Skip to main content

Gene Expression Analysis of the Adrenal Cortex in Health and Disease

  • Chapter
Genomics in Endocrinology

Part of the book series: Contemporary Endocrinology ((COE))

  • 862 Accesses

Abstract

A cure for adrenocortical cancer remains elusive despite rapid advances in the molecular understanding of many biological processes underlying the function of these steroid-producing cells. With the promise of state-of-the-art molecular technologies and the tools provided by the human genome project, a number of investigators are trying to identify molecular targets of adrenocortical tumorigenesis. One path in this endeavor was the identification by positional cloning of genes that are mutated in rare adrenocortical tumors. The subject of this chapter is an updated summary of the results of experiments in the second path that was followed by us and others: that of using genome-wide expression analysis of adrenocortical cells in normal and various disease states. Transcriptomic analysis is a rapidly evolving technology; one would think that the data would be hard to summarize in a chapter that will be quickly outdated. However, there are a limited number of such studies of the adrenal cortex, and their results are surprisingly reproducible. This chapter summarizes all that has been published so far on this subject and points out the most important genes and molecular pathways that have been identified in both normal and diseased adrenal cortex.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Beuschlein, F., Reincke, M., Karl, M., Travis, W. D., Jaursch-Hancke, C., Abdelhamid, S., Chrousos, G. P. & Allolio, B. (1994). Clonal composition of human adrenocortical neoplasms. Cancer Res 54, 4927–32.

    PubMed  CAS  Google Scholar 

  • Gicquel, C., Leblond-Francillard, M., Bertagna, X., Louvel, A., Chapuis, Y., Luton, J. P., Girard, F. & Le Bouc, Y. (1994). Clonal analysis of human adrenocortical carcinomas and secreting adenomas. Clin Endocrinol (Oxf) 40, 465–77.

    CAS  Google Scholar 

  • Kjellman, M., Kallioniemi, O. P., Karhu, R., Hoog, A., Farnebo, L. O., Auer, G., Larsson, C. & Backdahl, M. (1996). Genetic aberrations in adrenocortical tumors detected using comparative genomic hybridization correlate with tumor size and malignancy. Cancer Res 56, 4219–23.

    PubMed  CAS  Google Scholar 

  • Sidhu, S., Marsh, D. J., Theodosopoulos, G., Philips, J., Bambach, C. P., Campbell, P., Magarey, C. J., Russell, C. F., Schulte, K. M., Roher, H. D., Delbridge, L. & Robinson, B. G. (2002). Comparative genomic hybridization analysis of adrenocortical tumors. J Clin Endocrinol Metab 87, 3467–74.

    Article  PubMed  CAS  Google Scholar 

  • Velculescu, V. E., Zhang, L., Vogelstein, B. & Kinzler, K. W. (1995). Serial analysis of gene expression. Science 270, 484–7.

    Article  PubMed  CAS  Google Scholar 

  • Hu, R. M., Han, Z. G., Song, H. D., Peng, Y. D., Huang, Q. H., Ren, S. X., Gu, Y. J., Huang, C. H., Li, Y. B., Jiang, C. L., Fu, G., Zhang, Q. H., Gu, B. W., Dai, M., Mao, Y. F., Gao, G. F., Rong, R., Ye, M., Zhou, J., Xu, S. H., Gu, J., Shi, J. X., Jin, W. R., Zhang, C. K., Wu, T. M., Huang, G. Y., Chen, Z., Chen, M. D. & Chen, J. L. (2000). Gene expression profiling in the human hypothalamus-pituitary-adrenal axis and full-length cDNA cloning. Proc Natl Acad Sci U S A 97, 9543–8.

    Article  PubMed  CAS  Google Scholar 

  • Horvath, A., Mathyakina, L., Vong, Q., Baxendale, V., Pang, A. L., Chan, W. Y. & Stratakis, C. A. (2006). Serial analysis of gene expression in adrenocortical hyperplasia caused by a germline PRKAR1A mutation. J Clin Endocrinol Metab 91, 584–96. Epub 2005 November 8.

    Article  PubMed  CAS  Google Scholar 

  • Rainey, W. E., Carr, B. R., Wang, Z. N. & Parker, C. R. Jr. (2001). Gene profiling of human fetal and adult adrenals. J Endocrinol 171, 209–15.

