Effects of anti-estrogens on cell invasion and survival in pituitary adenoma cells: A systematic study

Ricarda Hannen1, Marcella Steffani1, Benjamin Voellger1

  • 1Department of Neurosurgery, Philipps University Marburg, Baldingerstr, 35033, Marburg, Germany.

Insights

Selective estrogen receptor modulators (SERMs) show promise for treating pituitary adenomas by inhibiting cell survival, migration, and invasion. Clomifene demonstrated the most potent effects across tested pituitary adenoma cell lines.

Area of Science:

  • Endocrinology
  • Oncology
  • Molecular Biology

Background:

  • Estrogen plays a significant role in pituitary adenoma development.
  • The precise molecular mechanisms of pituitary adenoma formation remain largely unknown.
  • Limited research exists on the impact of selective estrogen receptor modulators (SERMs) on pituitary adenoma cell behavior.

Purpose of the Study:

  • To investigate the effects of fulvestrant and three SERMs (bazedoxifene, clomifene, raloxifene) on pituitary adenoma cell lines.
  • To assess the modulation of cell migration, invasion, and survival by SERMs.
  • To explore the underlying molecular mechanisms of SERM action in pituitary adenomas.

Main Methods:

  • Treatment of pituitary adenoma cell lines (AtT20, TtT/GF, GH3) with fulvestrant and SERMs.
  • Cell survival assays to determine IC50 values.
  • Analysis of cell migration and invasion.
  • Measurement of Caspase 3/7 activity.
  • Western blot analysis for p53 and ERK1/2 activation.

Main Results:

  • Clomifene was the most potent SERM, inhibiting cell survival across all tested cell lines.
  • Raloxifene and bazedoxifene also demonstrated effectiveness in reducing cell survival.
  • All tested SERMs impacted the migratory and invasive properties of pituitary adenoma cells.
  • SERM treatment induced apoptosis, evidenced by increased Caspase 3/7 activity.
  • Specific molecular changes observed include p53 activation in TtT/GF cells and ERK1/2 deactivation in AtT20 cells.
  • Fulvestrant showed efficacy only in the GH3 cell line.

Conclusions:

  • SERMs, particularly clomifene, exhibit significant potential in inhibiting pituitary adenoma cell proliferation, migration, and invasion.
  • The observed induction of apoptosis and modulation of key signaling pathways suggest a promising therapeutic avenue.
  • SERMs may offer a broadly applicable clinical strategy for managing pituitary adenomas.

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