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The Journal of Clinical Endocrinology & Metabolism Vol. 84, No. 6 2212-2220
Copyright © 1999 by The Endocrine Society


Original Studies

Expression of the Members of the Ptx Family of Transcription Factors in Human Pituitary Adenomas1

Isabelle Pellegrini-Bouiller, Christine Manrique, Ginette Gunz, Michel Grino, Alfredo J. Zamora, Dominique Figarella-Branger, François Grisoli, Philippe Jaquet and Alain Enjalbert

Laboratoire Interactions Cellulaires Neuroendocriniennes, Unité Mixte de Recherche 6544, Centre National de la Recherche Scientifique-Université de la Méditerrannée (I.P.-B., C.M., G.G., A.J.Z., P.J., A.E.), and Laboratoire de Neuroendocrinologie Expérimentale, INSERM U-501 (M.G.), Institut Fédératif Jean Roche, Faculté de Médecine Nord, 13916 Marseille; and Laboratoire d’Anatomie Pathologique et de Neuropathologie (D.F.-B.) and Service de Neurochirurgie (F.G.) and Service d’Endocrinologie (P.J.), Centre Hospitalo-Universitaire Timone, 13385 Marseille, France

Address all correspondence and requests for reprints to: Dr. Isabelle Pellegrini-Bouiller, Laboratoire Interactions Cellulaires Neuroendocriniennes, UMR 6544, Centre National de la Recherche Scientifique-Université de la Méditerrannée, Institut Fédératif Jean Roche, Faculté de Médecine Nord, boulevard P. Dramard, 13916 Marseille Cedex 20, France. E-mail: pellegrini.i{at}jean-roche.univ-mrs.fr


    Abstract
 Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 
A number of putative transcription factors described in the pituitary have been implicated as key elements in the processes that direct pituitary development. Three recently described proteins, Ptx1, Ptx2, and Ptx3, define a new family of transcription factors, the Ptx subfamily, within the paired-like class of homeodomain factors. In mice, Ptx1 and Ptx2 gene expression has been detected in the area of the pituitary primordium and is maintained throughout development in Rathke pouch and adult pituitary. In the present study, the expression of the Ptx1, Ptx2, and Ptx3 genes was characterized in the normal human pituitary and in the different types of human pituitary adenomas. Although no Ptx3 gene expression could be detected in these tissues, Ptx1 presented with a quite ubiquitous pattern of distribution, being expressed at quite constant levels in normal tissues and in all 60 pituitary tumors analyzed. The pattern of expression of the Ptx2 gene among the different subsets of pituitary adenomas was even more varied. No Ptx2 expression could be detected in corticotroph tumors. In contrast, high levels of Ptx2 messenger ribonucleic acid were measured in the gonadotroph tumors, although no specific correlation to other markers of the gonadotroph lineage differentiation, such as {alpha}Gsu, LHß, or FSHß, could be evidenced. Finally, Ptx2 was also expressed in pure lactotroph adenomas and not in somatotroph adenomas. Ptx2 is, therefore, the first paired homeodomain pituitary transcription factor differentially expressed in these two lineages, which derive from a common precursor. These results support a role for Ptx2 in the terminal differentiation of somatotroph and lactotroph cell phenotypes.


    Introduction
 Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 
A NUMBER of putative transcription factors described in the pituitary have been implicated as key elements in the processes that direct pituitary development. Depending on their cellular distribution and the timing of appearance and extinction, they might be involved either in early commitment of the gland or in terminal differentiation of anterior pituitary cell lineages (1, 2). Although variations in gestational age and sequence of the apparition of anterior pituitary cell phenotypes have been reported between mouse and human (3, 4), it is likely that the human homologs of the pituitary-specific transcription factors carry out similar functions in human and murine species. This is supported by the finding that human-harboring mutations in pituitary-specific transcription factors, such as Pit-1 (5) and Prop-1 (6), present with phenotypes similar to those of mice defective for these genes, i.e. pituitary hypoplasia and combined pituitary hormone deficiencies (7, 8).

Recently, a new family of transcription factors, the Ptx subfamily within the paired-like class of homeodomain proteins, has been identified (9, 10, 11, 12, 13, 14, 15, 16, 17). Among the three members of the Ptx family characterized to date, Ptx1 and Ptx2 are expressed in the anterior pituitary and in a number of pituitary cell lines (12, 13), whereas Ptx3 is not (17). The human homologs of the Ptx transcription factors have been cloned (15, 18, 19). Each of them has been related to distinct human disorders, and the nature of the tissues and the functions affected in each case are consistent with the pattern of expression of the respective genes during development (11, 14, 16). At a genomic level, the Ptx1 gene maps close to the locus for Treacher Collins Franceschetti syndrome, characterized by craniofacial malformations (20), whereas Ptx2/Rieg was shown to be the causative gene for Rieger’s syndrome, in which eye anomalies and dental hypoplasia are occasionally associated with deficient pituitary functions (15). Mutations in Ptx3 have been reported in patients with congenital lens malformations (19). These data underline the importance of Ptx family members in multiple tissues during development and support a putative role in cytodifferentiation of the human pituitary. The expression of these factors, however, has not been yet investigated in the human pituitary.

To approach pituitary development in human, we analyzed the expression of the Ptx1, Ptx2, and Ptx3 genes in the normal human pituitary and in different types of human pituitary adenomas. This study, apart from investigating a potential role for Ptx1 and Ptx2 in neoplasic transformation of human anterior pituitary cells, provides insight concerning their cell-specific expression in the human anterior pituitary.


    Subjects and Methods
 Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 
Normal and tumoral human pituitary tissues

Nontumorous human pituitaries were collected at the time of postmortem examination from three adult patients with no evidence of endocrine abnormality. Fetal pituitary and mesencephalon tissues were obtained at the time of therapeutic abortion (20–32 weeks gestation).

