
Overview
Background
MS has 35 years clinical research experience in pathogenesis and management of hypertension (HT), including endocrine varieties such as primary aldosteronism (PA). Working within the Greenslopes Hospital Hypertension Unit (GHHU), he helped demonstrate that PA is 10 times more common than previously thought and to account for approximately 10% of HT, making it the commonest specifically treatable, potentially curable variety, and in the description of a new familial form (FH-II) which recently led to the elucidation of its genetic basis (a gain of function mutation in CLCN2, published in Nature Genetics). The combined GHHU/Princess Alexandra Hospital HT Unit (PAHHU, which MS set up in 2000) has possibly the largest series (>2500) worldwide of patients with PA who have been thoroughly documented and meticulously studied, helping MS to become internationally recognized as an authority on pathogenesis/genetics, diagnostic workup and management of PA. In 2006, MS served as member of an international Task Force sponsored by the US Endocrine Society to develop the first guideline for diagnosis and management of PA (published in J Clin Endocrinol Metab and cited >1200 times with an update published in 2016 and cited >1900 times). He is currently Co-Chair of the working group for the third guideline. MS conceived, developed and validated the seated saline suppression test which has since become the favoured method for definitively confirming the diagnosis of PA in most Australian and in a rapidly growing number of overseas institutions. He has also made major contributions to the understanding of how various physiological and pharmacological factors affect the aldosterone/renin ratio as a screening test for PA and in optimizing approaches to adrenal venous sampling, the most reliable method of differentiating unilateral (surgically curable) from bilateral varieties.
Publications: MS has published 1 book, 20 textbook chapters and >250 papers in peer-reviewed scientific journals. His journal publications have been cited >14,000 times ("h" index 59).
Grant Support: Since 2019, MS has received ~$16 million in research grant support. He is currently a CI on two MRFF grants and an NHMRC CCRE.
Invited Presentations and Collaboration: MS has been invited to speak at major meetings 137 times (99 international) and has collaborated with researchers in >20 international Units and all Australian states. In 2018, was one of six investigators awarded a highly prestigious Leducq Foundation Transatlantic Networks of Excellence Program grant ($USD 6 million) to study the role of potassium in hypertension.
Committee Highlights: MS is past President of the Asian-Pacific Society of Hypertension and of the High Blood Pressure Research Council of Australia. During his time as HBPRCA President, initiatives that were introduced under his presidency included launching of a successful bid for 24h ABPM to be assigned an item number to enable a Medicare rebate of ABPM services. He was a Member of the NHF BP & Vascular Disease Advisory Committee 1998-2013.
Community Engagement: As President since 1995 of the Queensland Hypertension Association, a non-profit organization dedicated to promoting self-care in the management of hypertension, MS has overseen all of its activities, including bimonthly educational sessions and preparation of educational material for the general community and health professionals. On numerous occasions, MS has provided information to the community on issues related to hypertension by media interview.
Peer Review: Previously serving on Editorial Boards for of J Clin Endocrinol Metab, J Hypertens, Clin Exper Pharmacol Physiol, and Nephology, MS is currently Editor-in-Chief of J Hum Hypertens and a member of the Editorial Board for Hypertension. He has assessed 100’s of manuscripts for major international journals and served as grant application assessor on many occasions for major international and national funding bodies (including the NHMRC).
Other Awards and Honours: (1) John W.H. Tyrer Prize for Research in Internal Medicine, (2) Robert Vandongen Memorial Lecturer (University of WA), 2002, (3) Honorary Professor to the Xinjiang Institute of Hypertension, 2005, (4) Visiting Professor to the Tung Wah Eastern Hospital, Hong Kong, 2008, (5) Gaston Bauer Lecturer, Cardiac Society of Australia and New Zealand, 2012, (5) Nimmo Visitor, Royal Adelaide Hospital, 2015, (6) Paul Korner Award, Hypertension Australia, 2024.
