1. Glucocorticoids Increase Renal Excretion of Urate in Mice by Downregulating Urate Transporter 1.
- Author
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Li G, Han L, Ma R, Saeed K, Xiong H, Klaassen CD, Lu Y, and Zhang Y
- Subjects
- Animals, Anti-Inflammatory Agents, Non-Steroidal pharmacology, Down-Regulation, Male, Mice, Mice, Inbred C57BL, NF-kappa B physiology, Organic Anion Transporters physiology, Pregnane X Receptor physiology, Receptors, Glucocorticoid physiology, Signal Transduction physiology, Xanthine Dehydrogenase physiology, Dexamethasone pharmacology, Kidney metabolism, Organic Anion Transporters genetics, Uric Acid metabolism
- Abstract
Both nonsteroidal anti-inflammatory drugs (NSAIDs) and glucocorticoids have been widely used for the treatment of gout, a disease promoted by an excess body burden of uric acid (UA); however, their effects on the homeostasis of UA remain poorly understood. The present study showed that 1-week treatments with three NSAIDs (ibuprofen, diclofenac, and indomethacin) had little effect on UA homeostasis in mice, whereas 1-week low doses (1 and 5 mg/kg) of dexamethasone (DEX) significantly decreased serum UA by about 15%. Additionally, low doses of DEX also resulted in increases in hepatic UA concentration and urinary UA excretion, which were associated with an induction of xanthine oxidoreductase (XOR) in the liver and a downregulation of urate transporter 1 (URAT1) in the kidney, respectively. Neither 75 mg/kg DEX nor 100 mg/kg pregnenolone-16 α -carbonitrile altered UA concentrations in serum and livers of mice, suggesting that the effect of DEX on UA homeostasis was not due to the pregnane X receptor pathway. Further in vitro studies demonstrated that glucocorticoid receptor (GR) was involved in DEX-mediated downregulation of URAT1. Knockdown of both p65 and c-Jun completely blocked the effect of DEX on URAT1, suggesting that GR regulates URAT1 via its interaction with both nuclear factor κB and activator protein 1 signaling pathways. To conclude, the present study identifies, for the first time, a critical role of glucocorticoids in regulating UA homeostasis and elucidates the mechanism for GR-mediated regulation of URAT1 in mice. SIGNIFICANCE STATEMENT: This study demonstrates, for the first time, a critical role of glucocorticoid receptor in regulating urate transporter 1 in mouse kidney., (Copyright © 2019 by The American Society for Pharmacology and Experimental Therapeutics.)
- Published
- 2019
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