    Article  PubMed  CAS  Google Scholar 

  • Bourdeau, I., Antonini, S. R., Lacroix, A., Kirschner, L. S., Matyakhina, L., Lorang, D., Libutti, S. K. & Stratakis, C. A. (2004). Gene array analysis of macronodular adrenal hyperplasia confirms clinical heterogeneity and identifies several candidate genes as molecular mediators. Oncogene 23, 1575–85.

    Article  PubMed  CAS  Google Scholar 

  • Giordano, T. J., Thomas, D. G., Kuick, R., Lizyness, M., Misek, D. E., Smith, A. L., Sanders, D., Aljundi, R. T., Gauger, P. G., Thompson, N. W., Taylor, J. M. & Hanash, S. M. (2003). Distinct transcriptional profiles of adrenocortical tumors uncovered by DNA microarray analysis. Am J Pathol 162, 521–31.

    PubMed  CAS  Google Scholar 

  • de Fraipont, F., El Atifi, M., Cherradi, N., Le Moigne, G., Defaye, G., Houlgatte, R., Bertherat, J., Bertagna, X., Plouin, P. F., Baudin, E., Berger, F., Gicquel, C., Chabre, O. & Feige, J. J. (2005). Gene expression profiling of human adrenocortical tumors using complementary deoxyribonucleic Acid microarrays identifies several candidate genes as markers of malignancy. J Clin Endocrinol Metab 90, 1819–29. Epub 2004 December 21.

    Article  PubMed  CAS  Google Scholar 

  • Saner-Amigh, K., Mayhew, B. A., Mantero, F., Schiavi, F., White, P. C., Rao, C. V. & Rainey, W. E. (2006). Elevated expression of luteinizing hormone receptor in aldosterone-producing adenomas. J Clin Endocrinol Metab 91, 1136–42. Epub 2005 December 6.

    Article  PubMed  CAS  Google Scholar 

  • Bornstein, S. R. & Hornsby, P. J. (2005). What can we learn from gene expression profiling for adrenal tumor management? J Clin Endocrinol Metab 90, 1900–2.

    Article  PubMed  CAS  Google Scholar 

  • Feige, J. J., Vilgrain, I., Brand, C., Bailly, S. & Souchelnitskiy, S. (1998). Fine tuning of adrenocortical functions by locally produced growth factors. J Endocrinol 158, 7–19.

    Article  PubMed  CAS  Google Scholar 

  • Dinel, S., Bolduc, C., Belleau, P., Boivin, A., Yoshioka, M., Calvo, E., Piedboeuf, B., Snyder, E. E., Labrie, F. & St-Amand, J. (2005). Reproducibility, bioinformatic analysis and power of the SAGE method to evaluate changes in transcriptome. Nucleic Acids Res 33, e26.

    Article  PubMed  CAS  Google Scholar 

  • Velculescu, V. E., Madden, S. L., Zhang, L., Lash, A. E., Yu, J., Rago, C., Lal, A., Wang, C. J., Beaudry, G. A., Ciriello, K. M., Cook, B. P., Dufault, M. R., Ferguson, A. T., Gao, Y., He, T. C., Hermeking, H., Hiraldo, S. K., Hwang, P. M., Lopez, M. A., Luderer, H. F., Mathews, B., Petroziello, J. M., Polyak, K., Zawel, L., Zhang, W., Zhang, X., Zhou, W., Haluska, F. G., Jen, J., Sukumar, S., Gregory, L. M., Gregory, R. G., Vogelstein, B., & Kinzler, K. W. (1999). Analysis of human transcriptomes. Nat Genet 23, 387–8.

    Article  PubMed  CAS  Google Scholar 

  • Han, V. K., Lund, P. K., Lee, D. C. & D’Ercole, A. J. (1988). Expression of somatomedin/insulin-like growth factor messenger ribonucleic acids in the human fetus: identification, characterization, and tissue distribution. J Clin Endocrinol Metab 66, 422–9.

    PubMed  CAS  Google Scholar 

  • Mesiano, S. & Jaffe, R. B. (1997). Role of growth factors in the developmental regulation of the human fetal adrenal cortex. Steroids 62, 62–72.

    Article  PubMed  CAS  Google Scholar 

  • Mesiano, S., Katz, S. L., Lee, J. Y. & Jaffe, R. B. (1997). Insulin-like growth factors augment steroid production and expression of steroidogenic enzymes in human fetal adrenal cortical cells: implications for adrenal androgen regulation. J Clin Endocrinol Metab 82, 1390–6.

