CYP11B2 Antibody

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Description

Definition and Biological Role

CYP11B2 catalyzes the final steps of aldosterone synthesis: 11β-hydroxylation, 18-hydroxylation, and 18-oxidation of 11-deoxycorticosterone. This enzyme is specifically expressed in the adrenal zona glomerulosa and aldosterone-producing lesions, making it a biomarker for hyperaldosteronism-related pathologies .

Diagnostic Histopathology

  • Tumor Subtyping: CYP11B2 immunohistochemistry (IHC) differentiates aldosterone-producing adenomas (APAs) from nonfunctional nodules. In 50% of PA cases, CYP11B2 staining localizes to adenomas, while 25% show expression in adjacent adrenal cortex .

  • H-Score Correlation: Adjusted CYP11B2 H-scores correlate with serum aldosterone levels (r=0.62r = 0.62), aldosterone-to-renin ratio (r=0.58r = 0.58), and tumor size (p<0.01p < 0.01) .

Mechanistic Studies

  • Covalent Binding: Atractylenolide-I selectively inhibits CYP11B2 by forming a covalent bond with Cys450, reducing aldosterone production without affecting cortisol synthesis .

  • Age-Related Changes: CYP11B2-expressing zona glomerulosa area declines with age (r=0.74r = -0.74), while gap length between aldosterone-producing clusters increases (r=0.69r = 0.69) .

Technical Protocols

  • IHC Staining:

    • Antigen retrieval using Tris-EDTA buffer (pH 9.0).

    • Blocking with 10% goat serum, followed by primary antibody incubation (1:200 dilution, overnight at 4°C) .

  • Western Blot:

    • Lysates from adrenal gland or transfected cell lines (e.g., NCI-H295R).

    • Detection at 48–50 kDa using HRP-conjugated secondary antibodies .

Clinical and Therapeutic Implications

  • Biomarker Validation: CYP11B2-negative nodules may represent nonfunctional adenomas or hyperplastic clusters, necessitating combined molecular and hormonal profiling .

  • Targeted Therapy: Selective CYP11B2 inhibitors (e.g., LCI699) face challenges due to off-target effects on cortisol synthesis, underscoring the need for covalent inhibitors like atractylenolide-I .

Challenges and Limitations

  • Cross-Reactivity: Despite high specificity, some antibodies may weakly cross-react with CYP11B1 in tissues with overlapping expression .

  • Sample Heterogeneity: Variability in CYP11B2 staining intensity complicates standardized scoring, particularly in micronodular hyperplasia .

Key Research Findings

StudyKey InsightCitation
Wu et al. (2021)CYP11B2 H-score predicts clinical outcomes post-adrenalectomy in PA patients.
Omata et al. (2022)Age-related decline in CYP11B2 expression suggests adrenal involution.
Proteintech (2025)20968-1-AP antibody validated for WB/IHC in human, mouse, and pig tissues.

Future Directions

  • Multiplex Assays: Combining CYP11B2 with β-catenin or CYP11B1 IHC improves diagnostic accuracy for adrenal tumor subtyping .

  • Genetic Profiling: Somatic mutations (e.g., KCNJ5) in CYP11B2-positive nodules may guide personalized therapies .

Product Specs

Buffer
Preservative: 0.03% Proclin 300
Constituents: 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
Typically, we can ship your order within 1-3 business days after receiving it. Delivery times may vary depending on the shipping method and destination. Please consult your local distributor for specific delivery times.
Synonyms
ALDOS antibody; Aldosterone synthase antibody; Aldosterone-synthesizing enzyme antibody; C11B2_HUMAN antibody; CYP11B2 antibody; CYPXIB2 antibody; Cytochrome P-450Aldo antibody; Cytochrome P-450C18 antibody; Cytochrome P450 11B2 antibody; Cytochrome P450 11B2; mitochondrial antibody; mitochondrial antibody; P-450Aldo antibody; P-450C18 antibody; Steroid 18-hydroxylase antibody
Target Names
CYP11B2
Uniprot No.

