Key result
Chronic glucocorticoids facilitate cAMP-dependent Na+ absorption via PKA-driven increases in Nedd4-2 phosphorylation and ENaC abundance.
Chronic glucocorticoid stimulation facilitates cAMP-dependent control of Na(+) absorption by enabling PKA effects on Nedd4-2 and ENaC subunits in human airway epithelial cells.
Preclinical data on glucocorticoid-ENaC regulation warrant human validation; leaves open clinical relevance for airway disorders.
Neural precursor cell expressed, developmentally down-regulated protein 4-2 (Nedd4-2) mediates the internalisation / degradation of epithelial Na(+) channel subunits (α-, β- and γ-ENaC). Serum / glucocorticoid inducible kinase 1 (SGK1) and protein kinase A (PKA) both appear to inhibit this process by phosphorylating Nedd4-2-Ser(221), -Ser(327) and -Thr(246). This Nedd4-2 inactivation process is thought to be central to the hormonal control of Na(+) absorption. The present study of H441 human airway epithelial cells therefore explores the effects of SGK1 and / or PKA upon the phosphorylation / abundance of endogenous Nedd4-2; the surface expression of ENaC subunits, and electrogenic Na(+) transport. Effects on Nedd4-2 phosphorylation/abundance and the surface expression of ENaC were monitored by western analysis, whilst Na(+) absorption was quantified electrometrically. Acutely (20min) activating PKA in glucocorticoid-deprived (24h) cells increased the abundance of Ser(221)-phosphorylated, Ser(327)-phosphorylated and total Nedd4-2 without altering the abundance of Thr(246)-phosphorylated Nedd4-2. Activating PKA under these conditions did not cause a co-ordinated increase in the surface abundance of α-, β- and γ-ENaC and had only a very small effect upon electrogenic Na(+) absorption. Activating PKA (20min) in glucocorticoid-treated (0.2µM dexamethasone, 24h) cells, on the other hand, increased the abundance of Ser(221)-, Ser(327)- and Thr(246)-phosphorylated and total Nedd4-2; increased the surface abundance of α-, β- and γ-ENaC and evoked a clear stimulation of Na(+) transport. Chronic glucocorticoid stimulation therefore appears to allow cAMP-dependent control of Na(+) absorption by facilitating the effects of PKA upon the Nedd4-2 and ENaC subunits.
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Ismail et al. (2014) studied In vitro study of human airway epithelial cells. PKA activation and glucocorticoid treatment (dexamethasone) vs. Glucocorticoid-deprived cells was evaluated on Nedd4-2 phosphorylation/abundance, ENaC surface expression, and electrogenic Na+ transport. Chronic glucocorticoid stimulation facilitates cAMP-dependent control of Na+ absorption by enabling PKA to increase Nedd4-2 phosphorylation, ENaC surface abundance, and Na+ transport.
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