Availability
- Professor Michael Stowasser is:
- Available for supervision
- Media expert
Fields of research
Qualifications
- Bachelor (Honours) of Medicine Surgery, The University of Queensland
- Doctor of Philosophy, The University of Queensland
- Royal Australasian College of Physicians, Royal Australasian College of Physicians
Research interests
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Determining the genetic basis for FH-II and other forms of primary aldosteronism
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Improving methods of detection, diagnostic workup and management of primary aldosteronism
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Validating a highly accurate method of measuring aldosterone using tandem mass spectrometry developed within the EHRC
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Determining genetic factors which may modify phenotypic expression in FH-I, and thereby explain the wide spectrum of hypertens
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Determining the extent to which aldosterone excess in humans is capable of causing cardiovascular and other organ dysfunction in
Research impacts
Hypertension (high blood pressure) affects around 30% of Australian adults, and is a leading risk factor for stroke. Treatment usually means lifelong medications, potentially costly and poorly tolerated. However, when the cause can be identified, and reversed or specifically treated, the outcomes are often dramatic with patients being able to come off many or all antihypertensives and enjoying markedly improved quality of life, while at the same time reducing their stroke risk.
The Endocrine Hypertension Research Centre (EHRC), a University of Queensland School of Medicine Centre based at Greenslopes and Princess Alexandra Hospitals, conducts internationally acclaimed research into the causes and management of various forms of hypertension, with a major focus on curable and specifically treatable varieties. It is the only Centre of its kind in Queensland and one of only a few internationally recognized Australian groups dedicated to hypertension-related clinical management and research. An important area of our work, for which the Centre has attracted much attention, has been our detailed studies into epidemiological, biochemical, morphological, pathophysiological and genetic aspects of a potentially curable form of hypertension known as primary aldosteronism (PA), in which the adrenal glands produce excessive amounts of salt retaining hormone (aldosterone). The EHRC demonstrated 20 years ago that PA is approximately ten times more common than previously thought, and accounts for as many as 10% of patients with hypertension. This finding has led to the identification of thousands of patients around the world who would otherwise have gone undetected, and in whom hypertension has been cured or markedly improved following surgical or specific medical treatment. More than 2000 thoroughly studied and documented patients with PA (probably the largest series worldwide) in our Centre provide a unique resource for further research into causes, diagnosis and treatment, and have led to important collaborations with first-class overseas investigators.
Research at the EHRC and elsewhere has shown that aldosterone excess in unrecognised PA is associated with significant cardiovascular morbidity which exceeds that due to hypertension alone. For example, the risk of stroke in PA is over four times higher than that for other forms of hypertension. In one rare familial form of PA, detectable by a genetic test developed in our Centre, hypertension can be particular severe and of early onset, leading to death at ages as young as 30 from hypertensive, haemorrhagic stroke. Because this increase risk is completely reversed by specifically treating the PA condition, it is vitally important that as many patients as possible with PA be identified among the hypertensive population. Major challenges exist in accurate diagnosis of PA, prompting our Centre to research better ways to achieve this, including through genetic testing and enhanced clinical and biochemical approaches, so that more people will be detected and given the opportunity to receive superior, highly effective treatment.
Among its many other projects, the Centre is actively involved in unlocking the genetic and molecular code of another form of hypertension known as Gordon syndrome (named after the Centre’s founder, Richard Gordon) which results in excessive retention of salt and potassium by the kidney. This work has the potentially to greatly enhance our understanding of how the kidney regulates salt balance and blood pressure, and to lead to the development of new drugs to treat hypertension and thereby prevent stroke.
