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Updated: Jun 28, 2026

Development of Organoids from Mouse Pituitary as In Vitro Model to Explore Pituitary Stem Cell Biology
Published on: February 25, 2022
p21(Cip1) restrains pituitary tumor growth
Vera Chesnokova1, Svetlana Zonis, Kalman Kovacs
1Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
Abstract:
As commonly encountered, pituitary adenomas are invariably benign. We therefore studied protective pituitary proliferative mechanisms. Pituitary tumor transforming gene (Pttg) deletion results in pituitary p21 induction and abrogates tumor development in Rb(+/-)Pttg(-/-) mice. p21 disruption restores attenuated Rb(+/-)Pttg(-/-) pituitary proliferation rates and enables high penetrance of pituitary, but not thyroid, tumor growth in triple mutant animals (88% of Rb(+/-) and 72% of Rb(+/-)Pttg(-/-)p21(-/-) vs. 30% of Rb(+/-)Pttg(-/-) mice developed pituitary tumors, P < 0.001). p21 deletion also accelerated S-phase entry and enhanced transformation rates in triple mutant MEFs. Intranuclear p21 accumulates in Pttg-null aneuploid GH-secreting cells, and GH(3) rat pituitary tumor cells overexpressing PTTG also exhibited increased levels of mRNA for both p21 (18-fold, P < 0.01) and ATM (9-fold, P < 0.01). PTTG is abundantly expressed in human pituitary tumors, and in 23 of 26 GH-producing pituitary adenomas with high PTTG levels, senescence was evidenced by increased p21 and SA-beta-galactosidase. Thus, either deletion or overexpression of Pttg promotes pituitary cell aneuploidy and p53/p21-dependent senescence, particularly in GH-secreting cells. Aneuploid pituitary cell p21 may constrain pituitary tumor growth, thus accounting for the very low incidence of pituitary carcinomas.
Insights
Pituitary tumor transforming gene (Pttg) deletion or overexpression promotes pituitary cell aneuploidy and p53/p21-dependent senescence. This p21-dependent senescence constrains pituitary tumor growth, explaining the rarity of pituitary carcinomas.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Pituitary adenomas are typically benign, suggesting inherent protective proliferative mechanisms.
- Pituitary tumor transforming gene (Pttg) plays a role in pituitary tumor development.
- The cell cycle inhibitor p21 is implicated in tumor suppression and senescence.
Purpose of the Study:
- To investigate the role of Pttg and p21 in pituitary tumor development and proliferation.
- To elucidate the mechanisms by which pituitary cell proliferation is regulated.
- To understand the low incidence of pituitary carcinomas.
Main Methods:
- Utilized genetically modified mouse models (Rb(+/-)Pttg(-/-) and Rb(+/-)Pttg(-/-)p21(-/-)).
- Analyzed pituitary tumor growth rates and cell proliferation.
- Examined gene expression of p21 and ATM in pituitary tumor cells.
- Assessed senescence markers (p21, SA-beta-galactosidase) in human pituitary tumors.
Main Results:
- Pttg deletion induced p21 and abrogated tumor development in Rb(+/-)Pttg(-/-) mice.
- p21 disruption restored proliferation and increased pituitary tumor incidence in triple mutant mice.
- Pttg overexpression or deletion promoted aneuploidy and p53/p21-dependent senescence, particularly in GH-secreting cells.
- High PTTG levels correlated with increased p21 and senescence in human GH-producing pituitary adenomas.
Conclusions:
- Pttg influences pituitary cell aneuploidy and senescence through p53/p21.
- p21 acts as a tumor suppressor in the pituitary by inducing senescence.
- This p21-mediated senescence mechanism likely accounts for the low incidence of pituitary carcinomas.
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