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This version published online on October 4, 2005
Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2005-0977
A more recent version of this article appeared on December 1, 2005
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Submitted on May 3, 2005
Accepted on September 27, 2005

Effect of cyclic-AMP/PKA pathway on markers of cell proliferation in non-functioning pituitary adenomas

G Mantovani, S Bondioni, S Ferrero, B Gamba, E Ferrante, E Peverelli, S Corbetta, M Locatelli, P Rampini, P Beck-Peccoz, A Spada*, and A G Lania

Institute of Endocrine Sciences, Fondazione Ospedale Maggiore IRCCS (G.M, S.B., B.G., S.C., E.F., E.P., P.B-P., A.S., A.G.L.), Pathology Unit, Department of Medicine, Surgery and Dentistry, A.O. San Paolo and Ospedale Maggiore IRCCS (S.F.) and Department of Neurosurgery, Ospedale Maggiore IRCCS (M.L., P.R.); University of Milan, Milan, Italy

* To whom correspondence should be addressed. E-mail: anna.spada{at}unimi.it.

Context Alterations in cAMP signaling have been identified as cause of endocrine neoplasia. In particular, activating mutations of the Gs{alpha} gene and protein kinase A (PKA) overactivity due to low expression of protein kinase A (PKA) regulatory subunit 1A (R1A) have been implicated in somatotroph proliferation.

Objective To evaluate the effects of cAMP-PKA cascade activation in non-functioning pituitary adenomas (NFPA).

Design and Methods By immunohistochemistry (IHC) R1A, R2A and R2B expression was evaluated in cells obtained form 8 surgically removed NFPA positive for gonadotropins. Cyclin D1 expression and extracellular signal-regulated kinase (ERK1/2) activity were analyzed in basal conditions and after cAMP-PKA cascade activation.

Results IHC studies demonstrated a low R1/R2 ratio in all NFPA. Further unbalance of R1/R2 ratio by 8-Cl-cAMP and direct adenylyl cyclase stimulation by forskolin did not increase cyclin D1 expression or ERK1/2 activity in 5 NFPA (Group 1), but even caused a 74 ± 15% and 85 ± 13% inhibition of cyclin D1 and ERK1/2 activity, respectively, in the remaining (Group 2). Moreover, in Group 2, PKA blockade by the specific inhibitor PKI increased cyclin D1 expression (96 ± 25% over basal) and ERK1/2 activity (116 ± 28% over basal).

Conclusions These data show that, in contrast with what previously observed in transformed somatotrophs, the activation of cAMP-PKA pathway did not generate proliferative signals in tumoral cells of the gonadotroph lineage and in a subset of tumors even exerted a tonic inhibitory effect, thus confirming a different role of cAMP-mediated pathway in promoting proliferation in the pituitary.


Key words: NFPA • cAMP • PKA • MAPK • cyclin D1




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