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31 Results Found

  • Review
  • Open Access
13 Citations
4,277 Views
36 Pages

Aggressive PitNETs and Potential Target Therapies: A Systematic Review of Molecular and Genetic Pathways

  • Simona Serioli,
  • Ludovico Agostini,
  • Alberto Pietrantoni,
  • Federico Valeri and ,
  • Flavia Costanza,
  • Sabrina Chiloiro,
  • Barbara Buffoli,
  • Amedeo Piazza,
  • Pietro Luigi Poliani and
  • Francesco Doglietto
  • + 19 authors+ 14 authors

29 October 2023

Recently, advances in molecular biology and bioinformatics have allowed a more thorough understanding of tumorigenesis in aggressive PitNETs (pituitary neuroendocrine tumors) through the identification of specific essential genes, crucial molecular p...

(This article belongs to the Section Molecular Biology)
  • Review
  • Open Access
30 Citations
3,826 Views
16 Pages

Immunotherapy for Aggressive and Metastatic Pituitary Neuroendocrine Tumors (PitNETs): State-of-the Art

  • Tiziana Feola,
  • Francesca Carbonara,
  • Monica Verrico,
  • Rosa Maria Di Crescenzo and ,
  • Francesca Gianno,
  • Claudio Colonnese,
  • Antonietta Arcella,
  • Dario de Alcubierre,
  • Silverio Tomao and
  • Marie-Lise Jaffrain-Rea
  • + 8 authors+ 3 authors

24 August 2022

Background: Aggressive and metastatic PitNETs are challenging conditions. Immune checkpoint inhibitors (ICIs) are currently considered in cases resistant to temozolomide (TMZ). However, clinical experience is essentially limited to case reports, with...

(This article belongs to the Special Issue Advances for Sellar and Parasellar Tumours: Current Treatments and Future Directions)
  • Review
  • Open Access
51 Citations
6,138 Views
17 Pages

Emerging and Novel Treatments for Pituitary Tumors

  • Mirela Diana Ilie,
  • Hélène Lasolle and
  • Gérald Raverot

25 July 2019

A subset of pituitary neuroendocrine tumors (PitNETs) have an aggressive behavior, showing resistance to treatment and/or multiple recurrences in spite of the optimal use of standard therapies (surgery, conventional medical treatments, and radiothera...

(This article belongs to the Special Issue Advances in the Diagnosis and Therapy of Pituitary Disorders)
  • Case Report
  • Open Access
77 Citations
5,102 Views
12 Pages

Immunotherapy in Corticotroph and Lactotroph Aggressive Tumors and Carcinomas: Two Case Reports and a Review of the Literature

  • Camille Duhamel,
  • Mirela Diana Ilie,
  • Henri Salle,
  • Adjoa Sika Nassouri and ,
  • Stephan Gaillard,
  • Elise Deluche,
  • Richard Assaker,
  • Laurent Mortier,
  • Christine Cortet and
  • Gérald Raverot
  • + 5 authors+ 0 author

13 August 2020

Once temozolomide has failed, no other treatment is recommended for pituitary carcinomas and aggressive pituitary tumors. Recently, the use of immune checkpoint inhibitors (ICIs) has raised hope, but so far, only one corticotroph carcinoma and one ag...

(This article belongs to the Special Issue Present and Future of Personalised Medicine for Endocrine Cancers)
  • Review
  • Open Access
10 Citations
2,635 Views
15 Pages

Therapeutical Usefulness of PD-1/PD-L1 Inhibitors in Aggressive or Metastatic Pituitary Tumours

  • Mariana Lopes-Pinto,
  • Ema Lacerda-Nobre,
  • Ana Luísa Silva and
  • Pedro Marques

30 August 2024

Therapeutic options for pituitary neuroendocrine tumours (PitNETs) refractory to temozolomide are scarce. Immune checkpoint inhibitors (ICIs), particularly inhibitors of the programmed cell death-1 (PD-1) pathway and its ligand (PD-L1), have been exp...

