The mineralocorticoid receptor (MR) is important for salt homeostasis and reno-cardiovascular pathophysiology. Signaling mechanisms include, besides classical genomic pathways, nongenomic pathways with putative pathophysiological relevance involving the mitogen-activated protein kinases ERK1/2. We determined the MR domains required for nongenomic signaling and their potential to elicit pathophysiological effects in cultured cells under defined conditions. The expression of fulllength human MR or truncated MR consisting of the domains CDEF (MR CDEF ), DEF (MR DEF ), or EF (MR EF ) renders cells responsive for the MR ligand aldosterone with respect to nongenomic ERK1/2 phosphorylation, whereas only full-length MR and MR CDEF conferred genomic responsiveness. ERK1/2 phosphorylation depends on the EGF receptor and cSRC kinase. MR EF expression is sufficient to evoke the aldosterone-induced increase of collagen III levels, similar to full-length MR expression. Our data suggest that nongenomic MR signaling is mediated by the EF domains and present the first proof of principle showing that nongenomic signaling can be sufficient for some pathophysiological effects. The minimum amino acid motif required for nongenomic MR signaling and its importance in various effects have yet to be determined.
The mineralocorticoid receptor (MR)2 is usually described as a ligand-inducible transcription factor that controls expression of target genes involved in the regulation of Na ϩ and K ϩ homeostasis as well as blood pressure regulation (1). MR also promotes cardiovascular and renal fibrosis caused by tissue remodeling as well as endothelial dysfunction, independent of its effects on blood pressure or NaCl homeostasis (2-4). The activation of MR modulates the expression of various proteins like the epithelial sodium channel, Na ϩ -K ϩ -ATPase, the SGK kinase, and the EGF receptor (1, 5-7). There is increasing evidence that not all biological effects of MR are mediated by direct DNA binding and control of target gene expression (8, 9). Some actions of MR appear to be the result of a cross-talk with other signaling cascades, such as nongenomic regulation of intracellular calcium (10, 11), protein kinase C, cSRC kinase, EGF receptor (EGFR) activity, or extracellular-regulated kinase (ERK1/2) (12-15). Furthermore, there seems to exist a functional cross-talk between classical and nongenomic actions (9, 16 -18).The classical receptors for estrogen (ER), progesterone (PR), androgens (AR), and glucocorticoids (GR) also contribute to the nongenomic effects (12, 14, 19 -26) of these hormones, in many cases via ERK1/2 kinases. Some nongenomic effects arise from classical receptors in or at the plasma membrane (e.g. ER, Ref. 13) but specialized membrane receptors, like mPR and GPR30 have also been described (27, 28). However, the results for the specialized membrane receptors are controversial (29, 30). The mechanism(s) of action for ER and PR as well as the receptor domains involved have been explored in more detail. Receptor domains D, E, a...