Register      Login
Reproduction, Fertility and Development Reproduction, Fertility and Development Society
Vertebrate reproductive science and technology
RESEARCH ARTICLE

Effects of postnatal steroids on Na+/K+-ATPase activity and α1- and β1-subunit protein expression in the cerebral cortex and renal cortex of newborn lambs

Chang-Ryul Kim A B , Grazyna B. Sadowska A , Katherine H. Petersson A , Maricruz Merino A , Gregory D. Sysyn A , James F. Padbury A and Barbara S. Stonestreet A C
+ Author Affiliations
- Author Affiliations

A Pediatrics, Women & Infants’ Hospital of Rhode Island and Brown Medical School, Providence, RI 02905-2499, USA.

B Current address: Pediatrics, Hanyang University College of Medicine, Seoul, Korea.

C Corresponding author. Email: bstonestreet@wihri.org

Reproduction, Fertility and Development 18(4) 413-423 https://doi.org/10.1071/RD05114
Submitted: 22 September 2005  Accepted: 2 January 2006   Published: 22 March 2006

Abstract

Na+/K+-ATPase is a membrane-bound enzyme responsible for Na+/K+ translocation across cell membranes. It is essential for the generation of electrochemical gradients, which control the ionic environment necessary for electrical activity and water and electrolyte balance. Newborn infants who are at risk of developing bronchopulmonary dysplasia (BPD) are frequently treated with corticosteroids. Although these infants are at risk for neurological, water and electrolyte abnormalities, there is little information regarding the effects of clinically relevant doses of corticosteroids on Na+/K+-ATPase activity and protein isoform expression in the brain and kidney of newborns. In the present study, we examined the effects of dexamethasone on cerebral cortical and renal cortical Na+/K+-ATPase activity and α1- and β1-protein isoform expression in newborn lambs. Lambs were given four injections of a placebo (n = 11) or one of three different doses of dexamethasone (0.01 mg kg−1, n = 9; 0.25 mg kg−1, n = 11; or 0.50 mg kg−1, n = 9) 12 h apart on Postnatal Days 3 and 4 up to 18 h before harvest of the cerebral cortex and renal cortex. We selected doses in a range to approximate those used to treat infants with BPD. Na+/K+-ATPase activity was measured in membrane preparations as ouabain-sensitive inorganic phosphate liberation from ATP and α1- and β1-subunit abundance by Western immunoblot. Postnatal treatment of lambs with dexamethasone resulted in a 21.4% increase in Na+/K+-ATPase activity and a 30.4% increase in catalytic α1-protein expression in the cerebral cortex at a dose of 0.50 mg kg−1 dexamethasone, but not at the lower doses. Dexamethasone treatment was not associated with changes in β1-isoform expression in the cerebral cortex. In the kidney, dexamethasone treatment was not associated with significant changes in Na+/K+-ATPase activity or α1- or β1-isoform expression for the doses we examined. Therefore, clinically relevant corticosteroid treatment exerts dose-related, differential organ-specific effects on Na+/K+-ATPase activity and protein isoform expression in newborn lambs.

Extra keywords: brain, corticosteroids, kidney, sheep.


Acknowledgments

The authors are grateful to Dr Alicia M. McDonough (Physiology and Biophysics, University of Southern California, Los Angeles, CA, USA) for her assistance and guidance in setting up the Na+/K+-ATPase activity and Western blot subunit assays in their laboratory, as well as for her general expert guidance during the development of this project. This work was supported by the National Institute of Child Health and Human Development Grant R01-HD-34618.


References

Aperia, A. , Larsson, L. , and Zetterstrom, R. (1981). Hormonal induction of Na-K-ATPase in developing proximal tubular cells. Am. J. Physiol. 241, F356–F360.
PubMed |

Apostolakis, E. M. , Longo, L. D. , and Yellon, S. M. (1994). Cortisol feedback regulation of pulsatile ACTH secretion in fetal sheep during late gestation. Am. J. Physiol. 267, E521–E527.
PubMed |

Berry, L. M. , Polk, D. H. , Ikegami, M. , Jobe, A. H. , Padbury, J. F. , and Ervin, M. G. (1997). Preterm newborn lamb renal and cardiovascular responses after fetal or maternal antenatal betamethasone. Am. J. Physiol. 272, R1972–R1979.
PubMed |

Blanco, G. , and Mercer, R. W. (1998). Isozymes of the Na-K-ATPase: heterogeneity in structure, diversity in function. Am. J. Physiol. 275, F633–F650.
PubMed |