Pituitary adenomas were obtained by transsphenoidal adenomectomies performed on patients who had undergone endocrine preoperative evaluation. Fresh tumor was divided as previously described into two parts for routine histopathogical examination and molecular analysis (21). The question of an eventual contamination of the surgical specimen with a significant number of normal pituitary cells was assessed in two ways: first by examining the pattern of expression of all the anterior pituitary hormones in the different tumors by Northern blot (see below), and second by analyzing by RT-PCR (see below) the expression of genes known to be expressed in specific tumor types. Expression of the transcription factor Pit-1 is, for example, characteristic of tumors of the somatotroph, lactotroph, and thyrotroph lineages (21), and in the present study Pit-1 messenger ribonucleic acid (mRNA) could indeed be evidenced by Northern blot analysis in such tumors (see below and data not shown). On the contrary, RT-PCR amplification of Pit-1 mRNA in corticotroph or gonadotroph tumors indicated contamination by nontumorous tissues, as these tumors are known to not express this transcription factor. In this cases, the tumors were not included in the study. Similarly, RT-PCR amplification of the POMC gene in somatotroph, lactotroph, and thyrotroph tumors led to exclusion of the samples from the study.

Based on these criteria, a total of 60 tumors (obtained from 32 men and 28 women) were collected for the present study. They consisted of 50 macroadenomas, with suprasellar extension in 29 cases, and 10 microadenomas, classified on the basis of clinical data, immunocytochemistry (ICC) analysis, and analysis of hormone gene expression (Table 1Go). They were 14 prolactinomas (P1–P14), 9 somatotroph adenomas (A1–A9) including 3 tumors positive by ICC for both GH and {alpha}Gsu, and 11 mixed GH/PRL-secreting adenomas (AP1–AP11) including 2 tumors positive by ICC for GH, PRL, and {alpha}Gsu. Expression of the {alpha}Gsu gene was also evidenced by Northern blot in 1 additional somatotroph adenoma and 1 additional mixed somato-lactotroph adenoma (Table 1Go). Three thyrotroph tumors (T1–T3), 7 corticotroph adenomas (C1–C7; including 1 case positive by ICC for both ACTH and {alpha}Gsu), and 16 clinically nonfunctioning adenomas were also examined. The 16 nonfunctioning adenomas included 8 tumors positive by ICC for 1 or more of the glycoprotein hormones subunits (G1–G8) and 8 adenomas negative by ICC (G9–G16). Northern blot analysis of hormone gene expression evidenced in all 16 nonfunctioning tumors expression of at least 1 of the genes encoding the glycoprotein hormone subunits (i.e. {alpha}Gsu, LHß, or FSHß; Table 1Go). Consequently, these tumors are hereafter referred to as gonadotroph adenomas.


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Table 1. Immunocytochemistry (ICC) and Northern blot characterization of hormonal expression in the adenomas

 
The present study was approved by the institutional ethics committee of the University of Aix-Marseille (Marseille, France), and written informed consent was obtained from each patient for anonymous distribution of aseptic tissue specimens.

ICC

For microscopic examination, tumoral tissue were placed in Boin’s fixative and embedded in paraffin. Serial 5-mm paraffin-embedded sections were performed for routine histochemical techniques (Herlant’s tetrachrome and Periodic acid schiff staining and ICC). ICC was carried out using an avidin-biotin-peroxidase method (ABC kit, Vector Laboratories, Inc., Institut Pasteur, Paris, France), as previously described (21), and specific monoclonal and polyclonal antibodies. Monoclonal antibodies directed against human PRL (1:200 dilution), {alpha}-subunit (1:1000), LHß (1:1000), FSHß (1:1000), and TSHß (1:1000) were from Immunotech, monoclonal anti-GH antibody (prediluted) from Amersham (Les Ulis, France) and polyclonal anti-ACTH antibody from Dakopatts (Versailles, France). Controls included omission of primary antibody and irrelevant Igs.

In situ hybridization and microscopic analysis

Double in situ hybridization was performed in gonadotroph adenomas. The riboprobes used for hybridizing both Ptx2 and {alpha}Gsu mRNAs were the same as those employed in the Northern blot analysis. They were subcloned into pCRscript (Stratagene, La Jolla, CA), and both were linearized with BamHI (antisense probe) or NotI (sense probe). Riboprobes were conjugated to biotin-UTP for detection of {alpha}Gsu mRNA, and to [35S]UTP for Ptx2 mRNA according to Grino and Zamora (22). Briefly, tumor cryosections (6-µm thick) were performed and aldehyde fixed. After permeabilization, the sections were incubated in a medium containing streptavidin. The streptavidin-biotin-UTP complex was then conjugated to horseradish peroxidase and incubated in a medium containing tetra-rhodamine-isothiocyanate (TRITC)-tyramide to visualize {alpha}Gsu mRNA. The Ptx2-[35S]UTP riboprobe was detected by conventional autoradiography: slide dipping in nuclear emulsion (Ilford K5, Ilford Anitec, Saint-Priest, France), exposition for 2 months at 4 C, and chemical development. Sections hybridized with the sense riboprobes were used as controls. Random fields of the specimens were viewed through a 63X/1.4 planapochromatic objective installed on a Leica Corp. TCS laser scanning confocal microscope (Heidelberg, Germany). Fluorescent TRITC signals were generated by a 568-nm excitation laser band and recovered through a photomultiplier equipped with a high order band-pass filter centered at 600 nm. Autoradiographic silver grains were detected under interference contrast optics through a second photomultiplier. Sequential single channel scannings were performed on the same microscopic field, making optical sections about 2 µm thick, focused successively on the fluorescent plan emitting the highest light intensity and on the autoradiographic focal plane. Both digitized images were transferred to a microcomputer and overlaid using the Photoshop software (Adobe System, Inc., Mountain View, CA). To optimize visualization, the autoradiography plane was inverted to white and contrast enhanced.

