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Endocrine-Related Cancer 12 (4) 867 -874     DOI: 10.1677/erc.1.01049
Copyright © 2005 by the Society for Endocrinology
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High-mobility group A2 gene expression is frequently induced in non-functioning pituitary adenomas (NFPAs), even in the absence of chromosome 12 polysomy

Giovanna Maria Pierantoni1,*, Palma Finelli2,3,*, Emanuele Valtorta2, Daniela Giardino2, Ornella Rodeschini2,3, Francesco Esposito1, Marco Losa4, Alfredo Fusco1,5 and Lidia Larizza2,3

1 Dipartimento di Biologia e Patologia Cellulare e Molecolare, Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli ‘Federico II’, via S. Pansini 5, 80131 Naples, Italy
2 Laboratorio di Citogenetica Medica e Genetica Molecolare, Istituto Auxologico Italiano, Milano, Italy
3 Dipartimento di Biologia e Genetica per le Scienze Mediche, Università degli Studi di Milano, Italy
4 Neurochirurgia, Ospedale San Raffaele, Milano, Italy
5 NOGEC (Naples Oncogenomic Center)-CEINGE, Centro di Biotecnologie Avanzate, via Comunale Margherita 482, 80145, Naples, Italy

(Requests for offprints should be addressed to A Fusco; Dipartimento di Biologia e Patologia Cellulare e Molecolare, Facoltà di Medicina e Chirurgia di Napoli, via Pansini 5, 80131 Naples, Italy, and NOGEC (Naples Oncogenomic Center)-CEINGE, Centro di Biotecnologie Avanzate, via Comunale Margherita 482, 80145, Naples, Italy; Email: afusco{at}napoli.com)

The high-mobility group A2 (HMGA2) gene has a critical role in benign tumors where it is frequently rearranged, and in malignant tumors, where it is overexpressed in the absence of structural modification of the HMGA2 locus. By previous fluorescence in situ hybridization (FISH) and reverse transcriptase PCR analyses on human prolactin-secreting pituitary adenomas we detected rearrangement of the HMGA2 gene and amplification of its native region associated with activated expression. These data indicated a role for the HMGA2 gene in the development of human pituitary prolactinomas, since they are consistent with the appearance of prolactin/growth hormone adenomas in transgenic mice overexpressing the HMGA2 gene. To assess a more general role for HMGA2 in pituitary oncogenesis, we investigated HMGA2 amplification and expression in a panel of non-functioning pituitary adenomas (NFPAs) which account for 25% of all pituitary adenomas. We provide evidence that out of 18 NFPA tumors tested, 12 expressed HMGA2, but, different from prolactinomas, only in two cases the upregulation of the gene could be associated with amplification and/or rearrangement of the HMGA2 locus. Increased dosage of chromosome 12 was found in the expressing and non-expressing NFPAs, confirming that this sole event is insufficient to drive up activation of the HMGA2 gene. A role for chromosome 12 polysomy to promote structural instability of HMGA2 is confirmed, but the mechanism via trisomy is less prevalent in the frequently diploid NFPAs than in the usually hyperdiploid prolactinomas. Micro-rearrangements of HMGA2 gene not detectable by FISH analysis and/or sequence alterations could contribute to upregulation of HMGA2 gene in pituitary adenomas of the NFPA subtype. However, it cannot be excluded that the HMGA2 overexpression may be due, in some NFPA patients, to the same, still mainly unknown, mechanisms responsible for HMGA2 overexpression in malignant neoplasias.




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