Lower Expression of the TWIK-Related Acid-Sensitive K+ Channel 2 (TASK-2) Gene Is a Hallmark of Aldosterone-Producing Adenoma Causing Human Primary Aldosteronism
Abstract
Context The molecular mechanisms of primary aldosteronism, a common cause of human hypertension, are unknown, but alterations of K(+) channels can play a key role. Objective The objective of the study was to investigate the following: 1) the expression of the Twik-related acid-sensitive K(+) channels (TASK) in aldosterone producing adenomas (APAs); 2) the role of TASK-2 in aldosterone synthesis; and 3) the determinants of TASK-2-blunted expression in APAs. Design We analyzed the transcriptome and the microRNA profiles of 32 consecutive APAs and investigated the protein expression and localization of TASK-2 in APA and adrenocortical cell lines (H295R and HAC15) using immunoblotting and confocal microscopy. The functional effect of TASK-2 blunted activity caused by a dominant-negative mutation on steroidogenic enzymes, and aldosterone production was also assessed. TASK-2 regulation by selected microRNA was studied by a luciferase assay. Results TASK-2 was consistently less expressed at the transcript and protein levels in APAs than in the normal human adrenal cortex. H295R cell transfection with a TASK-2 dominant-negative mutant construct significantly increased the aldosterone production by 153% and the gene expression of aldosterone synthase (CYP11B2, gene expression fold change 3.1 vs control, P Conclusions The TASK-2 channel lower expression represents a hallmark of APA and is associated with a higher expression of hsa-miR-23 and hsa-miR-34. The ensuing blunted TASK-2 activ…
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miR-23 can impact aldosterone production through the target gene TASK-2.
“One of the common causes of hypertension is primary aldosteronism, and miR-23 can impact aldosterone production through the target gene Twik associated acid sensitive K (+) channel 2 (TASK-2).”
From Recent advances of miR-23 in human diseases and growth development (2025) · cites this paper as [68]
High expression of miR-23 can lead to a decrease in TASK-2 activity, and then increase the expression of acute regulatory proteins and aldosterone synthase in steroid production.
“The high expression of miR-23 can lead to a decrease in TASK-2 activity, and then increase the expression of acute regulatory proteins and aldosterone synthase in steroid production [68].”
From Recent advances of miR-23 in human diseases and growth development (2025) · cites this paper as [68]
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Centrone, M., Santo, M. P. D., Nicotera, I., Labate, C., Ranieri, M., Mise, A. D., Mola, M. G., Mastrodonato, M., Elliani, R., Barberi, R., et al. (2018) · Cells · doi:10.3390/cells7120276 · Cited by 3 · see citing works
Mourtzi, N., Sertedaki, A., Markou, Α., Piaditis, G. P., Katsanis, N., Traeger‐Synodinos, J., Tsigos, C., & Charmandari, E. (2022) · HORMONES · doi:10.1007/s42000-022-00394-7 · Cited by 2 · see citing works
Potassium channels in adrenocortical cells
Bandulik, S., Barhanin, J., & Warth, R. (2019) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2019.06.004 · Cited by 1 · see citing works
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Novel aspects of the Renin-Angiotensin-Aldosterone System
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MicroRNA and Sodium and Water Balance in Mammals
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Aldosterone-Producing Adenomas; Genetics
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Beyond aldosterone and renin: emerging biomarkers for diagnosing and subtyping primary aldosteronism
Libianto, R., Uniacke, C. L., Fuller, P. J., Young, M. J., & Yang, J. (2026) · Endocrine Reviews · doi:10.1210/endrev/bnag016
Cytosolic calcium oscillations in human adrenocortical cells causing primary aldosteronism
Ajjour, H., Pallafacchina, G., Caroccia, B., Ceolotto, G., Lenzini, L., Zanin, S., Seccia, T. M., & Rossi, G. P. (2026) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2026.112865
Self-citation
- Authors
- Lenzini, L., Caroccia, B., Campos, A. G., Fassina, A., Belloni, A. S., Seccia, T. M., Kuppusamy, M., Ferraro, S., Skander, G., Bader, M., Rainey, W. E., & Rossi, G. P.
- Affiliations
- Internal Medicine 4 (L.L., B.C., A.G.C., T.M.S., M.K., S.F., G.S., G.P.R.), 35128 Padua, Italy;
- University of Padua (IT)
- Max-Delbrück-Center for Molecular Medicine (M.B.), 13092 Berlin, Germany;
- University of Michigan (US)
- Corresponding author
- Rossi, Gian Paolo
- ORCID
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2014-04-01
- Volume
- 99
- Issue
- 4
- Pages
- E674-E682
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W1987591029
- Cited by
- 59
- References
- 39
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 7 · 2016: 5 · 2015: 9 · 2014: 8
- FWCI
- 5.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Keywords
- TASK-2, primary aldosteronism, aldosterone-producing adenoma, microRNA regulation, miR-23, miR-34, CYP11B2, steroidogenic acute regulatory protein, aldosterone biosynthesis, dominant negative mutation, 3' untranslated region, adrenal cortex, hypertension, hypokalemia
- MeSH terms
- Adenoma, Adrenal Cortex Neoplasms, Aldosterone, Cells, Cultured, Humans, Hyperaldosteronism, Paraneoplastic Endocrine Syndromes, Down-Regulation, Gene Expression Regulation, Neoplastic, Gene Expression Profiling, Potassium Channels, Tandem Pore Domain, Microarray Analysis, HEK293 Cells
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