Molecular regulation of urea cycle function by the liver glucocorticoid receptor
Open accessAbstract
OBJECTIVE: One of the major side effects of glucocorticoid (GC) treatment is lean tissue wasting, indicating a prominent role in systemic amino acid metabolism. In order to uncover a novel aspect of GCs and their intracellular-receptor, the glucocorticoid receptor (GR), on metabolic control, we conducted amino acid and acylcarnitine profiling in human and mouse models of GC/GR gain- and loss-of-function. METHODS: Blood serum and tissue metabolite levels were determined in Human Addison's disease (AD) patients as well as in mouse models of systemic and liver-specific GR loss-of-function (AAV-miR-GR) with or without dexamethasone (DEX) treatments. Body composition and neuromuscular and metabolic function tests were conducted in vivo and ex vivo, the latter using precision cut liver slices. RESULTS: A serum metabolite signature of impaired urea cycle function (i.e. higher [ARG]:[ORN + CIT]) was observed in human (CTRL: 0.45 ± 0.03, AD: 1.29 ± 0.04; p < 0.001) and mouse (AAV-miR-NC: 0.97 ± 0.13, AAV-miR-GR: 2.20 ± 0.19; p < 0.001) GC/GR loss-of-function, with similar patterns also observed in liver. Serum urea levels were consistently affected by GC/GR gain- (∼+32%) and loss (∼-30%) -of-function. Combined liver-specific GR loss-of-function with DEX treatment revealed a tissue-autonomous role for the GR to coordinate an upregulation of liver urea production rate in vivo and ex vivo, and prevent hyperammonaemia and associated neuromuscular dysfunction in vivo. Liver mRNA expression profiling and GR-cistrome mining identified Arginase I (ARG1) a urea cycle gene targeted by the liver GR. CONCLUSIONS: The liver GR controls systemic and liver urea cycle function by transcriptional regulation of ARG1 expression.
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Elevated arginase expression is associated with increased inflammatory cytokines and GC activity.
“Furthermore, elevated arginase expression is shown to be associated with increased inflammatory cytokines and GC activity (59), which could further lead to a lower urea cycle flux, reduced arginine levels, and subsequent nitric oxide production (5).”
From Mechanistic inferences on metabolic dysfunction in posttraumatic stress disorder from an integrated model and multiomic analysis: role of glucocorticoid receptor sensitivity (2019) · cites this paper as [59]
The Results (page not provided) report that dexamethasone induced liver Arg1 expression and that this effect was blocked by glucocorticoid-receptor loss of function. The cited paper therefore supports the GC-activity part of the claim, but the passages do not link elevated arginase expression to increased inflammatory cytokines. (LLM, conf=0.88)
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DNA binding of the glucocorticoid receptor is not essential for survival
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Somvanshi, P. R., Mellon, S. H., Flory, J. D., Abu-Amara, D., PTSD Systems Biology Consortium;, Wolkowitz, O. M., Yehuda, R., Jett, M., Hood, L., Marmar, C., et al. (2019) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00065.2019 · Cited by 40 · see citing works
- Authors
- Okun, J. G., Conway, S., Schmidt, K. V., Schumacher, J., Wang, X., de Guia, R., Zota, A., Klement, J., Seibert, O., Peters, A., Maida, A., Herzig, S., & Rose, A. J.
- Affiliations
- Heidelberg University (DE)
- German Cancer Research Center (DE)
- University of Lübeck (DE)
- Corresponding author
- Rose, Adam J.
- ORCID
- Venue
- Molecular Metabolism
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 4
- Issue
- 10
- Pages
- 732-740
- ISSN
- 2212-8778 (ISSN-L)
- PMC
- PMC4588454
- OpenAlex
- W2118035126
- Cited by
- 53
- References
- 3
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 3 · 2016: 3
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Update notices
- erratum (2020-11-01)
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecular Metabolism (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
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- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Keywords
- glucocorticoid receptor, urea cycle, arginase-1, hyperammonemia, glucocorticoid adverse effects, amino acid metabolism, acylcarnitines, Addison's disease, dexamethasone, neuromuscular dysfunction, transcriptional regulation, urea synthesis
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