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Mineralocorticoid Biosynthetic Pathways and Hypertension

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Endocrinology of Cardiovascular Function

Part of the book series: Endocrine Updates ((ENDO,volume 1))

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Abstract

The most important mineralocorticoid produced by some fish, and most amphibians, reptiles, birds and mammals is aldosterone. Other adrenal corticosteroids with variable degree of mineralocorticoid activity are also produced in smaller amounts including deoxycorticosterone (DOC), 19-nordeoxycorticosterone (19-norDOC) and 18-hydroxydeoxycorticosterone (18-OH-DOC). Some of these steroids are intermediates in the synthesis of aldosterone, others are terminal products of adrenal steroidogenic pathways, but have unclear physiological roles.

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References

  1. Stocco, D. M. and B. J. Clark. 1996, Role of the steroidogenic acute regulatory protein (StAR) in steroidogenesis. Biochem Pharmac 51: 197–205.

    Article  CAS  Google Scholar 

  2. Cherradi, N., M. F. Rossier, M. B. Vallotton, R. Timberg, I. Friedberg, J. Orly, X. J. Wang, D. M. Stocco, and A. M. Capponi. 1997. Submitochondrial distribution of three key steroidogenic proteins (steroidogenic acute regulatory protein and cytochrome P450scc and 3b-hydroxysteroid dehydrogenase isomerase enzymes) upon stimulation by intracellular calcium in adrenal glomerulosa cells. J Biol Chem 272: 7899–7907.

    Article  PubMed  CAS  Google Scholar 

  3. Kojima, I., E. Ogata, H. Inano, and B. Tamaoki. 1984. Oxygenation of 18-hydroxycorticosterone as the final reaction for aldosterone biosynthesis. Acta Endocrinologica 107: 395–400.

    PubMed  CAS  Google Scholar 

  4. Aupetit, B., J. Antressian, and J. C. Legrand. 1977. Caractere enzymatique et localization subcellulaire de la reaction de transformation de la 18-hydroxyocorticosterone en aldosterone. Biochimie 59: 705–712.

    Article  PubMed  CAS  Google Scholar 

  5. Genard, P. 1974. Contribution à la détermination de la configuration et de la conformation moléculaires des corticostàroïdes. Masson et Cie, Èditeurs, Paris. 112 PP.

    Google Scholar 

  6. Ulick, S. and L. C. Ramirez. 1975. Isolation and synthesis of the major metabolites of aldosterone and 18-hydroxycorticosterone. Meth Enzy 36: 503–512.

    Article  CAS  Google Scholar 

  7. Holland, O. B., J. M. Mathis, I. M. Bird, and W. E. Rainey. 1993. Angiotensin increases aldosterone synthase mRNA levels in human NCI-H295 cells. Mol Cell Endocrinol 94:R9–R13.

    Article  PubMed  CAS  Google Scholar 

  8. Tremblay, A., K. L. Parker, and J. G. Lehoux. 1992. Dietary potassium supplementation and sodium restriction stimulate aldosterone synthase but not 1 1b-hydroxylase P-450 messenger ribonucleic acid accumulation in rat adrenals and require angiotensin II production. Endocrinology 130: 3152–3158.

    Article  PubMed  CAS  Google Scholar 

  9. Okubo, S., F. Niimura, H. Nishimura, F. Takemoto, A. Fogo, T. Matsusaka, and I. Ichikawa. 1997. Angiotensin-independent mechanism for aldosterone synthesis during chronic extracellular fluid volume depletion. J Clin Invest 99: 855–860.

    Article  PubMed  CAS  Google Scholar 

  10. Shizuta, Y., T. Kawamoto, Y. Mitsuuchi, K. Toda, K. Miyahara, Y. Ichikawa, and S. Ulick. 1992. Molecular genetic studies on the biosynthesis of aldosterone in humans. J Steroid Biochem Mol Biol 43: 981–987.

    Article  PubMed  CAS  Google Scholar 

  11. Chua, S. C., mP. Szabo, A. Vitek, K-H. Grzeschik, M. John, and P. C. White. 1987. Cloning of cDNA encoding steroid 11b-hydroxylase (P450cll). Proc Natl AcadSci USA 84: 7193–7197.