Works
Search Professor Michael Stowasser’s works on UQ eSpace
2022
Journal Article
Acute intravenous NaCl and volume expansion reduces NCC abundance and phosphorylation in urinary extracellular vesicles
Wu, Aihua, Wolley, Martin J., Wu, Qi, Cowley, Diane, Palmfeldt, Johan, Welling, Paul A., Fenton, Robert A. and Stowasser, Michael (2022). Acute intravenous NaCl and volume expansion reduces NCC abundance and phosphorylation in urinary extracellular vesicles. Kidney360, 3 (5), 910-921. doi: 10.34067/kid.0000362022
2021
Journal Article
Diagnosis and treatment of primary aldosteronism
Reincke, Martin, Bancos, Irina, Mulatero, Paolo, Scholl, Ute I., Stowasser, Michael and Williams, Tracy Ann (2021). Diagnosis and treatment of primary aldosteronism. The Lancet Diabetes and Endocrinology, 9 (12), 876-892. doi: 10.1016/S2213-8587(21)00210-2
2021
Journal Article
ClearSight™ finger cuff versus invasive arterial pressure measurement in patients with body mass index above 45 kg/m2
Eley, Victoria, Christensen, Rebecca, Guy, Louis, Wyssusek, Kerstin, Pelecanos, Anita, Dodd, Benjamin, Stowasser, Michael and van Zundert, Andre (2021). ClearSight™ finger cuff versus invasive arterial pressure measurement in patients with body mass index above 45 kg/m2. BMC Anesthesiology, 21 (1) 152, 152. doi: 10.1186/s12871-021-01374-x
2021
Journal Article
The Relationship Between the Aldosterone-to-Renin Ratio and Blood Pressure in Young Adults: A Longitudinal Study
Yang, Jun, Gwini, StellaMay, Beilin, Lawrence J, Schlaich, Markus, Stowasser, Michael, Young, Morag J, Fuller, Peter J and Mori, Trevor (2021). The Relationship Between the Aldosterone-to-Renin Ratio and Blood Pressure in Young Adults: A Longitudinal Study. Journal of the Endocrine Society, 5 (Supplement_1). doi: 10.1210/jendso/bvab048.611
2021
Conference Publication
Pendrin reduction is associated with acute intravenous sodium chloride loading in patients with primary aldosteronism
Wu, Aihua, Wolley, Martin J., Wu, Qi, Cowley, Diane, Gordon, Richard D., Fenton, Robert A. and Stowasser, Michael (2021). Pendrin reduction is associated with acute intravenous sodium chloride loading in patients with primary aldosteronism. Joint Meeting ESH-ISH 2021, Glasgow, Scotland, United Kingdom, 11-14 April 2021. Philadelphia, PA USA: Lippincott Williams & Wilkins. doi: 10.1097/01.hjh.0000744712.11686.f1
2021
Journal Article
Aldosterone-producing adenoma associated with non-suppressed renin: a case series
Jansen, Pieter Martijn and Stowasser, Michael (2021). Aldosterone-producing adenoma associated with non-suppressed renin: a case series. Journal of Human Hypertension, 36 (4), 373-380. doi: 10.1038/s41371-021-00525-4
2021
Journal Article
The mineralocorticoid receptor-an emerging player in metabolic syndrome?