Celsi, G. , Nishi, A. , Akusjarvi, G. , and Aperia, A. (1991). Abundance of Na(+)-K(+)-ATPase mRNA is regulated by glucocorticoid hormones in infant rat kidneys. Am. J. Physiol. 260, F192–F197.
PubMed |

Celsi, G. , Wang, Z. M. , Akusjarvi, G. , and Aperia, A. (1993). Sensitive periods for glucocorticoids’ regulation of Na+,K(+)-ATPase mRNA in the developing lung and kidney. Pediatr. Res. 33, 5–9.
PubMed |

Challis, J. R. , Richardson, B. S. , Homan, J. , and Carmichael, L. (1989). Adrenocorticotropic hormone, cortisol, and progesterone changes in the lamb during the perinatal period. Am. J. Obstet. Gynecol. 160, 967–972.
PubMed |

De Souza, S. W. , and Dobbing, J. (1973). Cerebral oedema in developing brain. 3. Brain water and electrolytes in immature asphyxiated rats treated with dexamethasone. Biol. Neonate 22, 388–397.
PubMed |

Devarajan, P. , and Benz, E. J., (2000). Translational regulation of Na-K-ATPase subunit mRNAs by glucocorticoids. Am. J. Physiol. Renal Physiol. 279, F1132–F1138.
PubMed |

Dobrovic-Jenik, D. , and Milkovic, S. (1988). Regulation of fetal Na+/K+-ATPase in rat kidney by corticosteroids. Biochim. Biophys. Acta 942, 227–235.
PubMed |

Gick, G. G. , Ismail-Beigi, F. , and Edelman, I. S. (1988). Thyroidal regulation of rat renal and hepatic Na,K-ATPase gene expression. J. Biol. Chem. 263, 16 610–16 618.
PubMed |

Greger, R. (1994). [The principles of studying ion transport in the kidney tubules]. Fiziol. Zh. Im. I.M. Sechenova 80, 12–21.[In Russian with English abstract]
PubMed |

Grillo, C. , Piroli, G. , Gonzalez, S. L. , Angulo, J. , McEwen, B. S. , and De Nicola, A. F. (1994). Glucocorticoid regulation of mRNA encoding (Na+K) ATPase alpha 3 and beta 1 subunits in rat brain measured by in situ hybridization. Brain Res. 657, 83–91.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Henning, S. J. (1978). Plasma concentrations of total and free corticosterone during development in the rat. Am. J. Physiol. 235, E451–E456.
PubMed |

Herrera, V. L. , Cova, T. , Sassoon, D. , and Ruiz-Opazo, N. (1994). Developmental cell-specific regulation of Na(+)-K(+)-ATPase alpha 1-, alpha 2-, and alpha 3-isoform gene expression. Am. J. Physiol. 266, C1301–C1312.
PubMed |

Hieber, V. , Siegel, G. J. , Fink, D. J. , Beaty, M. W. , and Mata, M. (1991). Differential distribution of (Na,K)-ATPase alpha isoforms in the central nervous system. Cell. Mol. Neurobiol. 11, 253–262.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Horisberger, J. D. , Lemas, V. , Kraehenbuhl, J. P. , and Rossier, B. C. (1991). Structure–function relationship of Na,K-ATPase. Annu. Rev. Physiol. 53, 565–584.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Huttenlocher, P. R. , and Amemiya, I. M. (1978). Effects of adrenocortical steroids and of adrenocorticotrophic hormone on (Na+-K+)-ATPase in immature cerebral cortex. Pediatr. Res. 12, 104–107.
PubMed |

Jahnukainen, T. , Chen, M. , Berg, U. , and Celsi, G. (2001). Antenatal glucocorticoids and renal function after birth. Semin. Neonatol. 6, 351–355.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Jobe, A. H. (2004). Postnatal corticosteroids for preterm infants: do what we say, not what we do. N. Engl. J. Med. 350, 1349–1351.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Jobe, A. H. , Polk, D. H. , Ervin, M. G. , Padbury, J. F. , Rebello, C. M. , and Ikegami, M. (1996). Preterm betamethasone treatment of fetal sheep: outcome after term delivery. J. Soc. Gynecol. Invest. 3, 250–258.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Jorgensen, P. L. (1974). Purification and characterization of (Na+ plus K+)-ATPase. 3. Purification from the outer medulla of mammalian kidney after selective removal of membrane components by sodium dodecylsulphate. Biochim. Biophys. Acta 356, 36–52.
PubMed |

