Key Points
- To determine whether aldosterone production stimulated by angiotensin II, potassium, and ACTH in adrenal glomerulosa cells depends directly on extracellular calcium uptake.
- Incubated isolated adrenal glomerulosa cells with steroidogenic regulators (angiotensin II, potassium, and ACTH) in the presence of calcium uptake inhibitors (lanthanum and verapamil).
- Measured aldosterone, cAMP, and pregnenolone production across varying antagonist and extracellular calcium concentrations, and assessed angiotensin II receptor binding.
- Lanthanum and verapamil produced dose-dependent decreases in aldosterone production stimulated by angiotensin II, potassium, and ACTH, with only modest reductions in basal steroidogenesis.
- Verapamil raised the concentration of ACTH needed for half-maximal stimulation and inhibited angiotensin II-stimulated pregnenolone synthesis, an effect completely reversed by increasing extracellular calcium.
- Neither calcium antagonist altered the binding of angiotensin II to glomerulosa cells, demonstrating that the calcium requirement occurs at a postreceptor site.
Structured PICO
PPopulationIsolated adrenal glomerulosa cells
IInterventionCalcium uptake inhibitors (lanthanum and verapamil)
CComparatorControl (no calcium uptake inhibitors)
OOutcomeAldosterone productionsurrogate
Calcium uptake is essential for the stimulation of aldosterone production by angiotensin II and potassium in adrenal glomerulosa cells.