Song J Y, Jin L, Chandler W F, England B G, Smart J B, Landefeld T D, Lloyd R V
Department of Pathology, University of Michigan Medical School, Ann Arbor 48109.
J Clin Endocrinol Metab. 1990 Sep;71(3):622-30. doi: 10.1210/jcem-71-3-622.
Chromogranin-A-positive pituitary adenomas include glycoprotein hormone-producing adenomas, null cell adenomas, and a few other pituitary adenomas. We studied the effects of GnRH, CRF, dexamethasone, and phorbol 12-myristate 13-acetate on FSH and LH secretion and on FSH beta and chromogranin-A and -B mRNA expression in 10 chromogranin-A-positive adenomas in vitro to analyze the regulation of FSH and chromogranin-A and -B expression in these neoplasms. Most adenomas responded to GnRH stimulation during 7 days in culture with a 2- to 10-fold increase in FSH and LH secretion and a 2- to 7-fold increase in FSH beta mRNA compared to control values. CRF and phorbol 12-myristate 13-acetate also stimulated FSH and LH secretion 2- to 5-fold in five of seven and three of three cases, respectively, during 7 days in culture. Dexamethasone stimulated both FSH and LH secretion in two of three cases as well as FSH beta mRNA in vitro in the one case examined. GnRH treatment consistently produced a 2-fold increase in chromogranin-B mRNA, but not in chromogranin-A mRNA, after 7 days of culture. These results indicate that many chromogranin-A-positive adenomas respond to GnRH and CRF in vitro by increased hormone secretion and that GnRH stimulation leads to increased amounts of FSH beta and chromogranin-B mRNAs. The differential response of chromogranin-A and -B mRNAs after GnRH stimulation indicates that the chromogranin genes are highly regulated in these tumors.
嗜铬粒蛋白A阳性垂体腺瘤包括产生糖蛋白激素的腺瘤、无功能细胞腺瘤以及其他一些垂体腺瘤。我们研究了促性腺激素释放激素(GnRH)、促肾上腺皮质激素释放因子(CRF)、地塞米松和佛波酯12-肉豆蔻酸酯13-乙酸酯对10例嗜铬粒蛋白A阳性腺瘤体外促卵泡生成素(FSH)和促黄体生成素(LH)分泌以及FSHβ、嗜铬粒蛋白A和B mRNA表达的影响,以分析这些肿瘤中FSH以及嗜铬粒蛋白A和B表达的调控情况。在培养7天期间,大多数腺瘤对GnRH刺激有反应,FSH和LH分泌增加2至10倍,FSHβ mRNA相比对照值增加2至7倍。在培养7天期间,CRF和佛波酯12-肉豆蔻酸酯13-乙酸酯分别在七分之五和三分之三的病例中也使FSH和LH分泌增加2至5倍。地塞米松在三分之二的病例中刺激了FSH和LH分泌,在所检测的一例中还在体外刺激了FSHβ mRNA。培养7天后,GnRH处理使嗜铬粒蛋白B mRNA持续增加2倍,但嗜铬粒蛋白A mRNA未增加。这些结果表明,许多嗜铬粒蛋白A阳性腺瘤在体外对GnRH和CRF有反应,表现为激素分泌增加,并且GnRH刺激导致FSHβ和嗜铬粒蛋白B mRNA量增加。GnRH刺激后嗜铬粒蛋白A和B mRNA的不同反应表明,嗜铬粒蛋白基因在这些肿瘤中受到高度调控。