Liggins, G. C. , and Howie, R. N. (1972). A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics 50, 515–525.
PubMed |

Lo, S. C. , August, T. R. , Liberman, U. A. , and Edelman, I. S. (1976). Dependence of renal (Na+ + K+)-adenosine triphosphatase activity on thyroid status. J. Biol. Chem. 251, 7826–7833.
PubMed |

Lopez, L. B. , Quintas, L. E. , and Noel, F. (2002). Influence of development on Na(+)/K(+)-ATPase expression: isoform- and tissue-dependency. Comp. Biochem. Physiol. A Mol. Integr. Physiol. 131, 323–333.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Lu, F. , Yang, K. , and Challis, J. R. (1994). Regulation of ovine fetal pituitary function by corticotrophin-releasing hormone, arginine vasopressin and cortisol in vitro. J. Endocrinol. 143, 199–208.
PubMed |

Lucking, K. , Nielsen, J. M. , Pedersen, P. A. , and Jorgensen, P. L. (1996). Na-K-ATPase isoform (alpha 3, alpha 2, alpha 1) abundance in rat kidney estimated by competitive RT-PCR and ouabain binding. Am. J. Physiol. 271, F253–F260.
PubMed |

Magyar, D. M. , Fridshal, D. , Elsner, C. W. , Glatz, T. , Eliot, J. , Klein, A. H. , Lowe, K. C. , Buster, J. E. , and Nathanielsz, P. W. (1980). Time-trend analysis of plasma cortisol concentrations in the fetal sheep in relation to parturition. Endocrinology 107, 155–159.
PubMed |

Marsigliante, S. , Muscella, A. , Vilella, S. , and Storelli, C. (2000). Dexamethasone modulates the activity of the eel branchial Na+/K+ATPase in both chloride and pavement cells. Life Sci. 66, 1663–1673.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Martin-Vasallo, P. , Wetzel, R. K. , Garcia-Segura, L. M. , Molina-Holgado, E. , Arystarkhova, E. , and Sweadner, K. J. (2000). Oligodendrocytes in brain and optic nerve express the beta3 subunit isoform of Na,K-ATPase. Glia 31, 206–218.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Matthews, S. G. (2000). Antenatal glucocorticoids and programming of the developing CNS. Pediatr. Res. 47, 291–300.
PubMed |

Ment, L. R. , Oh, W. , Ehrenkranz, R. A. , Philip, A. G. , Duncan, C. C. , and Makuch, R. W. (1995). Antenatal steroids, delivery mode, and intraventricular hemorrhage in preterm infants. Am. J. Obstet. Gynecol. 172, 795–800.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Merrill, J. D. , and Ballard, R. A. (1998). Antenatal hormone therapy for fetal lung maturation. Clin. Perinatol. 25, 983–997.
PubMed |

Merz, U. , Peschgens, T. , Kusenbach, G. , and Hornchen, H. (1999). Early versus late dexamethasone treatment in preterm infants at risk for chronic lung disease: a randomized pilot study. Eur. J. Pediatr. 158, 318–322.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Mobasheri, A. , Avila, J. , Cozar-Castellano, I. , Brownleader, M. D. , Trevan, M. , Francis, M. J. , Lamb, J. F. , and Martin-Vasallo, P. (2000). Na+,K+-ATPase isozyme diversity; comparative biochemistry and physiological implications of novel functional interactions. Biosci. Rep. 20, 51–91.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Oh, W. (1988). Renal function and fluid therapy in high risk infants. Biol. Neonate 53, 230–236.
PubMed |

Okah, F. A. , Pickens, W. L. , and Hoath, S. B. (1995). Effect of prenatal steroids on skin surface hydrophobicity in the premature rat. Pediatr. Res. 37, 402–408.
PubMed |

Omar, S. A. , DeCristofaro, J. D. , Agarwal, B. I. , and La Gamma, E. F. (1999). Effects of prenatal steroids on water and sodium homeostasis in extremely low birth weight neonates. Pediatrics 104, 482–488.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Orlowski, J. , and Lingrel, J. B. (1988). Tissue-specific and developmental regulation of rat Na,K-ATPase catalytic alpha isoform and beta subunit mRNAs. J. Biol. Chem. 263, 10 436–10 442.
PubMed |

Orlowski, J. , and Lingrel, J. B. (1990). Thyroid and glucocorticoid hormones regulate the expression of multiple Na,K-ATPase genes in cultured neonatal rat cardiac myocytes. J. Biol. Chem. 265, 3462–3470.
PubMed |

