Pathogenesis of non-functioning pituitary adenomas

Maria Chiara Zatelli1

  • 1Section of Endocrinology and Internal Medicine, Department of Medical Sciences, University of Ferrara, Via Ariosto 35, 44100, Ferrara, Italy. ztlmch@unife.it.

Pituitary
|February 7, 2018
PubMed

Insights

The pathogenesis of non functioning pituitary adenomas (NFPA) involves complex molecular, genetic, and epigenetic factors. This review explores the roles of microRNAs, pituitary stem cells, and paracrine signaling in NFPA development.

Area of Science:

  • Endocrinology and Molecular Oncology
  • Pituitary Tumor Pathogenesis Research

Background:

  • Non functioning pituitary adenomas (NFPA) pathogenesis is multifactorial, involving genetic and epigenetic alterations.
  • Key factors include tumor suppressor genes, oncogenes, and cell cycle dysregulation.
  • MicroRNAs (miRNAs) and pituitary stem cells are implicated in NFPA initiation and progression.

Purpose of the Study:

  • To review current knowledge on the factors contributing to NFPA pathogenesis.
  • To highlight the roles of molecular, genetic, and epigenetic modifications.
  • To discuss the involvement of miRNAs, pituitary stem cells, and paracrine signaling.

Main Methods:

  • Literature review of current research on NFPA pathogenesis.
  • Analysis of studies investigating molecular and genetic factors.
  • Synthesis of findings on miRNAs, stem cells, and paracrine signaling.

Main Results:

  • NFPA development is influenced by a complex interplay of genetic mutations and epigenetic changes.
  • MicroRNAs and pituitary stem cells play significant roles in tumorigenesis.
  • Paracrine signaling is a critical, yet often overlooked, factor in NFPA pathogenesis.

Conclusions:

  • Understanding the multifaceted pathogenesis of NFPA is crucial for developing targeted therapies.
  • Further research into miRNAs, stem cells, and paracrine signaling may reveal new therapeutic strategies.
  • This review consolidates current understanding, emphasizing the complexity of NFPA development.

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