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GLUCOCORTICOID AND MINERALOCORTICOID RECEPTORS: Biology and Clinical Relevance
Abstract
Mineralocorticoid and glucocorticoid receptors act as homodimers via canonical pentadecamer hormone response elements to regulate transcription. Glucocorticoid, but as yet not mineralocorticoid, receptors have been shown also to modulate AP-1- and NF kappa B-induced transcription by direct protein-protein interactions. The role of 11 beta-hydroxysteroid dehydrogenase in conferring aldosterone specificity on epithelial mineralocorticoid receptors has been proven by the demonstration of sequence mutations in all cases of apparent mineralocorticoid excess examined to date. The autosomal form of aldosterone resistance (pseudohypoaldosteronism) has been shown to reflect loss-of-function mutations in epithelial sodium channel subunit sequence. (Patho)physiological roles for aldosterone and glucocorticoid membrane receptors, and for the recently described nuclear receptors for 11-ketosteroids in 11 beta-hydroxysteroid dehydro-genase-protected epithelia, remain to be established.
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“Once bound to their hormone ligand, MRs and GRs act as transcription factors by migrating to the nucleus and binding to hormone response elements often found in gene promoters (Funder, 1997).”
From The Epigenetics of Anxiety Pathophysiology: A DNA Methylation and Histone Modification Focused Review (2023) · cites this paper as Funder, 1997
In the citing paper
“These corticosteroids are commonly known as “stress hormones,” and are capable of binding to two intracellular receptors: mineralocorticoid receptors (MRs) and glucocorticoid receptors (GRs).”
From The Epigenetics of Anxiety Pathophysiology: A DNA Methylation and Histone Modification Focused Review (2023) · cites this paper as Funder, 1997
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“The GR is a ligand-dependent transcription factor that is activated by binding glucocorticoid or derivatives such as dexamethasone or hydrocortisone (Funder, 1997; Kumar and Thompson, 1999).”
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“Corticosteroids exert most of their actions through two closely related members of the nuclear receptor family: [2_TD$DIFF] GR and[2_TD$DIFF] MR [3,4].”
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“When 11 HSD2 is inactivated, as in the syndrome of apparent mineralocorticoid excess, or is overwhelmed by an excess of circulating glucocorticoids, as in Cushing’s syndrome, cortisol binds to MR to activate a gene profile that results in the stimulation of benzamil-sensitive Na transport in the CNT and throughout the…”
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Aldosterone from endometrial glands is benefit for human decidualization
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“On the other hand, human MR has high and equivalent affinity for corticosterone, aldosterone, and cortisol (18).”
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The Effects of Glucocorticoids on Fetal and Placental Development
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“Glucocorticoid actions within the cell are regulated by Glucocorticoid Receptor (GR) [27].”
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“This relatively long duration of increased ACE expression is consistent with the general mode of action of steroid hormones (12).”
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Infarct-Induced Steroidogenic Acute Regulatory Protein: A Survival Role in Cardiac Fibroblasts
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“It is the major stress hormone with a relevant impact on the function of several key limbic regions, like hippocampus, prefrontal cortex (PFC) and amygdala and operates through mineralocorticoid and glucocorticoid receptors (nuclear receptors) (McEwen 1999; Funder 1997).”
Itani, O. A., Cornish, K. L., Liu, K. Z., & Thomas, C. (2003) · AJP - Renal Physiology · doi:10.1152/ajprenal.00088.2002 · Cited by 29
“What is the relevance of GC-stimulated transcription of genes that are involved in Na transport in the collecting duct? In vivo, under physiological conditions, aldosterone rather than cortisol engages the MR to increase gene transcription and stimulate Na transport (19, 20, 34).”
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“Mineralocorticoids, the most important of which are DOC and aldosterone in humans, regulate water and electrolyte homeostasis by controlling renal water and sodium retention as well as potassium secretion via the mineralocorticoid receptor (MR) signaling pathway (Funder, 1997).”
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“It is involved in maintaining homeostasis by affecting inflammatory responses, cellular proliferation and differentiation in target tissues (Funder 1997).”
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“Classically, these receptors are known to mediate stress effects by affecting gene expression (Reul and de Kloet 1985; Funder 1997; Herman et al. 2003), yet there is also evidence for a population of membrane-localized MRs and GRs involved”
BackgroundPsychological Stress as a Modulator of Functional Recovery Following Spinal Cord Injury
Bouchard, S. M., & Hook, M. A. (2014) · Frontiers in Neurology · doi:10.3389/fneur.2014.00044 · Cited by 26
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“In birds and mammals, there are two intracellular corticosteroid receptors that bind to CORT, as well as a possible membrane-bound receptor that is not the focus of this study (Breuner and Orchinik, 2009; Breuner et al., 2003; Funder, 1997; Orchinik et al., 1991; Schmidt et al., 2010).”