    Article  CAS  Google Scholar 

  12. Curnow, K. M., P. Mulatero, N. Emeric-Blanchouin, B. Aupetit-Faisant, P. Corvol, and L. Pascoe. 1997. The amino acid substitutions Ser288Gly and Val320Ala convert the Cortisol producing enzyme, CYP11B1, into an aldosterone producing enzyme. NSB 4: 32–35.

    CAS  Google Scholar 

  13. Conn, J. W. 1955. Primary aldosteronism, a new clinical syndrome. J Lab Clin Med 45: 3–7.

    PubMed  CAS  Google Scholar 

  14. Conn, J. W., R. F. Knopf, and R. M. Nesbit. 1964. Clinical characteristics of primary aldosteronism from an analysis of 145 cases. Am J Surg 107: 159–172.

    Article  PubMed  CAS  Google Scholar 

  15. Bravo, E. L., R. C. Tarazi, H. P. Dustan, F. M. Fouad, S. C. Textur, R. W. Gifford, and D. G. Vidt. 1983. The changing clinical spectrum of primary aldosteronism. Am J Med 74: 641–651.

    Article  PubMed  CAS  Google Scholar 

  16. Gordon, R. D. 1995. Primary aldosteronism. J Endocrinol Invest 18: 495–511.

    PubMed  CAS  Google Scholar 

  17. Conn, J. W., E. L. Cohen, D. R. Rovner, and R. M. Nesbit. 1965. Normokalemic primary aldosteronism. A detectable cause of curable “essential” hypertension. JAMA 193: 200–206.

    Article  PubMed  CAS  Google Scholar 

  18. Gordon, R. D., M. Stowasser, T. J. Tunny, S. A. Klemm, and Rutherford JC.. 1994. High incidence of primary aldosteronism in 199 patients referred with hypertension. Clin Expt Pharmac Physiol 21: 315–318.

    Article  CAS  Google Scholar 

  19. Holland, O., H. Brown, L. Kuhnert, C. Fairchild, M. Risk, and C. E. Gomez-Sanchez. 1984. Further evaluation of saline infusion for the diagnosis of primary aldosteronism. Hypertension 6: 717–723.

    Article  PubMed  CAS  Google Scholar 

  20. Anderson, G. H., N. Blakeman, and D. H. P. Streeten. 1994. The effect of age on prevalence of secondary forms of hypertension in 4429 consecutively referred patients. J Hypertension 12: 609–615.

    Article  Google Scholar 

  21. Neville, A. M. and M. J. O’Hare. 1985. Histopathology of the human adrenal cortex. Clin Endocrinol Metab 14: 791–820.

    Article  PubMed  CAS  Google Scholar 

  22. Erdmann, B., H. Gerst, H. Bülow, D. Lenz, V. Bähr, and R. Bernhardt. 1995. Zone-specific localization of cytochrome P45011B1 in human adrenal tissue by PCR-derived riboprobes. Histochem Cell Biol 104: 301–307.

    Article  PubMed  CAS  Google Scholar 

  23. Ogishima, T., H. Shibata, H. Shimada, F. Mitani, H. Suzuki, T. Saruta, and Y. Ishimura. 1991. Aldosterone synthase cytochrome P-450 expressed in the adrenals of patients with primary aldosteronism. J Biol Chem 266: 10731–10734.

    PubMed  CAS  Google Scholar 

  24. Watanabe, N., K. Tsunoda, H. Sasano, K. Omata, Y. Imai, S. Ito, and K. Abe. 1996. Bilateral adosterone-producing adenomas in two patients diagnosed by immunohistochemical analysis of steroidogenic enzymes. Tohoku J Exp Med 179: 123–129.

    Article  PubMed  CAS  Google Scholar 

  25. Chu, M. D. and S. Ulick. 1982. Isolation and identification of 18-hydroxycortisol from the urine of patients with primary aldosteronism. J Biol Chem 258: 2218–2224.

    Google Scholar 

  26. Ulick, S., M. D. Chu, and M. Land. 1983. Biosynthesis of 18-oxocortisol by aldosterone producing adrenal tissue. J Biol Chem 258: 5498–5502.

    PubMed  CAS  Google Scholar 

  27. Tucker, R. M. and D. R. Labarthe. 1977. Frequency of surgical treatment for hypertension in adults at the Mayo Clinic from 1973 to 1975. Mayo Clin Proc 52: 549–555.