RNA purification and Northern blot analysis

Total RNA was extracted and purified from normal and tumoral pituitary samples using the guanidium isothiocyanate/phenol method (23) followed by ribonuclease-free deoxyribonuclease I treatment (Promega Corp., Lyon, France). Twenty micrograms of total RNA prepared from each specimen were run on a 1% agarose/formaldehyde gel, transferred by capillarity to nylon membrane, and hybridized with specific probes (see below). Prehybridization was performed at 42 C in 50% formamide, 6 x SSC (standard saline citrate), 5 x Denhardt’s solution, 0.5% SDS, and 100 µg/mL denatured salmon sperm DNA. Hybridization with the deoxy (d)-CTP-{alpha}-32P-labeled complementary DNA (cDNA) probes (T7 quick-prime kit, Pharmacia Biotech, St. Quentin en Yvelines, France) was performed in the same buffer (2 x 106 cpm/mL) for 16 h at 42 C. Blots were washed under stringent conditions with 0.1 x SSC-0.1% SDS at 60 C. The blots were placed on a phosphor screen (Molecular Imager, Bio-Rad Laboratories, Inc., Richmond, CA) and subsequently quantified with the Molecular Analyst program (Bio-Rad Laboratories, Inc.). An 18S cDNA probe was used as a control to normalize results for variations in sample concentrations. The blots were striped (30 min in boiling 0.1 x SSC-0.1% SDS) and successively hybridized with several probes specific for anterior pituitary hormones: Pit-1, Ptx1, and Ptx2. DNA probes were cDNA fragments generated by RT-PCR (see below) specific for PRL (amino acids 4–199), GH (amino acids 19–203), POMC (amino acids 41–257), LHß (amino acids 27–145), FSHß (amino acids 75 to 3'-untranslated region (UTR)), {alpha}Gsu (amino acids 3–86), and TSHß (amino acids 2–126). Pit-1 gene expression was analyzed using a full-length coding region cDNA as previously described (21). Full-length human (h) Ptx1/hBKF cDNA was obtained from Dr. D. A. Clayton, Stanford University (Stanfrod, CA). A 146-bp specific segment, corresponding to a region of low homology with Ptx2 located in the C-terminus domain, was subsequently derived from this cDNA by ApaI/XhoI digestion (Fig. 1Go). Ptx2 expression was analyzed using a 540-bp cDNA fragment located in Ptx2 3'-UTR (Fig. 1Go).



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Figure 1. Schematic representation of the human Ptx1, Ptx2, and Ptx3 cDNAs. The coding sequences are represented by boxes, and the homeodomain (HD) is shaded. The ApaI/XhoI DNA fragment specific for Ptx1 and the 3'-UTR DNA fragment specific for Ptx2 that were used for Northern blot analysis are represented by bars. The primers used for PCR detection of Ptx3 and of the N-terminal isoforms of Ptx2 are indicated by arrows.

 
RT-PCR amplification, cloning, and sequencing

One microgram of total RNA prepared from normal or tumoral pituitary tissues was used for cDNA synthesis with 200 U Superscript II reverse transcriptase (Life Technologies, Cergy-Pontoise, France) primed with 300 ng random primer in 20 µL 50 mmol/L Tris-HCl (pH 8.3), 75 mmol/L KCl, 3 mmol/L MgCl2, 0.5 mmol/L of each dNTP, and 40 U RNasin (Promega Corp.). The reaction mix was incubated for 10 min at 25 C followed by 50 min at 42 C. A negative control was performed for the first strand synthesis, which contained the above reagents but no RT.

cDNA prepared from normal tissue was used to generate cDNA probes to be used in Northern blot experiments. The following primer sets were designed from published sequences to amplify specific cDNA fragments: 5'-ttccagaggaaccgctacccc-3' and 5'-aaacgacgagtgctgtttgg-3' for Ptx1 (564 bp), 5'-caactccgcccttaaagactg-3' and 5'-tcagaacatcattgcatccacc-3' for Ptx2 (536 bp), 5'ttcaactcggtcaacgtggg3' and 5'-tactggcacggactaaggttgg-3' for Ptx3 (368 bp), 5'-cctggcttcaagagggcagt-3' and 5'-cgcaggaatgtctcgaccttg-3' for hGH (556 bp), 5'-tgtcccggcggggctgcccga-tgccag-3' and 5'-gcagttgttgttgtggatgattcggca-3' for hPRL (575 bp), 5'-aagcaacctgctggagtgcatc-3' and 5'-tggcgtttttgaacagcgtc-3' for POMC (653 bp), 5'-tcaccgtcaacaccaccatctg-3' and 5'-ggattgagaagcctttattgtggg-3' for hLHß (371 bp), 5'-tatatgaaacagtgagagtgcccg-3' and 5'-cgctacaatgctgaagatgctgac-3' for hFSHß (599 bp), and 5'-tactacagaaaatatgcagct-3' and 5'-gtgataataacatgaactgc-3' for {alpha}Gsu (335 bp) respectively. Amplification of Ptx2 5'-isoforms was carried out using 5'-gcgagaccgagcgagaaagc-3' as an upstream primer and 5'-gcccacgtcctcattcttccc-3' as a downstream primer (Fig. 1Go). For each reaction, 1 µL of the first strand synthesis reaction was amplified for 30 cycles in 10 mmol/L KCl, 20 mmol/L Tris-HCl (pH 8.2), 200 µmol/L dNTPs, 1.5 mmol/L MgCl2, 50 pmol of each forward and reverse primer, and 2.5 U plaque-forming units DNA polymerase (Stratagene). The amplification conditions were as follows: denaturation at 94 C for 1 min, annealing at 56 C for 1.5 min, and extension at 72 C for 2 min. Negative controls were run in parallel with the test tissues using the negative control of the RT reaction as a template for amplification.

