a, Quantitative PCR analysis of CYP11B1 and CYP11B2 mRNA expression demonstrated that double-mutant APAs have a lower CYP11B1/CYP11B2 mRNA expression ratio compared to CTNNB1 single-mutant APAs or APAs wild type for CTNNB1 and GNA11/Q (CTNNB1-negative APA) (P = 0.00004 by one-way Kruskal–Wallis test, χ2(2) = 20.23; P values from Dunn’s multiple comparisons test are as indicated). Results are expressed as fold change from CTNNB1 wild-type APAs (CTNNB1-negative APA). Error bars presents mean ± s.e.m. The exact sample number (n), as indicated below the x axis, represents biologically independent samples. Squares, males; circles, females; red symbols, double mutants; blue symbols, KCNJ5 mutants; black symbols, KCNJ5 wild type. b, Immunohistochemistry of CYP11B2 and CYP11B1 in the UK/Irish cohort using the primary antibody anti-CYP11B2 and anti-CYP11B1 no. MABS502, clone 80-7. The histotype of high CYP11B2 protein expression and low CYP11B1 expression was apparent, correlating with the low CYP11B1/CYP11B2 mRNA expression seen in a. Scale bars, 2.5 mm.