Objectives: The adrenal glands are endocrine organs that synthesise hormones with crucial functions in the body. This irreplaceable structure performs multiple functions, from metabolism of carbohydrates, fats and proteins to sex development. Any disorder concerning the adrenal glands can give rise to life-threatening conditions. The aging process inevitably affects the adrenal glands. The effects of ageing are marked by a rise in cortisol secretion in the zona fasciculata and a decrease in androgen secretion in the zona reticularis. Elevated cortisol levels in the blood disturb most bodily systems in favour of catabolism, amplifying the cellular decline and destruction that accompanies ageing. The deterioration of the adrenal glands relates not just to spongiocytes and chromaffin cells, but also to the endothelium, which enables circulation. It is clear that a decline in vascular function will have a negative impact on endocrine activities. Our study aims to explore the influence of ageing on the adrenal glands in rats, analysing sex-specific ultrastructural scales. Materials and Methods: A total of 28 Sprague-Dawley rats, 14 males and 14 females, were planned to be used in the study. Of these 28 rats, 4 females and 4 males will constitute the control group. The rats in the control group will be approximately 10 weeks old, and the rats in the experimental group, which will represent the aged group, will be 19 weeks old. All animals in the study will be anaesthetised and then sacrificed by removal of the heart. The right and left common carotid arteries were removed from the sacrificed animals. Collected vessels prepared for TEM examination. For each animal, at least four TEM images were taken from four different sections from the same block. Results: Our findings demonstrate that the ageing process not only affects spongiocytes within the adrenal gland, but also contributes to the deterioration of endothelial cells. As anticipated, our results indicate the presence of senescence and apoptosis in endothelial cells. The observed vascular separations and ruptures are due to the endothelial deterioration. Spongiocytes experienced hypertrophy to compensate for the functional deficiencies following a decrease in their number due to ageing. Elevated levels of lipofuscin, lipid droplets, and lysosomes were discovered in spongiocytes. Impaired endothelium potentially contributes to certain changes in spongiocytes. Conclusions: While ageing-related changes appear similar in both genders, males tend to be more impacted.
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