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Discussion Hyperaldosteronism and hypertension
The disruption of the task1 K+ channel gene allowed the identification of the physiological functions of this leak channel in determining mineralocorticoid homeostasis. Female task1-/- mice exhibited hyperaldosteronism accompanied by marked arterial hypertension. The significantly lower heart rate of female task1-/- mice compared with wild-type mice foreclosed the possibility that augmentation of the sympathetic nerve tone is causal for the arterial hypertension observed. Blockade of the mineralocorticoid receptor by canrenoate normalized high blood pressure in female task1-/- mice without affecting it in wild-type mice. Thus, hyperaldosteronism-induced volume expansion seems to be the decisive factor for arterial hypertension related to task1 gene disruption. Under physiological conditions, the most important stimuli for aldosterone secretion are activation of the renin–angiotensin pathway and hyperkalemia. Female task1-/- mice showed low plasma renin activity and low plasma K+ concentration, clearly indicating a defective regulation of mineralocorticoid secretion. Surprisingly, the disturbances in mineralocorticoid homeostasis were restricted to the female gender. Male task1-/- mice were perfectly normal with regard to the plasma aldosterone levels and displayed normal regulation of aldosterone secretion. Clearly, in male animals the task1 channel is not an essential factor for adrenocortical function and its absence can be compensated.
Task1/task3 channel function
TASK1 belongs to a subgroup of 2P-domain K+ channels comprising TASK1, TASK3, and TASK5 (KCNK15). In heterologous expression systems, TASK5 was found to be inactive, whereas TASK1 and TASK3 were able to form functional homomeric channels (Karschin et al, 2001). Nevertheless, there is some evidence that TASK1 and TASK3 might form functional heterodimers in vitro and in vivo (Czirjak and Enyedi, 2001; Berg et al, 2004; Kang et al, 2004; Lotshaw, 2006). One might speculate that task3 is the channel that compensates for task1 gene disruption in adult mice. Accordingly, all previous studies on task1-/- mice published so far have reported a moderate phenotype. The absence of severe neurological symptoms in task1-/- mice has been interpreted as either compensation by task3 channels in neurons in which the task1 and task3 coexpress, or that task1 serves as a modulatory subunit for task3 (Aller et al, 2005; Linden et al, 2006; Meuth et al, 2006). We observed a male-specific increase in TASK3 expression in adult mice that may account for the restoration of the normal adrenal gland function in male mice. In patch-clamp experiments, the membrane voltage of primary cultured adrenocortical cells of task1-/- mice was more depolarized compared with cells of task1+/+ mice. In contrast to task1+/+ cells, acidic extracellular pH had no significant effect on the whole-cell conductance of task1-/- cells in which acid-sensitive task1 were absent. However, acidic pH still induced a significant depolarization in task1-/- cells, likely because even small conductance changes (e.g., by inhibition of homomeric task3 channels) can induce significant changes of the membrane voltage. In cells of both genotypes, the effect of angiotensin II was stronger than the effect of acidic pH, suggesting that angiotensin II probably leads to inhibition of 'TASK-like' and 'non-TASK-like' channels, which are insensitive to extracellular acidification. Creation of task1/task3 double knockout mice will be necessary to definitively appreciate the contribution of task3 to the membrane conductance and its eventual role for the late zonation process observed in male task1-/- mice.
Task1 determines zonation of adrenal cortex
Classically, primary hyperaldosteronism is caused by adrenal gland hyperplasia or aldosterone-producing adenoma (Conn, 1955; Carroll et al, 1996; Ganguly, 1998), and one might expect such pathohistological findings in female task1-/- mice. Examination of the morphology of paraffin-embedded adrenal glands of adult wild-type and task1-/- mice allowed excluding any adenoma-like changes. Surprisingly, aldosterone synthase-specific immunofluorescence staining disclosed a dramatic change in functional zonation of adrenal glands: The localization of aldosterone-producing cells was shifted from the subcapsular region to the internal cortex, which is the typical site of corticosterone-producing cells. Nevertheless, corticosterone plasma concentrations and 11beta-hydroxylase gene expression were not modified in task1-/- as compared with wild-type mice. These data indicate that despite the spectacular zonation defect, corticosterone production is not affected. To our knowledge no other example showing such dramatic changes in the process of adrenal cortex zonation has been described so far.