Target Background

Function
CYP11B2, a cytochrome P450 monooxygenase, plays a crucial role in the biosynthesis of aldosterone, the primary mineralocorticoid hormone produced by the adrenal glands. It catalyzes three sequential oxidative reactions of 11-deoxycorticosterone/21-hydroxyprogesterone. This process involves 11-beta hydroxylation followed by two successive oxidations at C18 to yield 18-hydroxy and then 18-aldehyde derivatives, ultimately leading to the formation of aldosterone. The enzymatic mechanism involves the use of molecular oxygen to insert one oxygen atom into a substrate while reducing the second into a water molecule. Two electrons are provided by NADPH through a two-protein mitochondrial transfer system consisting of flavoprotein FDXR (adrenodoxin/ferredoxin reductase) and nonheme iron-sulfur protein FDX1 or FDX2 (adrenodoxin/ferredoxin).
Gene References Into Functions
  1. A hybrid gene (8q24.3) formed due to unequal crossing over at 8q24.3 can lead to excessive sodium reabsorption in the distal nephron and volume expansion, resulting in Monogenic Hypertension Syndrome in children. PMID: 29229168
  2. Research indicates that among patients with essential hypertension treated with antihypertensive medications, certain relationships exist between the rs5182 and rs5186 polymorphisms of the AGTR1 gene, as well as between the rs1799998 polymorphism of the CYP11B2 gene and the volume of the carotid bodies. PMID: 29627490
  3. The frequencies and distribution of the TT genotype of the CYP11B2 (C-344T) gene polymorphism among South African Black women, particularly those without HIV infection, may play a protective role against the development of preeclampsia. PMID: 29523271
  4. Aldosterone-producing adenomas (APAs) exhibit diverse patterns of CYP11B2 staining, ranging from uniform to homogeneous. Notably, around 30% of patients with unilateral hyperaldosteronism do not possess an APA but instead exhibit either an increased number of CYP11B2-expressing micronodules or hyperplasia of the zona glomerulosa. [review] PMID: 29202495
  5. Meta-analysis suggests that subjects with the TT genotype might have an elevated risk of developing left ventricular hypertrophy among northern Han Chinese. PMID: 28692307
  6. A study demonstrated a significant genetic interaction between sodium intake and child obesity, influenced by variations in salt-sensitive genes, specifically NEDD4L and CYP11beta2. PMID: 28017963
  7. The combination of the V386A mutation with the variant CYP11B2 173(Arg) results in only a slight reduction in 18-hydroxylase and 18-oxidase activity. However, when the V386A mutation occurs with the CYP11B2 173(Lys) variant, it almost completely abolishes 18-hydroxylation and 18-oxidation. Importantly, the 11-hydroxylase activity remains unaffected in both cases. PMID: 28190867
  8. The AG genotype frequency of the single nucleotide polymorphism rs542092383 was significantly associated with an increased risk of essential hypertension among northern Han Chinese. PMID: 28953657
  9. A study investigated the cellular distribution of CYP11B2, CYP11B1, CYP17A1, and KCNJ5 in the adrenal glands of two siblings with familial hyperaldosteronism type 3. PMID: 27793677
  10. Aging is associated with a decrease in normal zona glomerulosa CYP11B2 expression. PMID: 28566337
  11. CYP11B2 methylation has been observed in patients with aldosterone-producing adenomas. PMID: 27754862
  12. In individuals of European continental ancestry, the C allele (CC or CT) at the -344T/C SNP in the aldosterone synthase gene does not significantly impact the clinical prognosis of chronic heart failure. PMID: 28625318
  13. This study identified potential candidates for novel drug-like CYP11B2 inhibitors through molecular simulation methods for the treatment of hypertension. PMID: 27781210
  14. Research suggests a lack of association between the -344T/C polymorphism of the CYP11B2 gene and coronary heart disease in the Malaysian population. PMID: 25890613
  15. A study aimed to evaluate the contribution of CYP11B2 promoter methylation to the risk of essential hypertension (EH). The findings suggest that gene-environment interactions are associated with the pathogenesis and progression of EH. PMID: 28078278
  16. The study revealed a strong synergistic effect of CYP11B2 C-344T and IC polymorphisms, increasing susceptibility to essential hypertension (EHT). Haplotype H1 (-344T-Conv-Lys173) emerged as a risk-conferring factor for hypertension predisposition. PMID: 27935319
  17. Deletions, duplications, or chimeric CYP11B2/CYP11B1 gene alterations are associated with 11beta-hydroxylase deficiency. PMID: 26280318
  18. The CYP11B2 T-344C single nucleotide polymorphism exhibited a strong association with the development of coronary artery disease in Taiwanese women. PMID: 26941570
  19. Polymorphism in the aldosterone synthase (CYP11B2) gene might contribute to diabetic nephropathy development, particularly in Asian populations, with the T allele acting as a risk factor. PMID: 27009287
  20. A study revealed a lack of association between the C-344T polymorphism of the CYP11B2 gene and essential hypertension in Dongxiang and Han populations from northwest China. However, a correlation was observed in the female population of Tibet. PMID: 27149293
  21. Meta-analysis indicates that polymorphisms in three genes (ACE, AGT, and CYP11B2) within the renin-angiotensin-aldosterone system are not associated with blood pressure salt sensitivity. PMID: 26556555
