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Published on: February 20, 2018
Absence of activating mutations of CXCR4 in pituitary tumours
Yong-ho Lee1, Tae Woong Noh, Mi Kyung Lee
1Endocrinology, Internal Medicine, Institute of Endocrine Research, Yonsei University College of Medicine, Seoul, Korea.
Objective:
Mutations of the gsp oncogene are responsible for 30-40% of GH-producing pituitary adenomas and 10% of nonfunctioning pituitary adenomas (NFPAs). However, the pathogenetic mechanism of the remaining pituitary tumours still remains to be identified. Recently, the interaction between the chemokine stromal cell-derived factor 1 and its receptor CXCR4 was found to play an important role in GH production and cell proliferation in various pituitary adenoma cell lines. As CXCR4 is a Gi-coupled chemokine receptor, its constitutive activating mutations may be involved in pituitary tumour formation by cyclic adenosine monophosphate (cAMP)-independent, ERK-related pathways.
Patients And Methods:
We investigated whether somatic activating-mutations of CXCR4 might be a possible tumourigenic mechanism for gsp-negative GH-secreting pituitary adenomas and NFPAs. Direct sequencing of polymerase chain reaction-amplified products for coding exons of CXCR4 were performed using genomic deoxyribonucleic acid samples from 37 GH-producing pituitary tumour tissues that were negative for the gsp mutation and 14 CXCR4 expressing NFPAs.
Results:
Immunohistochemical analyses and double immunofluorescent staining of sectioned paraffin-embedded pituitary tissues revealed that CXCR4 is highly expressed in GH-producing pituitary adenomas and NFPAs. Direct sequencing showed that two synonymous mutations in exon 2 (87 C > T and 414 C > T) were detected in 4 out of 51 pituitary tumours.
Conclusion:
Our results indicate that an activating mutation of the CXCR4 may not be a common pathogenetic mechanism in GH-producing pituitary tumours and NFPAs.
Insights
Activating mutations in CXCR4 are not a common cause of pituitary tumors. Researchers found CXCR4 is highly expressed in GH-producing adenomas and NFPAs, but activating mutations were rare in these pituitary tumors.
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Mutations in the gsp oncogene cause 30-40% of GH-producing pituitary adenomas and 10% of nonfunctioning pituitary adenomas (NFPAs).
- The chemokine receptor CXCR4 and its ligand CXCL12 are implicated in GH production and pituitary adenoma cell proliferation.
- Constitutive activation of CXCR4, a Gi-coupled receptor, could potentially drive pituitary tumor formation via cAMP-independent pathways.
Purpose of the Study:
- To investigate if somatic activating mutations of CXCR4 contribute to the tumorigenesis of gsp-negative GH-secreting pituitary adenomas and NFPAs.
- To determine the role of CXCR4 mutations in pituitary tumor development.
Main Methods:
- Genomic DNA from 37 gsp-negative GH-producing pituitary tumors and 14 CXCR4-expressing NFPAs was analyzed.
- Direct sequencing of coding exons of CXCR4 was performed using polymerase chain reaction-amplified products.
- Immunohistochemistry and double immunofluorescent staining were used to assess CXCR4 expression in pituitary tissues.
Main Results:
- CXCR4 was highly expressed in both GH-producing pituitary adenomas and NFPAs.
- Two synonymous mutations in exon 2 of CXCR4 (87 C > T and 414 C > T) were identified in 4 out of 51 pituitary tumors.
- These mutations were not found to be activating.
Conclusions:
- Activating mutations of CXCR4 are unlikely to be a common pathogenic mechanism in the development of GH-producing pituitary tumors and NFPAs.
- Further research may be needed to identify other genetic alterations involved in pituitary tumorigenesis.
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