Adrenal zonation is a dynamic process, which is dependent on age, sex, and species (Tanaka and Matsuzawa, 1995; Parker et al, 1997; Wotus et al, 1998). Apart from steroidogenic enzyme expression, a few markers have been identified that are expressed in different zones of the rodent adrenal cortex (Okamoto et al, 1997; Mitani et al, 1999). They include nuclear receptors of the NR4 family (Nurr1, NGFI-B) that have been associated with zone-specific transcriptional regulation of the aldosterone synthase and 3beta-hydroxysteroid dehydrogenase type II (HSD3B2) genes (Bassett et al, 2004a, 2004b, 2004c; Lu et al, 2004). However, the molecular mechanisms controlling adrenocortical zonation remain mostly unknown. The task1 knockout mouse with its 'all or none' modified zonation appears to be a promising model to unveil these mechanisms.
Sex-dependent rescue of adrenal abnormalities
Gender difference usually suggests that sex hormones are involved in the respective physiological function. Therefore, adrenal gland morphology and zonation patterns were studied in animals before puberty. In fact, at 18 days of age, male task1-/- mice exhibited the same severely compromised zonation of adrenal glands as females. At this developmental stage, wild-type mice of both sex showed already normal zonation patterns. Taken together, these observations indicate that task1 is a K+ channel essential for the determination of adrenal gland zonation and aldosterone secretion in male and female mice before puberty. After puberty, unknown factors, possibly task3 K+ channels, substitute for the absence of task1 and promote compensatory mechanisms in male task1-/- mice. To further evaluate the contribution of male sex hormones as factors triggering the restoration of the zonation process, we have investigated the effect of castration and treatment with estrogen. In male task1+/+ mice, castration did not affect adrenocortical zonation. However, castration abrogated the ability of male task1-/- mice for developing normal zonation, suggesting a critical role of androgens for driving the compensatory mechanisms in male task1-/- mice. The role of androgens for the compensation of the task1 gene disruption was corroborated by the observation that female task1-/- mice display normal aldosterone synthase distribution after testosterone treatment. The fact that regular zonation and biochemical properties of the adrenal cortex seem to be under the strict control of the expression of a K+ channel is certainly one of the most striking results from this study.
Clinical implications
Inactivation of task1 leads to inappropriate high plasma aldosterone levels and, as a consequence, to fluid retention and arterial hypertension associated with low plasma renin activity. This hyperaldosteronism is fully glucocorticoid-suppressible. In humans, glucocorticoid-suppressible aldosteronism is due to a gene crossover recombination. This results in an 11beta-hydroxylase/aldosterone synthase chimeric gene that is expressed in the zona fasciculata and regulated by ACTH (Lifton et al, 1992; Pascoe et al, 1995). However, cases of glucocorticoid-suppressible aldosteronism that do not have a chimeric gene have been described in which no clear explanation for the abnormality was found (Gordon et al, 1995; Mulatero et al, 1998; Fardella et al, 2001). An interesting possibility is that abnormalities in the expression of TASK1, which is highly expressed in human adrenal gland (http://www.ncbi.nlm.nih.gov/Un iGene/ESTProfileViewer.cgi?ug list=Hs.645288), might be responsible for a fasciculata expression of the aldosterone synthase in those patients with glucocorticoid-suppressible aldosteronism who do not have a chimeric gene.
In conclusion, physiological task1 activity is required for normal development of adrenocortical zonation. After puberty, the dysregulation of aldosterone secretion and the adrenocortical zonation defect can be rescued in male task1-/- mice implying androgen-driven upregulation of compensatory mechanisms, for example, increased expression of other K+ channels such as task3. At present, there are only very few cases of other K+ channels directly linked to a developmental disorder, for example, KCNJ2 (Kir2.1) whose mutations can cause Andersen Syndrome (OMIM 170390). However, in this syndrome the developmental changes are small and result in only discrete modifications of the adult organs. The task1-/- mouse is the first example for a severe but reversible disorganization of the adrenal cortex and, thus, it represents a unique model to study adrenocortical zonation. In future studies, the availability of this mouse model might greatly facilitate the identification and characterization of cellular factors underlying differentiation and development of adrenal cortex.