Thuzar, Moe and Stowasser, Michael (2021). The mineralocorticoid receptor-an emerging player in metabolic syndrome?. Journal of Human Hypertension, 35 (2), 117-123. doi: 10.1038/s41371-020-00467-3
2021
Journal Article
Aldosterone, gut microbiome and hypertension: selected papers from APCH 2019
Stowasser, Michael (2021). Aldosterone, gut microbiome and hypertension: selected papers from APCH 2019. Journal of Human Hypertension, 35 (2), 109-109. doi: 10.1038/s41371-020-00481-5
2021
Journal Article
Relationship between the aldosterone-to-renin ratio and blood pressure in young adults: A longitudinal study
Yang, Jun, Gwini, Stella May, Beilin, Lawrence J., Schlaich, Markus, Stowasser, Michael, Young, Morag J., Fuller, Peter J. and Mori, Trevor A. (2021). Relationship between the aldosterone-to-renin ratio and blood pressure in young adults: A longitudinal study. Hypertension, 78 (2), 387-396. doi: 10.1161/HYPERTENSIONAHA.121.17336
2021
Journal Article
Aldosterone and Primary Aldosteronism: Star Performers in Hypertension Research
Stowasser, Michael (2021). Aldosterone and Primary Aldosteronism: Star Performers in Hypertension Research. Hypertension, 78 (3), 747-750. doi: 10.1161/HYPERTENSIONAHA.121.17594
2020
Journal Article
The Primary Aldosteronism Surgical Outcome Score for the Prediction of Clinical Outcomes After Adrenalectomy for Unilateral Primary Aldosteronism
Burrello, Jacopo, Burrello, Alessio, Stowasser, Michael, Nishikawa, Tetsuo, Quinkler, Marcus, Prejbisz, Aleksander, Lenders, Jacques W. M., Satoh, Fumitoshi, Mulatero, Paolo, Reincke, Martin and Williams, Tracy Ann (2020). The Primary Aldosteronism Surgical Outcome Score for the Prediction of Clinical Outcomes After Adrenalectomy for Unilateral Primary Aldosteronism. Annals of Surgery, 272 (6), 1125-1132. doi: 10.1097/SLA.0000000000003200
2020
Journal Article
The Cl−/HCO3− exchanger pendrin is downregulated during oral co-administration of exogenous mineralocorticoid and KCl in patients with primary aldosteronism
Wu, Aihua, Wolley, Martin J., Wu, Qi, Gordon, Richard D., Fenton, Robert A. and Stowasser, Michael (2020). The Cl−/HCO3− exchanger pendrin is downregulated during oral co-administration of exogenous mineralocorticoid and KCl in patients with primary aldosteronism. Journal of Human Hypertension, 35 (10), 837-848. doi: 10.1038/s41371-020-00439-7
2020
Journal Article
The role of exercise in patients with obesity and hypertension
Keating, Shelley E., Coombes, Jeff S., Stowasser, Michael and Bailey, Tom G. (2020). The role of exercise in patients with obesity and hypertension. Current Hypertension Reports, 22 (10) 77, 77. doi: 10.1007/s11906-020-01087-5
2020
Journal Article
Biochemical, histopathological and genetic characterization of posture responsive and unresponsive APAs
Guo, Zeng, Nanba, Kazutaka, Udager, Aaron, McWhinney, Brett C., Ungerer, Jacobus P. J., Wolley, Martin, Thuzar, Moe, Gordon, Richard D., Rainey, William E. and Stowasser, Michael (2020). Biochemical, histopathological and genetic characterization of posture responsive and unresponsive APAs. Journal of Clinical Endocrinology and Metabolism, 105 (9), e3224-e3235. doi: 10.1210/clinem/dgaa367
2020
Conference Publication
Relationship between the hypothalmic-pituitary-adrenocortical axis activity and the characteristics of aldosterone-producing adenomas
Thuzar, Moe, Lo, Yu-Chin, Guo, Zeng, Inder, Warrick J. and Stowasser, Michael (2020). Relationship between the hypothalmic-pituitary-adrenocortical axis activity and the characteristics of aldosterone-producing adenomas. 22nd European Congress of Endocrinology, Online, 5 - 9 September 2020. Bristol, United Kingdom: Bioscientifica. doi: 10.1530/endoabs.70.aep47
2020
Journal Article
Effects of ramipril on the aldosterone/renin ratio and the aldosterone/angiotensin II ratio in patients with primary aldosteronism
Guo, Zeng, Poglitsch, Marko, Cowley, Diane, Domenig, Oliver, McWhinney, Brett C., Ungerer, Jacobus P J, Wolley, Martin and Stowasser, Michael (2020). Effects of ramipril on the aldosterone/renin ratio and the aldosterone/angiotensin II ratio in patients with primary aldosteronism. Hypertension, 76 (2), 488-496. doi: 10.1161/HYPERTENSIONAHA.120.14871