After purification (Qiaquick gel extraction kit, QIAGEN, Chatsworth, CA), the PCR products corresponding to Ptx2 N-terminus isoforms were subcloned in the plasmid vector pCRscript (Stratagene), according to manufacturer’s instructions. The full-length nucleotide sequence of three individual clones was determined by the dideoxy chain reaction method (24) with the T7 sequencing kit (Pharmacia Biotech).

Statistical analysis

Statistical significance were determined by Mann-Whitney test. Significance was declared at P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 
Analysis of Ptx1, Ptx2, and Ptx3 gene expression in the normal human pituitary

The expression of Ptx1 and Ptx2 in the normal human pituitary was investigated by Northern blot. Using a Ptx1-specific cDNA probe located in a region of low homology with Ptx2 (Fig. 1Go), a single band at about 2.5 kb was evidenced in both fetal (middle and late gestation) and adult normal tissue (Fig. 2AGo). The membrane was subsequently striped and rehybridized with a Ptx2-specific probe located in the 3'-UTR. Again, a band at about 2.5 kb was revealed in both fetal and adult tissues (Fig. 1AGo). For both Ptx1 and Ptx2, the signal was slightly more intense in the fetal samples than in the adult tissues when normalized against the 18S band (Fig. 2Go). The specificity of the two cDNA probes was controlled in preliminary experiments (data not shown and see below).



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Figure 2. Expression of Ptx1 and Ptx2 gene expression in the normal human pituitary. A, Northern blot analysis of Ptx1 and Ptx2 gene expression in three fetal and two adult human pituitaries. Twenty micrograms of total RNA were loaded in each lane. The blot was successively hybridized with the ApaI/XhoI DNA fragment specific for Ptx1, the 3'-UTR DNA fragment specific for Ptx2, and the 18S probe to ensure integrity and loading of the RNA. Transcripts of 2.5 kb were obtained for both Ptx1 and Ptx2. B, RT-PCR amplification and cloning of Ptx2 N-terminal isoforms in the normal human pituitary. RNA from fetal and adult human pituitaries was reverse transcribed. The 330- and 468-bp fragments corresponding to Ptx2a and Ptx2b isoforms were amplified using primers located in the N-terminal region of Ptx2. The amino acid sequence of the Ptx2b insert is indicated. CT, Negative RT-PCR control. C, RT-PCR analysis of Ptx3 gene expression in fetal mesencephalon (Mes) and in fetal and adult pituitaries.

 
Two isoforms of Ptx2, differing in the N-terminal region of the protein through alternative splicing of a single exon, were previously described in mouse. A RT-PCR approach was therefore used to identify similar variants in human. Using a pair of primers located in the 5'-UTR and 5' to the homeodomain (Fig. 2BGo), two bands, differing by about 150 bp, were amplified from human normal fetal and adult pituitary cDNA and were designated Ptx2a and Ptx2b (Fig. 2BGo). Sequence analysis confirmed that the smaller fragment (330 bp; Ptx2a) corresponded to the Ptx2/Rieg cDNA sequence previously reported in human. The longer fragment (468 bp; Ptx2b) contained a 138-bp insertion at the position reported for the alternative spliced form of Ptx2 in mouse. The predicted amino acid sequence indicated a 46-amino acid in-frame insertion at amino acid 16 of the N-terminal region of Ptx2 (Fig. 2BGo) and a resulting Ptx2b isoform 317 amino acids in length.

Ptx3 gene expression was investigated by RT-PCR using specific primers. No expression could be detected in any of the fetal or adult human pituitary samples, whereas a specific band was readily amplified from fetal mesencephalon (Fig. 2CGo), a tissue known to express this gene (17).

Ptx1 gene is ubiquitously expressed in the human pituitary adenomas

Figure 3Go shows a Northern blot analysis of Ptx1 gene expression performed in a representative series of human pituitary adenomas of different types. Examination of this blot and similar analysis performed on a larger panel of 60 tumors representative of all anterior pituitary cell lineages evidenced Ptx1 mRNA in all tumors tested (Fig. 4AGo). This results indicated that in human, as in murine, Ptx1 is expressed in all pituitary cell types. Furthermore, quantification of the signals against the 18S band did not show any significant variation among the different groups of tumors, except for the gonadotroph adenomas, which presented with slightly higher Ptx1 mRNA levels (Fig. 4AGo). Among these tumors, however, Ptx1 gene expression was variable and did not show any specific association with expression of the {alpha}- or ß-subunit of the gonadotropins (data not shown and Fig. 5Go).



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Figure 3. Representative Northern blot analysis of Ptx1 and Ptx2 gene expression in different human pituitary adenomas. Twenty micrograms of total RNA obtained from two normal adult pituitaries and from three lactotroph, three somatotroph, two thyrotroph, two corticotroph, and four gonadotroph adenomas were loaded in each lane and hybridized with the Ptx1, Ptx2, and 18S probes as described in Fig. 1Go.

 


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Figure 4. Comparison of Ptx1 (A) and Ptx2 (B) mRNA levels in human pituitary adenomas and in normal human pituitary tissues. Ptx1 and Ptx2 mRNA levels were measured by Northern blot analysis in the series of 60 tumoral pituitary samples and in normal tissues. The signals corresponding to Ptx1 and Ptx2 mRNAs were quantified against the 18S band to normalize for the amount of RNA. mRNA levels measured in the normal tissues were arbitrarily assigned the value of 1 (arbitrary units). Significance were determined by Mann-Whitney test. *, P < 0.05 vs. normal adult pituitary.

