Evidence map›Paper›PMID 25915569›Full record

ArticleThe Journal of clinical endocrinology and metabolism2015

LGR5 Activates Noncanonical Wnt Signaling and Inhibits Aldosterone Production in the Human Adrenal.

Lalarukh Haris Shaikh, Junhua Zhou, Ada E D Teo, Sumedha Garg, Sudeshna Guha Neogi, Nichola Figg, Giles S Yeo, Haixiang Yu, Janet J Maguire, Wanfeng Zhao and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Lalarukh Haris ShaikhClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Junhua ZhouClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Ada E D TeoClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Sumedha GargClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Sudeshna Guha NeogiClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Nichola FiggClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Giles S YeoClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Haixiang YuClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Janet J MaguireClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Wanfeng ZhaoClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Martin R BennettClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Elena A B AzizanClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Anthony P DavenportClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Grahame McKenzieClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
Morris J BrownClinical Pharmacology Unit (L.H.S., J.Z., A.E.D.T., S.G., J.J.M., E.A.B.A., A.P.D., M.J.B.) and Cardiovascular Division (N.F., H.Y., M.R.B.), Department of Medicine, University of Cambridge, Cambridge National Institute for Health Research (S.G.N.), Biomedical Research Centre, Department of Clinical Biochemistry, Addenbrooke's Hospital, University of Cambridge Metabolic Research Laboratories (G.S.Y.), Institute of Metabolic Science, Addenbrooke's Hospital, and Human Research Tissue Bank (W.Z.), Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom; Department of Medicine (E.A.B.A.), Faculty of Medicine, The National University of Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia; and Medical Research Council Cancer Unit (G.M.), University of Cambridge, Cambridge CB2 0XZ, United Kingdom.
National Institute for Health Research · GB

Funding

British Heart Foundation FS/11/35/28871British Heart Foundation FS/12/33/29561British Heart Foundation FS/12/8/29377British Heart Foundation FS/14/12/30540British Heart Foundation FS/14/75/31134British Heart Foundation PG/07/085/23349British Heart Foundation RG/13/14/30314British Heart Foundation SP/08/002/24118Medical Research Council G0800784Medical Research Council G1000847Medical Research Council MC_UU_12012/5Wellcome TrustWellcome Trust 085686/Z/08/A
6 · The paper itself

Abstract

contextAldosterone synthesis and cellularity in the human adrenal zona glomerulosa (ZG) is sparse and patchy, presumably due to salt excess. The frequency of somatic mutations causing aldosterone-producing adenomas (APAs) may be a consequence of protection from cell loss by constitutive aldosterone production.

objectiveThe objective of the study was to delineate a process in human ZG, which may regulate both aldosterone production and cell turnover.

designThis study included a comparison of 20 pairs of ZG and zona fasciculata transcriptomes from adrenals adjacent to an APA (n = 13) or a pheochromocytoma (n = 7).

interventionsInterventions included an overexpression of the top ZG gene (LGR5) or stimulation by its ligand (R-spondin-3).

main outcome measuresA transcriptome profile of ZG and zona fasciculata and aldosterone production, cell kinetic measurements, and Wnt signaling activity of LGR5 transfected or R-spondin-3-stimulated cells were measured.

resultsLGR5 was the top gene up-regulated in ZG (25-fold). The gene for its cognate ligand R-spondin-3, RSPO3, was 5-fold up-regulated. In total, 18 genes associated with the Wnt pathway were greater than 2-fold up-regulated. ZG selectivity of LGR5, and its absence in most APAs, were confirmed by quantitative PCR and immunohistochemistry. Both R-spondin-3 stimulation and LGR5 transfection of human adrenal cells suppressed aldosterone production. There was reduced proliferation and increased apoptosis of transfected cells, and the noncanonical activator protein-1/Jun pathway was stimulated more than the canonical Wnt pathway (3-fold vs 1.3-fold). ZG of adrenal sections stained positive for apoptosis markers.

conclusionLGR5 is the most selectively expressed gene in human ZG and reduces aldosterone production and cell number. Such conditions may favor cells whose somatic mutation reverses aldosterone inhibition and cell loss.

Indexed as

Adrenal GlandsAldosteroneCell CountDown-RegulationGene Expression ProfilingHumansImmunohistochemistryMicroarray AnalysisReceptors, G-Protein-CoupledTumor Cells, CulturedUp-RegulationWnt Signaling PathwayZona FasciculataZona GlomerulosaAldosteroneLGR5 protein, humanReceptors, G-Protein-Coupled

Identifiers

PMID25915569
PMCPMC4454794
OpenAlexW2000483635

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