2020
Journal Article
Can unilateral forms of primary aldosteronism be excluded with confidence preoperatively by methods other than adrenal venous sampling? The search continues
Stowasser, Michael (2020). Can unilateral forms of primary aldosteronism be excluded with confidence preoperatively by methods other than adrenal venous sampling? The search continues. Journal of Hypertension, 38 (7), 1259-1261. doi: 10.1097/HJH.0000000000002417
2020
Journal Article
Measurement of equilibrium angiotensin II in the diagnosis of primary aldosteronism
Guo, Zeng, Poglitsch, Marko, McWhinney, Brett C., Ungerer, Jacobus P. J., Ahmed, Ashraf H., Gordon, Richard D., Wolley, Martin and Stowasser, Michael (2020). Measurement of equilibrium angiotensin II in the diagnosis of primary aldosteronism. Clinical Chemistry Online, 66 (3), 483-492. doi: 10.1093/clinchem/hvaa001
2020
Journal Article
Controversies and advances in adrenal venous sampling in the diagnostic workup of primary aldosteronism
Wolley, Martin, Thuzar, Moe and Stowasser, Michael (2020). Controversies and advances in adrenal venous sampling in the diagnostic workup of primary aldosteronism. Best Practice & Research Clinical Endocrinology & Metabolism, 34 (3) 101400, 101400. doi: 10.1016/j.beem.2020.101400
2020
Journal Article
Managing hypertension during the COVID-19 pandemic
Nadar, Sunil K., Tayebjee, Muzahir H., Stowasser, Michael and Byrd, James Brian (2020). Managing hypertension during the COVID-19 pandemic. Journal of Human Hypertension, 34 (6), 415-417. doi: 10.1038/s41371-020-0356-y
Funding
Current funding
Past funding
Supervision
Availability
- Professor Michael Stowasser is:
- Available for supervision
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Supervision history
Current supervision
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Doctor Philosophy
Defining The Role Of Mineralocorticoid Receptor In Cardiometabolic Health & Inflammation & Optimising The Diagnostic Approach For Aldosterone-producing Adenoma
Principal Advisor
Other advisors: Dr Moe Thuzar
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Doctor Philosophy
Defining The Role Of Mineralocorticoid Receptor In Cardiometabolic Health & Inflammation & Optimising The Diagnostic Approach For Aldosterone-producing Adenoma
Principal Advisor
Other advisors: Dr Moe Thuzar
Completed supervision
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2022
Doctor Philosophy
Regulation of sodium chloride cotransporter (NCC) in health and disease
Principal Advisor
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2020
Doctor Philosophy
Histopathological, Biochemical and Genetic Characterization of Different Types of Primary Aldosteronism, Including Validation of a New Angiotensin Assay
Principal Advisor
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2017
Doctor Philosophy
Clinical and Physiological Aspects of Salt Sensitive Hypertension
Principal Advisor
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2012
Doctor Philosophy
The interplay of salt and aldosterone in determining ill-effects of aldosterone excess in the cardiovascular and renal system and stimulating salt appetite
Principal Advisor
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2011
Doctor Philosophy
Primary Aldosteronism-Pharmacological and Physiological Factors influencing diagnosis and management.
Principal Advisor
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2009
Doctor Philosophy
Genetic, Diagnostic and Therapeutic Aspects of Primary Aldosteronism
Principal Advisor
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Doctor Philosophy
GENETICS OF PRIMARY ALDOSTERONISM - FAMILIAL HYPERALDOSTERONISM TYPE II
Principal Advisor
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2003
Doctor Philosophy
Fibromuscular dysplasia of the renal arteries: Studies on aetiology
Associate Advisor
Media
Enquiries
Contact Professor Michael Stowasser directly for media enquiries about:
- Aldosteronism - primary
- Cardiac irregularities
- High blood pressure
- Hyperaldosteronism
- Hypertension
- Hypertension - familial forms
- Pathophysiology
- Phaeochromolytoma
- Renal artery sterosis
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