grant

Reversing abnormal metabolism in mild autonomous cortisol secretion (MACS)

Organization MAYO CLINIC ROCHESTERLocation ROCHESTER, UNITED STATESPosted 20 Feb 2026Deadline 31 Dec 2030
NIHUS FederalResearch GrantFY20262-methyl-1,2-di-3-pyridinyl-1-propanone21+ years oldACTHAccelerationAcetylationAddressAdrenal AdenomaAdrenal Gland AdenomaAdrenal Gland ExcisionAdrenal Gland InsufficiencyAdrenal GlandsAdrenal InsufficiencyAdrenal gland hypofunctionAdrenalectomyAdrenalsAdrenocorticotropic HormoneAdrenocorticotropinAdultAdult HumanAdverse ExperienceAdverse eventAeroseb-HCAffectAndrogenic AgentsAndrogenic CompoundsAndrogensAwardBenign Adrenal AdenomaBenign Adrenal Gland AdenomaBilateralBiological MarkersBlood SerumBranched-Chain Amino AcidsCDK4ICDKN2CDKN2 GenesCDKN2ACDKN2A geneCMM2Cardiometabolic DiseaseCardiometabolic DisorderCardiovascularCardiovascular Body SystemCardiovascular Organ SystemCardiovascular systemCell AgingCell SenescenceCellular AgingCellular SenescenceCetacortCircadian RhythmsClinical TrialsCognitionCommunicationCort-DomeCortefCortenemaCorticotropinCortisolCortisoneCortisprayCortrilCushing SyndromeCushing's basophilismCyclin-Dependent Kinase Inhibitor 2A GeneDataDermacortDexamethasoneDiagnosisDoseDyslipidemiasEldecortEventFDA approvedFeedbackGlucocorticoidsGlycoproteinsHealthHeart VascularHormonalHydrocortisoneHydrocortoneHypertensionHypoadrenalismHypophysisHypophysis CerebriHypothalamic structureHypothalamusHytoneINK4INK4AImpairmentInflammationIntermediary MetabolismInterventionInterviewLeadLipoproteinsMTS1MTS1 GenesMeasurementMedicalMetabolicMetabolic ProcessesMetabolismMethbipyranoneMethopyraponeMetyraponeMorbidityNIDDKNational Institute of Diabetes and Digestive and Kidney DiseasesNutracortNyctohemeral RhythmOutcomePatientsPb elementPituitaryPituitary GlandPituitary Nervous SystemPopulationPrevalenceProctocortQuestionnairesRandomizedRelative RisksReplicative SenescenceResearchSafetySalivarySerumSteroid CompoundSteroid biosynthesisSteroidsSymptomsT-CellsT-LymphocyteTP16TSG9ATestingTherapeutic AndrogenTwenty-Four Hour RhythmUnited StatesUrineVascular Hypertensive DiseaseVascular Hypertensive DisorderWithdrawaladulthoodarmbio-markersbiologic markerbiomarkerbone healthbranched amino acidscardiovascular riskcardiovascular risk factorcircadiancircadian processcircadian rhythmicitycirculatory systemdaily biorhythmdouble-blind placebo control trialdouble-blind placebo controlled trialdouble-masked controlled trialfrailtyheavy metal Pbheavy metal leadhigh blood pressurehyperpiesiahyperpiesishypertensive diseasehypertensive disorderhypothalamicimprovedinflammation markerinflammatory markerinhibitormetabolic phenotypemetabolomemetabonomemetabotypemortalitynatural agingnormal agingnormative agingopen labelopen label studyp14ARFp16 Genesp16INK4 Genesp16INK4A Genesp16INK4apatient populationperipheral bloodpituitary basophilismpost interventionrandomisationrandomizationrandomly assignedreplicative agingsenescencesenescentsteroidogenesissuprarenal glandsystemic inflammationsystemic inflammatory responsethymus derived lymphocyte
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PROJECT SUMMARY
Mild autonomous cortisol secretion (MACS) is diagnosed in up to 44% of patients with adrenal adenomas,

affecting 1-2% of the adult population. MACS is diagnosed based on an abnormal cortisol level following

dexamethasone suppression (>1.8 mcg/dL). Patients with MACS develop high rates of cardiovascular

morbidity and demonstrate…

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