scholarly journals STUDIES ON RENAL JUXTAGLOMERULAR CELLS

1955 ◽  
Vol 102 (2) ◽  
pp. 205-212 ◽  
Author(s):  
Phyllis Merritt Hartroft ◽  
W. Stanley Hartroft

Many of the observations made by Deane and associates (8, 13, 14) regarding the effects of salt restriction, excess salt intake, and hypophysectomy on the zonna glomerulosa of the adrenal cortex in the rat have been confirmed. A positive correlation (r = 0.63) of high statistical significance has been demonstrated between the degree of granulation of JG cells (JGI) and the width of the zona glomerulosa in 159 rats from 5 series of experiments in which low, normal, and high salt regimens were employed. A somewhat higher correlation (r = 0.81) was obtained when only rats were included from the most recent experiment of the series in which JGI counts were more accurate. Under the conditions of these experiments, therefore, increased granulation and degranulation of JG cells were associated with hyperactivity and suppressed activity, respectively, of the zona glomerulosa. Rats sacrificed 4 to 7 weeks after hypophysectomy were found to have normal JG cells. This finding constitutes another example of the similarity in response of JG cells to that of the zona glomerulosa, which also remained unaltered following hypophysectomy despite atrophy of the rest of the adrenal cortex.

2014 ◽  
Vol 224 (2) ◽  
pp. 149-157 ◽  
Author(s):  
F McManus ◽  
R Fraser ◽  
E Davies ◽  
J M C Connell ◽  
E M Freel

The importance of corticosteroids in cardiovascular and other chronic disease is recognised. In addition, plasma steroid precursor-to-product ratios are useful and convenient indirect indicators of efficiency of key steroidogenic enzymes (aldosterone synthase, 11β-hydroxylase and 17α-hydroxylase). The use of liquid chromatography–tandem mass spectrometry (LC–MS/MS) has enabled measurement of numerous corticosteroid compounds simultaneously. However, normal responses to trophins and variation in salt intake are not well described. This study examined these parameters in a large group of healthy volunteers. Sixty normotensive volunteers were recruited and underwent infusion of angiotensin II (AngII) and ACTH, following low- and high-salt diet. Measurement of plasma steroids at baseline and 30 min after infusion of trophin was carried out by LC–MS. As expected, plasma mineralocorticoid levels increased in response to salt restriction and were suppressed with salt loading; ACTH infusion increased all corticosteroids, while AngII increased mineralocorticoids and suppressed glucocorticoid production. ACTH increased S:F but decreased DOC:B, thus the S:F ratio is a more appropriate index of 11β-hydroxylase efficiency. The B:F ratio increased following ACTH treatment and salt restriction. A larger proportion of plasma B than generally accepted may be derived from the zona glomerulosa and this ratio may be most informative of 17α-hydroxylase activity in salt-replete subjects. Although DOC:aldosterone, B:aldosterone and 18-hydroxyB:aldosterone should provide indices of aldosterone synthase efficiency, responses of individual compounds to trophins suggest that none of them accurately reflect this. Based on these data, aldosterone synthase activity is most accurately reflected by aldosterone concentration alone.


Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
Kazuto Ohno ◽  
Hiroyuki Takase ◽  
Masashi Machii ◽  
Daishi Nonaka ◽  
Tomonori Sugiura ◽  
...  

Purpose: Excess salt intake is one of the most important causes of hypertension. Salt restriction is a key strategy in the management of hypertension and, thus, should be instructed for hypertensive patients under medical treatment. We investigated recent changes in dietary salt intake and blood pressure (BP) levels in hypertensive patients. Methods: Total of 12422 hypertensive subjects (male 71.0% [8814 of 12422], 64.6±9.2 year-old) under medical treatment who visited our hospital for a physical checkup from 2010 to 2016 were enrolled. They were divided into 3 groups according to the number of antihypertensive drugs prescribed (1, 2 and ≥3 drugs). Cross-sectional analyses were performed using data in each year and changes during the 7 years were investigated. Individual salt intake was estimated using a spot urine by a previously reported method. Results: BP levels and the accomplishment rate of the target BP (<140/90mmHg) were improved in each group during the 7 years without significant difference among the groups (Overall 2010 to 2016; BP 132.7±13.6/80.0±8.9 to 128.8±13.7/76.3±9.6 mmHg and accomplishment ratio 65.6 [968 of 1475] to 76.4% [1433 of 1875]). However, individual salt intake was gradually increased in all groups (2010 to 2016 in 1, 2, and ≥3 drugs; 11.7±3.7 to 12.2±4.0, 11.9±3.7 to 12.7±3.9, and 12.2±3.9 to 12.9±4.1 g/day, respectively) and the accomplishment rate of salt restriction (<6g/day) was significantly reduced in subjects with increased number of antihypertensive drugs (3.5 [225 of 6435], 2.8 [125 of 4564], and 2.3% [33 of 1423] in groups with 1, 2, and ≥3 drugs, respectively). The accomplishment rate of the target BP was significantly higher in patients who achieved salt restriction than in those who did not achieve salt restriction in all groups (Over all; 80.2 [307 of 383] vs. 73.3% [8829 of 12039]). Conclusions: The control of BP in individuals with antihypertensive medications was improved in the last 7 years. However, salt restriction has not been successfully achieved especially in hypertensive patients with multiple antihypertensive medications. Excess salt intake may induce resistance to antihypertensive treatment and, thus, increases the number of antihypertensive drugs for BP control.


