mineralocorticoid receptor.

disease,

of receptor

for

and this (1).

may proceed bind

of a

mineralo-

seems true

In the

(promegestone was used

inhireceptor-

hypothesis

hormones

complex

Proges-

to the

(5),

to

by reversing

Addison's

progestin in the

may act

to bind

with

physical

in the kidney

used are: specific

translocation

another

studies

classes

appear

in patients

demonstrated

antagonism

subpopulation

with

natriuretic

synthesized

mineralocorticoid that

all

subsequent

effects

during

hormones

'Antihormones'

association

aldosterone

corticosteroid

with

(1).

aldosterone

and gluco-

study,

sites

opposes

unitary

the

step,

receptor

acceptor

sequence

terone

In an initial

present 17-a--methyl),

to demonstrate via

of

that

saturation

of

aldosterone.

specific

receptor;

+Address after 15 July 1979: 15 Rue de 1'Ecole de MGdecine, 75270 Cedex 06, France, to whom all correspondance should be sent.

GR = Paris

0006-291X/79/130077-08$01.00/0

77

Copright All rights

@ 1979 by Academic Prrss. Inc. in unyform resrrved.

of reproduction

Vol.

89,

No.

BIOCHEMICAL

1, 1979

AND

BIOPHYSICAL

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MATERIALS AND METHODS: Male, Wistar rats (150-200 g) were bilaterally adread libitum nalectomised 2-3 days prior to use; food and 1% NaCl were provided after surgery. Animals were sacrificed under ether anaesthesia, the desired organ was perfused with the initial buffer, according to the experimental procedure, and cell sap was finally obtained by centrifugation at 105,000 g (50 min). Blood, obtained by aortic cannulation was allowed to clot at 37°C (30 min), then at 4°C (60-90 min), and finally centrifuged at 3000 g. For competition and association studies, 0.5 ml cytosol (in 0.01 M Tris(60 min 4'C) in presence of a desired HCl, pH 7.4), or serum, was incubated amount of the radioactive steroid alone or in presence of a known excess of the cold homologous or heterologous molecule. Free steroid was removed by the addition of 0.5 ml (50 mg/ml) of activated charcoal (Sigma C-5260), further incubation (10 min 4"C), and centrifugation (15 min, 4000 g). Aliquots of 0.5 ml were mixed with 10 ml Scintix (Isotec, France) and counted in a Packard Tricarb Scintillation Spectrometer (1,2,5). Protein was quantitated by the Biuret method and all optical densities were read manually. organ cytosol, prepared in the initial buffer as per For chromatography, was equilibrated with the steroid and charcoal treated as elution procedure, above,and loaded onto the resin as described previously (1,2,5). Undiluted serum was similarly treated; further details are given in appropriate legends. 1,2,3H-aldosterone (53 Ci/m mol; lot 32), 1,2,6,7,3H-progesterone (95 Ci/ m mol; lot 26), 4- 14C-corticosterone (52 mCi/ m mol; lot 12), and 4-14Cprogesterone (61 mCi/m mol; lot 38) were purchased from Amersham (U.K.). 3HR-5020 (promegestone 17-a-methyl; 87 Ci/m mol; lot 1009-149) was a product of New England Nuclear (USA). Radiochemical purity exceeded 98% in all cases. RESULTS AND DISCUSSION:

Data

aldosterone

in both

targets

was similar of mineralocorticoid . to exhibit

appeared heart the

steroid; Data

and the to vectors

diluted

(l/10) in Fig.lc

displacing effective

establish

In a reciprocal kidney

bound

three

steroids

data

was far no binding

confirm

progesterone

regard, experiment

3H-R-5020. (aldosterone,

that from

its

(not In view

for

shown),

cold

progesterone,

78

(Fig.

whereas other

of receptor

in the

could

be of

R-5020

liver,

whereas

lb).

R-5020

synthetic

aldosterone multiplicity R-5020)

was far gestagens

very

poorly

(1,2,5) bind

of

(3,4).

was as good as aldosterone

receptor,

as reported

to the dose

Furthermore,

than

at all

the

characterstics

la vs lb).

greater

serum exhibited

in

of R-5020

association

(Fig.

binding

literature

quantities

of

two known

proportional

in the

greater

the

characterstics

bound

comparable

in the kidney

3H-aldosterone in this

was

progestin

of binding

progesterone

association

far

despite

"ideal"

However,

earlier

that

the kinetics

and the kidney,

(1).

different

confirm

cytosol,

binding

Data

mostly

in Fig.lb

aldosterone

heart

Serum aldosterone

these

to kidney

the

show that

hormones

somewhat

vs the kidney.

bound

in Fig.la

the

in less (3,4). displaced

, do these

same vector?