BackgroundGeneralized and tissue specific glucocorticoid resistance
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Disorders of mineralocorticoid synthesis
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“The possible mediation of a mechanism of MR/GR interaction [9, 37, 38] in the DOCA-induced increase in hepatic IR mRNA levels, requires further investigation.”
BackgroundEffects of aldosterone on Cx43 gap junction expression in neonatal rat cultured cardiomyocytes.
Suzuki, S., Ohkusa, T., Sato, T., Yoshida, M.-A., Yasui, K., Miwa, K., Lee, J.-K., Yano, M., Kodama, I., & Matsuzaki, M. (2009) · Circulation Journal · doi:10.1253/circj.cj-08-1065 · Cited by 19
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Low dose combination steroids control autoimmune mouse hearing loss
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“Glucocorticoids, in addition to their role in immune suppression, have a significant mineralocorticoid receptormediated function that includes Na+ and K+ transport (Rupprecht et al., 1993; Funder, 1997).”
Denari, D., & Ceballos, N. R. (2006) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2006.01.006 · Cited by 20
Ostler, J. B., Sawant, L., Harrison, K. S., & Jones, C. (2021) · Vitamins and hormones · doi:10.1016/bs.vh.2021.06.005 · Cited by 17
Glucocorticoid and mineralocorticoid receptor expression in critical illness: A narrative review
Vassiliou, A. G., Athanasiou, N., Vassiliadi, D. A., Jahaj, E., Keskinidou, C., Kotanidou, Α., & Dimopoulou, I. (2021) · World Journal of Critical Care Medicine · doi:10.5492/wjccm.v10.i4.102 · Cited by 19
Yang, C., Shen, H. C., Wu, Z.-C., Chu, H. D., Cox, J. M., Balsells, J., Crespo, A., Brown, P., Zamlynny, B., Wiltsie, J., et al. (2013) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2013.05.077 · Cited by 16
Shewade, L. H., Schneider, K. A., Brown, A. C., & Buchholz, D. (2017) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2017.02.007 · Cited by 15
Evaluation of Glucocorticoid Sensitivity and Its Potential Clinical Applicability
Longui, C. A., & Faria, C. D. C. (2009) · Hormone Research in Paediatrics · doi:10.1159/000223413 · Cited by 18
Trune, D., & Kempton, J. (2009) · Audiology and Neurotology · doi:10.1159/000241899 · Cited by 14
Edwards, H. E., Vimal, S., & Burnham, W. (2005) · Epilepsia · doi:10.1111/j.1528-1167.2005.00295.x · Cited by 14
Aldosterone and anti-aldosterone effects in cardiovascular diseases and diabetic nephropathy.
Ambroisine, M., Milliez, P., Nehmé, J., Pasquier, A., de Angelis, N., Mansier, P., Swynghedauw, B., & Delcayre, C. (2004) · Diabetes & Metabolism · doi:10.1016/s1262-3636(07)70122-2 · Cited by 14
“Thus, other mechanisms are required to explain the aldosterone specific binding [2], or one must admit that the cardiac MR is predominantly occupied by glucocorticoids [51].”
BackgroundHow Useful Is Corticosteroid Treatment in Cochlear Disorders?
Lamm, K., & Arnold, W. J. (1999) · Oto-Rhino-Laryngologia Nova · doi:10.1159/000027909 · Cited by 16
Stress Can Induce Bovine Alpha-Herpesvirus 1 (BoHV-1) Reactivation from Latency
El-mayet, F. S., & Jones, C. (2024) · Viruses · doi:10.3390/v16111675 · Cited by 14
SUMO E3 ligase PIAS1 is a potential biomarker indicating stress susceptibility
Lin, H., Liu, Y.-S., Huang, C., Cathomas, F., Liu, K., Wang, J., Cheng, H., Lai, S., Liu, Y., Chen, C., et al. (2020) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2020.104800 · Cited by 14
Schiffer, L., Müller, A.-R., Hobler, A., Brixius‐Anderko, S., Zapp, J., Hannemann, F., & Bernhardt, R. (2016) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2016.04.004 · Cited by 14
Corticosterone regulates fear memory via Rac1 activity in the hippocampus
Gan, P., Ding, Z.-Y., Gan, C., Mao, R., Zhou, H., Xu, L., & Zhou, Q. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.05.011 · Cited by 14
“GRs translocate to the nucleus after binding to CORT, where they operate as transcriptional regulators of gene expression (Herman et al., 2003; Funder, 1997; Reul and de Kloet, 1985).”
