基础医学与临床 ›› 2019, Vol. 39 ›› Issue (5): 755-758.

• 短篇综述 • 上一篇    下一篇

钙信号在醛固酮合成中的作用及其调控机制

王芬1,童安莉2,李玉秀1   

  1. 1. 北京协和医院
    2. 中国医学科学院北京协和医学院北京协和医院内分泌科 卫生部内分泌重点实验室
  • 收稿日期:2018-11-05 修回日期:2019-01-27 出版日期:2019-05-05 发布日期:2019-04-24
  • 通讯作者: 童安莉 E-mail:tonganli@hotmail.com

Role of calcium signal in the synthesis of aldosterone and its regulation mechanism

  • Received:2018-11-05 Revised:2019-01-27 Online:2019-05-05 Published:2019-04-24
  • Contact: TONG An-li E-mail:tonganli@hotmail.com

摘要: 血管紧张素II、促肾上腺皮质激素、血钾是刺激醛固酮分泌的重要生理因素,这3种物质均可激活肾上腺皮质细胞膜上电压门控Ca2+通道,引起Ca2+内流,是生理情刺激下醛固酮分泌的共同途径。在醛固酮瘤中,ATP1A1、ATP2B3、CACNA1D和KCNJ5突变均会导致细胞内Ca2+增加。细胞内钙信号将通过Ca2+-CaM-CaMK途径促进醛固酮合成。

关键词: 钙信号, 醛固酮分泌, 醛固酮瘤

Abstract: Angiotensin II, adrenocorticotrophic hormone and potassium are the main physiological stimulus that promote aldosterone secretion. All of the three kinds of stimulus could activate voltage-gated calcium channel in adrenal cortical cells. Calcium influx through voltage-gated calcium channel is the common path in the synthesis of aldosterone. Calcium concentration in ATP1A1, ATP2B3, CACNA1D and KCNJ5 mutated aldosterone producing adenomas are also elevated. Calcium signal will promote aldosterone secretion though Ca2+-CaM-CaMK pathway.

Key words: calcium signal, the secretion of aldosterone, aldosterone producing adenoma

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