  22. Gene polymorphism of CYP11B2 (-344C>T) may be associated with the development of preeclampsia during pregnancy. PMID: 26686590
  23. This meta-analysis aims to uncover the relationship between the -344C/T aldosterone synthase variant and left ventricular structure and function. PMID: 25208931
  24. A strong synergistic effect between ACE and CY11B2 gene polymorphisms was identified in the molecular pathogenesis of essential hypertension in Kazakhs in Xinjiang. PMID: 26305278
  25. Adrenal tumors in patients with primary aldosteronism can demonstrate clear heterogeneity in cytochrome P450 family 11 subfamily B member 2 (CYP11B2) expression and somatic mutations in driver genes for aldosterone production. PMID: 26765578
  26. The study explores the relationship between ACE D/I and CYP11B2 C-344T polymorphisms and parameters of arterial stiffness in the context of renal sodium handling. PMID: 26222001
  27. Univariate and multivariable analyses revealed no association between -344C/T of CYP11B2 and plasma glucose in patients without diabetes, homeostasis model assessment as an index of insulin resistance, or left ventricular mass indexed to height. PMID: 26200036
  28. Studies suggest that the cytochrome P450 11B2 (CYP11B2) gene might be associated with susceptibility to coronary artery disease in Caucasians and Asians. PMID: 25966076
  29. The present meta-analysis supports a positive association between the CYP11B2 -344C/T variant and ischemic stroke. PMID: 23748625
  30. Obesity risk increased with GRK4 A486V and CYP11B2 variants in Korean girls as sodium intake increased. PMID: 25768006
  31. Pooled data suggest a significant association between CYP11B2-344T>C polymorphism and atrial fibrillation among hypertensive populations - {REVIEW}. PMID: 25354523
  32. Findings characterize the haplotype-dependent regulation of the hCYP11B2 gene, where -344T serves as a reporter polymorphism. Hap-I leads to increased expression of hCYP11B2, with permissive effects on blood pressure and inflammatory milieu. PMID: 25504670
  33. Cataloguing deleterious SNPs is essential for narrowing down the number of CYP11B2 mutations screened in genetic association studies and for better understanding the functional and structural aspects of the CYP11B2 protein. PMID: 25102047
  34. Polymorphism in the CYP11B2 gene was significantly associated with hypertension in the Chinese population. PMID: 23204185
  35. MicroRNA (miR)-766 binds to the 735G-allele but not the 735A-allele of the hCyp11B2 gene. This interaction may downregulate the expression of the human aldosterone synthase gene and reduce blood pressure in individuals carrying the -344T allele. PMID: 25351194
  36. The CT and TT genotypes of the aldosterone synthase C-344T polymorphism, frequency of alcohol consumption, and aldosterone levels were significantly elevated among both the total and male populations. PMID: 25572238
  37. Research suggests that the down-regulation of ANP gene expression at both mRNA and protein levels, coupled with up-regulated CYP11B2 protein expression levels, may be correlated with essential hypertension. PMID: 25917967
  38. The CYP11B2 -344C/T polymorphism might be an independent risk factor for IgA nephropathy, focal segmental glomerulosclerosis, and all proliferative chronic glomerulonephritis. PMID: 23681285
  39. A study aimed to assess aldosterone polymorphisms and their relationship to plasma aldosterone levels and the development of renal histological lesions in kidney transplant patients. PMID: 23257211
  40. CYP11B2 polymorphism is an independent predictor for atrial fibrillation development in hypertrophic cardiomyopathy patients. PMID: 24599807
  41. CYP11B2 genotype was associated with type 2 diabetes mellitus. PMID: 24549414
  42. GnRH, through heterotopic expression of its receptor, may serve as a potential regulator of CYP11B2 expression levels in certain cases of aldosterone-producing adenoma. PMID: 24472523
  43. Plasma aldosterone concentration is significantly associated with the -344 C/T CYP11B2 polymorphism and with treatment using spironolactone in resistant hypertensive subjects. PMID: 24388430
  44. The 344 C/T polymorphism of the CYP11B2 gene predicts the resolution of hypertension in patients undergoing adrenalectomy for aldosterone-producing adenoma. PMID: 22650983
  45. Tumor area in aldosterone-producing adenoma specimens correlated with preoperative plasma aldosterone, urinary aldosterone excretion, and the H score of 11beta-hydroxylase. Conversely, it exhibited an inverse correlation with the H score of aldosterone synthase. PMID: 24842915
  46. Aldosteronomas are characterized by hypomethylation, and CYP11B2 is overexpressed and hypomethylated in these tumors. PMID: 24423307
  47. The C-344T aldosterone synthase gene variant is associated with preclinical vascular alterations in essential hypertension. PMID: 23490082
  48. The present meta-analysis suggests that CYP11B2 C-344T polymorphism is unlikely to contribute to ischemic stroke susceptibility. PMID: 23950878
  49. The -344C allele may be associated with a decreased risk of Idiopathic hyperaldosteronism; however, there is insufficient evidence to indicate an association between the A2718G polymorphism and primary aldosteronism risk. PMID: 23535359
  50. The CYP11B2 -344CC genotype was a significant and independent predictor of atrial fibrillation beyond conventional clinical and echocardiographic predictors, and genetic ancestry. It also associated with extreme elevation of serum aldosterone. PMID: 23936266

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Database Links

HGNC: 2592

OMIM: 103900

KEGG: hsa:1585

STRING: 9606.ENSP00000325822

UniGene: Hs.632054

Involvement In Disease
Corticosterone methyloxidase 1 deficiency (CMO-1 deficiency); Corticosterone methyloxidase 2 deficiency (CMO-2 deficiency); Hyperaldosteronism, familial, 1 (HALD1)
Protein Families
Cytochrome P450 family
Subcellular Location
Mitochondrion inner membrane; Peripheral membrane protein.

Q&A

What is CYP11B2 and why is it important in biomedical research?

CYP11B2, also known as aldosterone synthase, is a member of the cytochrome P450 superfamily of enzymes. It catalyzes the final steps in aldosterone biosynthesis, specifically the conversion of 11-deoxycorticosterone to corticosterone and subsequently to aldosterone. CYP11B2 plays a crucial role in the regulation of blood pressure and electrolyte balance through the renin-angiotensin-aldosterone system. The enzyme is primarily expressed in the zona glomerulosa of the adrenal cortex and is essential for understanding primary aldosteronism, a common cause of secondary hypertension. Research on CYP11B2 is particularly valuable in elucidating mechanisms of hypertension, electrolyte disorders, and adrenal pathophysiology. CYP11B2 shares approximately 93% homogeneity at the amino acid sequence level with CYP11B1, which catalyzes the final steps of cortisol biosynthesis, making specific detection particularly challenging and important .

What types of CYP11B2 antibodies are available for research purposes?

Researchers have multiple options when selecting CYP11B2 antibodies. These antibodies are available in various formats including unconjugated primary antibodies, as well as conjugated versions with FITC, HRP, or biotin for specialized applications . Most commonly, polyclonal antibodies raised in rabbits are used, though monoclonal antibodies are also available. According to the search results, polyclonal antibodies targeting different regions of the CYP11B2 protein are available, including those recognizing amino acids 25-503, 120-147, 221-320, and 234-503 . The development of specific antibodies against CYP11B2 has been a significant breakthrough in the field, enabling precise localization of aldosterone-producing cells in tissue samples. These antibodies have varying degrees of cross-reactivity with human, mouse, and rat samples, allowing for comparative studies across species .

How should I optimize immunohistochemistry (IHC) protocols for CYP11B2 detection in tissue samples?

Optimizing IHC protocols for CYP11B2 detection requires careful attention to several parameters. Based on published methodologies, begin with appropriate antigen retrieval, which is critical for CYP11B2 detection. Use TE buffer at pH 9.0 as the primary recommended method, though citrate buffer at pH 6.0 can serve as an alternative . For antibody dilution, start with a range of 1:50-1:500 for IHC applications, then titrate to determine optimal concentration for your specific tissue sample . The standard avidin-biotin-peroxidase complex technique has proven effective for demonstrating primary antibody binding . When working with adrenal tissue samples, include both positive controls (known aldosterone-producing adenomas) and negative controls (omission of primary antibody) in each experiment. For semi-quantitative analysis of immunoreactivity, implement the McCarty H-score, which considers both the percentage of positively stained cells and the intensity of their immunopositivity . This approach has been validated in multiple studies investigating aldosterone-producing tissues. When examining adrenal samples, pay special attention to subcapsular regions where aldosterone-producing cell clusters (APCCs) are typically located .

What are the recommended protocols for Western blot (WB) analysis of CYP11B2?

For effective Western blot analysis of CYP11B2, several technical considerations should be addressed. Begin with sample preparation: for cell lysates, SKOV-3 cells have been validated as a positive control, while for tissue samples, pig adrenal gland tissue has shown positive results . When performing electrophoresis, be aware that the observed molecular weight of CYP11B2 (48-50 kDa) differs slightly from the calculated molecular weight (58 kDa), which is important for proper band identification . For antibody dilution, use a range of 1:200-1:1000 for Western blot applications, with optimization recommended for each experimental system . During analysis, note that CYP11B2 antibodies from specific vendors (e.g., 20968-1-AP from Proteintech) have been validated in published studies, providing reliability for experimental outcomes. When designing blocking and washing steps, consider using PBS with 0.02% sodium azide and 50% glycerol at pH 7.3, which matches the storage buffer of many commercial antibodies . For challenging samples or low expression levels, signal enhancement techniques may be necessary, though these should be consistently applied across experimental groups.

How can I effectively use CYP11B2 antibodies in immunofluorescence (IF) studies?

For successful immunofluorescence studies with CYP11B2 antibodies, several methodological considerations are essential. For cell-based assays, SKOV-3 cells have been validated as an appropriate positive control system . When preparing the antibody dilution, a range of 1:20-1:200 is recommended for IF/ICC applications, though this should be optimized for your specific experimental system . For co-localization studies, combine CYP11B2 antibodies with markers of the zona glomerulosa or other steroidogenic enzymes to provide contextual information about expression patterns. When performing immunofluorescence on tissue sections, proper fixation is critical; paraformaldehyde fixation (typically 4%) preserves both antigenicity and tissue morphology. For detection systems, both direct conjugated antibodies (such as FITC-conjugated anti-CYP11B2) and indirect detection methods with fluorescently-labeled secondary antibodies can be employed based on the experimental needs and signal intensity required . When analyzing results, capture images using confocal microscopy when possible to enhance spatial resolution and enable three-dimensional reconstruction of expression patterns. This approach is particularly valuable when examining the relationship between CYP11B2-positive cells and surrounding structures.

How can CYP11B2 immunostaining improve the diagnosis and classification of primary aldosteronism?

CYP11B2 immunostaining has revolutionized the histopathological diagnosis of primary aldosteronism by providing functional information beyond conventional morphological assessment. Traditional hematoxylin-eosin staining can demonstrate morphological abnormalities but cannot provide functional histopathological information about aldosterone production . Through CYP11B2 immunostaining, researchers can now precisely identify aldosterone-producing tissues regardless of their morphological appearance. This approach has enabled the classification of primary aldosteronism into more precise categories: (1) unilateral single aldosterone-producing adenoma (APA), (2) unilateral multiple APAs, (3) aldosterone-producing cell clusters (APCCs), and (4) cases with undefined sources . APCCs, which are 200–1,300 μm wide and 100–500 μm deep subcapsular cell clusters that express CYP11B2, can now be identified and may represent precursors to more established forms of primary aldosteronism . Semi-quantitative assessment using the McCarty H-score correlates with clinical parameters including serum aldosterone levels, aldosterone-to-renin ratio, and serum potassium, providing a histopathological marker that reflects disease severity . This functional classification approach has significant implications for treatment strategies and prognosis prediction.

What is the relationship between CYP11B2 expression and Wnt/β-catenin signaling in aldosterone-producing adenomas?

Research has revealed intriguing connections between CYP11B2 expression and the Wnt/β-catenin signaling pathway in aldosterone-producing adenomas. According to immunohistochemical analyses, patients with abnormal β-catenin staining show significantly higher CYP11B2 H-scores compared to those with wild-type β-catenin expression patterns . This correlation suggests that dysregulation of Wnt/β-catenin signaling may enhance the steroidogenic capacity of aldosterone-producing cells. The implications extend to clinical parameters as well; patients with abnormal β-catenin staining demonstrate longer hypertension duration, higher serum aldosterone levels, increased aldosterone-to-renin ratios, elevated cortisol levels, larger tumor diameters, greater tumor areas, and lower serum potassium levels compared to patients with wild-type β-catenin expression . These findings suggest that impaired β-catenin degradation may not only promote proliferation of adenoma cells but also enhance their aldosterone-producing capacity. Consequently, the Wnt pathway may represent a potential therapeutic target for treating hyperaldosteronism. Understanding this relationship provides insight into the molecular mechanisms driving aldosterone overproduction and could inform the development of novel targeted therapies beyond current surgical approaches and mineralocorticoid receptor antagonists .

How do aldosterone-producing cell clusters (APCCs) contribute to our understanding of primary aldosteronism pathophysiology?

The identification of aldosterone-producing cell clusters (APCCs) through CYP11B2 immunostaining has significantly advanced our understanding of primary aldosteronism pathophysiology. APCCs are defined as CYP11B2-positive cell clusters that are cuneiform or trapezoid in shape, morphologically identical to adjacent zona glomerulosa cells, without a fibrous capsule . These structures, typically measuring 200–1,300 μm wide and 100–500 μm deep, can maintain aldosterone secretion despite suppression of the renin-angiotensin-aldosterone system . Research has demonstrated that bilateral idiopathic hyperaldosteronism may result from the accumulation and enlargement of APCCs harboring somatic aldosterone-driver gene mutations, rather than from diffuse zona glomerulosa hyperplasia as previously thought . This paradigm shift suggests a new model where APCCs represent an early stage in the pathophysiological continuum of primary aldosteronism. In some cases, patients diagnosed with unilateral adrenal hyperplasia based on conventional histopathology are found to have APCCs without CYP11B2-positive adenomas or diffuse CYP11B2-positive zona glomerulosa hyperplasia . These findings indicate that APCCs may be responsible for autonomous aldosterone production in a subset of patients with primary aldosteronism, challenging traditional classification schemes and potentially informing more personalized treatment approaches.

What strategies can resolve cross-reactivity issues between CYP11B2 and CYP11B1 antibodies?

Cross-reactivity between CYP11B2 and CYP11B1 antibodies presents a significant challenge due to the 93% amino acid sequence homology between these enzymes . To resolve this issue, implement several targeted strategies: (1) Select antibodies specifically validated for distinguishing between these enzymes, such as mouse monoclonal anti-CYP11B2 (MABS1251) and rat monoclonal anti-CYP11B1 (MABS502) from Merck Millipore, which have been validated in published research . (2) Perform peptide competition assays with synthetic peptides corresponding to the immunogen sequences to confirm specificity. (3) Include appropriate positive and negative controls in each experiment—for CYP11B2, adrenal zona glomerulosa and aldosterone-producing adenomas serve as positive controls, while adrenal zona fasciculata can serve as a negative control. (4) Optimize antibody concentration through careful titration experiments to minimize non-specific binding while maintaining specific signal. (5) Implement double immunostaining with CYP11B2 and CYP11B1 antibodies on the same section using different visualization systems (e.g., DAB and AEC) to directly compare expression patterns. (6) Consider using antibodies targeting different epitopes of CYP11B2 to confirm findings through concordance of results .

How can researchers optimize antigen retrieval techniques for CYP11B2 immunohistochemistry?

Optimizing antigen retrieval is crucial for successful CYP11B2 immunohistochemistry, particularly in formalin-fixed, paraffin-embedded tissues. Based on published protocols, researchers should consider the following approach: Primary recommendation is to use TE buffer at pH 9.0 for heat-induced epitope retrieval, though citrate buffer at pH 6.0 can serve as an alternative method . When performing heat-induced epitope retrieval, maintain consistent temperature and duration parameters—typically 95-98°C for 20-30 minutes—across experimental groups to ensure comparable results. For challenging samples, consider testing multiple antigen retrieval methods in parallel (heat-induced with different buffers, enzymatic methods) to determine optimal conditions for your specific tissue samples. When dealing with archived samples or tissues with extended fixation times, extending the antigen retrieval duration may improve results. For quantitative studies, incorporate internal controls in each batch of staining to account for potential variations in antigen retrieval efficiency. Consider tissue-specific optimization; adrenal tissue may require different conditions than ectopic aldosterone-producing tissues such as kidney or liver samples . Document detailed antigen retrieval protocols in research publications to facilitate reproducibility across laboratories and enable meaningful comparison of results.

What controls should be included when validating a new batch of CYP11B2 antibodies?

Proper validation of new CYP11B2 antibody batches is essential for experimental reliability. A comprehensive validation should include the following controls: (1) Positive tissue controls: Human adrenal gland tissue (specifically the zona glomerulosa), human kidney tissue, human hepatocirrhosis tissue, and human liver cancer tissue have all been validated as appropriate positive controls for CYP11B2 immunostaining . (2) Positive cell line controls: SKOV-3 cells have been validated for western blot and immunofluorescence applications with CYP11B2 antibodies . (3) Negative controls: Include sections with primary antibody omitted and sections incubated with isotype-matched non-specific immunoglobulins. (4) Specificity controls: Perform preabsorption tests with the immunizing peptide to verify antibody specificity. (5) Cross-reactivity assessment: Test the antibody on tissues known to express the closely related CYP11B1 but not CYP11B2 (such as adrenal zona fasciculata) to ensure specificity. (6) Batch-to-batch comparison: When replacing an exhausted antibody batch, perform parallel testing with the previous batch to ensure consistency of results. (7) Multi-method validation: Confirm findings with complementary techniques such as comparing immunohistochemistry results with western blot or PCR data to verify specificity .

How should researchers quantify and interpret CYP11B2 immunostaining results?

Quantification and interpretation of CYP11B2 immunostaining requires standardized approaches to generate reliable and comparable data. The McCarty H-score system is recommended for semi-quantitative assessment, as it accounts for both the percentage of positively stained cells and the intensity of immunopositivity . This method assigns scores as follows: percentage of cells stained (0-100%) is multiplied by the dominant intensity pattern (0=negative, 1=weak, 2=moderate, 3=strong), resulting in scores ranging from 0 to 300. For clinical correlation studies, adjusted CYP11B2 H-scores have been demonstrated to correlate with serum aldosterone levels, aldosterone-to-renin ratio (ARR), and serum potassium levels, providing a histopathological marker that reflects disease severity . When analyzing aldosterone-producing adenomas, it's important to distinguish between different histological patterns: (1) APA, defined as a CYP11B2-positive, well-circumscribed, round or ovoid-shaped nodular lesion composed of a mixture of zona glomerulosa-like and zona fasciculata-like cells, often with a fibrous capsule, and (2) APCC, defined as a CYP11B2-positive cell cluster, cuneiform or trapezoid in shape, morphologically identical to adjacent zona glomerulosa cells without a fibrous capsule . Digital image analysis can enhance objectivity and reproducibility of quantification, particularly for research studies comparing multiple experimental groups.

What clinical parameters correlate with CYP11B2 expression in primary aldosteronism?

CYP11B2 expression levels in primary aldosteronism correlate with several important clinical parameters, providing valuable prognostic information. Research has demonstrated that adjusted CYP11B2 H-scores correlate positively with serum aldosterone levels and aldosterone-to-renin ratio (ARR), while showing a negative correlation with serum potassium levels . These correlations establish CYP11B2 immunostaining as a histopathological marker that reflects the biochemical severity of aldosterone excess. In patients with abnormal β-catenin staining, additional clinical parameters show significant differences: longer hypertension duration, higher cortisol levels, larger tumor diameter, and greater tumor area compared to patients with wild-type β-catenin expression . When predicting outcomes after adrenalectomy for unilateral hyperaldosteronism, age, gender, and family history of hypertension have been identified as independent predictors of clinical success, with adjusted CYP11B2 and CYP11B1 H-scores showing significant differences between complete clinical success and incomplete clinical success groups . These correlations highlight the value of comprehensive histopathological and clinical assessment in guiding patient management and predicting treatment outcomes. Understanding these relationships can help clinicians develop more personalized treatment approaches and follow-up strategies.

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