    PubMed  CAS  Google Scholar 

  28. Kem, D. C, M. H. Weinberger, C. E. Gomez-Sanchez, N. J. Kramer, R. Lerman, R. Ferman, S. Furuyama, and C. A. Nugent. 1973. Circadian rhythms of plasma aldosterone concentration in normal subjects and patients with primary aldosteronism. J Clin Invest 52: 2272–2277.

    Article  PubMed  CAS  Google Scholar 

  29. Gomez-Sanchez, C. E. and O. B. Holland. 1981. Urinary tetrahydroaldosterone and aldosterone-18-glucuronide excretion in white and black normal subjects and hypertensive patients. J Clin Endocrinol Metab 52: 214–219.

    Article  PubMed  CAS  Google Scholar 

  30. Streeten, D. H. P., N. Tomycz, and G. H. Anderson. 1979. Reliability of screening methods for the diagnosis of primary aldosteronism. Am J Med 67: 403–413.

    Article  PubMed  CAS  Google Scholar 

  31. Weinberger, M. H., C. E. Grim, J. W. Hollifield, D. C. Kem, A. Ganguly, N. J. Kramer, Y. Y. Yune, H. Wellman, and J. P. Donohue. 1979. Primary aldosteronism. Diagnosis, localization and treatment. Annals of Internal Medicine 90: 386–395.

    PubMed  CAS  Google Scholar 

  32. Hiramatsu, K., T. Yamada, Y. Yukimura, I. Komiya, M. Ichikawa, H. Nagata, and T. Izumiyama. 1981. A screening test to identify aldosterone-producing adenoma by measuring plasma renin activity. Results in hypertensive patients. Arch Intern Med 141: 1589–1593.

    Article  PubMed  CAS  Google Scholar 

  33. Ramirez, G., A. Ganguly, C. Bruegemeyer, and C. Gomez-Sanchez. 1989. Aldosterone response to insulin-induced hypoglycemia in hemodialysis patients. Am J Nephrol 9: 215–221.

    Article  PubMed  CAS  Google Scholar 

  34. McKenna, T. J., S. J. Sequeira, A. Heffernan, J. Chambers, and S. Cunningham. 1991. Diagnosis under random conditions of all disorders of the renin-angiotensin-aldosterone axis, including primary hyperaldosteronism. J Clin Endocrinol Metab 73: 952–

    Article  PubMed  CAS  Google Scholar 

  35. Duprez, D. A., F. R. Bauwens, M. L. De Buyzere, T. L. De Backer, J. M. Kaufman, J. Van Hoecke, A. Vermeulen, and D. L. Clement. 1993. Influence of arterial blood pressure and aldosterone on left ventricular hypertrophy in moderate essential hypertension. Am J Cardiol 71: 17A–20A.

    Article  PubMed  CAS  Google Scholar 

  36. Rossi, G. P., A. Sacchetto, E. Pavan, P. Palatini, G. R. Graniero, C. Canali, and A. C. Pessina. 1997. Remodeling of the left ventricle in primary aldosteronism due to Conn’s adenoma. Circ 95: 1471–1478.

    Article  CAS  Google Scholar 

  37. Gomez-Sanchez, E. P., M. Y. Zhou, and C. E. Gomez-Sanchez. 1996. Mineralocorticoids, salt and high blood pressure: causes. Steroids 61: 184–188.

    Article  PubMed  CAS  Google Scholar 

  38. Biglieri, E. G., M. Schambelan, P. E. Slaton, and J. R. Stockigt. 1970. The intercurrent hypertension of primary aldosteronism. Circ Res26/27(supl): I195–I202.

    Google Scholar 

  39. Wisgerhof, M, R. D. Brown, M. J. Hogan, P. C. Carpenter, and A. J. Edis. 1981. The plasma aldosterone response to angiotensin II infusion in aldosterone-producing adenoma and idiopathic hyperaldosteronism. J Clin Endocrinol Metab 52: 195–198.

    Article  PubMed  CAS  Google Scholar 

  40. Irony, I., C. E. Kater, E. G. Biglieri, and C. H. Shackleton. 1990. Correctable subsets of primary aldosteronism. Primary adrenal hyperplasia and renin responsive adenoma. Am JHypertens 3: 576–582.