O’Shea, T. M. , and Doyle, L. W. (2001). Perinatal glucocorticoid therapy and neurodevelopmental outcome: an epidemiologic perspective. Semin. Neonatol. 6, 293–307.
Crossref | GoogleScholarGoogle Scholar | PubMed |

O’Shea, T. M. , Kothadia, J. M. , Klinepeter, K. L. , Goldstein, D. J. , Jackson, B. G. , Weaver, R. G. , and Dillard, R. G. (1999). Randomized placebo-controlled trial of a 42-day tapering course of dexamethasone to reduce the duration of ventilator dependency in very low birth weight infants: outcome of study participants at 1-year adjusted age. Pediatrics 104, 15–21.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Padbury, J. F. , Polk, D. H. , Ervin, M. G. , Berry, L. M. , Ikegami, M. , and Jobe, A. H. (1995). Postnatal cardiovascular and metabolic responses to a single intramuscular dose of betamethasone in fetal sheep born prematurely by cesarean section. Pediatr. Res. 38, 709–715.
PubMed |

Petershack, J. A. , Nagaraja, S. C. , and Guillery, E. N. (1999). Role of glucocorticoids in the maturation of renal cortical Na+-K+-ATPase during fetal life in sheep. Am. J. Physiol. 276, R1825–R1832.
PubMed |

Pondugula, S. R. , Sanneman, J. D. , Wangemann, P. , Milhaud, P. G. , and Marcus, D. C. (2004). Glucocorticoids stimulate cation absorption by semicircular canal duct epithelium via epithelial sodium channel. Am. J. Physiol. Renal Physiol. 286, F1127–F1135.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Ron, N. P. , Kazianis, J. A. , Padbury, J. F. , Brown, C. M. , McGonnigal, B. G. , Sysyn, G. D. , Sadowska, G. B. , and Stonestreet, B. S. (2005). Ontogeny and the effects of corticosteroid pretreatment on aquaporin water channels in the ovine cerebral cortex. Reprod. Fertil. Dev. 17, 535–542.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Schmitt, C. A. , and McDonough, A. A. (1986). Developmental and thyroid hormone regulation of two molecular forms of Na+-K+-ATPase in brain. J. Biol. Chem. 261, 10 439–10 444.
PubMed |

Shull, G. E. , Greeb, J. , and Lingrel, J. B. (1986). Molecular cloning of three distinct forms of the Na+,K+-ATPase alpha-subunit from rat brain. Biochemistry 25, 8125–8132.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Shyjan, A. W. , and Levenson, R. (1989). Antisera specific for the alpha 1, alpha 2, alpha 3, and beta subunits of the Na,K-ATPase: differential expression of alpha and beta subunits in rat tissue membranes. Biochemistry 28, 4531–4535.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Sinkin, R. A. , Dweck, H. S. , Horgan, M. J. , Gallaher, K. J. , and Cox, C. , et al. (2000). Early dexamethasone: attempting to prevent chronic lung disease. Pediatrics 105, 542–548.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Skou, J. C. (1988). The Na,K-pump. Methods Enzymol. 156, 1–25.
PubMed |

Stonestreet, B. S. , Hansen, N. B. , Laptook, A. R. , and Oh, W. (1983). Glucocorticoid accelerates renal functional maturation in fetal lambs. Early Hum. Dev. 8, 331–341.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Stonestreet, B. S. , Petersson, K. H. , Sadowska, G. B. , Pettigrew, K. D. , and Patlak, C. S. (1999). Antenatal steroids decrease blood–brain barrier permeability in the ovine fetus. Am. J. Physiol. 276, R283–R289.
PubMed |

Stonestreet, B. S. , Sadowska, G. B. , McKnight, A. J. , Patlak, C. , and Petersson, K. H. (2000). Exogenous and endogenous corticosteroids modulate blood–brain barrier development in the ovine fetus. Am. J. Physiol. Regul. Integr. Comp. Physiol. 279, R468–R477.
PubMed |

Stonestreet, B. S. , Elitt, C. M. , Markowitz, J. , Petersson, K. H. , and Sadowska, G. B. (2003). Effects of antenatal corticosteroids on regional brain and non-neural tissue water content in the ovine fetus. J. Soc. Gynecol. Invest. 10, 59–66.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Stonestreet, B. S. , Watkins, S. , Petersson, K. H. , and Sadowska, G. B. (2004). Effects of multiple courses of antenatal corticosteroids on regional brain and somatic tissue water content in ovine fetuses. J. Soc. Gynecol. Invest. 11, 166–174.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Sysyn, G. D. , Petersson, K. H. , Patlak, C. S. , Sadowska, G. B. , and Stonestreet, B. S. (2001). Effects of postnatal dexamethasone on blood–brain barrier permeability and brain water content in newborn lambs. Am. J. Physiol. Regul. Integr. Comp. Physiol. 280, R547–R553.
PubMed |