Materials and methods The task1-/- knockout mouse
Task1-/- knockout mice have been generated as described previously (Aller et al, 2005). The animals used in this study were backcrossed for seven generations into the C57Bl/6J genetic background. Mice were chronically maintained on a normal diet (chow, R03T-25; SAFE, 0.75% K+, 0.27% Na+). For the experiments, mice were fed high- (3%) or low- (0.05%) K+ diet (INRA, France), or low-Na+ diet (<0.005% Na+), for 2 weeks before the measurements. The animals had free access to food and water. The experimental protocols were approved by the local councils for animal care and were conducted according to the German and French law for animal care.
Blood analysis measurements
Blood was collected into heparin-treated capillary tubes from mice tails after small lateral incision. Samples were centrifuged and plasma was frozen and kept at -20°C. Aldosterone concentrations were determined in unextracted plasma using a solid-phase 125I RIA kit (Immunotech, Marseille, France) with a very low cross-reactivity with corticosterone. Plasma Na+ and K+ concentrations were determined using an AVL 9180 Electrolyte analyzer (Roche, Switzerland). Corticosterone concentrations were measured using an 125I RIA kit from MP Biomedicals, LLC (USA).
Blood pressure measurements
Blood pressure measurements were carried out by tail cuff manometry (TSE, Germany). Mice were conditioned to the measurement procedure during four consecutive days. Before measurement, the animals were allowed to stay up for at least 5 min in the measurement device, which was warmed to 37°C. Each day, blood pressure was determined as mean values of 10 cycles, with each cycle consisting of four individual measurements. For inhibition of the mineralocorticoid receptor, canrenoate (1.25 g/l plus sucrose 10%) was added to the drinking water for 10 days (blood pressure measurements were performed during the last 5 days). Before canrenoate treatment, a control period (5 days) was performed during which only sucrose (10%) had been added to the drinking water.
Plasma renin activity
Blood samples were taken from the tail vein. After an incubation of the mouse plasma (1.5 h, 37°C) with plasma of bilaterally nephrectomized male rats as renin substrate, angiotensin I (ng/ml/h) was generated. Afterwards angiotensin I (ng/ml/h) was measured by 125I RIA (Byk & DiaSorin Diagnostics, Germany) to determine plasma renin activity.
Ussing chamber
Female wild-type and task1-/- mice were killed by cervical dislocation and the distal colon was removed. After separation from the muscle layer, colonic mucosa was transferred into a mini Ussing chamber. Experimental solutions were warmed to 37°C by water jackets. The control solution contained (in mmol/l) HEPES 5, NaCl 140, Na-acetate 5, KH2PO4 0.4, K2HPO4 1.6, D-glucose 5, MgCl2 1, CaCl2 1.3, pH 7.4). Indomethacin (10 mol/l) was added to prevent generation of endogenous prostaglandins. Data were collected and analyzed by a PowerLab setup (AD Instruments, Australia).
Immunofluorescence
Mice were anesthetized with isoflurane. After incision of the vena cava inferior, mice were perfused with 3% paraformaldehyde-containing PBS through a polyethylene catheter inserted into the abdominal aorta. After removing and freezing adrenal glands and kidneys, cryosectioning (10 m) was performed on Polysine slides (Kindler, Freiburg, Germany). For unmasking epitopes, the sections were incubated in 0.1% SDS for 5 min. After washing with PBS and blocking with 5% bovine serum albumin (10 min), a polyclonal aldosterone synthase antibody raised in rabbit (dilution 1:50; Wotus et al, 1998) or a polyclonal renin antibody raised in chicken (dilution 1:300; Kurtz et al, 2007) was applied. Cy3 goat anti-rabbit (dilution 1:500; Dianova, Hamburg, Germany) or TRITC donkey anti-chicken (dilution 1:500; Dianova, Hamburg, Germany) was applied as secondary antibodies. The sections were examined with a filter wheel-based imaging system (Universal Imaging Corporation, Dowingtown, PA, USA) mounted on an inverted microscope (Axiovert 200 M; Zeiss, Jena, Germany; excitation 525–550 nm, emission 575–635 nm) and with confocal microscope (LSM 510 Meta; Zeiss, Jena, Germany; excitation 543 nm, emission 560–615 nm).
