2014 Fiscal Year Final Research Report
Characteristics of Japanese aldosterone-producing adenomas with KCNJ5 mutations
Project/Area Number |
25893026
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Research Category |
Grant-in-Aid for Research Activity Start-up
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Allocation Type | Single-year Grants |
Research Field |
Endocrinology
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Research Institution | Gunma University |
Principal Investigator |
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Project Period (FY) |
2013-08-30 – 2015-03-31
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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.
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Free Research Field |
内分泌学
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