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USP8 Mutations and Cell Cycle Regulation in Corticotroph Adenomas
Clarissa Silva Martins1, Renata Costa Camargo1, Fernanda Borchers Coeli-Lacchini1
1Department of Internal Medicine, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
Abstract:
Corticotroph adenomas frequently harbor somatic USP8 mutations. These adenomas also commonly exhibit underexpression of P27, a cell cycle regulator. The present study aimed to determine the influence of USP8 mutations on clinical features of Cushing's disease and to elucidate the relationship between USP8 mutations and P27 underexpression in these tumors. Retrospective study with 32 patients with Cushing's disease was followed at the Ribeirao Preto Medical School University Hospital. We evaluated the patients' clinical data, the USP8 mutation status and the gene expression of cell cycle regulators P27/CDKN1B, CCNE1, CCND1, CDK2, CDK4, and CDK6 in tumor tissue in addition to the protein expression of P27/CDKN1B. We observed somatic mutations in the exon 14 of USP8 in 31.3% of the patients. Larger tumor size was observed in patients harboring USP8 mutations (p=0.04), with similar rates of remission, age of presentation, salivary cortisol at 23:00 h and after 1 mg dexamethasone, ACTH levels, and early postoperative plasma cortisol. We observed no differences regarding the gene or protein expression of the cell cycle regulators according to USP8 mutation status. In this Brazilian series, the observed frequency of USP8 somatic mutations was similar to that reported in European ancestry populations. Although it was reasonable that USP8 mutations could contribute to cell cycle dysregulation and P27 underexpression in corticotroph adenomas, our data did not confirm this hypothesis. It is possible that increased deubiquitinase activity observed in mutated USP8 might influence other pathways related to cell growth and proliferation.
Insights
Somatic USP8 mutations in corticotroph adenomas are linked to larger tumor size but not P27 underexpression. This study in Cushing's disease patients found USP8 mutations influence tumor growth, but not cell cycle regulator expression.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Corticotroph adenomas, a common cause of Cushing's disease, frequently harbor somatic USP8 mutations.
- These tumors often show underexpression of P27, a key cell cycle regulator.
Purpose of the Study:
- To investigate the clinical impact of USP8 mutations in Cushing's disease.
- To determine the relationship between USP8 mutations and P27 underexpression in corticotroph adenomas.
Main Methods:
- Retrospective study of 32 Cushing's disease patients.
- Analysis of USP8 mutation status, clinical data, and gene/protein expression of cell cycle regulators (P27/CDKN1B, CCNE1, CCND1, CDK2, CDK4, CDK6).
Main Results:
- Somatic USP8 mutations were found in 31.3% of patients.
- USP8 mutations were associated with larger tumor size (p=0.04).
- No significant differences in clinical features or cell cycle regulator expression were observed based on USP8 mutation status.
Conclusions:
- USP8 mutations in corticotroph adenomas are associated with increased tumor size.
- The hypothesis that USP8 mutations directly cause P27 underexpression and cell cycle dysregulation was not supported by this data.
- Alternative pathways may mediate the effect of mutated USP8 on tumor growth.
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