Hormonal treatment and castration
Five-week-old male mice were anesthetized with isoflurane and castrated via scrotal incision. For estrogen treatment, desexed mice received daily injections of estradiol benzoate (4 g/g/day, s.c.). At the age of 10 weeks, mice were killed and used for immunofluorescence. To test the effect of androgens in females, female task1-/- mice (4 weeks old) were injected twice a week with 1 mg testosterone (Androtardyl, Schering) dissolved in 50 l sesame oil for 3 weeks (Wunderlich et al, 2005).
Real-time PCR
Adrenal gland total RNA was isolated using RNeasy mini kit (Qiagen, Hilden, Germany) and reverse transcribed into cDNA using M-MLV reverse transcriptase (Promega, Mannheim, Germany). TASK3-specific (sense primer: CAC TGT CAT CAC AAC TAT CGG; antisense primer: CAG CGT AGA ACA TAC AGA AGG) real-time PCR was performed using SYBR green (Qiagen, Hilden, Germany) and beta-actin (sense primer: CCA CCG ATC CAC ACA GAG TAC TT; antisense primer: GAC AGG ATG CAG AAG GAG ATT ACT G) as reference gene in a LightCycler machine (Roche, Basel, Switzerland).
Western blot analysis
Adrenal glands from mice were rapidly frozen and stored at -80°C until used. Tissue was pulverized with mortar and pestle in liquid nitrogen and homogenized in RIPA (0.1% SDS, 1% Igepal, 0.5% sodiumdeoxycholate, with protease inhibitor cocktail in PBS, pH 7.4) using a 27-gauge needle. After incubation for 15 min on ice, cellular debris were removed by centrifugation at 10 000 g at 4°C for 10 min. Protein concentration of supernatant was determined by Bradford based protein assay (Bio-Rad). Equal amounts of protein were mixed with reducing Laemmli sample buffer (Bio-Rad) and separated by electrophoresis through 8% SDS–PAGE, transferred to a nitrocellulose membrane, rinsed with PBS, and blocked with 5% nonfat milk and 0.1% Tween in PBS for 1 h. Membranes were incubated overnight with the aldosterone synthase antibody (dilution 1:500; raised in rabbit; Wotus et al, 1998) in Tween–PBS with 0.1% BSA and 0.02% NaN3, washed, and incubated with HRP-conjugated secondary antibody (dilution 1:7500) for 1 h and again washed. Images were developed with Western Blotting Luminol Reagent (Santa Cruz) and visualized on Medical X-ray film (Fotochemische Werke GmbH, Berlin).
Primary cell culture and patch clamp
During isoflurane anesthesia adult male task1-/- and task1+/+ mice were perfused with a collagenase-containing Ringer-type solution (collagenase (type CLS II) 1 mg/ml; Biochrom, Berlin, Germany). Adrenal cortex was harvested, cut into small pieces, and digested for another 15 min at 37°C. Single cells and cell clusters were seeded on culture dishes (Falcon, Germany) and used for patch-clamp experiments 4–24 h after seeding. Whole-cell recordings were performed using an EPC-10 amplifier (Heka, Germany). The patch pipette solution contained (in mM) 95 K-gluconate, 30 KCl, 4.8 Na2HPO4, 1.2 NaH2PO4, 5 glucose, 2.38 MgCl2, 0.726 CaCl2, 1 EGTA, 3 ATP, pH 7.2. The extracellular Ringer-type solution contained (in mM) 145 NaCl, 0.4 KH2PO4, 1.6 K2HPO4, 5 glucose, 1 MgCl2, 1.3 CaCl2, 5 HEPES, pH 7.4. Differences in whole-cell currents induced by a voltage step from -95 to +30 mV were normalized to cell capacitance (pA/pF) as a measure of cell surface area. Leak subtraction was not performed. All experiments were performed at 37°C.
