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Updated: Nov 11, 2025

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Published on: January 17, 2018
NEK2 regulates cellular proliferation and cabergoline sensitivity in pituitary adenomas
Fangfang Jian1,2, Yuhao Sun2, Qingfang Sun2
1Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Abstract:
Objective: To identify critical roles played by NEK2 in prolactinomas and to clarify the corresponding underlying mechanisms. Methods: We performed RNA-seq on MMQ cell lines treated with the dopamine receptor agonist cabergoline (CAB) to identify genes involved in prolactinoma progression and dopamine receptor-agonist (DA) sensitivity. NEK2 was then selected for further study. The expression of NEK2 was examined using quantitative real-time PCR, western immunoblotting, and immunohistochemistry - both in pituitary adenomas (PA) and in normal pituitary tissue. We used gain-of-function and loss-of-function assays to explore the biologic roles of NEK2 in cell growth in vivo and in vitro. Co-immunoprecipitation was also used to detect the binding between NEK2 and USP7. Results: Herein, we reported that NEK2 was upregulated in prolactinomas, particularly dopamine-resistant prolactinomas. NEK2 overexpression significantly promoted pituitary tumor GH3 and MMQ cell proliferation, and it impaired cellular sensitivity to CAB. Conversely, knockdown of NEK2 inhibited GH3 and MMQ cell growth, and sensitized the cells to CAB. Mechanistically, NEK2 regulated cell proliferation via the Wnt-signaling pathway; and in addition, we demonstrated that USP7 interacted with, deubiquitylated, and stabilized NEK2. Conclusions: Collectively, our results suggest that NEK2 might be a potential therapeutic target for prolactinoma.
Insights
NEK2 is upregulated in prolactinomas, driving tumor growth and resistance to dopamine agonist treatment. Targeting NEK2 offers a potential therapeutic strategy for prolactinoma.
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Prolactinomas are pituitary tumors often treated with dopamine agonists (DAs).
- Dopamine resistance is a clinical challenge in prolactinoma management.
- The molecular mechanisms underlying prolactinoma progression and DA resistance require further elucidation.
Purpose of the Study:
- To investigate the role of NEK2 in prolactinoma development and progression.
- To explore the underlying mechanisms of NEK2's function in prolactinomas.
- To assess NEK2 as a potential therapeutic target for prolactinoma.
Main Methods:
- RNA sequencing of MMQ cells treated with cabergoline (CAB).
- Quantitative real-time PCR, western immunoblotting, and immunohistochemistry to assess NEK2 expression in pituitary adenomas.
- Gain-of-function and loss-of-function assays to evaluate NEK2's role in cell proliferation.
- Co-immunoprecipitation to study NEK2-USP7 interaction.
Main Results:
- NEK2 expression is upregulated in prolactinomas, especially in dopamine-resistant cases.
- NEK2 overexpression enhances pituitary tumor cell proliferation and reduces sensitivity to CAB.
- NEK2 knockdown inhibits cell growth and increases sensitivity to CAB.
- NEK2 regulates cell proliferation via the Wnt signaling pathway.
- USP7 interacts with, deubiquitylates, and stabilizes NEK2.
Conclusions:
- NEK2 plays a critical role in prolactinoma cell proliferation and dopamine agonist resistance.
- The NEK2-USP7 interaction is a key mechanism in regulating NEK2 stability.
- NEK2 represents a promising therapeutic target for prolactinoma treatment.
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