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Molecular and trophic mechanisms of tumorigenesis.

Abstract
A significant proportion of pituitary macroadenomas, and by definition all microadenomas, regain trophic stability after an initial period of deregulated growth. Classical proto-oncogene activation and tumor suppressor mutation are rarely responsible, and no histologic or molecular markers reliably predict behavior. GNAS1 activation and the mutations associated with multiple endocrine neoplasia type 1 and Carney complex, aryl hydrocarbon receptor interacting protein gene mutations, and a narrowing region of chromosome 11q13 in familial isolated acromegaly together account for such a small proportion of pituitary adenomas that the pituitary adenoma pathogenic epiphany is surely yet to come.
AuthorsAndy Levy
JournalEndocrinology and metabolism clinics of North America (Endocrinol Metab Clin North Am) Vol. 37 Issue 1 Pg. 23-50, vii (Mar 2008) ISSN: 0889-8529 [Print] United States
PMID18226729 (Publication Type: Journal Article, Review)
Chemical References
  • Chromogranins
  • MAS1 protein, human
  • Proto-Oncogene Mas
  • GNAS protein, human
  • GTP-Binding Protein alpha Subunits, Gs
Topics
  • Animals
  • Cell Transformation, Neoplastic (genetics, pathology)
  • Chromogranins
  • GTP-Binding Protein alpha Subunits, Gs (genetics, physiology)
  • Humans
  • Phenotype
  • Pituitary Neoplasms (epidemiology, genetics, pathology)
  • Proto-Oncogene Mas

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