    Article  PubMed  CAS  Google Scholar 

  • Carr, B. R. & Simpson, E. R. (1982). Cholesterol synthesis in human fetal tissues. J Clin Endocrinol Metab 55, 447–52.

    PubMed  CAS  Google Scholar 

  • Parker, C. R. Jr., Carr, B. R., Winkel, C. A., Casey, M. L., Simpson, E. R. & MacDonald, P. C. (1983). Hypercholesterolemia due to elevated low density lipoprotein-cholesterol in newborns with anencephaly and adrenal atrophy. J Clin Endocrinol Metab 57, 37–43.

    Article  PubMed  Google Scholar 

  • Parker, C. R. Jr., MacDonald, P. C., Carr, B. R. & Morrison, J. C. (1987). The effects of dexamethasone and anencephaly on newborn serum levels of apolipoprotein A-1. J Clin Endocrinol Metab 65, 1098–101.

    PubMed  Google Scholar 

  • Wilson, T. E., Mouw, A. R., Weaver, C. A., Milbrandt, J. & Parker, K. L. (1993). The orphan nuclear receptor NGFI-B regulates expression of the gene encoding steroid 21-hydroxylase. Mol Cell Biol 13, 861–8.

    PubMed  CAS  Google Scholar 

  • Klahre, U., Noguchi, T., Fujioka, S., Takatsuto, S., Yokota, T., Nomura, T., Yoshida, S. & Chua, N. H. (1998). The Arabidopsis DIMINUTO/DWARF1 gene encodes a protein involved in steroid synthesis. Plant Cell 10, 1677–90.

    Article  PubMed  CAS  Google Scholar 

  • Stratakis, C. A. & Kirschner, L. S. (1998). Clinical and genetic analysis of primary bilateral adrenal diseases (micro- and macronodular disease) leading to Cushing syndrome. Horm Metab Res 30, 456–63.

    PubMed  CAS  Google Scholar 

  • Young, W. F. Jr., Carney, J. A., Musa, B. U., Wulffraat, N. M., Lens, J. W. & Drexhage, H. A. (1989). Familial Cushing’s syndrome due to primary pigmented nodular adrenocortical disease. Reinvestigation 50 years later. N Engl J Med 321, 1659–64.

    Article  PubMed  Google Scholar 

  • Stratakis, C. A., Kirschner, L. S. & Carney, J. A. (2001). Clinical and molecular features of the Carney complex: diagnostic criteria and recommendations for patient evaluation. J Clin Endocrinol Metab 86, 4041–6.

    Article  PubMed  CAS  Google Scholar 

  • Kirschner, L. S., Sandrini, F., Monbo, J., Lin, J. P., Carney, J. A. & Stratakis, C. A. (2000). Genetic heterogeneity and spectrum of mutations of the PRKAR1A gene in patients with the Carney complex. Hum Mol Genet 9, 3037–46.

    Article  PubMed  CAS  Google Scholar 

  • Groussin, L., Jullian, E., Perlemoine, K., Louvel, A., Leheup, B., Luton, J. P., Bertagna, X. & Bertherat, J. (2002). Mutations of the PRKAR1A gene in Cushing’s syndrome due to sporadic primary pigmented nodular adrenocortical disease. J Clin Endocrinol Metab 87, 4324–9.

    Article  PubMed  CAS  Google Scholar 

  • Bossis, I. & Stratakis, C. A. (2004). Minireview: PRKAR1A: normal and abnormal functions. Endocrinology 145, 5452–8. Epub 2004 August 26.

    Article  PubMed  CAS  Google Scholar 

  • Kirk, J. M., Brain, C. E., Carson, D. J., Hyde, J. C. & Grant, D. B. (1999). Cushing’s syndrome caused by nodular adrenal hyperplasia in children with McCune–Albright syndrome. J Pediatr 134, 789–92.

    Article  PubMed  CAS  Google Scholar 

  • Lieberman, S. A., Eccleshall, T. R. & Feldman, D. (1994). ACTH-independent massive bilateral adrenal disease (AIMBAD): a subtype of Cushing’s syndrome with major diagnostic and therapeutic implications. Eur J Endocrinol 131, 67–73.

    PubMed  CAS  Google Scholar 

  • Hayashi, Y., Takeda, Y., Kaneko, K., Koyama, H., Aiba, M., Ikeda, U. & Shimada, K. (1998). A case of Cushing’s syndrome due to ACTH-independent bilateral macronodular hyperplasia associated with excessive secretion of mineralocorticoids. Endocr J 45, 485–91.

