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Endocrine-Related Cancer 16 (4) 1329 -1338     DOI: 10.1677/ERC-09-0101
Copyright © 2009 by the Society for Endocrinology
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Activation of RAF/MEK/ERK and PI3K/AKT/mTOR pathways in pituitary adenomas and their effects on downstream effectors

D Dworakowska1,2,*, E Wlodek1,*, C A Leontiou1, S Igreja1, M Cakir1,3, M Teng1, N Prodromou1, M I Góth4, S Grozinsky-Glasberg1,5, M Gueorguiev1, B Kola1, M Korbonits1 and A B Grossman1

1 Barts and the London School of Medicine, Centre for Endocrinology, London, UK
2 Department of Endocrinology and Internal Medicine, Medical University of Gdansk, 3 Sklodowskiej-Curie Street, Gdansk, Poland
3 Division of Endocrinology and Metabolism, Meram School of Medicine, Selcuk University, Meram, Konya, Turkey
4 Internal Medicine, National Health Center, Budapest, Hungary
5 Institute of Endocrinology and Metabolism, Rabin Medical Center, Beilinson Hospital, Petah Tiqwa, Israel

(Correspondence should be addressed to A B Grossman, Department of Endocrinology, St Bartholomew's Hospital, 5th Floor, King George V Building, West Smithfield, London EC1A 7BE, UK; Email: a.b.grossman{at}qmul.ac.uk)

* (D Dworakowska and E Wlodek contributed equally to this work)

Raf/MEK/ERK and phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) cascades are key signalling pathways interacting with each other to regulate cell growth and tumourigenesis. We have previously shown B-Raf and Akt overexpression and/or overactivation in pituitary adenomas. The aim of this study is to assess the expression of their downstream components (MEK1/2, ERK1/2, mTOR, TSC2, p70S6K) and effectors (c-MYC and CYCLIN D1). We studied tissue from 16 non-functioning pituitary adenomas (NFPAs), six GH-omas, six prolactinomas and six ACTH-omas, all collected at transsphenoidal surgery; 16 normal autopsy pituitaries were used as controls. The expression of phospho and total protein was assessed with western immunoblotting, and the mRNA expression with quantitative RT-PCR. The expression of pSer217/221 MEK1/2 and pThr183 ERK1/2 (but not total MEK1/2 or ERK1/2) was significantly higher in all tumour subtypes in comparison to normal pituitaries. There was no difference in the expression of phosphorylated/total mTOR, TSC2 or p70S6K between pituitary adenomas and controls. Neither c-MYC phosphorylation at Ser 62 nor total c-MYC was changed in the tumours. However, c-MYC phosphorylation at Thr58/Ser62 (a response target for Akt) was decreased in all tumour types. CYCLIN D1 expression was higher only in NFPAs. The mRNA expression of MEK1, MEK2, ERK1, ERK2, c-MYC and CCND1 was similar in all groups. Our data indicate that in pituitary adenomas both the Raf/MEK/ERK and PI3K/Akt/mTOR pathways are upregulated in their initial cascade, implicating a pro-proliferative signal derangement upstream to their point of convergence. However, we speculate that other processes, such as senescence, attenuate the changes downstream in these benign tumours.







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