Filamin-A is essential for dopamine d2 receptor expression and signaling in tumorous lactotrophs

Erika Peverelli1, Giovanna Mantovani, Eleonora Vitali

  • 1Endocrinology Unit, Department of Medical Sciences, Fondazione Instituto di Ricovero e Cura a Carattere Scientifico Ca' Granda-Padiglione Granelli, University of Milan, Via Francesco Sforza, 35, 20122 Milan, Italy.

Abstract

Insights

Reduced filamin-A (FLNA) expression impairs dopamine D2 receptor (D2R) function in prolactinomas resistant to dopamine agonists (DA). Restoring FLNA levels can restore D2R signaling, offering potential therapeutic insights.

Area of Science:

  • Endocrinology
  • Molecular Cell Biology
  • Oncology

Background:

  • Dopamine agonists (DA) are primary treatments for prolactinomas, but some patients exhibit resistance.
  • Dopamine D2 receptor (D2R) alterations are implicated in DA resistance, with recent findings linking D2R to filamin-A (FLNA).
  • FLNA is a cytoskeleton protein with scaffolding functions, found in melanoma and neuronal cells.

Purpose of the Study:

  • To investigate the role of FLNA in regulating D2R expression and signaling.
  • To examine FLNA's function in human prolactinoma cells and rat MMQ and GH3 cell lines.

Main Methods:

  • Immunohistochemistry and Western blotting were used to analyze FLNA expression in prolactinomas.
  • FLNA silencing and transfection experiments were conducted in cultured cells.
  • D2R expression and signaling were assessed following FLNA manipulation in DA-sensitive and -resistant prolactinoma cells, as well as MMQ and GH3 cells.

Main Results:

  • DA-resistant prolactinomas showed reduced expression of both FLNA and D2R.
  • FLNA silencing in DA-sensitive cells decreased D2R expression by 60% and abolished DA-induced responses.
  • FLNA overexpression in DA-resistant cells restored D2R expression and DA responsiveness, but not in GH3 cells lacking D2R.

Conclusions:

  • FLNA is essential for maintaining D2R expression and signaling in lactotrophs.
  • Reduced FLNA expression is a potential cause of DA resistance in prolactinomas.
  • Epigenetic silencing via FLNA promoter methylation was ruled out as a cause of DA resistance.

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