Evidence map›Paper›PMID 30571232›Full record

ArticleHypertension (Dallas, Tex. : 1979)2018

Aldosterone and 18-Oxocortisol Coaccumulation in Aldosterone-Producing Lesions.

Yuki Sugiura, Emi Takeo, Shuichi Shimma, Mai Yokota, Tatsuya Higashi, Tsugio Seki, Yosuke Mizuno, Mototsugu Oya, Takeo Kosaka, Masao Omura and 3 more

Open access · bronzeAbstract read
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In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Characterizing the Origins of Primary Aldosteronism.Hypertension (Dallas, Tex. : 1979) · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. 18-Oxocortisol: A journey.The Journal of steroid biochemistry and molecular biology · 2023
    Article
  10. Article
  11. Primary Aldosteronism: State-of-the-Art Review.American journal of hypertension · 2022
    Article
  12. Review
  13. Characterization of Aldosterone-producing Cell Cluster (APCC) at Single-cell Resolution.The Journal of clinical endocrinology and metabolism · 2022
    Article
  14. Rapidity and Precision of Steroid Hormone Measurement.Journal of clinical medicine · 2022
    Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Yuki SugiuraFrom the Department of Biochemistry (Y.S., M.S., K.N.), Keio University School of Medicine, Tokyo, Japan.
Emi TakeoDepartment of Biotechnology, Graduate School of Engineering, Osaka University, Japan (E.T., S.S.).
Shuichi ShimmaDepartment of Biotechnology, Graduate School of Engineering, Osaka University, Japan (E.T., S.S.).
Mai YokotaFaculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Chiba, Japan (M.Y., T.H.).
Tatsuya HigashiFaculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Chiba, Japan (M.Y., T.H.).
Tsugio SekiDepartment of Medical Education, School of Medicine, California University of Science and Medicine, San Bernardino (T.S.).
Yosuke MizunoDivision of Functional Genomics & Systems Medicine, Research Center for Genomic Medicine, Saitama Medical University, Hidakashi, Japan (Y.M.).
Mototsugu OyaDepartment of Urology (M. Oya, T.K.), Keio University School of Medicine, Tokyo, Japan.
Takeo KosakaDepartment of Urology (M. Oya, T.K.), Keio University School of Medicine, Tokyo, Japan.
Masao OmuraEndocrinology and Diabetes Center, Yokohama Rosai Hospital, Japan (M. Omura, T.N.).
Tetsuo NishikawaEndocrinology and Diabetes Center, Yokohama Rosai Hospital, Japan (M. Omura, T.N.).
Makoto SuematsuFrom the Department of Biochemistry (Y.S., M.S., K.N.), Keio University School of Medicine, Tokyo, Japan.
Koshiro NishimotoFrom the Department of Biochemistry (Y.S., M.S., K.N.), Keio University School of Medicine, Tokyo, Japan.
Keio University · JPOsaka University · JPTokyo University of Science · JPYokohama Rosai Hospital · JPCalifornia State University, San Bernardino · USSaitama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary aldosteronism is a secondary hypertensive disease caused by autonomous aldosterone production that often caused by an aldosterone-producing adenoma (APA). Immunohistochemistry of aldosterone synthase (CYP11B2) shows the presence of aldosterone-producing cell clusters (APCCs) even in non-primary aldosteronism adult adrenal cortex. An APCC-like structure also exists as possible APCC-to-APA transitional lesions (a speculative designation) in primary aldosteronism adrenals. However, whether APCCs produce aldosterone or 18-oxocortisol, a potential serum marker of APA, remains unknown because of lack of technology to visualize adrenocorticosteroids on tissue sections. To address this obstacle, in this study, we used highly sensitive Fourier transform ion cyclotron resonance mass spectrometry to image various adrenocorticosteroids, including 18-oxocortisol, in adrenal tissue sections from 8 primary aldosteronism patients with APCC (cases 1-4), possible APCC-to-APA transitional lesions (case 5), and APA (cases 6-8). Further analyses by tandem mass spectrometry imaging allowed us to differentially visualize aldosterone from cortisone, which share identical mass-to-charge ratio value ( m/z). In conclusion, these advanced imaging techniques revealed that aldosterone and 18-oxocortisol coaccumulated within CYP11B2-expressing lesions. These imaging outcomes along with a growing body of aldosterone research led us to build a progressive development hypothesis of an aldosterone-producing pathology in the adrenal glands.

Indexed as

Adrenal Gland NeoplasmsAdrenal GlandsAdrenocortical AdenomaAdultAldosteroneFemaleHumansHydrocortisoneHyperaldosteronismHypertensionMaleMiddle Aged18-oxocortisolAldosteroneHydrocortisoneadenomaadrenal glandsaldosteronemass spectrometrymutation

Identifiers

PMID30571232
OpenAlexW2896945294

What OpenQuestion holds

Textmetadata
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.