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Updated: Aug 9, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Novel molecular aspects of pituitary adenomas
E Hubina1, M Ruscica, A M Nanzer
1Department of Endocrinology, Barts and the London, Queen Mary's School of Medicine, London, UK.
Abstract:
Ghrelin stimulates while somatostatin inhibits GH release and they thus serve as functional antagonists. We have compared their effects on cell proliferation. Ghrelin stimulates while somatostatin inhibits cell proliferation in most tissues and cell lines. Here we show that ghrelin and desoctanoyl ghrelin stimulate cell proliferation in rat pituitary cell line (GH3), and these effects could be inhibited with mitogen-activated protein kinase (MAPK), tyrosine kinase and protein kinase C inhibitors. Somatostatin and its analogs negatively regulate the growth of pituitary cells, and we now show that they inhibit MAPK activation. We hypothesised that one of the mechanisms involved in the somatostatin effect is a stimulation of cell cycle inhibitor p27, as pituitary adenomas have decreased p27 peptide content. Both octreotide and a new somatostatin analog SOM230 treatment resulted in an upregulation of p27 protein levels in human somatotrophinoma cells. In summary, we suggest that ghrelin and somatostatin have opposite effects on somatotroph cells not just at the level of GH release but also in terms of cell proliferation. Ghrelin may play a role in pituitary tumorigenesis via an autocrine/paracrine pathway. Our results also suggest that the antiproliferative effect of somatostatin analogs octreotide and SOM230 involve the up-regulation of p27 and down-regulation of the MAPK pathway in human somatotrophinomas.
Insights
Ghrelin and somatostatin, known antagonists of growth hormone (GH) release, also oppositely affect pituitary cell proliferation. Ghrelin stimulates proliferation, while somatostatin inhibits it by upregulating p27 and downregulating MAPK pathways.
Area of Science:
- Endocrinology
- Cell Biology
- Molecular Biology
Background:
- Ghrelin and somatostatin are functional antagonists in regulating growth hormone (GH) release.
- Their opposing roles extend to cellular proliferation in various tissues.
- Pituitary adenomas are associated with altered p27 peptide content, a cell cycle inhibitor.
Purpose of the Study:
- To investigate the differential effects of ghrelin and somatostatin on pituitary cell proliferation.
- To elucidate the molecular mechanisms underlying these effects, particularly involving the MAPK pathway and p27.
- To assess the potential role of ghrelin in pituitary tumorigenesis and the antiproliferative action of somatostatin analogs.
Main Methods:
- Utilized rat pituitary cell line (GH3) and human somatotrophinoma cells.
- Administered ghrelin, desoctanoyl ghrelin, octreotide, and SOM230.
- Assessed cell proliferation and activation of mitogen-activated protein kinase (MAPK), tyrosine kinase, and protein kinase C.
- Measured p27 protein levels via Western blotting or similar techniques.
Main Results:
- Ghrelin and desoctanoyl ghrelin stimulated proliferation in GH3 cells, inhibited by MAPK, tyrosine kinase, and protein kinase C inhibitors.
- Somatostatin and its analogs inhibited MAPK activation in pituitary cells.
- Octreotide and SOM230 upregulated p27 protein levels in human somatotrophinoma cells.
Conclusions:
- Ghrelin and somatostatin exhibit opposing effects on somatotroph cell proliferation, mirroring their roles in GH release.
- Ghrelin may contribute to pituitary tumorigenesis through autocrine/paracrine signaling.
- The antiproliferative effects of somatostatin analogs involve p27 upregulation and MAPK pathway downregulation in human somatotrophinomas.
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