 


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Figure 5. Northern blot analysis of Ptx1 and Ptx2 gene expression in a representative series of gonadotroph adenomas. Tumors were classified according to their positivity or negativity for the gonadotropin subunit immunoreactivity by ICC. The sizes of the transcripts were about 2.5 kb for Ptx1 and Ptx2, and 1, 0.9, and 1.8 kb for {alpha}Gsu, LHß and FSHß respectively.

 
Specific Ptx2 gene expression in human pituitary adenomas

The pattern of expression of the Ptx2 gene among the different subsets of pituitary adenomas was more varied, as illustrated by the representative blot in Fig. 3Go. Among a total of 60 pituitary adenomas examined, all corticotroph and somatotroph adenomas were negative. A moderate signal was detected in the thyrotroph and lactotroph adenomas, whereas intense signal were observed in the gonadotroph adenomas (Fig. 4BGo). The differential expression of Ptx2 among the different types of tumors did not relate to the tumor mass characteristics (micro- vs. macroadenomas; Table 1Go), and the lack of expression of Ptx2 in the corticotroph and somatotroph confirmed the specificity of the cDNA probes, as Ptx1 is expressed in these tumors. Finally, the 60 adenoma specimens were also examined by RT-PCR for the expression of the Ptx2a and -b isoforms. The 330- and 468-bp products specific for mRNA isoforms a and b were detected in each tumor where Ptx2 was expressed (data not shown).

Ptx2 is preferentially expressed in tumors of the gonadotroph lineage

Quantification of the blots showed very high levels of Ptx2 mRNA in tumors of the gonadotroph lineage (mean value ~4 times those obtained in normal tissue; Fig. 4BGo). To further characterize the phenotypic expression of Ptx2 in these tumors, the expression of {alpha}Gsu, LHß, and FSHß genes was determined in all of the nonfunctioning adenomas (Table 1Go and Fig. 5Go). No correlation was found between Ptx2 mRNA levels and the presence, absence, or levels of LHß, FSHß, or {alpha}Gsu mRNA. This result was further confirmed by double in situ hybridization analysis of {alpha}Gsu and Ptx2 mRNAs in tumors of the gonadotroph lineage. As illustrated in Fig. 6Go, antisense riboprobes for both messengers revealed that the gonadotroph adenomas are composed of a complex cell population. Even when no cell quantitation was performed, microscopic fields showed a great majority of cells emitting red fluorescence with variable intensity, indicating the differential expression of {alpha}Gsu mRNA. A large proportion of the TRITC-labeled cells was also covered with clusters of silver grains, revealing the coexpression of both {alpha}Gsu and Ptx2 mRNAs (Fig. 6Go, A and B). A minority of cells monolabeled for either Ptx2 mRNA or {alpha}Gsu mRNA as well as a minority of completely unlabeled cells were consistently observed in all specimens (Fig. 6AGo). Sections hybridized with sense riboprobe were completely unlabeled (Fig. 6CGo).



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Figure 6. Random microscopic fields from double {alpha}Gsu and Ptx2 in situ hybridized cryosections of one gonadotroph adenoma, captured successively under fluorescence and interference contrast confocal microscopy. The two images were computer overlaid. The hybridization product of {alpha}Gsu mRNA is recognized by the red (TRITC) emission, and that of Ptx2 is recognized by the autoradiographic clusters of silver grains (white dots) located over the cells. A, A majority of cells were double labeled for both {alpha}Gsu (red) and Ptx2 mRNA (white dot clusters) mRNAs. However, some cells expressed only Ptx2 mRNA (white arrows) or only {alpha}Gsu mRNA (red arrows). Crossed arrows point to intensely single labelled cells. B corresponds to intensely double labeled cells. C, Specimen double hybridized with the {alpha}Gsu antisense riboprobe and the Ptx2 sense riboprobe; cells are intensely fluorescent, and the almost absent silver grains are unclustered. Calibration bar: A and B, 10 µm; C, 15 µm.

 
The lack of correlation between Ptx2 and {alpha}Gsu gene expression was also supported by the presence in our series of one corticotroph adenoma and three adenomas of the somatotroph lineage expressing {alpha}Gsu, but not Ptx2 (data not shown and Fig. 7Go).



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Figure 7. Northern blot analysis of Ptx2 gene expression in a representative series of somatotroph, mixed somato-lactotroph, and lactotroph adenomas. The size of the transcripts were 2.5 and 2.4 kb for Ptx2 and Pit-1 and about 1 kb for GH, PRL, and {alpha}Gsu.

 
Ptx2 is differentially expressed in somatotroph and lactotroph phenotypes

Thirty-four tumors of the somato-lactotroph phenotype were analyzed. Among these tumors, the presence of Ptx2 mRNA appeared strictly correlated to that of PRL mRNA (Fig. 4BGo). Indeed, all of the prolactinomas displayed Ptx2 gene expression, whereas among the 20 somatotroph adenomas analyzed, only the tumors presenting with a mixed somato-lactotroph phenotype (n = 11) were positive for Ptx2. The pure somatotroph adenomas (n = 9), including those expressing both GH and {alpha}Gsu, were negative, even when the presence of Ptx2 mRNA was examined by PCR (data not shown). A blot representative of these results is presented in Fig. 7Go. Although mRNA encoding the pituitary transcription factor Pit-1 are observed in all samples, Ptx2 mRNAs are only detected in those tumors that express the PRL gene. At a quantitative level, Ptx2 mRNA levels measured in the PRL- and mixed PRL/GH-secreting adenomas were low compared to those in normal tissue, varying from a barely detectable signal to about one fifth of the values measured in normal tissue (Fig. 4BGo).


