Molecular Classification
Nuclear hormone receptor, Nuclear receptor subfamily 3, group C, member 2, Transcription factor, Receptor
Other Names
Mineralocorticoid Receptor, NR3C2
Disease Roles
HypertensionHypokalemiaHeart failure

Aldosterone Receptor Overview

The aldosterone receptor (MR), also known as NR3C2, is a nuclear hormone receptor that functions as a ligand-activated transcription factor. It plays a key role in regulating sodium reabsorption, potassium excretion, and blood pressure, primarily in the kidney, colon, heart, and central nervous system. Aldosterone is the primary physiological agonist, although cortisol and corticosterone can also bind with high affinity. Selectivity for aldosterone is achieved in some tissues by the enzyme 11β-HSD2. Antagonists like spironolactone and eplerenone are used therapeutically for conditions such as heart failure and hypertension. Mutations or overactivation of the MR can lead to hypertension and hypokalemia.

Mechanism of Action

Ligand binds to cytoplasmic MR, complex translocates into nucleus, binds hormone response elements on DNA, and modulates transcription of target genes.

Biological Functions

Sodium reabsorption
Potassium excretion
Blood pressure regulation
Regulation of gene transcription
Electrolyte transport
Homeostasis
Water balance

Disease Associations

Hypertension
Hypokalemia
Heart failure
Resistant hypertension
Hyperaldosteronism
Cardiovascular disease

Safety Considerations

  • Overactivation or mutation can cause hypertension.
  • Excessive sodium retention
  • Hypokalemia

Interacting Drugs

Spironolactone
Eplerenone
Aldosterone
Cortisol
Corticosterone
Deoxycorticosterone
Progesterone