Statistics
Data are shown as mean values s.e.m. from 'n' observations. Paired as well as unpaired Student's t-test were used as appropriate. A P-value of <0.05 was accepted to indicate statistical significance.
Acknowledgements
We thank M Larroque for expert assistance and P Meneton for helpful discussions and scientific advice. The study was supported by the Deutsche Forschungsgemeinschaft (SFB699 to RW), the Centre National de la Recherche scientifique (JB), and by the European Section of Aldosterone Council (11AD5B to JB).
References
Aller MI, Veale EL, Linden AM, Sandu C, Schwaninger M, Evans LJ, Korpi ER, Mathie A, Wisden W, Brickley SG (2005) Modifying the subunit composition of TASK channels alters the modulation of a leak conductance in cerebellar granule neurons. J Neurosci 25: 11455–11467 | Article | PubMed | ISI | ChemPort | Arrighi I, Bloch-Faure M, Grahammer F, Bleich M, Warth R, Mengual R, Drici MD, Barhanin J, Meneton P (2001) Altered potassium balance and aldosterone secretion in a mouse model of human congenital long QT syndrome. Proc Natl Acad Sci USA 98: 8792–8797 | Article | PubMed | ChemPort | Bassett MH, Suzuki T, Sasano H, De Vries CJ, Jimenez PT, Carr BR, Rainey WE (2004a) The orphan nuclear receptor NGFIB regulates transcription of 3beta-hydroxysteroid dehydrogenase. Implications for the control of adrenal functional zonation. J Biol Chem 279: 37622–37630 | Article | ChemPort | Bassett MH, Suzuki T, Sasano H, White PC, Rainey WE (2004b) The orphan nuclear receptors NURR1 and NGFIB regulate adrenal aldosterone production. Mol Endocrinol 18: 279–290 | Article | ChemPort | Bassett MH, White PC, Rainey WE (2004c) The regulation of aldosterone synthase expression. Mol Cell Endocrinol 217: 67–74 | Article | PubMed | ChemPort | Berg AP, Talley EM, Manger JP, Bayliss DA (2004) Motoneurons express heteromeric TWIK-related acid-sensitive K+ (TASK) channels containing TASK-1 (KCNK3) and TASK-3 (KCNK9) subunits. J Neurosci 24: 6693–6702 | Article | PubMed | ISI | ChemPort | Bielohuby M, Herbach N, Wanke R, Maser-Gluth C, Beuschlein F, Wolf E, Hoeflich A (2007) Growth analysis of the mouse adrenal gland from weaning to adulthood: time- and gender-dependent alterations of cell size and number in the cortical compartment. Am J Physiol Endocrinol Metab 293: E139–E146 | Article | PubMed | ChemPort | Carroll J, Dluhy R, Fallo F, Pistorello M, Bradwin G, Gomez-Sanchez CE, Mortensen R (1996) Aldosterone-producing adenomas do not contain glucocorticoid-remediable aldosteronism chimeric gene duplications. J Clin Endocrinol Metab 81: 4310–4312 | Article | PubMed | ChemPort | Chai W, Danser AH (2006) Why are mineralocorticoid receptor antagonists cardioprotective? Naunyn Schmiedebergs Arch Pharmacol 374: 153–162 | Article | PubMed | ChemPort | Conn JW (1955) Part I. Painting background. Part II. Primary aldosteronism, a new clinical syndrome. J Lab Clin Med 45: 3–17 | PubMed | ISI | ChemPort | Czirjak G, Enyedi P (2001) Formation of functional heterodimers between the TASK-1 and TASK-3 two pore domain potassium channel subunits. J Biol Chem 277: 5426–5432 | Article | PubMed | ChemPort | Czirjak G, Enyedi P (2002) TASK-3 dominates the background potassium conductance in rat adrenal glomerulosa cells. Mol Endocrinol 16: 621–629 | Article | PubMed | ISI | ChemPort | Czirjak G, Fischer T, Spat A, Lesage