Vol. 89, No. 1, 1979

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

t

STEROID

CONCENTRATION

(M)

Fig.

1. ASSOCIATION CHARACTERSTICS OF STEROID BINDING IN SEVERAL RAT TISSUES For Fig.la, renal cytosol was equilibrated with 3H-aldosterone (X) or 3Hprogesterone (A), myocardial with either 3H-aldosterone (0) or 3H-progesterone (a), and serum with 3H-aldosterone (X-----X). For Fig.lb, renal (X) or hepatic (C)) cytosol was incubated with 3H-R-5020. For Fig.lc, renal cytosol in presence of 10-8 M 3H-aldosterone was put in contact with the indicated concentration of non-radioactive aldosterone (O), progesterone (a), or R-5020 (X ). Non-specific binding in all cases was calculated by determination of radioactivity in presence of one thousandfold excess of cold, homologous steroid and was subtracted from the corresponding value obtained with tritiated hormone alone. Each sample (cold + radioactive or radioactive alone) was studied in triplicate at each point shown in the figure. For other details seeMethods and earlier publications (1,2,5).

Results MRl, Even

in Fig.2a

MR2 and GR type 10

-7

establish

of receptors

Pi progesterone

labelling

did

coeluted results

with

serum

transcortin

were

obtained

with

progesterone

in scale).

of

ralocorticoid

from

(3,4);

however,

logical

range,

than

its

action specific

at equimolar aldosterone

progestagen

progesterone

cytosol

to all

unlabelled

(Fig.2c)

progesterone

receptor

saturates

(please

components

can proceed

( 1o-8

M) binding

transcortin

via

in the

elution.

2a vs 2b).

bound

79

More

Similar

where

qunatitatively

note

the difference

in Fig.2a

diminished

(confirming

Fig.lc),

of the mine-

of progestagen

or 10 -7 M) concentrations,in a specific

the

to MR4 which

(Fig.Zb).

displacement region

to

MR2 whereas

(Fig. were

in the kidney

binding

higher

of aldosterone

aldosterone

myocardium

aldosterone 100 fold

with the

of

-8

aldosterone-specific

(T) bound

was bound

Since

in presence antagonism

of

(10

T = position

label

than

huge quantities

aldosterone

(5);

not

of MRl was greater

importantly,

less

further

MR2 and progeserone

the

excess physiothe MR4

Vol.

89,

No.

1, 1979

BIOCHEMICAL

GR

AND

BIOPHYSICAL

RESEARCH

COMMUNICATIONS

T

1

FRACTION

Fig.

FRACTION

NUMBER

NUMBER

FRACTION

NUMBER

2. ION EXCHANGE SEPARATION OF STEROID BINDERS ON DEAE-5'2 COLUMNS

5 ml renal cytosol was incubated with 10e8M 'H-aldosterone (a); 4 ml of either kidney (b) or myocardium (c) cytosol was incubated with 10e7M 3H-proin presence of 0.5 uCi of y;:E;z; ,E;zn;ig. *b 9 2 ml serum was incubated ; all samples were charcoal treated (100 mg/ml mixture), and loaded onto DE-52 columns (1 x 25 cm). separately, mixed for Fig.Zb, After a low ionic prewash (0.001 M phosphate, pH 7.5), elution was begun (at the arrow) with a gradient between 60 ml each of 0.001 M and 0.2 M of this buffer, pH 7.5. 1 ml samples were processed for radioactivity and the absorbance was recorded manually; further details in Methods and (1,2,5).