    Discussion
 Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 
The homeoprotein Ptx1 [pituitary homeobox 1 (9), also known as P-Otx (10)] is expressed very early in development (embryonic day 8.5) in the area of the murine pituitary primordium and is maintained throughout development in Rathke’s pouch and adult pituitary (11). After the initial reports of Ptx1 expression in the pituitary (9), a broader pattern of expression has been reported for this factor in murine (11). A first domain of expression is represented by the stomodeum and its epithelial derivatives, including Rathke’s pouch and pituitary; a second one is the posterior lateral mesoderm and derivatives (hind limb). Most pituitary hormone-coding genes are activated by Ptx1, and Ptx1 action is synergized by cell-restricted factors, such as SF-1 or Pit-1, to confer promoter-specific expression (12). Recently, two proteins related to Ptx1, named Ptx2 [also known as Otlx2 and RIEG (13, 14, 15)] and Ptx3 (16, 17), were isolated in murine and characterized. The homeodomains of these three genes are highly conserved, differing by only two amino acids (Ptx1 vs. Ptx2, Ptx1 vs. Ptx3), and all display the lysine residue at position 50 of the homeodomain typical of bicoid-related proteins. The homology also extends into the C-terminus (67% homology, Ptx1 vs. Ptx2; 57% homology, Ptx1 vs. Ptx3). The N-terminus is quite divergent among the three proteins, and an N-terminal variant of Ptx2 has been shown to be generated through alternative splicing (13). Ptx1 and Ptx2 have very similar temporal and spatial patterns of expression, particularly overlapping in the stomodeum and its epithelial derivatives, including pituitary. However, although Ptx1 is preferentially expressed in the mesenchymal derivatives of the mandible, Ptx2 is mostly expressed in the mesenchymal derivatives of the maxillary (11, 14). The expression of Ptx3 appears markedly distinct. In the mouse, Ptx3 mRNA were only observed in the developing lens on embryonic day 11 (16) and in the mesencephalic dopaminergic neurons (17), and were not detected in the pituitary.

The present study reports on the pattern of expression of these related transcription factors in the human anterior pituitary. In agreement with studies in rodents, no Ptx3 gene expression could be detected in this tissue, whereas high levels of Ptx1 and Ptx2 mRNA were evidenced in both fetal and adult human anterior pituitary glands. Distinct patterns of expression were observed for Ptx1 and Ptx2 in the different subsets of human pituitary adenomas. However, when normalized for the amount of RNA, the overall mean Ptx1 and Ptx2 mRNA levels in the different types of tumors were not very different from those measured in the normal tissues. Furthermore, the cell-specific pattern of distribution of the two factors among the different types of tumors is consistent with the data obtained with murine cell lines (12, 13). Altogether, these data did not favor the hypothesis of a major involvement of Ptx1 and Ptx2 in the pathogenesis of human pituitary adenomas.

Most pituitary adenomas are monoclonal in origin (25), present as relatively monomorphous tissues with specific patterns of differentiation, and are indeed quite representative of the different pituitary cell lineages. Examination of the expression of other transcription factors, such as Pit-1 or SF-1 in human pituitary tumors, has previously shown to be informative on the roles of these factors in pituitary cytodifferentiation (26, 27). We therefore determined the pattern of expression of Ptx1 and Ptx2 in different types of human pituitary adenomas to further characterize the cell-specific expression of these genes in human.

Similar to what was described in murine, Ptx1 presented with a ubiquitous pattern of distribution in human, being expressed at constant levels in all pituitary cell types. Ptx1 mRNA levels measured in the gonadotroph tumors were, however, slightly higher than those measured in the other subtypes, which is reminiscent of the high levels of Ptx1 mRNA reported in the gonadotroph precursor cell line {alpha}T3 (12). In this cell line, the expression of {alpha}Gsu was shown to be highly dependent on Ptx1. In our study, however, Ptx1 gene expression did not correlate to {alpha}Gsu expression.

The pattern of expression of Ptx2 among the various subsets of tumors was more contrasted. The main feature was the high levels of Ptx2 mRNA detected in the gonadotroph tumors compared to those in the other types of tumors. In agreement with previous reports (28), most of the clinically nonfunctioning tumors analyzed in the present study, whatever the immunostaining characteristics (gonadotropin positive or negative), expressed at least one of the subunits of the gonadotropin hormones. Ptx2 was expressed in all of these tumors, although no specific association with one of the subunits of the gonadotropin hormones could be evidenced. A common lineage for gonadotrophs and thyrotrophs is also expected, as they both synthesize the {alpha}Gsu shared by the glycoprotein hormones. The {alpha}Gsu is the first hormone gene expressed in development (1, 2), and Ptx2 is also expressed in the thyrotroph cells. A correlation between the expression of these two genes could therefore be expected. This conclusion, however, was not reached in our study, as detailed analysis by Northern blot and in situ hybridization of various human pituitary adenomas expressing {alpha}Gsu did not show constant coexpression of the Ptx2 genes in these tumors.