F, Enyedi P (2000) TASK (TWIK-related acid-sensitive K+ channel) is expressed in glomerulosa cells of rat adrenal cortex and inhibited by angiotensin II. Mol Endocrinol 14: 863–874 | Article | PubMed | ISI | ChemPort | Enyeart JA, Danthi SJ, Enyeart JJ (2004) TREK-1 K+ channels couple angiotensin II receptors to membrane depolarization and aldosterone secretion in bovine adrenal glomerulosa cells. Am J Physiol 287: E1154–E1165 | ChemPort | Fardella CE, Pinto M, Mosso L, Gomez-Sanchez C, Jalil J, Montero J (2001) Genetic study of patients with dexamethasone-suppressible aldosteronism without the chimeric CYP11B1/CYP11B2 gene. J Clin Endocrinol Metab 86: 4805–4807 | Article | PubMed | ChemPort | Ganguly A (1998) Primary aldosteronism. N Engl J Med 339: 1828–1834 | Article | PubMed | ISI | ChemPort | Gordon RD, Stowasser M, Klemm SA, Tunny TJ (1995) Primary aldosteronism—some genetic, morphological, and biochemical aspects of subtypes. Steroids 60: 35–41 | Article | PubMed | ISI | ChemPort | Ibrahim HN, Hostetter TH (2003) Aldosterone in renal disease. Curr Opin Nephrol Hypertens 12: 159–164 | Article | PubMed | ChemPort | Kang D, Han J, Talley EM, Bayliss DA, Kim D (2004) Functional expression of TASK-1/TASK-3 heteromers in cerebellar granule cells. J Physiol 554: 64–77 | Article | PubMed | ISI | ChemPort | Karschin C, Wischmeyer E, Preisig-Muller R, Rajan S, Derst C, Grzeschik KH, Daut J, Karschin A (2001) Expression pattern in brain of TASK-1, TASK-3, and a tandem pore domain K(+) channel subunit, TASK-5, associated with the central auditory nervous system. Mol Cell Neurosci 18: 632–648 | Article | PubMed | ChemPort | Kurtz L, Schweda F, de Wit C, Kriz W, Witzgall R, Warth R, Sauter A, Kurtz A, Wagner C (2007) Lack of connexin 40 causes displacement of renin-producing cells from afferent arterioles to the extraglomerular mesangium. J Am Soc Nephrol 18: 1103–1111 | Article | PubMed | ChemPort | Lesage F, Lazdunski M (2000) Molecular and functional properties of two-pore-domain potassium channels. Am J Physiol 279: F793–F801 | ISI | ChemPort | Lifton RP, Dluhy RG, Powers M, Rich GM, Gutkin M, Fallo F, Gill Jr JR, Feld L, Ganguly A, Laidlaw JC, Murnaghan DJ, Kaufman C, Stockigt JR, Ulick S, Lalouel J-M (1992) Hereditary hypertension caused by chimaeric gene duplications and ectopic expression of aldosterone synthase. Nat Genet 2: 66–74 | Article | PubMed | ISI | ChemPort | Linden AM, Aller MI, Leppa E, Vekovischeva O, Aitta-Aho T, Veale EL, Mathie A, Rosenberg P, Wisden W, Korpi ER (2006) The in vivo contributions of TASK-1-containing channels to the actions of inhalation anesthetics, the alpha(2) adrenergic sedative dexmedetomidine, and cannabinoid agonists. J Pharmacol Exp Ther 317: 615–626 | Article | PubMed | ISI | ChemPort | Lotshaw DP (2001) Role of membrane depolarization and T-type Ca2+ channels in angiotensin II and K+ stimulated aldosterone secretion. Mol Cell Endocrinol 175: 157–171 | Article | PubMed | ChemPort | Lotshaw DP (2006) Biophysical and pharmacological characteristics of native two-pore domain TASK channels in rat adrenal glomerulosa cells. J Membr Biol 210: 51–70 | Article | PubMed | ChemPort | Lu L, Suzuki T, Yoshikawa Y, Murakami O, Miki Y, Moriya T, Bassett MH, Rainey WE, Hayashi Y, Sasano H (2004) Nur-related factor 1 and nerve growth factor-induced clone B in human adrenal