The zona glomerulosa is the thin outermost layer of the adrenal cortex, just under the capsule, where cells lie in rounded clusters. It produces aldosterone, which is controlled mainly by the renin-angiotensin system and blood potassium rather than by ACTH.
| Location | Outermost zone of the adrenal cortex, directly beneath the capsule |
|---|---|
| Secretes |
|
| Blood Supply | Subcapsular arterial plexus from the suprarenal arteries |
Makes aldosterone, which acts on the kidney to retain sodium and water and excrete potassium, helping maintain blood pressure and blood volume.
An aldosterone-producing adenoma or bilateral hyperplasia of this zone causes primary aldosteronism (Conn syndrome), a common and under-recognized cause of high blood pressure, sometimes with low potassium. Because this zone is not mainly ACTH-driven, aldosterone is usually preserved in pituitary (secondary) adrenal insufficiency but lost in Addison disease.
Autonomous aldosterone overproduction causing hypertension, often with low potassium, from an adenoma or bilateral hyperplasia.
Deficient aldosterone causing high potassium, salt loss and low blood pressure, seen in Addison disease and some kidney conditions.
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