Background
While previous studies indicate that the zonae reticularis (ZR) and glomerulosa (ZG) diminish with aging, little is known about age-related transformations of the zona fasciculata (ZF).
Objectives
To investigate the morphological and functional changes of the adrenal cortex across adulthood, with emphasis on: 1) the understudied ZF, and 2) sexual dimorphisms.
Methods
We used immunohistochemistry to evaluate the expression of: aldosterone synthase (CYP11B2), visinin-like protein 1 (VSNL1), 3β-hydroxysteroid dehydrogenase type II (HSD3B2), 11β-hydroxylase (CYP11B1), and cytochrome b5 type A (CYB5A) in adrenal glands from 60 adults (30 men), age 18-86. Additionally, we employed mass spectrometry to quantify the morning serum concentrations of: cortisol, 11-deoxycortisol (11dF), 17α-hydroxyprogesterone, 11-deoxycorticosterone, corticosterone, and androstenedione in 149 pairs of age- and BMI-matched men and women, age 21-95 years.
Results
The total cortical area was positively correlated with age (r=0.34, p=0.008). Both the total (VSNL1-positive) and functional ZG (CYP11B2-positive) areas declined with aging in men (r=-0.57 and -0.67, p<0.01), but not in women. The CYB5A-positive area declined with age in both sexes (r=-0.76, p<0.0001). In contrast, the estimated ZF area correlated positively with age in men (r=0.59, p=0.0006) and women (r=0.49, p=0.007), while CYP11B1-positive area remained unchanged across ages. Serum cortisol, corticosterone, and 11-deoxycorticosterone levels were stable across ages, while 11dF levels increased slightly with age (r=0.16, p=0.007).
Conclusion
Unlike the ZG and ZR, the ZF and the total adrenal cortex areas enlarge with aging. An abrupt decline of the ZG occurs with age in men only, possibly contributing to sexual dimorphism in cardiovascular risk.