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Aging of the human adrenal cortex
1Department of Physiology, Sam and Ann Barshop Center for Longevity and Aging Studies, University of Texas Health Science Center, 15355 Lambda Drive STCBM 2.200, San Antonio, TX 78245, USA. hornsby@uthscsa.edu
Ageing Research Reviews
|June 1, 2002
Summary
Aging human adrenal cortex undergoes changes in growth, differentiation, and senescence, impacting tissue properties. This review explores the decline in dehydroepiandrosterone (DHEA) biosynthesis with aging and the involution of DHEA-secreting cells.
Area of Science:
- Cell biology
- Gerontology
- Endocrinology
Background:
- The aging human adrenal cortex exhibits alterations in cellular processes like growth, differentiation, apoptosis, and senescence.
- Tumor progression is observed in aging adrenal cortex, with common nodules and adenomas but rare carcinomas.
- A key puzzle in gerontology is the age-related decline in dehydroepiandrosterone (DHEA) and its sulfate biosynthesis by the adrenal cortex.
Purpose of the Study:
- To explore the cell and molecular biology underlying aging-related changes in the human adrenal cortex.
- To investigate the reasons for the development and subsequent involution of the dehydroepiandrosterone (DHEA)-secreting zona reticularis.
- To discuss techniques applicable to studying these adrenal aging phenomena.
Main Methods:
- Review of existing literature on adrenal cortex aging.
- Analysis of cell and molecular biology mechanisms.
- Discussion of relevant research techniques.
Main Results:
- Aging affects adrenal cortex properties through changes in growth, differentiation, apoptosis, and senescence.
- Nodules and adenomas are common in aging adrenal cortex, while carcinomas are rare.
- The zona reticularis, responsible for dehydroepiandrosterone (DHEA) secretion, develops in childhood and involutes with age, a process not yet understood.
Conclusions:
- The aging adrenal cortex presents complex changes impacting tissue function and disease susceptibility.
- The involution of the zona reticularis and the loss of dehydroepiandrosterone (DHEA) biosynthesis are significant, unexplained aspects of adrenal aging.
- Further research utilizing advanced cell and molecular techniques is needed to elucidate these processes.