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Signaling Interactions in the Adrenal Cortex
#MMPMID26973596
Spät A
; Hunyady L
; Szanda G
Front Endocrinol (Lausanne)
2016[]; 7
(?): 17
PMID26973596
show ga
The major physiological stimuli of aldosterone secretion are angiotensin II (AII)
and extracellular K(+), whereas cortisol production is primarily regulated by
corticotropin (ACTH) in fasciculata cells. AII triggers Ca(2+) release from
internal stores that is followed by store-operated and voltage-dependent Ca(2+)
entry, whereas K(+)-evoked depolarization activates voltage-dependent Ca(2+)
channels. ACTH acts primarily through the formation of cAMP and subsequent
protein phosphorylation by protein kinase A. Both Ca(2+) and cAMP facilitate the
transfer of cholesterol to mitochondrial inner membrane. The cytosolic Ca(2+)
signal is transferred into the mitochondrial matrix and enhances pyridine
nucleotide reduction. Increased formation of NADH results in increased ATP
production, whereas that of NADPH supports steroid production. In reality, the
control of adrenocortical function is a lot more sophisticated with second
messengers crosstalking and mutually modifying each other's pathways. Cytosolic
Ca(2+) and cGMP are both capable of modifying cAMP metabolism, while cAMP may
enhance Ca(2+) release and voltage-activated Ca(2+) channel activity. Besides,
mitochondrial Ca(2+) signal brings about cAMP formation within the organelle and
this further enhances aldosterone production. Maintained aldosterone and cortisol
secretion are optimized by the concurrent actions of Ca(2+) and cAMP, as
exemplified by the apparent synergism of Ca(2+) influx (inducing cAMP formation)
and Ca(2+) release during response to AII. Thus, cross-actions of parallel signal
transducing pathways are not mere intracellular curiosities but rather
substantial phenomena, which fine-tune the biological response. Our review
focuses on these functionally relevant interactions between the Ca(2+) and the
cyclic nucleotide signal transducing pathways hitherto described in the adrenal
cortex.