Pituitary & hypothalamus

Transcriptomic classification of prolactinomas and somatotropinomas identifies subtypes with variable resistance to treatment

Eur J EndocrinolPublished Mechanistic study

Authors' conclusion

Prolactinomas and somatotropinomas were classified into distinct transcriptomic groups. Resistance to medical therapies was linked to distinct tumor subtypes, suggesting distinct mechanisms of resistance.

Study context

Population
Prolactinomas and somatotropinomas treated with dopamine agonists or somatostatin analogs46 prolactinomas · 58 somatotropinomas
Outcome
Distinct molecular subtypes of prolactinomas and somatotropinomas and their association with response to treatment
Methodological detailstranscriptomic, unsupervised classification
  • Transcriptomic
  • Unsupervised classification

Main finding

As reported in the abstract

Four prolactinoma subtypes with variable sensitivity to dopamine agonists
P < 10-4
Remaining somatotropinomas in 5 subtypes with variable sensitivity to SSA
P < 10-4

Further findings

SSTR2 expression and response to SSA

Associated with response in sparsely granulated somatotropinomas
P = 0.022
Not associated in other somatotropinomas
P = 0.923

Original publication

Transcriptomic classification of prolactinomas and somatotropinomas identifies subtypes with variable resistance to treatment. Eur J Endocrinol. Published 27 October 2025. doi:10.1093/ejendo/lvaf196

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