Potentiation by aldosterone of vasopressin-induced calcium kinetics in vascular smooth muscle cells

Cell membrane cation transport systems during aldosterone antagonism

We conducted a double-blind, placebo-controlled parallel study of the effect of the aldosterone antagonist spironolactone, administered once daily for 1 week to normal male subjects, on blood pressure, intracellular cationic concentrations, and transmembrane cation transport systems and plasma or urinary variables. After a 1-week run-in period on placebo, the subjects (n = 40) were allocated to a placebo or a spironolactone group. Placebo or 100 mg spironolactone was administered once daily in the morning for 1 week. All subjects were investigated at baseline and after 1 week of placebo or spironolactone administration. Standing systolic blood pressure of subjects in the spironolactone group was decreased (p < 0.001) as compared with that of subjects in the placebo group, but standing diastolic blood pressure did not change. Decreased intraerythrocyte and intraplatelet Na+ and free Ca2+ concentration and decreased activity of the platelet Na(+)-pump activity were observed in the spironolactone-treated subjects. The intraerythrocyte and intraplatelet K+ and Mg2+ concentrations, as well as the activities of the erythrocyte Na+, Li(+)-countertransporter and Na+, K(+)-cotransporter, and Na+ and K+ leakage, were not changed during spironolactone administration. The blood pressure-lowering action of spironolactone in men in the standing position is accompanied by a decrease in cytosolic free platelet Ca2+ concentration, by a reduction in intraplatelet and intraerythrocyte Na+ concentration, and in the platelet Na+ pump activity.

Mechanisms of enhanced angiotensin II-stimulated signal transduction in vascular smooth muscle by aldosterone

We tested the hypothesis that mineralocorticoids potentiate angiotensin II-stimulated phospholipase C activation through an increased number of angiotensin II receptors in cultured rat aortic vascular smooth muscle cells. Exposure of cells to aldosterone for 24 h resulted in concentration-dependent increases in angiotensin II receptor binding. Via studies of angiotensin II displacement by non-peptide receptor antagonists, both basal and upregulated angiotensin II receptors were found to be of the AT1 subtype. Incubation with 1 microM aldosterone resulted in 50-100% enhancement of angiotensin II (100 nM)-stimulated diacylglycerol formation and intracellular calcium mobilization. Exposure to 100 nM 1,25-(OH)2VitD3, which did not upregulate angiotensin II receptors, did not potentiate stimulated inositol phosphate formation. Incubation with aldosterone resulted in potentiation of inositol phosphate formation upon receptor occupation (100 nM angiotensin II) but not upon post-receptor stimulation (25 mM NaF/10 microM AlCl3). Aldosterone did not increase basal phospholipase C activity or content of the inositol trisphosphate precursor phosphatidylinositol-4,5-bisphosphate. These data are consistent with the hypothesis that aldosterone potentiates angiotensin II-stimulated, phospholipase C-dependent intracellular signals solely by coupling to an increased number of angiotensin II receptors. This mechanism may contribute to the sensitized vascular responses to angiotensin II observed in states of mineralocorticoid excess.