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Published on: August 23, 2019
Role of microRNAs in non-functioning pituitary adenoma
Mehak Rajani1, Yumna Mirza2, Rohan Advani3
1Centre for Innovation in Medical Education, The Aga Khan University, Karachi, Pakistan.
Abstract:
Non-functioning pituitary adenomas account for 30% of anterior pituitary tumours. Based on their inability to secrete hormones, these are often diagnosed incidentally or due to pressure symptoms. Understanding the pathogenesis of these adenomas can provide insight into factors leading to its progression and serving as biomarkers for early recognition. A literature search was performed in the current narrative review for articles published in PubMed for the last 10 years till January 2020 on micro-ribonucleic acid involved in the pathogenesis of non-functioning pituitary adenomas. Of the 478 articles found, 21(4.4%) were filtered. In total, 106 micro-ribonucleic acids were identified, 25(23.5%) of which appeared in more than one study. Among them, 7(28%)were up-regulated, 11(44%) down-regulated, and 7(28%) were either up- or down-regulated. Micro- ribonucleic acids allow the screening, diagnosis and treatment of diseases in a relatively easy and inexpensive manner. This can revolutionise tumour management in the years ahead, especially in resource-constrained low- and middle-income countries.
Insights
Micro-ribonucleic acids (miRNAs) are key in non-functioning pituitary adenomas. Understanding miRNA roles aids early diagnosis and treatment, offering accessible solutions for tumor management, especially in low-resource settings.
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Non-functioning pituitary adenomas (NFPA) constitute 30% of anterior pituitary tumors.
- Diagnosis is often incidental or due to mass effect, highlighting a need for early biomarkers.
- Understanding NFPA pathogenesis is crucial for progression insights and early recognition.
Purpose of the Study:
- To review the role of micro-ribonucleic acids (miRNAs) in the pathogenesis of NFPA.
- To identify specific miRNAs involved in NFPA development and progression.
- To explore the potential of miRNAs as biomarkers for NFPA screening, diagnosis, and treatment.
Main Methods:
- A comprehensive literature search was conducted on PubMed for articles published in the last 10 years (until January 2020).
- Search terms focused on micro-ribonucleic acid and non-functioning pituitary adenomas.
- A total of 478 articles were identified, with 21 selected for this narrative review.
Main Results:
- 106 unique micro-ribonucleic acids (miRNAs) were identified in relation to NFPA.
- 25 miRNAs (23.5%) were implicated in more than one study.
- Specific miRNA dysregulations were observed: 7 up-regulated, 11 down-regulated, and 7 with variable regulation.
Conclusions:
- Micro-ribonucleic acids play a significant role in the pathogenesis of non-functioning pituitary adenomas.
- miRNAs offer potential as accessible and inexpensive biomarkers for screening, diagnosis, and treatment.
- miRNA-based strategies could revolutionize pituitary tumor management, particularly in resource-limited regions.
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