--------------A

which

is not

(see

below) Five

280;

0-0

transcortin and,

fold

first

second,

greater -7

3W

quantities

(10

reversed

MRl was considered

kidney

if bound

because

because

when R-5020

M) was used

R-5020

of

in place (Fig.

obtained

when undiluted

cytosol

and

was neither

excess

cold

coelutes too,

eluted

nonspecific

with

R-5020)

nor

MR4 (Fig.3a in the (displaced

coincided vs 3b).

same position by excess

14C

does not

competes

label

with

radioactivity

in the MR4 region

this

R-5020

R-5020

of radioactivity (Fig.3b)

0-0

are

Furthermore,

80

the

serum-R-5020 R-5020),

order

of

a small

peak

in place

of renal

in presence

14 C-corticosterone bound

was

quantities

with

(abolished

liver

MR4.

in the MR4 region

The tremendous

serum bound

of cold

for

to be contrasted

specific

as the

progesterone

but

serum was used

with

carrier

eluted

of progesterone, 3a vs 2b).

this

R-5020

of which

(Fig.3c),

complex

(Fig.3b),

was 50 times

less

was than

MR4

Vol.

89,

No.

1, 1979

BIOCHEMICAL

0-3)3Hfkh0-‘)

AND

EIOPHYSICAL

RESEARCH

COMMUNICATIONS

a

b

2

P ‘z -0 FRACTION

Fig.

NUMBER

FRACTION

NUMBER

3. ION EXCHANGE SEPARATION OF R-5020

FRACTION

NUMBER

BINDERS ON DEAE-CELLULOSE-52

4 ml renal cytosol (a), undiluted serum (b), or liver cytosol (c) was incubated with 10e7 M 3H-R-5020; 2 ml fresh serum with 0.5 PCi 14C-corticosterone was used for cochromatography as for Fig. 2 and (1,2,5). --------------A

-

280;

bound

R-5020

in the kidney

transcortin R-5020

was less

terone serum

than

(Fig.3b)

= 20,

and the

via

revealed

not liver

10

-8

and did

coelute

MR4 is eluted.

MR4 (at

and this

(Fig.3c)

which

not

Collectively,

order

= 5 (at

Thus,

whereas

10

from

via

aldosterone

-8

wanting

a target these

of MR4, aldosterone

serum

its

10 -7 M) was saturated

was totally is

with

aldosterone

= 1, R-5020

shown),

M) in the

not

in displacing

(Fig.lc),

of MR (5).

saturation (at

progesterone

= 0, progesterone

and is devoid

action

vs 3c),

14C

(T) where

studies

aldosterone

corticoids

(MR,)

potent

= 1, R-5020

(Fig.3a

O-0

C-corticosterone

in competition

the order:

tagen

14

bound

receptor

3H;

for

data

in

M Progesin

the

mineralo-

suggest

proges-

MR2, and a common locus = 2, progesterone

= 1 =

R-5020). Molecular

filtration

000 and 67,000 (Fig.4a) the

followed

other

hand,

renal

(Fig.4b)

dent

only

of

daltons,

by a broad bound

receptors

respectively) free

progesterone

and myocardial

in the kidney.

(D) was 50 times

steroid

With

more abundant,

revealed

of bound peak

(since

revealed

R-5020

in place

with

A and B in renal

with

an additional

(Fig.4c)

81

aldosterone untreated

cytosols

C was wanting,

peaks

peak

another

(122,

cytosol

charcoal).

On

(C) in both peak

(D) evi-

of progesterone,

this

peak

and A & B were

comparable

Vol.

89,

No.

1, 1979

BIOCHEMICAL

AND

BIOPHYSICAL

RESEARCH

COMMUNICATIONS

b

0 FRACTION FRACTION

NUMBER

NUMBER

d

FRACTION

Fig.

NUMBER

FRACTION

4. MOLECULAR FILTRATION

NUMBER

OF STEROID BINDERS ON ULTROGEL ACA-44

RESIN

2 ml renal cytosol was incubated with 10W7M of either 3H-aldosterone (b), or 3H-R-5020 (d); 2 ml myocardium cytosol with '"27 3H-progesterone 10 ogesterone was used for Fig.4c; for Fig.4b, I ml serum with 0.25 UCi 0': " C-corticosterone was utilised. Except for 4a, charcoal treatment was used in all cases for better resolution of peaks. Equilibration and elutionwere carried out with 0.01 M phosphate + 0.1 M NaCl on columns of 1 x 130 cm,as previously described in detail (1,2,5). --------------A

280;

(Fig.4d).

The last

-

3H;

peak

in Figs.4b

dissociated

during

and B (Fig.

