The adrenal cortex continuously remodels in response to physiological cues, though the exact mechanisms that controls this remain less well understood. It is clear from our prior studies that during postnatal development, the adrenal cortex undergoes zonal transdifferentiation in which the zona Glomerulosa (zG) gives rise to the zona Fasciculata (zF). This process likely involves formation and resolution of multicellular rosettes via the adherens junction (AJ) complex. Although what role these structures play in the regulation of adrenal function as well as whether their dysregulation leads to disease has not been assessed. Given that primary aldosteronism (PA), the most common form of secondary hypertension, involves hyperplasic expansion of the zG, further study of the factors and/or signaling pathways involved in regulating zG development and maintenance is warranted. Our preliminary data, utilizing a b-catenin gain-of-function mouse model suggest that zG hyperplasia in PA is driven by a block in rosette resolution/transdifferentiation. In addition, this block involves the up-regulation of FGFR2 signaling which appears to be required for rosette formation during normal development. Further, we have found that rosettes act as a coordinating center for Ca2+ signaling, via the AJ complex, and subsequent aldosterone production. Based on our recent findings, it is increasing evident that further study of the role of AJs, rosettes and the signals that control them is warranted. Therefore, we propose the following:
Aim 1. Determine how AJs and rosettes regulate postnatal zG development and function.
Aim 2. Establish how FGFR2 signaling regulates postnatal zG development and function.
Aim 3. Define the role of rosettes and ?-Catenin in zG turnover and function in the adult. These studies seek to understand the regulatory mechanisms that control zG function during postnatal development and maintenance. The successful completion of these studies will provide critical insights into the mechanisms that govern zG homeostasis and the initiation and progression of PA, which may lead to new targeted therapies for this disease.

Public Health Relevance

The adrenal gland produces stress hormones required for survival. Throughout life the cells that produce these hormones are continually replaced through mechanisms that are poorly understood. We have found that a specific structure within the adrenal may be responsible for regulating this process. Results from this study will determine the role of this structure and the factors that regulate it, which may impact future treatment of diseases such as primary aldosteronism.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK123694-02
Application #
10020390
Study Section
Integrative and Clinical Endocrinology and Reproduction Study Section (ICER)
Program Officer
Malozowski, Saul N
Project Start
2019-09-19
Project End
2024-06-30
Budget Start
2020-09-01
Budget End
2021-06-30
Support Year
2
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Boston Children's Hospital
Department
Type
DUNS #
076593722
City
Boston
State
MA
Country
United States
Zip Code
02115