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Updated: May 12, 2026

Induction of Atherosclerotic Plaques Through Activation of Mineralocorticoid Receptors in Apolipoprotein E-deficient Mice
Published on: September 26, 2018
Aldosterone directly affects apelin expression and secretion in adipocytes
He Jiang1, Xiao-Ping Ye, Zhong-Yin Yang
1State Key Laboratory of Medical Genomics, Shanghai Institute of Endocrinology and Metabolism, Molecular Medicine Center, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
Abstract:
There is a high incidence of metabolic syndrome among patients with primary aldosteronism (PA), which has recently been associated with an unfavorable cardiometabolic profile. However, the underlying mechanisms have not been clarified in detail. Characterizing aldosterone (Ald) target genes in adipocytes will help us to elucidate the deleterious effects associated with excess Ald. Apelin, a novel adipokine, exerts beneficial effects on obesity-associated disorders and cardiovascular homeostasis. The objective of this study was to investigate the effects of high Ald levels on apelin expression and secretion and the underlying mechanisms involved in adipocytes. In vivo, a single-dose Ald injection acutely decreased apelin serum levels and adipose tissue apelin production, which demonstrates a clear inverse relationship between the levels of plasma Ald and plasma apelin. Experiments using 3T3-L1 adipocytes showed that Ald decreased apelin expression and secretion in a time- and dose-dependent manner. This effect was reversed by glucocorticoid receptor (GR) antagonists or GR (NR3C1) knockdown; furthermore, putative HREs were identified in the apelin promoter. Subsequently, we verified that both glucocorticoids and mineralocorticoids regulated apelin expression through GR activation, although no synergistic effect was observed. Additionally, detailed potential mechanisms involved a p38 MAPK signaling pathway. In conclusion, our findings strengthen the fact that there is a direct interaction between Ald and apelin in adipocytes, which has important implications for hyperaldosteronism or PA-associated cardiometabolic syndrome and hoists apelin on the list of potent therapeutic targets for PA.
Insights
High aldosterone (Ald) levels decrease beneficial adipokine apelin in fat cells, impacting metabolic syndrome. This reveals a direct interaction with therapeutic implications for primary aldosteronism (PA).
Area of Science:
- Endocrinology
- Molecular Biology
- Metabolic Research
Background:
- Primary aldosteronism (PA) is linked to metabolic syndrome and adverse cardiometabolic outcomes.
- The molecular mechanisms connecting excess aldosterone to these conditions require elucidation.
- Apelin, a beneficial adipokine, plays a role in cardiovascular homeostasis and obesity-related disorders.
Purpose of the Study:
- To investigate the impact of elevated aldosterone on apelin expression and secretion in adipocytes.
- To identify the molecular pathways mediating aldosterone's effects on apelin.
- To explore apelin as a potential therapeutic target in PA-associated metabolic dysfunction.
Main Methods:
- In vivo studies involving aldosterone injection and assessment of serum/tissue apelin levels.
- In vitro experiments using 3T3-L1 adipocytes to study aldosterone's dose- and time-dependent effects on apelin.
- Analysis of glucocorticoid receptor (GR) involvement using antagonists and knockdown.
- Identification of hormone response elements (HREs) in the apelin promoter.
- Investigation of the p38 MAPK signaling pathway.
Main Results:
- Aldosterone injection acutely reduced serum and adipose tissue apelin levels in vivo.
- In 3T3-L1 adipocytes, aldosterone decreased apelin expression and secretion in a dose- and time-dependent manner.
- Glucocorticoid receptor (GR) activation mediated aldosterone's effect on apelin.
- The p38 MAPK signaling pathway was implicated in the observed effects.
- No synergistic effect was found between glucocorticoids and mineralocorticoids on apelin regulation via GR.
Conclusions:
- Aldosterone directly suppresses apelin expression and secretion in adipocytes through GR activation.
- This interaction provides a mechanistic link between primary aldosteronism and cardiometabolic syndrome.
- Apelin emerges as a potential therapeutic target for managing metabolic complications in PA.
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