4b) and would

for

the

genesis

of

On Sephadex peak

D (Fig.5b).

only

(Fig.5c); Again,

of the

argue

the steroid

with

(C,D), based

relative

both

(aldosterone

cytosol

complex

of

in both

peaks

A

factor (1).

and charge, (Fig.

kidney

coeluted

the various

that

rechromatography weights

vs progesterone

82

after

upon molecular

14 C-progesterone

abundance

with

as the

as explained

3 H-progesterone

serum bound

coeluted

polymerisation

aldosterone-renal

seen with

to radioactivity

progesterone

against

peaks

14C

and 4c corresponds

Serum bound

columns,

A, C, and D were

and the heart

function

these

A-25

B was evident

peaks

elution.

-

only

components

in the kidney)

5a); (Fig.

5b)

with

peak

was a as well

Vol.

89,

No.

1, 1979

BIOCHEMICAL

FRACTION

AND

BIOPHYSICAL

RESEARCH

NUMBER

FRACTION

FRACTION

COMMUNICATIONS

NUMBER

NUMBER

Fig.

5. SEPARATION OF STEROID BINDERS ON SEPHADEX A-25 COLUMNS 3H-aldosterone 4 ml renal cytosol + 10s7M of either (a) or 3H-progesterone (b), or 4 ml cardiac cytosol + 10s7 M 3H-progesterone (c) were charcoal treated prilsr to chromatography on 1.6 x 90 cm columns equilibrated with 0. 01 M Tris-HCl, pH 7.5 and eluted with a gradient between 0 and 1 M KC1 in this buffer. For Fig. 5b, 2 ml serm + 0.5 nCi 14C-corticosterone was used (1,2,5 ). --------------A

as the

nature

evident

with

but

not

0-0

of the

tissue

(3,4),

receptor R-5020

in renal

Indeed,

MR4 that

was absent

from

distinct

from

MR2 bound

of these

molecules

mineralocorticoid denominated

huge quantities

non targets

agonist,

also

of elution)

progesterone,

has never

been

studied

>>> progesterone serum),

were

and that

deoxycorticosterone, in the

(7),

in this bound

to

was clearly concentrations a natural

same position

in the kidney

83

as also

its

with

when physiological

Since eluted

from

here

(liver,

aldosterone,

employed.

MR3 in order

which

of R-5020

were

of aldosterone

wasconfirmed

gestagen)

vs the heart),

above.

displacement

cytosol

context.

renal

in the kidney

chromatography

competitive

(an "ideal"

H;

(progesterone

Ultrogel-ACA-44

As before specific

3

280;

(previously but

not

the

liver,

Vol.

89,

No.

1, 1979

progestagens tin-like

may possess

separation the

Although

establishes interpretation kidney

the possibility presented

(8).

AND

BIOPHYSICAL

weak mineralocorticoid

MR4 may be the

autoradiography

for

BIOCHEMICAL

equivalent

that

between

mere

Scatchard

of receptor

activity

may be endowed of receptor

in our Multipolar

activity

of the unusual

The discordance

with

high

maturation model

RESEARCH

binder

competition type

of

COMMUNICATIONS

(3);

the

transcor-

observed studies

analyses

in kidney vs physical

are not

adequate

and may even be misleading. specific

from

progesterone

an uncommitted

receptors, protein

has been

(1,2).

ACKNOWLEDGEMENTS: Supported by grants from the INSERM, the DGRST (BFM 76 7 0725) and the CNRS (AI 03 1917). Thanks are due to Ms. M. Philippe for assistance and illustrations. REFERENCES 1. Agarwal, M. K. (1977), Multiple Molecular Forms of Steroid Hormone Receptors, pp 93-112, Elsevier/North Holland, Amsterdam. 2. Agarwal, M. K. (1979), Antihormones, pp 51-110, Elsevier/North Holland. 3. Landau, R. L. (1979) in "Antihormones" (M. K. Agarwal, Ed), pp 153166, Elsevier/North Holland, Amsterdam. 4. Wambach, G. and Higgins J. R. (1979), in "Antihormones" (M. K. Agarwal, Ed), pp 167-180, Elsevier/North Holland, Amsterdam. 5. Agarwal, M. K. (1975), Nature (Land.), 254, 623-625.. 6. Horowitz, K. B. and McGuire, W. L. (1975), Steroids, 26: 785-791. 7. Agarwal, M. K. (1976), FEBS Letters, 67, 260-263. 8. Strum, J. M., Feldman, D. and Edelman, I. S. (1976), Endocrinology, 2, 505-511.

84

Paradoxical nature of mineralocorticoid receptor antagonism by progestins.

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