Adrenal disease

Recurrent CACNA1H E282K is a gain-of-function mutation associated with primary hyperaldosteronism

Eur J EndocrinolPublished Genetic and mechanistic study

Authors' conclusion

Our study suggests that Cav3.2E282K is a gain-of-function mutation and T-type calcium channel blockers may be efficient in controlling aldosterone levels for PA patients carrying mutant Cav3.2.

Study context

Population
Patients with primary aldosteronism (PA)
Participants
305 patients
Outcome
Germline CACNA1H variants and their function
Methodological detailstargeted next-generation sequencing of 10 PA causative genes, in vitro functional analysis
  • Targeted next-generation sequencing of 10 PA causative genes
  • In vitro functional analysis

Main finding

As reported in the abstract

Heterozygous germline CACNA1H variants (E282K, V213M, S1249R) in independent PA cases

3 variants in 4 cases

Recurrent E282K in 1 patient with severe early-onset PA and 1 with bilateral adrenal hyperplasia

2 patients

Original publication

Recurrent CACNA1H E282K is a gain-of-function mutation associated with primary hyperaldosteronism. Eur J Endocrinol. Published 16 December 2025. doi:10.1093/ejendo/lvaf253

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