Pituitary & hypothalamus

Prevalence and clinical correlations of SF3B1 variants in lactotroph tumours

Eur J EndocrinolPublished Retrospective cohort study

Authors' conclusion

SF3B1 variants are uncommon in lactotroph tumours but may be frequent in metastatic lactotroph tumours. When present, they associate with aggressive tumour behaviour and worse clinical outcome.

Study context

Population
Patients with lactotroph tumours (including 6 metastatic) from 8 European centres6 metastatic
Participants
282 patients
Outcome
Prevalence of driver SF3B1 variants (exon 14 hotspot, Sanger sequencing)
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Prevalence of likely pathogenic SF3B1 variants
Patients with SF3B1 variants
7
c.1874G > A (p.Arg625His)
n = 4, 3 of which metastatic
c.1873C > T (p.Arg625Cys), previously undescribed in pituitary tumours
n = 3 aggressive pituitary tumours
Overall prevalence
2.5%
Prevalence in metastatic cases
50%

Observational data: associations, not effects.

Further findings

Primary tumour vs metastasis

Variant detected in both primary tumour and metastasis in metastatic tumours with tissue available
2

Clinical correlations

SF3B1 variants correlated with significantly larger tumour size; higher Ki67 proliferation index; multiple treatments, incl. radiotherapy and chemotherapy; increased disease-specific death; and shorter postoperative survival

Original publication

Prevalence and clinical correlations of SF3B1 variants in lactotroph tumours. Eur J Endocrinol. Published 13 September 2023. doi:10.1093/ejendo/lvad114

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