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Am J Physiol Lung Cell Mol Physiol 285: L593-L601, 2003. First published May 16, 2003; doi:10.1152/ajplung.00037.2003
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Dexamethasone stimulates transcription of the Na+-K+-ATPase {beta}1 gene in adult rat lung epithelial cells

Hong Hao, Christine H. Wendt,* Gurpreet Sandhu, and David H. Ingbar*

Department of Medicine, Pulmonary and Critical Care Division, University of Minnesota, Minneapolis, Minnesota 55455

Submitted 6 February 2003 ; accepted in final form 25 April 2003

Na+-K+-ATPase plays an essential role in active alveolar epithelial fluid resorption. In fetal and adult alveolar epithelial cells, glucocorticoids (GC) increase Na+-K+-ATPase activity and mRNA levels. We sought to define the mechanism of Na+-K+-ATPase gene upregulation by GC. In a rat alveolar epithelial cell line (RLE), dexamethasone (Dex) increased {beta}1-subunit Na+-K+-ATPase mRNA expression two- to threefold within 3 h after exposure to the GC. The increased gene expression was due to increased transcription as demonstrated by nuclear run-on assays, whereas mRNA stability remained unchanged. Transient transfection of 5' deletion mutants of a {beta}1 promoter-reporter construct demonstrated a 1.5- to 2.2-fold increase in promoter activity by Dex. All of the 5' deletion constructs contained partial or palindromic GC regulatory elements (GRE) and responded to GC. The increased expression of promoter reporter was inhibited by RU-486, a GC receptor (GR) antagonist, suggesting the involvement of GR. The palindromic GRE at -631 demonstrated Dex induction in a heterologous promoter construct. Gel mobility shift assays using RLE nuclear extracts demonstrated specific binding to this site and the presence of GR. We conclude that GC directly stimulate transcription of Na+-K+-ATPase {beta}1 gene expression in adult rat lung epithelial cells through a GR-dependent mechanism that can act at multiple sites.

sodium pump; glucocorticoid receptor; glucocorticoid response element; promoter; alveolar fluid; ion transport; type II cells



Address for reprint requests and other correspondence: D. H. Ingbar, Pulmonary and Critical Care Div., Dept. of Medicine, MMC 276, Univ. of Minnesota, 420 Delaware St. SE, Minneapolis, MN 55455 (E-mail: Ingba001{at}maroon.tc.umn.edu).




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