    CAS  Google Scholar 

  41. Gordon, R. D., S. M. Hamlet, T. J. Tunny, and C. E. Gomez-Sanchez. 1986. Distinguishing aldosterone-producing-adenoma (A-P-A) from other forms of hyperaldosteronism and lateralising the tumor pre-operatively. Clin Exper Pharma & amp & Physio 13: 325–328.

    Article  CAS  Google Scholar 

  42. Gordon, R. D. 1997. Primary aldosteronism: A new understanding. Clin Exper Hyper 19: 857–870.

    Article  CAS  Google Scholar 

  43. Erdmann, B., K. Denner, H. Gerst, D. Lenz, and R. Bernhardt. 1995. Human adrenal CYP11B1: localization by in situ-hybridization and functional expression in cell cultures. Endocr Res 21: 425–435.

    Article  PubMed  CAS  Google Scholar 

  44. Zhou, M., D. Xue, M. F. Foecking, and C. E. Gomez-Sanchez. 1995. Stable expression of rat cytochrome P-450 11b-hydroxylase (CYP11B1) and aldosterone synthase (CYP11B2) in MA-10 cells. J Steroid Biochem Mol Biol 52: 523–528.

    Google Scholar 

  45. Blumenfeld, J. D., J. E. Sealey, I. Schlussel, E. D. Vaughan, T. A. Sos, S. A. Atlas, F. B. Müller, R. Acevedo, S. Ulick, and J.H. Laragh. 1994. Diagnosis and treatment of primary hyperaldosteronism. Ann Int Med 121: 877–885.

    PubMed  CAS  Google Scholar 

  46. Lifton, R. P., R. G. Dluhy, M. Powers, G. M. Rich, S. Cook, S. Ulick, and J-M. Lalouel. 1992. A chimaeric 11b-hydroxylase/aldosterone synthase gene causes glucocorticoid-remediable aldosteronism and human hypertension. Nature 355: 262–265.

    Article  PubMed  CAS  Google Scholar 

  47. Carroll, J., R. Dluhy, F. Fallo, M. Pistorello, G. Bradwin, C. E. Gomez-Sanchez, and R. Mortensen. 1996. Aldosterone-producing adenomas (APA) do not contain Glucocorticoid-remediable aldosteronism (GRA) chimeric gene duplications. J Clin Endocrinol Metab 81: 4310–4312.

    Article  PubMed  CAS  Google Scholar 

  48. Carey, R. M. and S. Sen. 1986. Recent progress in the control of aldosterone secretion. Rec Prog Horm Res 42: 251–289.

    PubMed  CAS  Google Scholar 

  49. Higaki, J. and E. L. Bravo. 1985. Chymotrypsin stimulates aldosterone production of rabbit adrenal capsular cells. Clin Res 33: 875A.(Abstr.)

    Google Scholar 

  50. Rosolowsky, L. J. and W. B. Campbell. 1994. Endothelial cells stimulate aldosterone release from bovine adrenal zona glomerulosa cells. Am J Physiol 266: E101–E107.

    Google Scholar 

  51. Stowasser, M., R. D. Gordon, T. J. Tunny, S. A. Klemm, W. L. Finn, and A. L. Krek. 1992. Familial hyperaldosteronism type II: five families with a new variety of primary aldosteronism. Clin Expt Pharmac Physiol 19: 319–322.

    Article  CAS  Google Scholar 

  52. Woods, J. W., G. W. Liddle, E. G. Stant, A. M. Michelakis, and A. B. Bull. 1969. Effect of an adrenal inhibitor in hypertensive subjects with suppressed renin. Arch Intern Med 123: 366–370.

    Article  PubMed  CAS  Google Scholar 

  53. Taylor, A. A., J. R. Mitchell, F. R. Bartter, W. R. Snodgrass, R. J. McMurthy;, J. R. Gill, and R. B. Franklin;. 1978. Effect of aminogluthetimide on blood pressure and steroid secretion in patients with low renin essential hypertension. J Clin Invest 62: 162–168.

    Article  PubMed  CAS  Google Scholar 

  54. Sennett;, J. A., R. D. Brown, D. P. Island, P. E. Slaton, and G. W Liddle. 1975. Evidence for a new mineralocorticoid in patients with low renin essential hypertension. Circ Res 36, 37 (Suppl I): 2–9.

