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垂体腺瘤的分子生物学

Molecular Biology of Pituitary Adenomas.

机构信息

Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue Suite M779, San Francisco, CA 94143-0112, USA.

Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue Suite M779, San Francisco, CA 94143-0112, USA. Electronic address: https://twitter.com/StephenTMagill1.

出版信息

Neurosurg Clin N Am. 2019 Oct;30(4):391-400. doi: 10.1016/j.nec.2019.05.001. Epub 2019 Jul 5.

Abstract

Pituitary adenomas are benign tumors, but still cause significant morbidity and in some cases increases in mortality. Surgical resection is not without risks, and approximately 40% of adenomas are incompletely resected. Medical therapies such as dopamine agonists, somatostatin analogues, and growth hormone antagonists are associated with numerous side effects. Understanding the molecular biology of pituitary adenomas may yield new therapeutic approaches. Additional studies are needed to help determine which genes or pathways are "drivers" of tumorigenesis and should be therapeutic targets. Further studies may also enable pituitary adenoma stratification to tailor treatment approaches.

摘要

垂体腺瘤是良性肿瘤,但仍会导致显著的发病率,在某些情况下还会增加死亡率。手术切除并非没有风险,大约 40%的腺瘤不能完全切除。多巴胺激动剂、生长抑素类似物和生长激素拮抗剂等医学治疗方法会引起许多副作用。了解垂体腺瘤的分子生物学可能会产生新的治疗方法。需要进一步的研究来帮助确定哪些基因或途径是肿瘤发生的“驱动因素”,并应作为治疗靶点。进一步的研究也可能使垂体腺瘤分层,以定制治疗方法。

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