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Updated: Aug 15, 2026

Three-dimensional Alginate-bead Culture of Human Pituitary Adenoma Cells
Published on: February 18, 2016
Effect of cyclic adenosine 3',5'-monophosphate/protein kinase a pathway on markers of cell proliferation in
G Mantovani1, S Bondioni, S Ferrero
1Institute of Endocrine Sciences, Ospedale Maggiore, IRCCS, University of Milan, Italy.
Context:
Alterations in cAMP signaling have been identified as a cause of endocrine neoplasia. In particular, activating mutations of the G(s)alpha gene and protein kinase A (PKA) overactivity due to low expression of PKA regulatory subunit 1A (R1A) have been implicated in somatotroph proliferation.
Objective:
The objective of this study was to evaluate the effects of cAMP-PKA cascade activation in nonfunctioning pituitary adenomas (NFPA).
Design And Methods:
By immunohistochemistry, R1A, R2A, and R2B expression was evaluated in cells obtained from eight surgically removed NFPA positive for gonadotropins. Cyclin D1 expression and ERK1/2 activity were analyzed under basal conditions and after cAMP-PKA cascade activation.
Results:
Immunohistochemistry studies demonstrated a low R1/R2 ratio in all NFPA. Additional unbalance of R1/R2 ratio by 8-chloroadenosine cAMP (8-Cl-cAMP) and direct adenylyl cyclase stimulation by forskolin did not increase cyclin D1 expression or ERK1/2 activity in five NFPA (group 1), but even caused 74 +/- 15% and 85 +/- 13% inhibitions of cyclin D1 and ERK1/2 activity, respectively, in the remaining NFPA (group 2). Moreover, in group 2, PKA blockade by the specific inhibitor PKI increased cyclin D1 expression (96 +/- 25% over basal) and ERK1/2 activity (116 +/- 28% over basal).
Conclusions:
These data show that in contrast with what was previously observed in transformed somatotrophs, activation of the cAMP-PKA pathway did not generate proliferative signals in tumoral cells of the gonadotroph lineage, and in a subset of tumors even exerted a tonic inhibitory effect, thus confirming a different role for the cAMP-mediated pathway in promoting proliferation in the pituitary.
Insights
Activating the cAMP-PKA pathway in nonfunctioning pituitary adenomas (NFPA) did not promote cell proliferation. In some NFPA, this pathway even inhibited tumor cell growth, unlike its effect in somatotroph tumors.
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Alterations in cyclic adenosine monophosphate (cAMP) signaling are linked to endocrine neoplasia.
- Activating G(s)alpha gene mutations and protein kinase A (PKA) overactivity due to low PKA regulatory subunit 1A (R1A) expression are implicated in somatotroph proliferation.
Purpose of the Study:
- To investigate the impact of cAMP-PKA cascade activation on nonfunctioning pituitary adenomas (NFPA).
Main Methods:
- Immunohistochemistry assessed R1A, R2A, and R2B expression in gonadotropin-positive NFPA.
- Cyclin D1 expression and ERK1/2 activity were measured under basal conditions and after cAMP-PKA activation.
Main Results:
- NFPA exhibited a low R1/R2 subunit ratio.
- cAMP-PKA activation inhibited cyclin D1 expression and ERK1/2 activity in a subset of NFPA (group 2).
- In group 2, PKA inhibition increased cyclin D1 expression and ERK1/2 activity.
Conclusions:
- cAMP-PKA pathway activation does not induce proliferation in gonadotroph lineage tumoral cells.
- In a subset of NFPA, the cAMP-PKA pathway exerts a tonic inhibitory effect on proliferation.
- The role of cAMP-mediated pathways in pituitary tumor proliferation differs between cell lineages.
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