    Article  Google Scholar 

  55. Sekihara, H., J. W. Hollifield, D. P. Island, P. E. Slaton, and G. W. Liddle. 1979. Evidence for heterogeneity of mineralocorticoid in urine of patients with low renin hypertension. J Clin Endocrinol Metab 48: 143–147.

    Article  PubMed  CAS  Google Scholar 

  56. Skrabal, F. 1979. Aldosterone and in vivo mineralocorticoid activity in normotensive and hypertensive man. J Royal Soc Med 72: 252–259.

    CAS  Google Scholar 

  57. Kigoshi, T., N. Imaizumi, S. Azukizawa, I. Yamamoto, H. Hosojima, K. Uchida, and S. Morimoto. 1984. Adrenal adenoma with 18-hydroxycorticosterone excess and hypertension: A variant of aldosteronomas. Hormone Res 19: 224–231.

    Article  PubMed  CAS  Google Scholar 

  58. Nomura, K., D. C. Han, K. Jibiki, H. Demura, T. Tsushima, and K. Shizume. 1985. Primary aldosteronism with normal aldosterone levels in blood and urine. Acta Endocrinologica 110: 522–525.

    PubMed  CAS  Google Scholar 

  59. Abdelhamid, S., P. Vecsei, D. Haack, K. Lichtwald, W. Thoenes, H. J. John, A. Gaca, and E. Rummeny. 1982. Hypertension with increased 18-hydroxycorticosterone and adrenal adenoma. In Serono Symposium No 50, “Endocrinology of Hypertension”. F. Mantero, E.G. Biglieri, and C.R.W. Edwards, editors. Academic Press, London and New York. 171–177.

    Google Scholar 

  60. Gomez-Sanchez, C. E., O. B. Holland, B. A. Murry, H. Lloyd, and L. Milewich. 1979. 19-nor-deoxycorticosterone: A potent mineralocorticoid isolated from the urine of rats with regenerating adrenals. Endocrinology 105: 708–711.

    Article  PubMed  CAS  Google Scholar 

  61. Griffing, G. T., S. L. Dale, M. M. Holbrook, and J. C. Melby. 1981. 19-Nordeoxycorticosterone excretion in healthy and hypertensive subjects. Trans Ass AmPhy 94: 301–309.

    CAS  Google Scholar 

  62. Gomez-Sanchez, C. E., O. B. Holland, and R. Upcavage. 1985. Urinary free 19-nor-deoxycorticosterone and deoxycorticosterone in human hypertension. J Clin Endocrinol Metab 60: 234–238.

    Article  PubMed  CAS  Google Scholar 

  63. Gomez-Sanchez, C. E., O. B. Holland, C. E. Hall, and S. Ayachi. 1976. On the mineralocorticoid and hypertensinogenic properties of 16b-hydroxy-dehydroepiandrosterone. Experientia 32: 1067–1068.

    Article  PubMed  CAS  Google Scholar 

  64. Melby, J. C., S. C. Dale, and R. J. Grekin. 1972. 18-OH-DOC secretion in experimental and human hypertension. Rec Prog Horm Res 28: 287–351.

    PubMed  CAS  Google Scholar 

  65. Williams, G. H., L. M. Braley, and R. H. Underwood. 1976. The regulation of plasma 18-hydroxy-11-deoxycorticosterone in man. J Clin Invest 58: 221–229.

    Article  PubMed  CAS  Google Scholar 

  66. Komiya, I., T. Yamada, T. Aizawa, N. Takasu, A. Niwa, Y. Maruyama, and A. Ogawa. 1991. Inappropriate elevation of aldosterone/plasma renin activity in hypertensive patients with increases of 11-deoxycorticosterone and 18-hydroxy-11-deoxycorticosterone: A subtype of essential hypertension? Cardiology 78: 99–110.

    Article  PubMed  CAS  Google Scholar 

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Gomez-Sanchez, C.E. (1998). Mineralocorticoid Biosynthetic Pathways and Hypertension. In: Levin, E.R., Nadler, J.L. (eds) Endocrinology of Cardiovascular Function. Endocrine Updates, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5569-8_16

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  • DOI: https://doi.org/10.1007/978-1-4615-5569-8_16

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