PEDIATRICS ◽  
1963 ◽  
Vol 32 (5) ◽  
pp. 825-840
Author(s):  
José Cara ◽  
Lytt I. Gardner

Pathological and biochemical observations are presented in two cases of virilizing adrenal hyperplasia: one of the sodium-losing type and the other of the hypertensive type. Examination of the kidneys revealed hypertrophy of the juxtaglomerular cells in the case exhibiting excessive sodium loss. The adrenal cortex showed hypertrophy of the zona glomerulosa. It is hypothesized that the chronic state of sodium loss caused changes in the intravascular compartment which led to compensatory activity of the juxtaglomerular cells with resultant stimulation of the zona glomerulosa. Examination of the hypertensive case (known to involve a different enzyme deficit) showed hypertrophy of the zona glomerulosa without hypertrophy of the juxtaglomerular cells. The intrinsic overproduction of sodium-retaining steroids associated with the genetic defect in this clinical form could account for both the hypertension and the absence of hypertrophy of the juxtaglomerular apparatus.


Author(s):  
K. Kovacs ◽  
E. Horvath ◽  
W. Singer

Secretion of ACTH by non-pituitary neoplasms is recognized with increasing frequency. While the clinical and biochemical changes associated with ectopic ACTH production have been extensively studied recently, relatively little attention was focused on the morphology of the adrenal cortex and, to our knowledge, the fine structure of the adrenocortical cells in cases of ectopic ACTH syndrome has not been described so far. We report here the electron microscopic findings in the adrenal cortex of a 50-year-old man with a pancreatic apudoma. The patient showed the characteristic clinical and biochemical features of ectopic ACTH syndrome and because of extensive hypercorticism, underwent bilateral adrenalectomy.By light microscopy, the adrenal cortices showed extensive compact cell hyperplasia and lipid depletion. The zona glomerulosa was present in small foci and, except for a few places, fasciculata cells were noted under the fibrous capsule.


1968 ◽  
Vol 59 (3) ◽  
pp. 508-518
Author(s):  
J. D. Elema ◽  
M. J. Hardonk ◽  
Joh, Koudstaal ◽  
A. Arends

ABSTRACT Acute changes in glucose-6-phosphate dehydrogenase and isocitrate dehydrogenase activity in the zona glomerulosa of the rat adrenal cortex were induced by peritoneal dialysis with 5 % glucose. Although less clear, the activity of 3β-ol-hydroxysteroid dehydrogenase also seemed to increase as well. No changes were seen in the activity of succinate dehydrogenase. Dialysis with 0.9 % NaCl had no effect on any of the enzymes investigated. The possible significance of these observations is discussed.


1971 ◽  
Vol 67 (1) ◽  
pp. 159-173
Author(s):  
A. Peytremann ◽  
R. Veyrat ◽  
A. F. Muller

ABSTRACT Variations in plasma renin activity and urinary aldosterone excretion were studied in normal subjects submitted to salt restriction and simultaneous inhibition of ACTH production with a new synthetic steroid, 6-dehydro-16-methylene hydrocortisone (STC 407). At a dose of 10 mg t. i. d. this preparation exerts an inhibitory effect on the pituitary comparable to that of 2 mg of dexamethasone. In subjects maintained on a restricted salt intake, STC 407 does not delay the establishment of an equilibrium in sodium balance. The increases in endogenous aldosterone production and in plasma renin activity are also similar to those seen in the control subjects. A possible mineralocorticoid effect of STC 407 can be excluded. Under identical experimental conditions, the administration of dexamethasone yielded results comparable to those obtained with STC 407.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Koshiro Nishimoto ◽  
Tsugio Seki ◽  
Yuichiro Hayashi ◽  
Shuji Mikami ◽  
Ghaith Al-Eyd ◽  
...  

