Cai W Y, Alexander J M, Hedley-Whyte E T, Scheithauer B W, Jameson J L, Zervas N T, Klibanski A
Neuroendocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114.
J Clin Endocrinol Metab. 1994 Jan;78(1):89-93. doi: 10.1210/jcem.78.1.8288721.
Pituitary adenomas have been shown to be clonal in origin, indicating that one or more somatic mutations underlie tumor pathogenesis. Mutated oncogenic forms of ras protein have been identified in a number of human neoplasms, including thyroid adenomas and carcinomas. However, the potential role of activated ras in the development of specific human pituitary tumor phenotypes has not been determined. Although ras mutations were not found in glycoprotein hormone-secreting or somatotroph adenomas, we recently identified a mutation in the H-ras gene (Gly-Val) at codon 12 in a highly invasive prolactinoma. These data raise the possibility that ras mutations might play a role in the pathogenesis of PRL-secreting pituitary tumors and/or may be a marker for tumor invasiveness and malignant transformation. Therefore, we investigated 78 pituitary tumors (59 prolactinomas, 13 invasive prolactinomas, and 6 pituitary carcinomas) for activating point mutation in the three ras genes using oligonucleotide-specific hybridization. In contrast to the relatively high frequency of ras mutations in many different tumor types, no ras mutations were identified in either prolactinomas or pituitary carcinomas. Our data indicate that ras mutations are rare in prolactinomas and pituitary carcinomas.
垂体腺瘤已被证明起源于克隆,这表明一种或多种体细胞突变是肿瘤发病机制的基础。在包括甲状腺腺瘤和癌在内的许多人类肿瘤中已鉴定出ras蛋白的致癌突变形式。然而,激活的ras在特定人类垂体肿瘤表型发展中的潜在作用尚未确定。尽管在分泌糖蛋白激素的腺瘤或生长激素腺瘤中未发现ras突变,但我们最近在一例高度侵袭性催乳素瘤的第12密码子处发现了H-ras基因(甘氨酸-缬氨酸)的突变。这些数据增加了ras突变可能在分泌PRL的垂体肿瘤发病机制中起作用和/或可能是肿瘤侵袭性和恶性转化标志物的可能性。因此,我们使用寡核苷酸特异性杂交研究了78例垂体肿瘤(59例催乳素瘤、13例侵袭性催乳素瘤和6例垂体癌)中三个ras基因的激活点突变。与许多不同肿瘤类型中相对较高的ras突变频率相反,在催乳素瘤或垂体癌中均未鉴定出ras突变。我们的数据表明,ras突变在催乳素瘤和垂体癌中很少见。