Another striking feature of Ptx2 gene expression was that in tumors of the somato-lactotroph lineage. Among a panel of 34 tumors expressing GH, PRL, or both, expression of Ptx2 was strictly correlated to that of PRL. During the embryonic development of the anterior pituitary gland, the five endocrine cell types arise in a specific spatial and temporal pattern (1, 2). The somatotropes arising on embryonic day 15 in the mouse, and the lactotropes arising postnatally are thought to be derived by a common precursor the mammosomatotroph (29). A common embryologic stem cell has been also suggested in human for the PRL- and GH-secreting cells (30). Well differentiated sommatotrophs are first identified at 8 weeks gestation in human, whereas mammosomatotrophs and characteristic lactotrophs are detected in the human fetal gland at 12 and 24 weeks gestation, respectively (3). The expression of both PRL and GH genes is dependent on the presence of the pituitary-specific transcription factor Pit-1 (31). However, because expression of the PRL and GH genes is ultimately confined to distinct lactotroph and somatotroph populations despite the presence of Pit-1 protein in both cell types, there must be additional factors involved in the cell-specific pattern of GH and PRL genes activation. Activation of the PRL and GH genes indeed involves a complex of nuclear proteins, and cooperative interactions between Pit-1 and other classes of transcription factors were shown to be important for full activities and regulation of the PRL and GH promoters (for review, see Ref. 32). For example, Pit-1 was shown to cooperate with thyroid hormone and retinoic acid receptors to stimulate rat GH gene expression (33), and transcriptional synergism between estrogen receptor and Pit-1 in PRL gene activation has been well characterized (34). In a recent study (12), Tremblay et al. analyzed the functional role of Ptx1 in trans-activation of the pituitary hormone genes. Most pituitary hormone genes were trans-activated by Ptx1, and interestingly, Ptx1 exhibited synergistic activation with Pit-1 on the PRL gene promoter and less so on the GH promoter. More recently, researchers suggested that the action of Ptx2 on these promoters was very similar to that of Ptx1 (35), but synergism of Ptx2 with Pit-1 has not yet been clearly established. These results together with the report in the present paper of a differential expression of Ptx2 gene within lactotroph and somatotroph cells support the idea of a potential role for Ptx2 in the cell-specific expression of the PRL and GH genes. An analysis of Ptx1 and Ptx2 protein levels in the normal somatotroph and lactotroph cell types would be required, however, to confirm this hypothesis.

In summary, Ptx1 presents a ubiquitous pattern of expression in the different pituitary cell types in humans. In contrast, Ptx2 is not expressed in corticotroph cells, whereas high Ptx2 mRNA levels are present in the gonadotroph cells. In these tumors, however, Ptx2 gene expression is not correlated to other markers of the gonadotroph lineage differentiation, such as {alpha}Gsu, LHß, or FSHß. Finally, Ptx2 is also expressed in pure lactotroph adenomas and not in somatotroph adenomas. Ptx2 is, therefore, the first paired homeodomain pituitary transcription factor differentially expressed in these two lineages, which derive from a common precursor. These results support a role for Ptx2 in terminal differentiation of somatotroph and lactotroph cell phenotypes.


    Acknowledgments
 
We thank Dr. Jean-Paul Herman for dissecting fetal mesencephalon and for helpful discussions.


    Footnotes
 
1 This work was supported in part by a grant from the French Ministry of Health through the Programme Hospitalier de Recherche Clinique (Centre 3848) and a grant from the Ligue Nationale contre le Cancer, 1997–1998. Back

Received November 30, 1998.

Revised February 24, 1999.

Accepted March 4, 1999.


