A n important part of the renin-angiotensin-aldosterone system (RAAS) is the angiotensin-converting enzyme type 2 (ACE2), angiotensin (Ang) 1-7, Mas receptor axis (Fig. 1). ACE2, a homologue of ACE expressed in multiple tissues, removes the last amino acid from peptides, such as Ang I or II to form Ang 1-9 or Ang 1-7, respectively [1]. Despite its structural similarity to Ang II, Ang 1-7 acts mainly through the Mas receptor. In general, Ang 1-7/ACE2 modulate effects of Ang II, especially in blood vessels, as Ang II produces vasoconstriction and induces oxidative stress and inflammation, whereas Ang 1-7 produces vasodilatation and attenuates oxidative stress, inflammation, fibrosis and vascular remodeling [2,3]. In contrast to effects of Ang 1-7/ACE2 on blood vessels, little is known about their effects on the adrenal gland, and in fact, effects on the adrenal gland in humans are not known at all. In this issue of the Journal of Hypertension, Caroccia et al. [4] examine effects of ACE2 and Ang 1-7 on aldosterone synthesis by the adrenal gland, thus filling an important gap in our knowledge.To explore effects of ACE2 and Ang 1-7 on aldosterone synthesis, Caroccia et al. studied specimens obtained at surgery, and plasma samples, from patients with aldosterone-producing adenomas (APA). The authors also used an adrenocortical adrenome cell line and tissue-protein extracts, to evaluate effects on Ang II-stimulated aldosterone synthesis of ACE2, activators and inhibitors of ACE2 and Ang 1-7. Their results demonstrate that ACE2 is expressed at measurable levels in the adrenal cortex, and its expression is reduced by about half in samples of aldosterone-producing adenomas. Despite expression of ACE2 in adrenal glands, no detectable levels of Ang 1-7 were found in tissues, or in plasma draining from adrenal veins from APA or contralateral glands. These results suggest that there is not a clinically relevant production of Ang 1-7 in adrenal glands (Fig. 1).The study also includes in-vitro experiments to assess formation of Ang 1-7 by ACE2 on adrenal cells. Previous studies have shown that small amounts of Ang 1-7 can be synthesized from Ang II, in adrenocortical cells [5,6] but the contribution of ACE2 to this process is unknown. Experiments by Caroccia et al. suggest that local ACE2 does not contribute significantly to the synthesis of Ang 1-7 in adrenal tissues as basal Ang 1-7 production, in an adrenal adenocarcinoma cell line (NCI-H295), is not affected by an ACE2 inhibitor. Nevertheless, formation of Ang 1-7 increased, almost 100-fold, when tissue extracts were spiked with recombinant human ACE2. The authors confirmed that a widely used experimental drug, DIZE, does not act as an ACE2 activator, although in low doses, it increased ACE2 expression, by a yet unknown mechanism.Finally, the authors examined effects of Ang 1-7 on aldosterone and cortisol synthesis. Aldosterone synthase (CYP11B2) and 11 Beta hydroxylase (CYP11B1) are key enzymes for production of aldosterone and cortisol. The enzymes are expressed in the a...