Sztriha, L. , Joo, F. , Szerdahelyi, P. , Eck, E. , and Koltai, M. (1986). Effects of dexamethasone on brain edema induced by kainic acid seizures. Neuroscience 17, 107–114.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Tseng, Y. T. , Yano, N. , Rojan, A. , Stabila, J. P. , McGonnigal, B. G. , Ianus, V. , Wadhawan, R. , and Padbury, J. F. (2005). Ontogeny of phosphoinositide 3-kinase (PI3K) signaling in developing heart: effect of acute β-adrenergic stimulation. Am. J. Physiol. Heart Circ. Physiol. 289, H1834–H1842.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Vohr, B. R. , Wright, L. L. , Dusick, A. M. , Mele, L. , and Verter, J. , et al. (2000). Neurodevelopmental and functional outcomes of extremely low birth weight infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993–1994. Pediatrics 105, 1216–1226.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Wald, H. , Scherzer, P. , and Popovtzer, M. M. (1985). Parallel changes in red blood cell and renal Na-K-ATPase activity in adrenal and electrolyte disorders in the rat. Pflügers Arch. 404, 56–60.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Wang, J. , Schwinger, R. H. , Frank, K. , Muller-Ehmsen, J. , Martin-Vasallo, P. , Pressley, T. A. , Xiang, A. , Erdmann, E. , and McDonough, A. A. (1996). Regional expression of sodium pump subunits isoforms and Na+–Ca++ exchanger in the human heart. J. Clin. Invest. 98, 1650–1658.
PubMed |

Wang, J. Y. , Yeh, T. F. , Lin, Y. J. , Chen, W. Y. , and Lin, C. H. (1997). Early postnatal dexamethasone therapy may lessen lung inflammation in premature infants with respiratory distress syndrome on mechanical ventilation. Pediatr. Pulmonol. 23, 193–197.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Wang, Z. M. , and Celsi, G. (1993). Glucocorticoids differentially regulate the mRNA for Na+,K+-ATPase isoforms in infant rat heart. Pediatr. Res. 33, 1–4.
PubMed |

Wang, Z. M. , Yasui, M. , and Celsi, G. (1994). Glucocorticoids regulate the transcription of Na(+)-K(+)-ATPase genes in the infant rat kidney. Am. J. Physiol. 267, C450–C455.
PubMed |

Watts, A. G. , Sanchez-Watts, G. , Emanuel, J. R. , and Levenson, R. (1991). Cell-specific expression of mRNAs encoding Na+,K+-ATPase alpha- and beta-subunit isoforms within the rat central nervous system. Proc. Natl Acad. Sci. USA 88, 7425–7429.
PubMed |

Wendt, C. H. , Towle, H. , Sharma, R. , Duvick, S. , Kawakami, K. , Gick, G. , and Ingbar, D. H. (1998). Regulation of Na-K-ATPase gene expression by hyperoxia in MDCK cells. Am. J. Physiol. 274, C356–C364.
PubMed |

Yamada, K. , Bremer, A. M. , and West, C. R. (1979). Effects of dexamethasone on tumor-induced brain edema and its distribution in the brain of monkeys. J. Neurosurg. 50, 361–367.
PubMed |

Yeh, T. F. , Lin, Y. J. , Hsieh, W. S. , Lin, H. C. , Lin, C. H. , Chen, J. Y. , Kao, H. A. , and Chien, C. H. (1997). Early postnatal dexamethasone therapy for the prevention of chronic lung disease in preterm infants with respiratory distress syndrome: a multicenter clinical trial. Pediatrics 100, E3.
Crossref | GoogleScholarGoogle Scholar | PubMed |

Yeh, T. F. , Lin, Y. J. , Lin, H. C. , Huang, C. C. , Hsieh, W. S. , Lin, C. H. , and Tsai, C. H. (2004). Outcomes at school age after postnatal dexamethasone therapy for lung disease of prematurity. N. Engl. J. Med. 350, 1304–1313.
Crossref | GoogleScholarGoogle Scholar | PubMed |