Neuroendocrine Unit, Division of Endocrinology and Metabolism, Hospital das Clínicas & Laboratory of Cellular and Molecular Endocrinology LIM-25, University of Sao Paulo Medical School, São Paulo, SP, Brazil.
Pathology Unit, Hospital das Clínicas & Laboratory of Pathology, LIM-14, University of Sao Paulo Medical School, São Paulo, SP, Brazil.
Pituitary. 2019 Apr;22(2):163-169. doi: 10.1007/s11102-019-00947-x.
Filamin A (FLNA) expression is related to dopamine receptor type 2 (DRD2) expression in prolactinomas. Nevertheless, in corticotrophinomas, there are few studies about DRD2 expression and no data on FLNA. Therefore, we evaluated FLNA and DRD2 expression in corticotrophinomas and their association with tumor characteristics.
DRD2 and FLNA expression by immunohistochemistry, using H-score, based on the percentage of positive cells in a continuous scale of 0-300, were evaluated in 23 corticotrophinomas samples from patients submitted to neurosurgery. In six patients, treatment with cabergoline was indicated after non curative surgery.
Twenty-two patients were female and one male. Regarding tumor size, 10 were micro and 12 were macroadenomas. DRD2 expression was found in 89% of cases and did not correlate with FLNA expression. Moreover, the response to cabergoline, observed in 33% of the cases, did not correlate with DRD2 nor FLNA expression. FLNA expression was not associated with clinical and tumor characteristics, except for sphenoid sinus invasion.
In our cohort of corticotrophinomas, DRD2 expression was not associated with FLNA expression nor to the response to CAB. Nonetheless, FLNA expression could be related to tumor invasiveness.
丝状肌动蛋白 A (FLNA) 的表达与催乳素瘤中的多巴胺受体 2 (DRD2) 的表达有关。然而,在促肾上腺皮质激素细胞瘤中,关于 DRD2 表达的研究较少,并且没有关于 FLNA 的数据。因此,我们评估了促肾上腺皮质激素细胞瘤中 FLNA 和 DRD2 的表达及其与肿瘤特征的关系。
使用免疫组织化学方法,根据连续 0-300 范围内阳性细胞的百分比,使用 H 评分评估 23 例接受神经外科手术的促肾上腺皮质激素细胞瘤患者的 DRD2 和 FLNA 表达。在 6 名患者中,在非治愈性手术后指示使用卡麦角林治疗。
22 名患者为女性,1 名患者为男性。关于肿瘤大小,10 例为微腺瘤,12 例为大腺瘤。89%的病例发现了 DRD2 表达,但与 FLNA 表达无关。此外,在 33%的病例中观察到的卡麦角林反应与 DRD2 或 FLNA 表达无关。FLNA 表达与临床和肿瘤特征无关,除了蝶窦侵犯。
在我们的促肾上腺皮质激素细胞瘤队列中,DRD2 表达与 FLNA 表达或 CAB 反应无关。然而,FLNA 表达可能与肿瘤侵袭性有关。