Regulation of Aldosterone Secretion by Several Aberrant Receptors Including for Glucose-Dependent Insulinotropic Peptide in a Patient with an Aldosteronoma

Context: Primary adrenal Cushing’s syndrome can result from the aberrant adrenal expression of several hormone receptors; this mechanism has not been explored in detail in aldosterone-producing tumors. Objective: The objective of the study was to evaluate a 56-yr-old male patient with an aldosterono...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2009-03, Vol.94 (3), p.750-756
Hauptverfasser: Lampron, Antoine, Bourdeau, Isabelle, Oble, Sylvie, Godbout, Ariane, Schürch, Walter, Arjane, Philippe, Hamet, Pavel, Lacroix, André
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container_issue 3
container_start_page 750
container_title The journal of clinical endocrinology and metabolism
container_volume 94
creator Lampron, Antoine
Bourdeau, Isabelle
Oble, Sylvie
Godbout, Ariane
Schürch, Walter
Arjane, Philippe
Hamet, Pavel
Lacroix, André
description Context: Primary adrenal Cushing’s syndrome can result from the aberrant adrenal expression of several hormone receptors; this mechanism has not been explored in detail in aldosterone-producing tumors. Objective: The objective of the study was to evaluate a 56-yr-old male patient with an aldosteronoma for the regulation of aldosterone secretion by aberrant hormone receptors. Results: Renin-independent stimulation of aldosterone secretion was observed in vivo after a mixed meal, oral glucose, or administration of glucose-dependent insulinotropic peptide (GIP), vasopressin, and tegaserod. The mixed meal-mediated stimulation of aldosterone was not present in five other cases of aldosteronoma. A smaller response of aldosterone after GIP infusion was observed in a normal subject. Aldosterone secretion was stimulated by GIP in primary cultures of this patient’s aldosteronoma. Increased expression of GIP receptor was found in this aldosteronoma by real-time RT-PCR and immunohistochemistry. The GIP receptor protein was also found at lower levels in zona glomerulosa cells of the normal adjacent adrenal gland. Increased expression of serotonin 4 and ACTH receptors was also present in this aldosteronoma. Conclusions: This case report provides new evidence of the implication of aberrant hormone receptors in the regulation of this aldosteronoma and suggests that further detailed studies of the role of aberrant hormone receptors in this frequent pathology should be undertaken. New evidence implicates several aberrant hormone receptors in the regulation of aldosterone production in primary aldosteronism.
doi_str_mv 10.1210/jc.2008-1340
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Increased expression of serotonin 4 and ACTH receptors was also present in this aldosteronoma. Conclusions: This case report provides new evidence of the implication of aberrant hormone receptors in the regulation of this aldosteronoma and suggests that further detailed studies of the role of aberrant hormone receptors in this frequent pathology should be undertaken. 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Increased expression of serotonin 4 and ACTH receptors was also present in this aldosteronoma. Conclusions: This case report provides new evidence of the implication of aberrant hormone receptors in the regulation of this aldosteronoma and suggests that further detailed studies of the role of aberrant hormone receptors in this frequent pathology should be undertaken. New evidence implicates several aberrant hormone receptors in the regulation of aldosterone production in primary aldosteronism.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>19066304</pmid><doi>10.1210/jc.2008-1340</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adrenal Cortex Neoplasms - secretion
Adrenocortical Adenoma - secretion
Adrenocorticotropic Hormone - pharmacology
Aldosterone - secretion
Biological and medical sciences
Endocrinopathies
Feeding. Feeding behavior
Fundamental and applied biological sciences. Psychology
Gastric Inhibitory Polypeptide - pharmacology
Humans
Male
Medical sciences
Middle Aged
Receptors, Corticotropin - physiology
Receptors, Gastrointestinal Hormone - analysis
Receptors, Gastrointestinal Hormone - physiology
Receptors, Serotonin, 5-HT4 - physiology
Receptors, Vasopressin - physiology
Reverse Transcriptase Polymerase Chain Reaction
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
title Regulation of Aldosterone Secretion by Several Aberrant Receptors Including for Glucose-Dependent Insulinotropic Peptide in a Patient with an Aldosteronoma
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