Pituitary & hypothalamus

PRL-R Variants Are Not Only Associated With Prolactinomas But Also With Dopamine Agonist Resistance

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

The prolactin/prolactin receptor system seems to be related to prolactinoma tumorigenesis and cabergoline resistance. Additional studies are needed to better understand the PRL-R variants' role and their potential as therapeutic targets.

Study context

Population
Adults with sporadic prolactinomas treated with cabergoline, Neuroendocrinology Unit, Clinics Hospital, University of São Paulo, Brazil
Exposure
PRL-R variant carriers vs non-carriers
Outcome
PRL-R variants and their associations
Methodological detailsobservational, retrospective, single-centre, tertiary referral center
  • Observational
  • Retrospective
  • Single-centre
  • Tertiary referral center

Main finding

As reported in the abstract

PRL-R variants found
6
PRL-R variants associated with male sex
P = 0.015
PRL-R variants associated with higher serum PRL levels
P = 0.007
PRL-R variants associated with larger tumors
P = 0.001
PRL-R variants associated with cabergoline resistance
P < 0.001

Observational data: associations, not effects.

Original publication

PRL-R Variants Are Not Only Associated With Prolactinomas But Also With Dopamine Agonist Resistance. J Clin Endocrinol Metab. Published 13 January 2023. doi:10.1210/clinem/dgad020

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