Adrenal disease

Adipose tissue signaling in aldosterone-producing adenomas: paracrine and endocrine effects

Eur J EndocrinolPublished Mechanistic study

Authors' conclusion

RNA sequencing identified significant gene expression differences in fat compartments of APA patients, implying endocrine and paracrine effects of APAs. These findings might partly explain cardiovascular consequences of primary aldosteronism and could lead to new diagnostic strategies, especially through accessible scAT.

Study context

Population
Patients with aldosterone-producing adenomas and, as controls, nonfunctional adrenal adenomas; subcutaneous and periadrenal adipose tissue
Comparison
APA vs NFA adipose tissue
Outcome
Differentially expressed genes (RNA sequencing)
Methodological detailsRNA sequencing, immunohistochemistry, KCNJ5-mutated APA subanalysis
  • RNA sequencing
  • Immunohistochemistry
  • KCNJ5-mutated APA subanalysis

Main finding

As reported in the abstract

APA vs NFA in subcutaneous adipose tissue (scAT) (up, down)

68 up, 259 down

APA vs NFA in periadrenal adipose tissue (paAT) (up, down)

16 up, 117 down

scAT vs paAT of APA patients (up, down)

826 up, 1632 down

Original publication

Adipose tissue signaling in aldosterone-producing adenomas: paracrine and endocrine effects. Eur J Endocrinol. Published 24 September 2025. doi:10.1093/ejendo/lvaf190

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