    PubMed  CAS  Google Scholar 

  • Goodarzi, M. O., Dawson, D. W., Li, X., Lei, Z., Shintaku, P., Rao, C. V. & Van Herle, A. J. (2003). Virilization in bilateral macronodular adrenal hyperplasia controlled by luteinizing hormone. J Clin Endocrinol Metab 88, 73–7.

    Article  PubMed  CAS  Google Scholar 

  • Malchoff, C. D., Rosa, J., DeBold, C. R., Kozol, R. A., Ramsby, G. R., Page, D. L., Malchoff, D. M. & Orth, D. N. (1989). Adrenocorticotropin-independent bilateral macronodular adrenal hyperplasia: an unusual cause of Cushing’s syndrome. J Clin Endocrinol Metab 68, 855–60.

    Article  PubMed  CAS  Google Scholar 

  • Aiba, M., Hirayama, A., Iri, H., Ito, Y., Fujimoto, Y., Mabuchi, G., Murai, M., Tazaki, H., Maruyama, H., Saruta, T. (1991). Adrenocorticotropic hormone-independent bilateral adrenocortical macronodular hyperplasia as a distinct subtype of Cushing’s syndrome. Enzyme histochemical and ultrastructural study of four cases with a review of the literature. Am J Clin Pathol 96, 334–40.

    PubMed  CAS  Google Scholar 

  • Sasano, H., Suzuki, T. & Nagura, H. (1994). ACTH-independent macronodular adrenocortical hyperplasia: immunohistochemical and in situ hybridization studies of steroidogenic enzymes. Mod Pathol 7, 215–9.

    PubMed  CAS  Google Scholar 

  • Tissier, F., Cavard, C., Groussin, L., Perlemoine, K., Fumey, G., Hagnere, A. M., Rene-Corail, F., Jullian, E., Gicquel, C., Bertagna, X., Vacher-Lavenu, M. C., Perret, C. & Bertherat, J. (2005). Mutations of beta-catenin in adrenocortical tumors: activation of the Wnt signaling pathway is a frequent event in both benign and malignant adrenocortical tumors. Cancer Res 65, 7622–7.

    PubMed  CAS  Google Scholar 

  • Kirschner, L. S., Carney, J. A., Pack, S. D., Taymans, S. E., Giatzakis, C., Cho, Y. S., Cho-Chung, Y. S. & Stratakis, C. A. (2000). Mutations of the gene encoding the protein kinase A type I-alpha regulatory subunit in patients with the Carney complex. Nat Genet 26, 89–92.

    Article  PubMed  CAS  Google Scholar 

  • Stratakis, C. A. (2003). Genetics of adrenocortical tumors: gatekeepers, landscapers and conductors in symphony. Trends Endocrinol Metab 14, 404–10.

    Article  PubMed  CAS  Google Scholar 

  • Kirschner, L. S., Kusewitt, D. F., Matyakhina, L., Towns, W. H. II, Carney, J. A., Westphal, H. & Stratakis, C. A. (2005). A mouse model for the Carney complex tumor syndrome develops neoplasia in cyclic AMP-responsive tissues. Cancer Res 65, 4506–14.

    Article  PubMed  CAS  Google Scholar 

  • Griffin, K. J., Kirschner, L. S., Matyakhina, L., Stergiopoulos, S. G., Robinson-White, A., Lenherr, S. M., Weinberg, F. D., Claflin, E. S., Batista, D., Bourdeau, I., Voutetakis, A., Sandrini, F., Meoli, E. M., Bauer, A. J., Cho-Chung, Y. S., Bornstein, S. R., Carney, J. A. & Stratakis, C. A. (2004). A transgenic mouse bearing an antisense construct of regulatory subunit type 1A of protein kinase A develops endocrine and other tumours: comparison with Carney complex and other PRKAR1A induced lesions. J Med Genet 41, 923–31.

    Article  PubMed  CAS  Google Scholar 

  • Griffin, K. J., Kirschner, L. S., Matyakhina, L., Stergiopoulos, S., Robinson-White, A., Lenherr, S., Weinberg, F. D., Claflin, E., Meoli, E., Cho-Chung, Y. S. & Stratakis, C. A. (2004). Down-regulation of regulatory subunit type 1A of protein kinase A leads to endocrine and other tumors. Cancer Res 64, 8811–5.

