Abacavir, nevirapine, and ritonavir modulate intracellular calcium levels without affecting GHRH-mediated growth hormone secretion in somatotropic cells in vitro

Mol Cell Endocrinol. 2019 Feb 15:482:37-44. doi: 10.1016/j.mce.2018.12.005. Epub 2018 Dec 11.

Abstract

Growth Hormone (GH) deficiency is frequent in HIV-infected patients treated with antiretroviral therapy. We treated GH3 cells with antiretrovirals (nevirapine, ritonavir or abacavir sulfate; 100 pM-1 mM range), after transfection with human growth hormone releasing hormone (GHRH) receptor cDNA. Cells viability, intracellular cAMP, phosphorylation of CREB and calcium increase, GH production and secretion were evaluated both in basal condition and after GHRH, using MTT, bioluminescence resonance energy transfer, western blotting and ELISA. Antiretroviral treatment did not affect GHRH 50% effective dose (EC50) calculated for 30-min intracellular cAMP increase (Mann-Whitney's U test; p ≥ 0.05; n = 4) nor 15-min CREB phosphorylation. The kinetics of GHRH-mediated, rapid intracellular calcium increase was perturbed by pre-incubation with drugs, while GHRH failed to induce the ion increase in ritonavir pre-treated cells (ANOVA; p < 0.05; n = 3). Antiretrovirals did not impact 24-h intracellular and extracellular GH levels (ANOVA; p ≥ 0.05; n = 3). We demonstrated the association between antiretrovirals and intracellular calcium increase, without consequences on somatotrope cells viability and GH synthesis. Overall, these results suggest that antiretrovirals may not directly impact on GH axis in HIV-infected patients.

Keywords: Antiretrovirals; GH3 cells; Growth hormone; HIV.

MeSH terms

  • Anti-Retroviral Agents / pharmacology*
  • Calcium / metabolism*
  • Cell Line
  • Cell Survival / drug effects
  • Cyclic AMP / metabolism
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Dideoxynucleosides / pharmacology
  • Growth Hormone-Releasing Hormone / genetics*
  • Growth Hormone-Releasing Hormone / metabolism
  • Human Growth Hormone / metabolism*
  • Humans
  • Nevirapine / pharmacology
  • Phosphorylation
  • Ritonavir / pharmacology
  • Somatotrophs / cytology*
  • Somatotrophs / drug effects
  • Somatotrophs / metabolism
  • Transfection

Substances

  • Anti-Retroviral Agents
  • CREB1 protein, human
  • Cyclic AMP Response Element-Binding Protein
  • Dideoxynucleosides
  • GHRH protein, human
  • Human Growth Hormone
  • Growth Hormone-Releasing Hormone
  • Nevirapine
  • Cyclic AMP
  • Ritonavir
  • Calcium
  • abacavir