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Original Studies |
The Institute of Genetics (M.D., A.A., G.B., B.G., E.F.) and the Oncogenetics Unit (E.F.) Chaim Sheba Medical Center, Tel-Hashomer, Israel; and the Department of Neurosurgery, Kopfklinikum (E.F.A., M.B., R.F.), Erlangen, Germany
Address all correspondence and requests for reprints to: Eitan Friedman, M.D., Ph.D., The Suzanne Levy Gertner Oncogenetics Laboratory, Institute of Genetics, Chaim Sheba Medical Center, Tel-Hashomer 52621, Israel. E-mail: feitan@post.tau.ac.il, or eitan211{at}netvision.net.il
Clinically nonfunctioning pituitary adenomas constitute about one third
of pituitary neoplasms and are considered monoclonal tumors. The
molecular mechanisms of tumorigenesis in these neoplasms are poorly
understood, as evidenced by the paucity of reported somatic genetic
alterations. Furthermore, the somatic mutations detected to date were
primarily ascribed to candidate genes or chromosomal regions:
gsp, ras, p53 mutations, and allelic
losses of 11q and 13q. To gain insight into which chromosomal regions
bear genes involved in nonfunctioning pituitary tumorigenesis, we
examined 23 such tumors by comparative genomic hybridization. Four
tumors showed no genetic abnormality, and the rest (17 of 23, 74%)
exhibited at least one chromosomal region of abnormality. Gains and
losses affected all chromosomes (except for chromosome 14). Notably, 8
of 23 tumors (34.7%) displayed sex chromosome and chromosome 18
aberrations (amplifications or deletions). Nonrandom DNA amplification
of subchromosomal regions on 4q, 5q (5q13
5q23), 9p (9p21
9pter),
13q (13q21
13q32), and 17q were detected in 1030% of the tumors.
Noteworthy, no tumor displayed deletion of 11q, the MEN1
gene locus. These findings suggest that genes localized to previously
undescribed chromosomal regions play a role in the tumorigenesis of
nonfunctioning pituitary adenomas.
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