BackgroundYang, C., Balsells, J., Chu, H. D., Cox, J. M., Crespo, A., Ma, X., Contino, L. C., Brown, P. N., Gao, S., Zamlynny, B., et al. (2015) · ACS Medicinal Chemistry Letters · doi:10.1021/acsmedchemlett.5b00010 · Cited by 13
Karamouzis, I., Berardelli, R., Marinazzo, E., D’Angelo, V., Zinnà, D., Minetto, M. A., Zichi, C., Fussotto, B., Giordano, R., Ghigo, E., et al. (2012) · Pituitary · doi:10.1007/s11102-012-0435-3 · Cited by 13
“Animal studies demonstrated that GRs have a widespread distribution in the central nervous system, but are more abundant in hypothalamic neurons and corticotroph cells in the pituitary gland [3, 4, 7].”
BackgroundInfluentialZheng, J., Takagi, H., Tsutsui, C., Adachi, A., & Sakai, T. (2008) · Histochemistry and Cell Biology · doi:10.1007/s00418-007-0364-9 · Cited by 13
“Although it has been reported that mineralocorticoids also bind to both GR and MR (Funder 1997; Savory et al. 2001), the eVect of mineralocorticoids on GH mRNA expression and the roles of their receptors in somatotrope diVerentiation have not been elucidated.”
BackgroundKariagina, A., Zonis, S., Afkhami, M., Romanenko, D., & Chesnokova, V. (2005) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00577.2004 · Cited by 13
Hayward, T., Young, A. P., Jiang, A., Crespi, E. J., & Coffin, A. B. (2019) · Hearing Research · doi:10.1016/j.heares.2019.03.002 · Cited by 10
Cardiomyocyte mineralocorticoid receptor function post myocardial infarction.
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Stress and long-term synaptic depression
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Sartori, M., Masera, R., Staurenghi, A., Racca, S., & Angeli, A. (1998) · Steroids · doi:10.1016/s0039-128x(98)00023-3 · Cited by 12
Milde, A. S., Böttiger, B. W., & Morcos, M. (2005) · Der Anaesthesist · doi:10.1007/s00101-005-0867-5 · Cited by 14
Salt Appetite and its Effects on Cardiovascular Risk in Primary Aldosteronism
Adolf, C., Schneider, H., Heinrich, D. A., Handgriff, L., & Reincke, M. (2020) · Hormone and Metabolic Research · doi:10.1055/a-1116-2407 · Cited by 11
“, kidney, colon, sweat and salivary gland) it is the enzyme 11β-HSD2, which converts cortisol into its inactive metabolite cortisone, with parallel conversion of the cofactor NAD + to NADH, thereby rendering aldosterone to the main activator of epithelial MR [44, 94, 95].”
BackgroundGorbacheva, A. M., Kuprash, D. V., & Mitkin, N. A. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19123956 · Cited by 11
“High levels of cytosolic GR are constitutively expressed by lung epithelium [38], GR activity, and nuclear translocation is triggered by binding to cortisol [39].”
BackgroundPeltsch, H., Khurana, S., Byrne, C. J., Nguyen, P., Khaper, N., Kumar, A., & Tai, T. C. (2015) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2015-0303 · Cited by 10
“The GR, an intracellular receptor, must be activated by GC binding, which results in the translocation of activated GR to the nucleus, whereby it can regulate the transcription of many genes (Yamamoto 1985; Funder 1997), including PNMT (Tai et al.”
BackgroundHeuck, K., Ellestad, L., Proudman, J., & Porter, T. E. (2009) · Domestic Animal Endocrinology · doi:10.1016/j.domaniend.2008.11.005 · Cited by 10
Persistent NF-κB activation in renal epithelial cells in a mouse model of HIV-associated nephropathy
Martinka, S., & Bruggeman, L. (2006) · doi:10.1152/ajprenal.00208.2005 · Cited by 10
“An important part of the anti-inflammatory action of corticosteroids is through the suppression of NF-κB (14).”
Metadata
- Authors
- Funder, M.
- Affiliations
- Baker Medical Research Institute, Prahran, 3181 Australia
- Venue
- Annual Review of Medicine
- Publisher
- Annual Reviews
- Published
- 1997-02
- Volume
- 48
- Issue
- 1
- Pages
- 231-240
- ISSN
- 0066-4219 (ISSN-L)
- 1545-326X
- OpenAlex
- W2128569914
- Cited by
- 320
- References
- 0
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 10 · 2023: 3 · 2022: 2 · 2021: 13 · 2020: 6 · 2019: 10 · 2018: 8 · 2017: 13 · 2016: 17 · 2015: 13 · 2014: 21 · 2013: 16 · 2012: 18
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- glucocorticoid receptor, mineralocorticoid receptor, nuclear receptors, hormone response elements, transcriptional regulation, AP-1, NF-κB, protein-protein interaction, 11β-hydroxysteroid dehydrogenase, aldosterone, apparent mineralocorticoid excess, pseudohypoaldosteronism, epithelial sodium channel, cell surface receptors
- MeSH terms
- Aldosterone, Animals, DNA Mutational Analysis, Humans, Receptors, Glucocorticoid, Gene Expression, NF-kappa B, Receptors, Mineralocorticoid, Transcription Factor AP-1, Mice
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