醛固酮产生腺瘤中细胞死亡和增殖机制  

Mechanisms of cell death and proliferation of aldosterone-producing adenoma

作　　者：高寅洁 童安莉 GAO Yinjie;TONG Anli(Department of Endocrinology,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院、内分泌科、国家卫生健康委员会内分泌重点实验室,北京100730

出　　处：《基础医学与临床》2024年第6期758-762,共5页Basic and Clinical Medicine

基　　金：国家自然科学基金(82070822);中央高水平医院临床研究专项(2022-PUMCH-C-028);国家重点研发计划(2021YFC2501600,2021YFC2501603)。

摘　　要：醛固酮产生腺瘤(APA)是原发性醛固酮增多症(PA)的主要病因之一,目前对于其自主分泌醛固酮机制的研究主要集中于体细胞驱动基因突变的筛查。然而,在APA中,肾上腺皮质细胞的死亡和增殖,以及腺瘤的发生和发展的具体机制尚无定论。本文结合近期已发表的肾上腺组织相关的基因组学、转录组学、代谢组学及表观遗传学等的研究,综述APA中细胞死亡与增殖机制的研究进展。Aldosterone-producing adenoma(APA)is one of the main causes of primary aldosteronism(PA).Current researches on its autonomous secretion of aldosterone mainly focus on the detection of somatic driver genetic mutations.However,the specific mechanisms underlying the death and proliferation of adrenal cortical cells and the occurrence and development of adenomas are still unclear.This study aims to review the research progress on the mechanisms of cell death and proliferation of APA by combining previously published studies on genomics,transcriptomics,metabolomics,and epigenetics related to adrenal tissues.

关 键 词：原发性醛固酮增多症 醛固酮产生腺瘤 细胞增殖与凋亡 信号通路 多组学研究 

分 类 号：R586.9[医药卫生—内分泌]