PMID- 22098190 OWN - NLM STAT- MEDLINE DCOM- 20120927 LR - 20120514 IS - 1365-2362 (Electronic) IS - 0014-2972 (Linking) VI - 42 IP - 6 DP - 2012 Jun TI - The molecular pathogenesis of corticotroph tumours. PG - 665-76 LID - 10.1111/j.1365-2362.2011.02621.x [doi] AB - BACKGROUND: The pathogenesis of tumour formation in the anterior pituitary including adrenocorticotropic hormone (ACTH)-secreting tumours has been intensively studied, but the causative mechanisms involved in pituitary cell transformation and tumourigenesis remain unclear. MATERIALS AND METHODS: We searched PubMed on any paper related with molecular pathology of pituitary corticotroph adenomas and have included to this review all relevant references published up to June 2011. RESULTS: Current studies increased our knowledge on the genetic basis of McCune-Albright syndrome (MAS), multiple endocrine neoplasia type 1 (MEN1), Carney complex (CNC), pituitary adenoma predisposition syndromes and tuberous sclerosis, but they have performed little to elucidate the causes of sporadic pituitary tumours including Cushing disease. DISCUSSION: The aim of this review was to focus on the most recently published advances in the molecular pathology of corticotroph adenomas, which are presented in the context of changes seen in all types of pituitary adenomas, as well as in terms of corticotrophin-releasing hormone/ACTH/cortisol-specific pathways. CONCLUSIONS: We would expect that over the next 5 years, more detailed analysis of inter-cellular communication pathways between pituitary cells, including the cadherins and integrins, and their interactions with other signalling pathways such as the beta-catenin cascade will help elucidate what exactly goes awry in the formation of a benign corticotroph adenoma. This should in turn predict novel forms of pharmacological tumour control. CI - (c) 2011 The Authors. European Journal of Clinical Investigation (c) 2011 Stichting European Society for Clinical Investigation Journal Foundation. FAU - Dworakowska, Dorota AU - Dworakowska D AD - Department of Endocrinology, Kings College Hospital, Denmark Hill, London, UK. FAU - Grossman, Ashley B AU - Grossman AB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20111119 PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 SB - IM MH - ACTH-Secreting Pituitary Adenoma/*etiology/metabolism MH - Adenoma/*etiology/metabolism MH - Corticotrophs/*metabolism MH - Humans MH - Pituitary ACTH Hypersecretion/*etiology/metabolism MH - Signal Transduction/physiology EDAT- 2011/11/22 06:00 MHDA- 2012/09/28 06:00 CRDT- 2011/11/22 06:00 PHST- 2011/11/22 06:00 [entrez] PHST- 2011/11/22 06:00 [pubmed] PHST- 2012/09/28 06:00 [medline] AID - 10.1111/j.1365-2362.2011.02621.x [doi] PST - ppublish SO - Eur J Clin Invest. 2012 Jun;42(6):665-76. doi: 10.1111/j.1365-2362.2011.02621.x. Epub 2011 Nov 19.