The human zona glomerulosa (zG) is morphologically atrophic in the "endocrinologically normal" adrenal cortex, in contrast to that of other mammals on the land such as oxen and pigs, as well as rats and mice (Symington 1969;Carney and Lloyd 2007). Studies of the morphology on hematoxylin and eosin (HE)-stained sections have revealed clusters of zG-like small cells discontinuously arranged just under the capsule, with zona fasciculata (zF)-like cells on the top of cords reaching the capsule, suggesting atrophy of the zG in the adrenals of human adults. However, few studies have been performed to examine the changes in the zG of the human adrenals with age using functional immunohistochemistry because of relative unavailability of suitable zG markers and "normal" human adrenal tissues.We investigated the immunohistochemically defined zG, zF, and zona reticularis (zR) of 61 adrenal glands derived from humans ranging in age from newborn to the 90s ( Fig. 1; Aiba and Fujibayashi 2005). We found a well-developed zG in earlier life but a marked decrease of the zG population and replacement by the progenitor zone (zP) after 40 years of age. The results were discussed from the viewpoint of a
SummaryFew studies have examined functional adrenal zonation throughout human life. Adrenals from 61 surgical/autopsy patients from 1 day old to 92 years old who had no clinical endocrinological/mineralocorticoid abnormalities were assessed for immunohistochemically defined adrenal zonation. The zona glomerulosa (zG) was well developed in all 11 patients ranging in age from newborn to the 30s. After 40 years of age, however, the zG occupied less than one-quarter of the adrenal circumference, suggestive of zG involution. The other subcapsular areas were occupied by the progenitor zone (zP), which expressed neither cytochrome P450aldo nor P45011β but 3β-hydroxysteroid dehydrogenase and P450scc, although some autopsy cases had adrenals with zG zonation because of secondary aldosteronism, and others who had experienced severe stresses showed subcapsular zona fasciculata (zF). In conclusion, the adrenal cortex consists of homogeneous zG-topped columns from birth to adolescence. Subsequently, in the fifth decade of life, the cortex is reconstituted by integration of three types of cortical columns: scattered zG-topped columns and zonal zP-topped columns, the latter having the ability for bidirectional differentiation into either zG-topped columns or zF-topped columns, according to secondary aldosteronism or the presence of severe stresses. Such adrenocortical remodeling is ascribed to high-sodium/low-potassium diets. (J Histochem Cytochem 59:557-564, 2011) Keywords human, immunohistochemistry, adrenal zonation, involution of the zona glomerulosa, progenitor zone, zona fasciculata, aging, adrenocortical remodeling, high sodium/low potassium diet