鞍旁侵袭性无功能垂体神经内分泌肿瘤中 PITX2 的表达
PITX2 Expression in Non-functional Pituitary Neuroendocrine Tumor with Cavernous Sinus Invasion.
机构信息
Department of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Department of Pathology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
出版信息
Endocr Pathol. 2019 Jun;30(2):81-89. doi: 10.1007/s12022-019-9573-8.
Although most pituitary neuroendocrine tumors (PitNETs) show benign behavior, a significant number of PitNETs exhibit an aggressive course including cavernous sinus (CS) invasion. To date, the cause of CS invasion has not been fully elucidated. In this study, we analyzed the relationship between CS invasion in PitNETs and the expression of PITX2 and SNAIL1, which are the transcription factors associated with the morphogenesis of pituitary gland. Sixty cases with non-functional PitNETs were classified into four types: type 1a, none of CS invasion and suprasellar expansion; type 1b, suprasellar expansion without CS invasion; type 2a, CS invasion without suprasellar expansion; and type 2b, CS invasion with suprasellar expansion. We analyzed the expression of PITX2 and SNAIL1 employing quantitative real-time polymerase chain reaction (qPCR) and immunohistochemistry. Other parameters such as mitotic count, Ki-67 index, and p53 expression were also analyzed, which were previously reported as potential tumor proliferative markers in PitNETs. PITX2 expression was significantly higher in PitNETs with CS invasion than PitNETs without CS invasion (P = 0.019). Expression of SNAIL1 was significantly elevated in PitNETs with suprasellar expansion compared with PitNETs without suprasellar expansion (P = 0.02). There was no apparent relationship between CS invasion and mitotic count, Ki-67 index, and p53 expression (mitotic count, P = 0.11; Ki-67 index, P = 0.61; p53, P = 0.66). High PITX2 expression was observed in non-functional PitNETs with CS invasion, suggesting that PITX2 may be involved in CS invasion of PitNETs.
虽然大多数垂体神经内分泌肿瘤(PitNETs)表现出良性行为,但相当数量的 PitNETs 表现出侵袭性病程,包括海绵窦(CS)侵袭。迄今为止,CS 侵袭的原因尚未完全阐明。在这项研究中,我们分析了 PitNETs 中 CS 侵袭与 PITX2 和 SNAIL1 表达之间的关系,这两种转录因子与垂体的形态发生有关。60 例无功能性 PitNETs 分为四型:1a 型,无 CS 侵袭和鞍上扩展;1b 型,有鞍上扩展而无 CS 侵袭;2a 型,有 CS 侵袭而无鞍上扩展;2b 型,有 CS 侵袭和鞍上扩展。我们通过实时定量聚合酶链反应(qPCR)和免疫组织化学分析 PITX2 和 SNAIL1 的表达。还分析了其他参数,如有丝分裂计数、Ki-67 指数和 p53 表达,这些参数之前被报道为 PitNETs 中的潜在肿瘤增殖标志物。CS 侵袭的 PitNETs 中 PITX2 的表达明显高于无 CS 侵袭的 PitNETs(P=0.019)。与无鞍上扩展的 PitNETs 相比,有鞍上扩展的 PitNETs 中 SNAIL1 的表达明显升高(P=0.02)。CS 侵袭与有丝分裂计数、Ki-67 指数和 p53 表达之间没有明显的关系(有丝分裂计数,P=0.11;Ki-67 指数,P=0.61;p53,P=0.66)。在有 CS 侵袭的无功能性 PitNETs 中观察到高 PITX2 表达,表明 PITX2 可能参与 PitNETs 的 CS 侵袭。