Post Graduation Program of Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, CEP 90050-170, Brazil.
Pituitary. 2012 Sep;15(3):420-7. doi: 10.1007/s11102-011-0340-1.
We aimed at the evaluation of MEG3 and GADD45γ expression in sporadic functioning and clinically non-functioning human pituitary adenomas, morphologically characterized by immunohistochemistry analysis and their association with clinical features. Thirty eight patients who had undergone hypophysectomy at São José Hospital of Irmandade Santa Casa de Misericórdia in Porto Alegre, Brazil, were included in this study. We evaluated tumor-type specific MEG3 and GADD45γ expression by qRT-PCR in the pituitary adenomas, and its association with clinical features, as age, gender and tumor size, obtained from medical records. The patients consisted of 21 males and 17 females and the mean age was 47 ± 14 (mean ± SD), ranging from 18 to 73 years-old. Of these 14 were clinically non-functioning, 10 GH-secreting, 9 PRL-secreting, and 5 ACTH-secreting pituitary adenomas. All samples were macroadenomas, except four ACTH-secreting tumors, which were microadenomas. In summary, MEG3 and GADD45γ expression was significantly lost in most clinically non-functioning adenomas (78 and 92%, respectively). Other assessed pituitary tumor phenotypes expressed both genes at significantly different levels, and, in some cases, with overexpression. There was no significant association between gene expression and the analyzed clinical features. Our results confirm the previous report, which indicated that MEG3 and GADD45γ expression is lost in the majority of human pituitary tumors, mainly in clinically-nonfunctioning adenomas. Functioning tumors had differences of relative expression levels. The two groups of tumors are probably genetically different and may have a different natural history.
我们旨在评估 MEG3 和 GADD45γ 在散发功能性和临床上无功能性人垂体腺瘤中的表达,通过免疫组织化学分析对其进行形态学特征分析,并探讨其与临床特征的关系。本研究纳入了 38 名在巴西阿雷格里港圣若泽医院接受垂体切除术的患者。我们通过 qRT-PCR 评估了垂体腺瘤中肿瘤特异性 MEG3 和 GADD45γ 的表达,并从病历中获取了年龄、性别和肿瘤大小等临床特征与其的相关性。患者包括 21 名男性和 17 名女性,平均年龄为 47 ± 14(平均值 ± 标准差),年龄范围为 18 至 73 岁。其中 14 例为临床上无功能性,10 例为 GH 分泌性,9 例为 PRL 分泌性,5 例为 ACTH 分泌性垂体腺瘤。所有样本均为大腺瘤,除了 4 例 ACTH 分泌性肿瘤为微腺瘤。总之,大多数临床上无功能性腺瘤(分别为 78%和 92%)中 MEG3 和 GADD45γ 的表达明显丢失。其他评估的垂体瘤表型在不同程度上表达了这两个基因,在某些情况下还存在过表达。基因表达与分析的临床特征之间没有显著相关性。我们的研究结果证实了先前的报道,即 MEG3 和 GADD45γ 的表达在大多数人类垂体肿瘤中丢失,主要是在临床上无功能性腺瘤中。功能性肿瘤的相对表达水平存在差异。这两组肿瘤可能在遗传上存在差异,并且可能具有不同的自然史。