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Differential gene expression profiles of POMC-related enzymes, transcription factors and receptors between non-pituitary and pituitary ACTH-secreting tumors
Open accessAbstract
The differential gene expression of proopiomelanocortin (POMC)-related processing enzymes, transcription factors, and receptors responsible for ACTH secretion between non-pituitary and pituitary ACTH-secreting tumors remains obscure. This study was attempted to determine the gene expression profiles of transcription factors (Tpit, NeuroD1 and IKZF1), proprotein convertase (PC) 1/3 and PC2, and several key receptors linked to ACTH secretion, including corticotrophin releasing hormone receptor (CRHR1), vasopressin receptor 1b (V1bR), somatostatin receptor (SSTR) subtype-2, -5 and dopamine receptor type 2 (D2R) in non-pituitary and pituitary ACTH-secreting tumors. Surgical tissue specimens from carcinoid tumors causing ectopic ACTH syndrome (EAS: n=4) and pituitary tumors causing Cushing's disease (CD: n=13), were subjected to real-time RT-PCR for measurements of each mRNA levels. POMC and CRHR1 mRNA levels in CD were far greater than those in EAS, whereas IKZF1, PC2, SSTR-2 and -5 mRNA levels in EAS were significantly greater than those in CD. NeuroD1, Tpit, PC1/3, V1bR and D2R mRNA levels were comparable between EAS and CD. In conclusion, differential gene expression profiles revealed more abundant mRNA expression in EAS than in CD of 1) IKZF1 with its potential implication of cell differentiation and hormone secretion, 2) PC2 with its possible enhanced processing activity of mature ACTH, and 3) SSTR-2 and -5 with their potential therapeutic application of more selective agonists in EAS patients.
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Most but not all patients with Cushing disease will have an increase in plasma ACTH by more than 50% and cortisol concentrations by more than 20% after CRH stimulation.
“Therefore, most but not all patients with Cushing disease will have an increase in plasma ACTH by more than 50% and cortisol concentrations by more than 20% after CRH stimulation.”
From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [82]
Patients with EAS are typically unresponsive to CRH, although some tumors, in particular bronchial carcinoids, can express CRH receptors.
“Patients with EAS are typically unresponsive although some tumors, in particular bronchial carcinoids can express CRH receptors (9, 74, 81, 82).”
From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [82]
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Metadata
- Authors
- Tani, Y., Sugiyama, T., Izumiyama, H., Yoshimoto, T., Yamada, S., & Hirata, Y.
- Affiliations
- Tokyo Medical and Dental University (JP)
- Toranomon Hospital (JP)
- Venue
- Endocrine Journal
- Publisher
- Japan Endocrine Society
- Published
- 2011
- Volume
- 58
- Issue
- 4
- Pages
- 297-303
- ISSN
- 0918-8959 (ISSN-L)
- 1348-4540
- OpenAlex
- W2030802344
- Cited by
- 25
- References
- 35
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 3 · 2013: 1
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Endocrine Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Education, Culture, Sports, Science and Technology
- Ministry of Health, Labour and Welfare
- Tokyo Medical and Dental University
- Japan Society for the Promotion of Science
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Oncology › Neuroendocrine Tumor Research Advances
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Keywords
- ACTH-secreting tumor, ectopic ACTH syndrome, Cushing's disease, proopiomelanocortin, IKZF1, NeuroD1, TPIT, CRHR1, somatostatin receptor 2, somatostatin receptor 5, dopamine D2 receptor, gene expression profiling, pituitary tumors, carcinoid tumor
- MeSH terms
- ACTH Syndrome, Ectopic, Adult, Aged, Female, Humans, Pituitary Neoplasms, Pro-Opiomelanocortin, RNA, Messenger, Transcription Factors, Receptors, Somatostatin, Receptors, Vasopressin, Receptors, Corticotropin-Releasing Hormone, Gene Expression Profiling, Proprotein Convertase 2, Pituitary ACTH Hypersecretion, Ikaros Transcription Factor
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