(This article belongs to the Special Issue Neuroendocrine Tumors: From Diagnosis to Therapy)
  • Review
  • Open Access
17 Citations
5,189 Views
21 Pages

11 May 2023

Pituitary neuroendocrine tumours (PitNETs) are usually benign and slow-growing; however, in some cases, they may behave aggressively and become resistant to conventional treatments. Therapeutic options for aggressive or metastatic PitNETs are limited...

(This article belongs to the Special Issue Concepts to Improve Targeted Radionuclide Therapy in Cancer: Ligand Design Optimization and Application of Emerging Radionuclides and Combination Therapies)
  • Review
  • Open Access
22 Citations
8,104 Views
20 Pages

12 September 2023

Prolactin (PRL) and growth hormone (GH) are peptide hormones that bind to the class 1 cytokine receptor superfamily, a highly conserved cell surface class of receptors. Both hormones control their own secretion via a negative autocrine loop in their...

(This article belongs to the Special Issue Molecular Biology of the Pituitary—3rd Edition)
  • Article
  • Open Access
4 Citations
3,041 Views
20 Pages

A Study of Alternative TrkA Splicing Identifies TrkAIII as a Novel Potentially Targetable Participant in PitNET Progression

  • Maddalena Sbaffone,
  • Marie-Lise Jaffrain-Rea,
  • Lucia Cappabianca,
  • Francesca Carbonara and ,
  • Francesca Gianno,
  • Tiziana Feola,
  • Marianna Ruggieri,
  • Veronica Zelli,
  • Rita Maccarone and
  • Andrew Reay Mackay
  • + 12 authors+ 7 authors

7 March 2024

Pituitary neuroendocrine tumors (PitNETs) are generally benign but comprise an aggressive, invasive, therapy-resistant, metastatic subset, underpinning a need for novel therapeutic targets. PitNETs exhibit low mutation rates but are associated with c...

(This article belongs to the Section Cancer Biology)
  • Article
  • Open Access
75 Citations
5,857 Views
12 Pages

Analysis of Tumor Angiogenesis and Immune Microenvironment in Non-Functional Pituitary Endocrine Tumors

  • Mizuto Sato,
  • Ryota Tamura,
  • Haruka Tamura,
  • Taro Mase and ,
  • Kenzo Kosugi,
  • Yukina Morimoto,
  • Kazunari Yoshida and
  • Masahiro Toda
  • + 3 authors+ 0 author

Cavernous sinus (CS) invasion is an aggressive behavior exhibited by pituitary neuroendocrine tumors (PitNETs). The cause of CS invasion in PitNETs has not been fully elucidated. The tumor immune microenvironment, known to promote aggressive behavior...

(This article belongs to the Special Issue The Immunology and Biology of Brain Tumors)
  • Review
  • Open Access
10 Citations
6,165 Views
18 Pages

25 December 2023

Pituitary neuroendocrine tumors (PitNETs) are the most common pituitary tumors and the second most common brain tumors. Although the vast majority (>90%) are benign, a small percentage (<2%) are aggressive. These aggressive PitNETs (AgPitNETs)...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
2 Citations
1,546 Views
10 Pages

Redefining Pituitary Neuroendocrine Tumors in MEN1: Prevalence, Clinical Behavior, and Implications for Long-Term Surveillance

  • Roberta Modica,
  • Alessia Liccardi,
  • Roberto Minotta,
  • Elio Benevento and ,
  • Gianfranco Di Iasi,
  • Massimo Di Nola,
  • Michele Coletta and
  • Annamaria Colao
  • + 3 authors+ 0 author

Background: Pituitary neuroendocrine tumors (PitNETs) are a core manifestation of multiple endocrine neoplasia type 1 (MEN1), yet their true prevalence, biological behavior, and optimal management remain debated. Earlier reports suggested increased a...

