Effects of cholesterol-rich diet and hypolipidemic drug (clofibrate, CPIB) on the adrenal cortex in rats--ultrastructural stereological and biochemical analysis.

Stereological analysis at the electron microscope level was performed on zona fasciculata and zona reticularis of the adrenal cortex of male rats maintained on normal rat chow, clofibrate (hypolipidemic drug), cholesterol-rich diet or cholesterol-rich diet plus clofibrate. The purpose of this study is to know whether the alteration in the serum cholesterol level is accompanied by an alteration in the ultrastructure and steroidogenic activity of the adrenal cortex, and to compare these changes with those of Leydig cells reported previously. The corticosterone level in both serum and the adrenal tissue of cholesterol-fed rats remained unchanged. Treatment of the cholesterol-fed rats with clofibrate caused a significant rise in the serum corticosterone level but the concentration in the adrenal remained unchanged. Lipid droplets increased in number and volume significantly in both cortical zones in all experimental groups as compared with the control group. But neither cholesterol feeding nor clofibrate treatment of normal rats caused a change in the volume or surface area of smooth endoplasmic reticulum (ER). Treatment with clofibrate on the cholesterol-fed rats resulted in a decrease in the volume of smooth ER in both cortical zones. Mitochondria showed no change except for a decrease in volume and inner membrane surface area of zona reticularis of cholesterol-fed rats. Peroxisomes did not proliferate but rather decreased in clofibrate-treated rats. These changes in the adrenal cortex were different from those in Leydig cells. Possible reasons for these differences were discussed.