Background. The immunohistochemical detection of aldosterone synthase (CYP11B2) and steroid 11β-hydroxylase (CYP11B1) has enabled the identification of aldosterone-producing cell clusters (APCCs) in the subcapsular portion of the human adult adrenal cortex. We hypothesized that adrenals have layered zonation in early postnatal stages and are remodeled to possess APCCs over time.Purposes. To investigate changes in human adrenocortical zonation with age.Methods. We retrospectively analyzed adrenal tissues prepared from 33 autopsied patients aged between 0 and 50 years. They were immunostained for CYP11B2 and CYP11B1. The percentage of APCC areas over the whole adrenal area (AA/WAA, %) and the number of APCCs (NOA, APCCs/mm2) were calculated by four examiners. Average values were used in statistical analyses.Results. Adrenals under 11 years old had layered zona glomerulosa (ZG) and zona fasciculata (ZF) without apparent APCCs. Some adrenals had an unstained (CYP11B2/CYP11B1-negative) layer between ZG and ZF, resembling the rat undifferentiated cell zone. Average AA/WAA and NOA correlated with age, suggesting that APCC development is associated with aging. Possible APCC-to-APA transitional lesions were incidentally identified in two adult adrenals.Conclusions. The adrenal cortex with layered zonation remodels to possess APCCs over time. APCC generation may be associated with hypertension in adults.


1953 ◽  
Vol 97 (3) ◽  
pp. 415-428 ◽  
Author(s):  
Phyllis Merritt Hartroft ◽  
W. Stanley Hartroft

Accumulation of granules in the juxtaglomerular cells occurred in rats which were maintained for 5 to 6 weeks on a diet low in sodium, chloride. Cytological evidence suggests that this was probably a storage phase of secretion following a decrease in the rate of liberation of the granules. Administration of DCA (desoxycorticosterone acetate) to salt-deficient rats did not alter this appearance of the juxtaglomerular cells. Two per cent sodium chloride taken in the drinking water consumed for 4 weeks by similar animals caused degranulation of the juxtaglomerular cells. This effect was enhanced by DCA. DCA administered to animals on a normal salt intake produced a lesser degree of degranulation. Cytological changes in degranulated cells suggested that these represent a stage of hyperactivity in the secretory cycle produced by an increase in the rate of liberation of granules. A hypothesis is suggested that the juxtaglomerular cells are involved in the hormonal regulation of sodium metabolism and/or blood pressure.


1979 ◽  
Vol 29 (5) ◽  
pp. 687-696
Author(s):  
Hajime Sugihara ◽  
Kiyoko Kawai ◽  
Hideo Tsuchiyama

Hypertension ◽  
2016 ◽  
Vol 68 (suppl_1) ◽  
Author(s):  
Yuefei Huang ◽  
Tham M Yao ◽  
Paul Loutraris ◽  
Isis K Rangel ◽  
Pei Yee Ting ◽  
...  

Lysine-Specific Demethylase1 (LSD1) is an epigenetic factor modulated by salt intake. Previously, we documented the male heterozygote LSD1 knockout mice (LSD1+/-) had dysregulation of aldosterone (ALDO) production on a liberal salt diet (1.6% Na+) associated with salt-sensitive hypertension. This study assessed if: 1) female LSD1+/- mice have a similar phenotype; and 2) the effect of aging on this phenotype. Methods: Female LSD1+/- and wild type mice (LSD1+/+) were randomly assigned for sacrifice at the ages of 18-week, 52-week, and 75-week and the following were assessed at each time point: blood pressure (BP); plasma renin activity (PRA) and ALDO; urine albumin; and ex vivo ALDO production from isolated adrenal zona glomerulosa cells. Results: BP and urine albumin in the LSD1+/- compared to the LSD1+/+ were not different at any age (Table). However, the LSD1+/- had greater ALDO/PRA ratios at 18 weeks compared with the LSD1+/+, but lower ALDO levels and ex vivo ALDO production at 52 and 75 weeks. Associated with this phenotype, the LSD1+/- showed significantly higher rate of all-cause mortality than the LSD1+/+. Conclusion: Lack of LSD1 caused dysregulation of ALDO production in both male and female mice. But the cardiovascular outcomes are different. The LSD1+/- females in contrast to males do not develop hypertension or albuminuria even at 75 weeks of age. However, the females do die at a faster rate than the males of a variety of causes. Thus, there is considerable sexual dimorphism in the pathogenesis of cardiovascular outcomes associated with dysregulation of adrenal ALDO production mediated by lack of LSD1.


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