    Article  PubMed  CAS  Google Scholar 

  • Bourdeau, I. & Stratakis, C. A. (2002). Cyclic AMP-dependent signaling aberrations in macronodular adrenal disease. Ann N Y Acad Sci 968, 240–55.

    Article  PubMed  CAS  Google Scholar 

  • Gicquel, C., Bertagna, X., Gaston, V., Coste, J., Louvel, A., Baudin, E., Bertherat, J., Chapuis, Y., Duclos, J. M., Schlumberger, M., Plouin, P. F., Luton, J. P. & Le Bouc, Y. (2001). Molecular markers and long-term recurrences in a large cohort of patients with sporadic adrenocortical tumors. Cancer Res 61, 6762–7.

    PubMed  CAS  Google Scholar 

  • Gicquel, C., Raffin-Sanson, M. L., Gaston, V., Bertagna, X., Plouin, P. F., Schlumberger, M., Louvel, A., Luton, J. P. & Le Bouc, Y. (1997). Structural and functional abnormalities at 11p15 are associated with the malignant phenotype in sporadic adrenocortical tumors: study on a series of 82 tumors. J Clin Endocrinol Metab 82, 2559–65.

    Article  PubMed  CAS  Google Scholar 

  • Hughes, S. E. (1997). Differential expression of the fibroblast growth factor receptor (FGFR) multigene family in normal human adult tissues. J Histochem Cytochem 45, 1005–19.

    PubMed  CAS  Google Scholar 

  • Partanen, J., Makela, T. P., Eerola, E., Korhonen, J., Hirvonen, H., Claesson-Welsh, L. & Alitalo, K. (1991). FGFR-4, a novel acidic fibroblast growth factor receptor with a distinct expression pattern. EMBO J 10, 1347–54.

    PubMed  CAS  Google Scholar 

  • Feige, J. J. & Baird, A. (1991). Growth factor regulation of adrenal cortex growth and function. Prog Growth Factor Res 3, 103–13.

    Article  PubMed  CAS  Google Scholar 

  • Boulle, N., Gicquel, C., Logie, A., Christol, R., Feige, J. J. & Le Bouc, Y. (2000). Fibroblast growth factor-2 inhibits the maturation of pro-insulin-like growth factor-II (Pro-IGF2) and the expression of insulin-like growth factor binding protein-2 (IGFBP-2) in the human adrenocortical tumor cell line NCI-H295R. Endocrinology 141, 3127–36.

    Article  PubMed  CAS  Google Scholar 

  • Fujita, M., Furukawa, Y., Tsunoda, T., Tanaka, T., Ogawa, M. & Nakamura, Y. (2001). Up-regulation of the ectodermal-neural cortex 1 (ENC1) gene, a downstream target of the beta-catenin/T-cell factor complex, in colorectal carcinomas. Cancer Res 61, 7722–6.

    PubMed  CAS  Google Scholar 

  • Slater, E. P., Diehl, S. M., Langer, P., Samans, B., Ramaswamy, A., Zielke, A. & Bartsch, D.K. (2006). Analysis by cDNA microarrays of gene expression patterns of human adrenocortical tumors. Eur J Endocrinol 154, 587–98.

    Article  PubMed  CAS  Google Scholar 

  • Schimmer, B. P., Cordova, M., Cheng, H., Tsao, A., Goryachev, A. B., Schimmer, A. D. & Morris, Q. (2006). Global profiles of gene expression induced by adrenocorticotropin in Y1 mouse adrenal cells. Endocrinology 147, 2357–67.

    Article  PubMed  CAS  Google Scholar 

  • Lampron, A., Bourdeau, I., Hamet, P., Tremblay, J. & Lacroix, A (2006) Whole genome expression profiling of glucose-dependent insulinotropic peptide (GIP)- and adrenocorticotropin-dependent adrenal hyperplasias reveals novel targets for the study of GIP-dependent Cushing’s syndrome. J Clin Endocrinol Metab 91, 3611–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Humana Press

About this chapter

Cite this chapter

Horvath, A., Stratakis, C.A. (2008). Gene Expression Analysis of the Adrenal Cortex in Health and Disease. In: Handwerger, S., Aronow, B. (eds) Genomics in Endocrinology. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-309-7_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-309-7_7

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-651-1

  • Online ISBN: 978-1-59745-309-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics