1563 |
Bartolomeo Eustacchio description of the adrenal gland (glandulae Renibus incumentes). 108
|
1855 |
Addison’s first identification of the lethal association of pathological changes in the suprarenal capsules (adrenal glands) with anemia. 109
|
1935 |
Development of biologically active extracts free of contaminating compounds from the adrenal medulla. |
1939 |
Kuizinga and Cartland 110 show potent mineralocorticoid activity in the amorphus fraction of adrenocortical preparations. |
1952–1955 |
Simpson and Tait 111–115 critical studies of adrenal mineralocorticoid activity culminate with the isolation of electrocortin, later rename as aldosterone. 116
|
1954 |
Aldosterone structure identified as 11_-21-dihydroxy-18-oxo-pregn-4-ene-3,20-dione 113, 116
|
1956 |
Luetscher et al. 5 obtain aldosterone crystals from human urine. |
1955–1956 |
Aldosterone is synthetized by the Ciba group in Basel117, 118. |
1956 |
Giroud et al. 119, 120 in Montreal, demonstrated that the zona glomerulosa of the rat exclusively produced aldosterone. |
|
Clinical Translational Research |
1955 |
First description of the primary aldosteronism syndrome 63. |
1999 |
The Randomized ALdactone Evaluation Study (RALES) trial demonstrates the role for aldosterone antagonists in chronic severe (NYHA class III/IV) systolic HF 90. |
2003 |
The Eplerenone Post-myocardial infarction Heart failure Efficacy and Survival Study (EPHESUS) documents the benefit of aldosterone receptor antagonists in patients with an EF <40% after MI 91. |
2014 |
TOPCAT shows moderate effects of spironolactone in heart failure with preserved ejection fraction (HFpEF) since only hospitalization for heart failure benefited in this population from MR antagonism 101. |