Key result
Synthetic human ANP inhibits catecholamine release in pheochromocytomas and normal aldosterone secretion but fails in adenomas.
Why the study?
Does synthetic human atrial natriuretic peptide (ANP) affect the release of catecholamines, aldosterone, or cortisol in human adrenal tumors?
Does synthetic human atrial natriuretic peptide (ANP) affect the release of catecholamines, aldosterone, or cortisol in human adrenal tumors?
ANP receptors are present and functional in pheochromocytoma and normal adrenal cortex, but absent in aldosteronoma and Cushing's adenoma.
Tissue-specific ANP effects in this model warrant clinical caution; leaves open receptor-targeted approaches in human pheochromocytoma.
The effects of synthetic human atrial natriuretic peptide (ANP) on the release of catecholamines, aldosterone, or cortisol were observed in human adrenal tumors obtained surgically from patients with pheochromocytoma, primary aldosteronism, or Cushing's syndrome, respectively. Each tumor tissue or adjacent normal cortical tissue was sectioned into slices, which were incubated in medium-199 in the presence or absence of adrenocorticotrophin (ACTH) and ANP. The amounts of epinephrine, norepinephrine, aldosterone, or cortisol released into the medium were measured. Existence of ANP receptors on the adrenal tissues was examined by binding assays, affinity labeling, and immunohistochemistry. Release of catecholamines from pheochromocytoma tissues was inhibited by ANP, and the presence of the ANP receptor on pheochromocytoma was further demonstrated by both binding assays and affinity labeling; Scatchard analysis revealed a single class of binding sites for ANP with a Kd of 1.0 nM and a Bmax of 0.4 pmol/mg of protein and the molecular size was estimated as 140 and a 70 kDa under nonreducing and reducing conditions, respectively. The presence of ANP receptors in pheochromocytoma was demonstrated by immunohistochemistry. ANP inhibited both basal and ACTH-stimulated aldosterone secretion in the slices of normal cortex, and localization of ANP receptors in zona glomerulosa cells was also demonstrated. However, ANP did not inhibit basal and ACTH-stimulated aldosterone and cortisol secretion in both tissue slices from aldosteronoma and Cushing's adenoma. Consistent with these observations, the absence of ANP receptors in adenoma tissues was determined by binding assays, affinity labeling, and immunohistochemistry.(ABSTRACT TRUNCATED AT 250 WORDS)
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Shionoiri et al. (1989) studied Pheochromocytoma, primary aldosteronism, Cushing's syndrome. Synthetic human atrial natriuretic peptide (ANP) vs. Absence of ANP was evaluated on Release of catecholamines, aldosterone, or cortisol and existence of ANP receptors. Synthetic human atrial natriuretic peptide inhibited catecholamine release from pheochromocytoma tissues and aldosterone secretion in normal cortex, but not in aldosteronoma or Cushing's adenoma.
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