Chaidarun S S, Eggo M C, Sheppard M C, Stewart P M
Department of Medicine, Queen Elizabeth Hospital, University of Birmingham, United Kingdom.
Endocrinology. 1994 Nov;135(5):2012-21. doi: 10.1210/endo.135.5.7956924.
Recent data indicate that epidermal growth factor (EGF) is a potent mitogen to normal pituitary cells. Its receptor (EGFR or c-erbB-1), a cellular homologue of a viral oncoprotein erbB, is knonw to be overexpressed in many tumors, but little is known about the expression of EGF and EGFR in pituitary tumors. Immunocytochemical analyses of EGF, EGFR, and c-erbB-2 (an EGFR-related oncoprotein) were carried out on paraffin-embedded sections of 54 pituitary tumors. In sections from normal pituitary, EGF was localized mainly in the gonadotrophs and thyrotrophs. EGFR was detected in only 5-10% of the cells in all of the normal pituitary sections and was almost undetectable in all (34/34) of the hormone-secreting tumors (19 GH-, 9 ACTH-, 4 PRL- and 2 TSH-secreting tumors). However, in 16/20 of the samples from clinically nonfunctioning tumors, EGFR was markedly overexpressed. The EGFR found in these tumors and in the normal tissue was not the truncated form of the EGFR because all sections stained positively with monoclonal antisera to both the intra- and extracellular domains of the EGFR. EGF was coexpressed in the same NFT samples that stained positively for EGFR and was also found in 2/19 GH-, 2/4 PRL-, and 1/2 of TSH-secreting tumors. The expression of c-erbB-2 was detected in all normal tissue, all NFT, and about half of GH-secreting tumors. No correlation was found with clinical parameters other than tumor categories. Because the overexpression of structurally intact EGFR was confined to NFT, the response of the tumor cells to EGF in vitro was examined. The addition of 1 nM EGF to NFT-derived cells resulted in an increase in [3H]thymidine uptake to 237.5 +/- 19.8% (mean +/- SEM, n = 3) of the control value. EGF also stimulated EGFR messenger RNA levels, shown by Northern blot analysis. In contrast, the expression of glycoprotein hormone common alpha-subunit gene in the tumor cells was reduced by EGF, T3, and 17 beta-estradiol. The novel findings of overexpression of EGFR in most NFT combined with the in vitro response to EGF resulting in an increase in tumor cell growth, up-regulation of EGFR gene and suppression of hormone gene expression implicate a role for EGF and its receptor in the development and/or progression of NFT.
近期数据表明,表皮生长因子(EGF)是正常垂体细胞的一种强效促有丝分裂原。其受体(EGFR或c-erbB-1)是病毒癌蛋白erbB的细胞同源物,已知在许多肿瘤中过度表达,但关于垂体肿瘤中EGF和EGFR的表达情况却知之甚少。对54例垂体肿瘤石蜡包埋切片进行了EGF、EGFR和c-erbB-2(一种与EGFR相关的癌蛋白)的免疫细胞化学分析。在正常垂体切片中,EGF主要定位于促性腺激素细胞和促甲状腺激素细胞。在所有正常垂体切片中,仅5%-10%的细胞检测到EGFR,在所有(34/34)分泌激素的肿瘤(19例生长激素分泌型、9例促肾上腺皮质激素分泌型、4例催乳素分泌型和2例促甲状腺激素分泌型肿瘤)中几乎检测不到。然而,在20例临床无功能肿瘤样本中的16例中,EGFR明显过度表达。在这些肿瘤和正常组织中发现的EGFR不是EGFR的截短形式,因为所有切片用针对EGFR细胞内和细胞外结构域的单克隆抗血清染色均呈阳性。EGF在EGFR染色阳性的相同无功能肿瘤(NFT)样本中共同表达,也在2/19例生长激素分泌型、2/4例催乳素分泌型和1/2例促甲状腺激素分泌型肿瘤中发现。在所有正常组织、所有无功能肿瘤以及约一半的生长激素分泌型肿瘤中检测到c-erbB-2的表达。除肿瘤类型外,未发现与临床参数相关。由于结构完整的EGFR过度表达仅限于无功能肿瘤,因此检测了肿瘤细胞在体外对EGF的反应。向源自无功能肿瘤的细胞中添加1 nM EGF导致[3H]胸腺嘧啶核苷摄取增加至对照值的237.5±19.8%(平均值±标准误,n = 3)。Northern印迹分析显示,EGF还刺激了EGFR信使RNA水平。相反,EGF、T3和17β-雌二醇降低了肿瘤细胞中糖蛋白激素共同α亚基基因的表达。在大多数无功能肿瘤中EGFR过度表达的新发现,以及体外对EGF的反应导致肿瘤细胞生长增加、EGFR基因上调和激素基因表达受抑制,提示EGF及其受体在无功能肿瘤的发生和/或进展中起作用。