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Published on: January 4, 2018
Insulin signalling-associated cell fate promotes neoplastic invasiveness in non-functioning pituitary gonadotroph
Hongwei Liu1,2,3, Zhouyang Pan1,2,3, Qi Yang1,2,3
1Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Background:
Non-functioning pituitary gonadotroph adenoma (NFGA) is the most prevalent subtype of pituitary adenomas with a tendency to develop into a refractory invasive type. Currently, effective pharmacotherapy for NFGA remains to be developed due to limited understanding of exact mechanisms of its invasiveness.
Methods:
Here, we integrated scRNA-seq and scATAC-seq data from three NFGA patients to investigate the cellular heterogeneity underlying tumour invasion. An independent cohort with 210 patients and three primary cell lines was used to evaluate the association between insulin signalling and NFGA invasiveness.
Results:
We suggested that neoplastic cells exhibited five cellular states with epigenetic heterogeneity along three distinct cell fates. Notably, we identified an insulin signalling-associated cell fate as the driver for tumour invasiveness and invasive NFGAs exhibited elevated insulin resistance-related indices. In vitro assays on primary cell lines showed insulin signalling promoted tumour invasion of NFGA. Additionally, based on cis-co-accessible network analysis, we observed that invasive NFGA reconstructed chromatin-chromatin interactions at insulin signalling-associated-SREBF1-linked cis-regulatory elements (CREs) and IGF2BP2-linked CREs, which recruited active transcriptional factors (TFs) for gene expression activation. We further validated the role of IGF2BP2-linked CREs in regulating IGF2BP2 expression and tumour cell invasion.
Conclusions:
Our data revealed that cis-regulatory elements activated insulin signalling on invasive cell fate of NFGA and novel therapeutic strategies targeting insulin signalling could be utilised for improving patient outcomes.
Insights
Non-functioning pituitary gonadotroph adenomas (NFGA) become invasive via insulin signaling. Targeting insulin resistance offers a new therapeutic strategy for invasive NFGA, improving patient outcomes.
Area of Science:
- Endocrinology
- Genomics
- Cancer Biology
Background:
- Non-functioning pituitary gonadotroph adenoma (NFGA) is the most common pituitary tumor type.
- NFGA often becomes invasive and refractory to treatment.
- Understanding NFGA invasiveness mechanisms is crucial for developing effective therapies.
Purpose of the Study:
- Investigate cellular heterogeneity in NFGA invasion.
- Identify molecular drivers of NFGA invasiveness.
- Evaluate the role of insulin signaling in NFGA tumor progression.
Main Methods:
- Integrated single-cell RNA sequencing (scRNA-seq) and single-cell ATAC sequencing (scATAC-seq) from NFGA patients.
- Analyzed an independent cohort of 210 patients and primary cell lines.
- Performed in vitro assays and cis-co-accessible network analysis.
Main Results:
- Identified five cellular states and three distinct cell fates in NFGA with epigenetic heterogeneity.
- Discovered insulin signaling as a driver of tumor invasiveness, with invasive NFGAs showing insulin resistance.
- Observed altered chromatin interactions at insulin signaling-related cis-regulatory elements (CREs) in invasive NFGA.
Conclusions:
- Insulin signaling activation via CREs drives the invasive cell fate in NFGA.
- Elevated insulin resistance is linked to NFGA invasiveness.
- Targeting insulin signaling presents a potential therapeutic avenue for invasive NFGA.
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