cortex and its disorders. J Clin Endocrinol Metab 89: 4113–4118 | Article | PubMed | ChemPort | Meuth SG, Aller MI, Munsch T, Schuhmacher T, Seidenbecher T, Meuth P, Kleinschnitz C, Pape HC, Wiendl H, Wisden W, Budde T (2006) The contribution of TWIK-related acid-sensitive K+-containing channels to the function of dorsal lateral geniculate thalamocortical relay neurons. Mol Pharmacol 69: 1468–1476 | Article | PubMed | ISI | ChemPort | Mitani F, Mukai K, Miyamoto H, Suematsu M, Ishimura Y (1999) Development of functional zonation in the rat adrenal cortex. Endocrinology 140: 3342–3353 | Article | PubMed | ChemPort | Mulatero P, Veglio F, Pilon C, Rabbia F, Zocchi C, Limone P, Boscaro M, Sonino N, Fallo F (1998) Diagnosis of glucocorticoid-remediable aldosteronism in primary aldosteronism: aldosterone response to dexamethasone and long polymerase chain reaction for chimeric gene. J Clin Endocrinol Metab 83: 2573–2575 | Article | PubMed | ChemPort | Nussberger J (2003) Investigating mineralocorticoid hypertension. J Hypertens Suppl 21: S25–S30 | PubMed | ChemPort | Okamoto M, Takemori H, Halder SK, Hatano O (1997) Zona glomerulosa-specific factor: cloning and function. Steroids 62: 73–76 | Article | PubMed | ChemPort | Parker Jr CR, Mixon RL, Brissie RM, Grizzle WE (1997) Aging alters zonation in the adrenal cortex of men. J Clin Endocrinol Metab 82: 3898–3901 | Article | PubMed | ChemPort | Pascoe L, Jeunemaitre X, Lebrethon MC, Curnow KM, Gomez-Sanchez CE, Gasc JM, Saez JM, Corvol P (1995) Glucocorticoid-suppressible hyperaldosteronism and adrenal tumors occurring in a single French pedigree. J Clin Invest 96: 2236–2246 | PubMed | ISI | ChemPort | Remuzzi G, Perico N, Macia M, Ruggenenti P (2005) The role of renin–angiotensin–aldosterone system in the progression of chronic kidney disease. Kidney Int Suppl 68: S57–S65 | Article | Sausbier M, Arntz C, Bucurenciu I, Zhao H, Zhou XB, Sausbier U, Feil S, Kamm S, Essin K, Sailer CA, Abdullah U, Krippeit-Drews P, Feil R, Hofmann F, Knaus HG, Kenyon C, Shipston MJ, Storm JF, Neuhuber W, Korth M et al (2005) Elevated blood pressure linked to primary hyperaldosteronism and impaired vasodilation in BK channel-deficient mice. Circulation 112: 60–68 | Article | PubMed | ISI | ChemPort | Spat A, Hunyady L (2004) Control of aldosterone secretion: a model for convergence in cellular signaling pathways. Physiol Rev 84: 489–539 | Article | PubMed | ISI | ChemPort | Szabadkai G, Varnai P, Enyedi P (1999) Selective inhibition of potassium-stimulated rat adrenal glomerulosa cells by ruthenium red. Biochem Pharmacol 57: 209–218 | Article | PubMed | ChemPort | Tanaka S, Matsuzawa A (1995) Comparison of adrenocortical zonation in C57BL/6J and DDD mice. Exp Anim 44: 285–291 | Article | PubMed | ChemPort | Wotus C, Levay-Young BK, Rogers LM, Gomez-Sanchez CE, Engeland WC (1998) Development of adrenal zonation in fetal rats defined by expression of aldosterone synthase and 11beta-hydroxylase. Endocrinology 139: 4397–4403 | Article | PubMed | ChemPort | Wunderlich F, Dkhil MA, Mehnert LI, Braun JV, El Khadragy M, Borsch E, Hermsen D, Benten WP, Pfeffer K, Mossmann H, Krucken J (2005) Testosterone responsiveness of spleen and liver in female lymphotoxin beta receptor-deficient mice resistant to blood-stage malaria. Microbes Infect 7: 399–409 | Article | PubMed | ChemPort | |