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2014 Fiscal Year Final Research Report

Characteristics of Japanese aldosterone-producing adenomas with KCNJ5 mutations

Research Project

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Project/Area Number 25893026
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Endocrinology
Research InstitutionGunma University

Principal Investigator

NAKAJIMA Yasuyo  群馬大学, 医学部附属病院, 助教 (70707017)

Project Period (FY) 2013-08-30 – 2015-03-31
Keywordsアルドステロン産生腺腫 / KCNJ5遺伝子変異
Outline of Final Research Achievements

Somatic mutations of the potassium channel KCNJ5 gene have been recently identified in patients with adrenal aldosterone-producing adenomas (APAs). In the present study,we identified 76% of KCNJ5 mutations in APAs. They were younger and showed higher plasma aldosterone levels, lower potassium levels and higher diastolic blood pressure(p<0.05,p<0.05, p<0.01 and p<0.05, respectively). Reflecting these phenotypes, they had higher CYP11B2 mRNA levels. However, in contrast to APAs in Western countries, Japanese APAs with mutations showed lower CYP11B1, CYP17A1, and CYP11A1 mRNA levelsp<0.01,p<0.02, p<0.01 and p<0.05, respectively). These findings demonstrated that Japanese APAs may have distinct features including a higher prevalence of KCNJ5 mutations and characteristics similar to the zona glomerulosa.

Free Research Field

内分泌学

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Published: 2016-06-03  

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