Tanaka C, Kimura T, Yang P, Moritani M, Yamaoka T, Yamada S, Sano T, Yoshimoto K, Itakura M
Otsuka Department of Clinical and Molecular Nutrition, University of Tokushima School of Medicine, Japan.
J Clin Endocrinol Metab. 1998 Aug;83(8):2631-4. doi: 10.1210/jcem.83.8.4888.
To investigate the role of tumor suppressor genes in sporadic pituitary adenomas, we first analyzed loss of heterozygosity on 11q13 with microsatellite analysis in 31 tumors. Loss of heterozygosity on 11q13 was detected in 1 mixed GH/PRL adenoma, and the somatic 22-bp deletion of the multiple endocrine neoplasia type 1 (MEN1) gene encoding menin was detected in this tumor. Trisomy 11 suggested by the decreased mean allelic ratios of 66% or 65% for 16 or 13 microsatellite markers, respectively, in 2 of 31 pituitary adenomas was confirmed by interphase fluorescence in situ hybridization. Screening for mutations of the MEN1 gene did not find mutations with PCR-single strand conformation polymorphism analysis in other pituitary adenomas retaining heterozygosity on 11q13. Based on these, it is concluded that inactivation of the MEN1 gene comprises a rare etiology for tumorigenesis of the pituitary gland, and that trisomy 11 or another gene(s) may contribute to the pathogenesis of sporadic pituitary adenomas.
为了研究肿瘤抑制基因在散发性垂体腺瘤中的作用,我们首先用微卫星分析对31例肿瘤进行了11q13杂合性缺失分析。在1例混合性生长激素/催乳素腺瘤中检测到11q13杂合性缺失,且在该肿瘤中检测到编码menin的多发性内分泌肿瘤1型(MEN1)基因存在22bp的体细胞缺失。通过间期荧光原位杂交证实,31例垂体腺瘤中有2例分别出现16个或13个微卫星标记的平均等位基因比率降低66%或65%,提示11号染色体三体性。在其他11q13保留杂合性的垂体腺瘤中,用聚合酶链反应-单链构象多态性分析筛选MEN1基因的突变,未发现突变。基于这些结果,得出结论:MEN1基因失活是垂体肿瘤发生的一种罕见病因,11号染色体三体性或其他基因可能在散发性垂体腺瘤的发病机制中起作用。