    References
 Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 

  1. Treier M, Rosenfeld MG. 1996 The hypothalamic-pituitary axis: co-development of two organs. Curr Opin Cell Biol. 8:833–843.[CrossRef][Medline]
  2. Rhodes SJ, DIMattia GE, Rosenfeld MG. 1994 Transcriptional mechanisms in anterior pituitary cell differentiation. Curr Opin Gen Dev. 4:709–717.[CrossRef][Medline]
  3. Asa SL, Kovacks K, et al. 1988 Human fetal adenohypophysis. Neuroendocrinology. 48:423–431.[Medline]
  4. Dubois PM, El Amraoui A, Heritier AG. 1997 Development and differenciation of pituitary cells. Microsc Res Technol. 39:98–113.[CrossRef][Medline]
  5. Li S, Crenshaw III EB, Rawson EJ, Simmons DM, Swanson LW, Rosenfeld MG. 1990 Dwarf locus mutants lacking three pituitary cell types result from mutations in the POU-domain gene pit-1. Nature. 347:528–532.[CrossRef][Medline]
  6. Sornson MW, Wu W, Dasen JS, et al. 1996 Pituitary lineage determination by the Prophet of Pit-1 homeodomain factor defective in Ames dwarfism. Nature. 384:327–333.[CrossRef][Medline]
  7. Radovick S, Nations M, DU Y, Berg LA, Weintraub BD, Wondisford FE. 1992 A mutation in the POU-homeodomain of pit-1 responsible for combined pituitary hormone deficiency. Science. 257:1115–1118.[Abstract/Free Full Text]
  8. Wu W, Cogan JD, Pfäffle RW, et al. 1998 Mutations in PROP1 cause familial combined pituitary hormone deficiency. Nat Genet. 18:147–149.[CrossRef][Medline]
  9. Lamonerie T, Tremblay J, Lanctôt C, Therrien M, Gauthier Y, Drouin J. 1996 Ptx1, a bicoid-related homeobox ranscription factor involved in transcription of the pro-opiomelanocortin gene. Genes Dev. 10:1284–1295.[Abstract/Free Full Text]
  10. Szeto DP, Ryan AK, O’Connel SM, Rosenfeld MG. 1996 P-OTX: a Pit-1-interacting homeodomain factor expressed during anterior pituitary gland development. Proc Natl Acad Sci USA. 93:7706–7710.[Abstract/Free Full Text]
  11. Lanctot C, Lamolet B, Drouin J. 1997 The bicoid-related homeoprotein Ptx1 defines the most anterior domain of the embryo and differenciates posterior from anterior lateral mesoderm. Development. 124:2807–2817.[Abstract]
  12. Tremblay JJ, Lanctot C, Drouin J. 1998 The pan-pituitary activator of transcription, Ptx1 (pituitary homeobox 1), acts in synergy with SF-1 and Pit-1 and is an upstream activator of the Lim-homeodomain gene Lim3/Lhx3. Mol Endocrinol. 12:428–441.[Abstract/Free Full Text]
  13. Gage PJ, Camper SA. 1997 Pituitary homeobox2, a novel member of the bicoid-related family of homeobox genes, is a potential regulator of anterior structure formation. Hum Mol Genet. 6:457–464.[Abstract/Free Full Text]
  14. Mucchielli ML, Martinez S, Pattyn A, Goridis C, Brunet JF. 1996 Otlx2, an Otx-related homeobox gene expressed in the pituitary gland and in a restricted pattern in the forebrain. Mol Cell Neurosci. 8:258–271.[CrossRef][Medline]
  15. Semina EV, Reiter R, Leysens NJ, et al. 1996 Cloning and characterization of a novel bicoid-related homeobox transcription factor gene, RIEG, involved in Rieger syndrome. Nat Genet. 14:392–399.[CrossRef][Medline]
  16. Semina EV, Reiter RS, Murray JC. 1997 Isolation of a new homeobox gene belonging to the Pitx/Rieg family: expression during lens development and mapping to the aphakia region on mouse chromosome 19. Hum Mol Genet. 6:2109–2116.[Abstract/Free Full Text]
  17. Smidt MP, van Schaik HSA, Lanstot C, et al. 1997 A homeodomain gene Ptx3 has highly restricted brain expression in mesencephalic dopaminergic neurons. Proc Natl Acad Sci USA. 94:13305–13310.[Abstract/Free Full Text]
  18. Shang J, Luo Y, Clayton DA. 1997 Backfoot is a novel homeobox gene expressed in the mesenchyme of developping hind limb. Dev Dyn. 209:242–253.[CrossRef][Medline]
  19. Semina EV, Ferrel RE, Mintz-Hitter HA, et al. 1998 A novel homeobox gene Pitx3 is mutated in families with autosomal-dominant cataract and ASMD. Nat Genet. 19:167–170.[CrossRef][Medline]
  20. Crawford MJ, Lanctot C, Tremblay JJ, et al. 1997 Human and murine PTX1/ptx1 gene maps to the region for Treacher Collins syndrome. Mammalian Genome. 8:841–845.
  21. Pellegrini-Bouiller I, Morange-Ramos I, Barlier A, et al. 1996 Pit-1 gene expression in human lactotroph and somatotroph pituitary adenomas is correlated to D2 receptor gene expression. J Clin Endocrinol Metab. 81:9–15.[Abstract]
  22. Grino M, Zamora AJ. 1998 In situ hybridization histochemistry technique allowing simulatoneous visualization by the use of confocal microscopy of three mRNA species in individual neurons. J Histochem Cytochem. 46:753–759.[Abstract/Free Full Text]
  23. Chomczynski P, Sacchi N. 1987 Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol chloroform extraction. Anal Biochem. 162:156–159.[Medline]
  24. Sanger F, Nicken S, Coulson AR, et al. 1977 DNA sequencing with chain terminating inhibitors. Proc Natl Acad Sci USA. 74:5463–5467.[Abstract/Free Full Text]
  25. Herman V, Fagin J, Gonsky R, Kovacs K, Melmed S. 1990 Clonal origin of pituitary adenomas. J Clin Endocrinol Metab. 71:1427–1433.[Abstract/Free Full Text]
  26. Pellegrini I, Barlier A, Gunz G, Figarella-Branger D, Enjalbert A, Grisoli F, Jaquet P. 1994 Pit-1 gene expression in the human pituitary and pituitary adenomas. J Clin Endocrinol Metab. 79:189–196.[Abstract]
  27. Asa SL, Bamberger AM, Cao B, Wong M, Parker KL, Ezzat S. 1996 The transcription activator steroidogenic factor-1 is preferentially expressed in the human pituitary gonadotroph. J Clin Endocrinol Metab. 81:2165–2170.[Abstract]
  28. Asa SL, Gerrie BM, Singer W, Horvath E, Kovacs K, Smyth HS. 1986 Gonadotroph secretion in vitro by human pituitary null cell adenomas and oncocytomas. J Clin Endocrinol Metab. 62:1011–1986.[Abstract/Free Full Text]
  29. Borrelli E, Heyman RA, Arias C, Sawchenko PE, Evans RM. 1989 Transgenic mice with inducible dwarfism. Nature. 339:538–541.[CrossRef][Medline]
  30. Mulchahey JJ, Jaffe RB. 1988 Detection of a potential progenitor cell in the human fetal pituitary that secretes both growth hormone and prolactin. J Clin Endocrinol Metab. 66:24–32.[Abstract/Free Full Text]
  31. Andersen B, Rosenfeld MG. 1994 Pit-1 determines cell types during development of the anterior pituitary gland. A model for transcriptional regulation of cell phenotypes in mammalian organogenesis. J Biol Chem. 269:29335–29338.[Free Full Text]
  32. Schaufele F. 1994 Regulation of expression of the growth hormone and prolactin genes. In: Imura H, ed. The pituitary gland, 2nd Ed. New York: Raven Press; 91–116.
  33. Sanchez-Pacheco A, Pena P, Palomino T, Güell, Castrillo JL, Aranda A. 1998 The transcription factor GHF-1, but not the slice variant GHF-2, cooperates with thyroid hormone and retinoic receptors to stimulate rat growth hormone gene expression. FEBS Lett. 422:103–107.[CrossRef][Medline]
  34. Day RN, Koike S, Muramatsu M, Maurer RA. 1990 Both Pit-1 and the estrogen receptor are required for estrogen responsiveness of the rat prolactin gene. Mol Endocrinol. 4:1964–1971.[Abstract/Free Full Text]
  35. Drouin J, Lamolet B, Lamonerie T, Lanctot C, Tremblay JJ. 1998 The PTX family of homeodomain transcription factors during pituitary development. Mol Cell Endocrinol. 140:31–36.[CrossRef][Medline]



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