Exploiting D2 receptor β-arrestin2-biased signalling to suppress tumour growth of pituitary adenomas

Zhoubin Tan1, Zhuowei Lei2, Zisheng Yan1

  • 1Sino-German Neuro-Oncology Molecular Laboratory, Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Abstract

Insights

Beta-arrestin2 signaling, not G protein pathways, suppresses pituitary tumor growth. A novel D2 receptor agonist shows promise for treating pituitary tumors with enhanced selectivity.

Area of Science:

  • Endocrinology
  • Molecular Pharmacology
  • Oncology

Background:

  • Dopamine D2 receptor agonists are established treatments for pituitary adenomas.
  • The precise molecular mechanism of D2 receptor-mediated tumor suppression remains unclear, with limited evidence for canonical G protein signaling.

Purpose of the Study:

  • To investigate the role of beta-arrestin2-dependent signaling in mediating the inhibitory effects of D2 receptor agonists on pituitary tumor growth.
  • To compare the efficacy of beta-arrestin2-biased agonists versus G protein-biased agonists in preclinical models of pituitary tumors.

Main Methods:

  • Assessed G protein and beta-arrestin2 involvement in bromocriptine's growth suppression in rat pituitary tumor cell lines (MMQ, GH3).
  • Evaluated a beta-arrestin2-biased agonist (UNC9994) in vitro, in vivo (tumor-bearing mice), and in primary human pituitary adenomas.
  • Analyzed G protein signaling effects using a G protein-biased agonist (MLS1547) and a Gbeta gamma inhibitor (gallein).

Main Results:

  • Beta-arrestin2 signaling, not G protein pathways, mediated bromocriptine's pituitary tumor growth suppression.
  • The beta-arrestin2-biased agonist UNC9994 inhibited pituitary tumor cell growth both in vitro and in vivo.
  • UNC9994's anti-tumor effect involved inducing reactive oxygen species via downregulation of mitochondrial complex I subunit NDUFA1.
  • G protein signaling effects on tumor growth were cell-type-dependent.

Conclusions:

  • Beta-arrestin2-biased D2 receptor ligands represent a potentially more effective and selective therapeutic strategy for pituitary tumors compared to traditional G protein-biased agonists.
  • Low expression of G alpha i/o proteins and complex G protein signaling responses in pituitary tumors support the development of beta-arrestin2-biased therapies.

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