Pituitary & hypothalamus

Genes of the “regulation of lymphocyte activation” pathway may influence immune cells infiltration in growth hormone secreting pituitary tumors

PituitaryPublished Retrospective observational study

Authors' conclusion

This study provides new insights into the genetic basis of the TME in somatotropinomas and suggests that genetics may influence immune cells infiltration in acromegaly.

Study context

Population
Patients with acromegaly (growth hormone (GH)-secreting pituitary adenomas) and controls; clinical exome sequencing
Participants
85 patients
Exposure
Acromegaly patients with vs without pathogenic variants in "regulation of lymphocyte activation" pathway genes
  • Acromegalyn = 46
  • Controlsn = 39reference
Outcome
Pathogenic variant in ≥1 of FANCD2, SPTA1, TYRO3, ZNF335 (acromegaly patients)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Acromegaly

72%

33 of 46

Unique genetic variants in acromegaly patients
5759

Observational data: associations, not effects.

Further findings

Tumour inflammatory infiltrate: patients with vs without pathogenic pathway variants

Higher number of CD68+ macrophages with pathogenic variants
P = 0.008
Lower number of CD8+ T lymphocytes with pathogenic variants
P = 0.037
Higher CD68+ macrophages/CD8+ T-lymphocytes ratio with pathogenic variants
P = 0.004
  • Histological samples in 26 patients

Original publication

Genes of the “regulation of lymphocyte activation” pathway may influence immune cells infiltration in growth hormone secreting pituitary tumors. Pituitary. Published 26 May 2025. doi:10.1007/s11102-025-01537-w

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