Evidence map›Paper›PMID 26815163›Full record

ArticleScientific reports2016

Activating mutations in CTNNB1 in aldosterone producing adenomas.

Tobias Åkerström, Rajani Maharjan, Holger Sven Willenberg, Kenko Cupisti, Julian Ip, Ana Moser, Peter Stålberg, Bruce Robinson, K Alexander Iwen, Henning Dralle and 6 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed
19.1field-weighted citation impact, top 1% 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

88 citing papers in PubMed, 167 citations in OpenAlex.

  1. Aldosterone-Producing Lesions HarboringHypertension (Dallas, Tex. : 1979) · 2026
    Article
  2. Review
  3. Primary aldosteronism.Nature reviews. Disease primers · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Somatic Mutations inHypertension (Dallas, Tex. : 1979) · 2025
    Article
  9. Review
  10. Article
  11. Sexual dimorphism in benign adrenocortical tumours.European journal of endocrinology · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. SomaticHypertension (Dallas, Tex. : 1979) · 2024
    Article
  16. Article
  17. Article
  18. Review
  19. Double somatic mutations inFrontiers in endocrinology · 2024
    Article
  20. Cardiovascular diagnosis and therapy · 2023
    Article

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 4 countries.

Tobias ÅkerströmDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Rajani MaharjanDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Holger Sven WillenbergDepartment of Endocrinology and Metabolism, Rostock University Medical Center, Germany.
Kenko CupistiGeneral, Visceral and Pediatric Surgery University Hospital Düsseldorf, Düsseldorf, Germany.
Julian IpUniversity of Sydney, Endocrine Surgical Unit and Cancer Genetics, Hormones and Cancer Group, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney, Australia.
Ana MoserDepartment of Medicine I, University of Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Peter StålbergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Bruce RobinsonUniversity of Sydney, Endocrine Surgical Unit and Cancer Genetics, Hormones and Cancer Group, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney, Australia.
K Alexander IwenDepartment of Medicine I, University of Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Henning DralleDepartment of General, Visceral and Vascular Surgery, University Hospital, University of Halle-Wittenberg, Halle/Saale, Germany. Sweden.
Martin K WalzKlinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Essen, Germany.
Hendrik LehnertDepartment of Medicine I, University of Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Stan SidhuUniversity of Sydney, Endocrine Surgical Unit and Cancer Genetics, Hormones and Cancer Group, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney, Australia.
Celso Gomez-SanchezEndocrine Section, Department of Medicine, G.V. (Sonny) Montgomery VA Medical Center and University of Mississippi Medical Center, Jackson, USA.
Per HellmanDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Peyman BjörklundDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Uppsala University · SERoyal North Shore Hospital · AUUniversity of Lübeck · DEHeinrich Heine University Düsseldorf · DEKliniken Essen-Mitte · DEMartin Luther University Halle-Wittenberg · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Mississippi Medical Center · USUniversity of Rostock · DEUniversity of Sydney · AU

Funding

ROLE OF MINERALOCORTICOIDS IN LOW-RENIN HYPERTENSIONR01HL027255 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI GOMEZ-SANCHEZ, CELSO ENRIQUE · 1985 to 2017
$3.9M
NHLBI NIH HHS R01 HL027255
6 · The paper itself

Abstract

Primary aldosteronism (PA) is the most common cause of secondary hypertension with a prevalence of 5-10% in unreferred hypertensive patients. Aldosterone producing adenomas (APAs) constitute a large proportion of PA cases and represent a surgically correctable form of the disease. The WNT signaling pathway is activated in APAs. In other tumors, a frequent cause of aberrant WNT signaling is mutation in the CTNNB1 gene coding for β-catenin. Our objective was to screen for CTNNB1 mutations in a well-characterized cohort of 198 APAs. Somatic CTNNB1 mutations were detected in 5.1% of the tumors, occurring mutually exclusive from mutations in KCNJ5, ATP1A1, ATP2B3 and CACNA1D. All of the observed mutations altered serine/threonine residues in the GSK3β binding domain in exon 3. The mutations were associated with stabilized β-catenin and increased AXIN2 expression, suggesting activation of WNT signaling. By CYP11B2 mRNA expression, CYP11B2 protein expression, and direct measurement of aldosterone in tumor tissue, we confirmed the ability for aldosterone production. This report provides compelling evidence that aberrant WNT signaling caused by mutations in CTNNB1 occur in APAs. This also suggests that other mechanisms that constitutively activate the WNT pathway may be important in APA formation.

Indexed as

Adrenal Cortex NeoplasmsAdrenocortical Adenomabeta CateninMutationNeoplasm ProteinsAldosteroneExonsFemaleHumansMaleProtein DomainsWnt Signaling PathwayAldosteronebeta CateninCTNNB1 protein, humanNeoplasm Proteins

Identifiers

PMID26815163
PMCPMC4728393
OpenAlexW561187501

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.