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CXCR4 reduces aldosterone synthesis via regulating CYP11B2 expression

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CXCR4 reduces aldosterone synthesis via regulating CYP11B2 expression

Chen Jiang
Yang Shumin
Yang Xinyue
Li Jiayu
He Yifan
Peng Chuan
Zhang Wei
Yang Yi
Li Junlong
Li Hongji
He Furong
Xu Yong
Huang Wei
Hu Jinbo
Li Qifu
Ma Linqiang
Genes & Diseases第13卷, 第5期纸质出版 2026-09-01在线发表 2025-11-28
12100

C-X-C motif chemokine receptor 4 (CXCR4) is highly expressed in aldosterone-producing adenoma, and gallium-68 pentixafor PET-CT imaging targeting CXCR4 has been utilized for subtype diagnosis in primary aldosteronism. However, the roles of CXCR4 in regulating aldosterone biosynthesis remain poorly understood. In this study, we observed a strong co-localization of aldosterone synthase (CYP11B2) and CXCR4 in aldosterone-producing adenoma and other aldosterone-producing lesions. Functional experiments in H295R cells revealed that CXCR4 overexpression significantly suppressed both aldosterone synthesis and CYP11B2 expression, whereas CXCR4 knockdown conversely enhanced aldosterone production and up-regulated CYP11B2. Mechanistically, CXCR4 inhibited aldosterone biosynthesis by up-regulating inhibitor of DNA binding (ID) proteins, which directly repressed CYP11B2 transcription. Our data demonstrate that in aldosterone-producing lesions, CXCR4 expression is consistently elevated alongside CYP11B2, indicating a potential compensatory mechanism to counteract elevated aldosterone levels.

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AldosteroneAldosterone-producing lesionsCXCR4CYP11B2ID3