(This article belongs to the Section Neuro-Oncology)
  • Review
  • Open Access
15 Citations
7,331 Views
16 Pages

Transcriptomic Profiles of Normal Pituitary Cells and Pituitary Neuroendocrine Tumor Cells

  • Jun Y. Oh,
  • Robert C. Osorio,
  • Jangham Jung,
  • Luis Carrete and ,
  • Nikita Choudhary,
  • Meeki Lad,
  • Atul Saha and
  • Manish K. Aghi
  • + 3 authors+ 0 author

24 December 2022

The pituitary gland is one of the most cellularly diverse regions of the brain. Recent advancements in transcriptomic biology, such as single-cell RNA sequencing, bring an unprecedented glimpse into the molecular composition of the pituitary, both in...

(This article belongs to the Special Issue Pituitary Tumors: Molecular Insights, Diagnosis, and Targeted Therapy)
  • Article
  • Open Access
5 Citations
2,309 Views
24 Pages

The Roles of PD-L1, Ki-67, P53, and Cyclin D1 in PitNETs: Diagnostic and Prognostic Implications in a Series of 74 Patients

  • Anna Krzentowska,
  • Beata Biesaga,
  • Ryszard Czepko,
  • Anna Merklinger-Gruchała and ,
  • Dariusz Adamek,
  • Małgorzata Jasińska,
  • Barbara Pluta,
  • Wiktoria Michalska,
  • Katarzyna Wróblewska and
  • Filip Gołkowski
  • + 6 authors+ 1 author

13 August 2025

Pituitary neuroendocrine tumors (PitNETs), also known as pituitary adenomas, are rare tumors that are usually benign. At present, the WHO PitNET classification based on transcription factors is in force. A problem is caused by invasive tumors and sil...

(This article belongs to the Special Issue Biomarkers in Cancer Immunology)
  • Article
  • Open Access
14 Citations
2,732 Views
12 Pages

PD-L1 Expression in Pituitary Neuroendocrine Tumors/Pituitary Adenomas

  • Giulia Cossu,
  • Stefano La Rosa,
  • Jean Philippe Brouland,
  • Nelly Pitteloud and ,
  • Ethan Harel,
  • Federico Santoni,
  • Maxime Brunner,
  • Roy Thomas Daniel and
  • Mahmoud Messerer
  • + 4 authors+ 0 author

8 September 2023

Background and aim: About a third of Pituitary Neuroendocrine Tumors (PitNETs) may show aggressive behavior. Many efforts have been performed for identifying possible predictive factors to early determine the future behavior of PitNETs. Programmed ce...

(This article belongs to the Special Issue Advances in the Diagnosis and the Management of Intracranial Tumors)
  • Article
  • Open Access
3 Citations
6,621 Views
13 Pages

Plurihormonal Pituitary Neuroendocrine Tumors: Clinical Relevance of Immunohistochemical Analysis

  • Roxana-Ioana Dumitriu-Stan,
  • Iulia-Florentina Burcea,
  • Ramona Dobre,
  • Valeria Nicoleta Nastase and ,
  • Raluca Amalia Ceausu,
  • Marius Raica and
  • Catalina Poiana
  • + 2 authors+ 0 author

Plurihormonal pituitary neuroendocrine tumors (PitNETs) are rare forms of tumors that express more than one hormone. The most common association is between growth hormone (GH) and prolactin (PRL), but other unusual combinations have been reported, su...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Review
  • Open Access
6 Citations
3,494 Views
31 Pages

Pituitary neuroendocrine tumors (PitNETs) are slow-growing neoplasms with various clinical presentations, often leading to diagnostic challenges. While neuroimaging assessment and histopathological evaluation remain the gold standard for diagnosis, e...

(This article belongs to the Topic Liquid Biopsy: A Modern Method Transforming Biomedicine)
  • Article
  • Open Access
483 Views
16 Pages

CD8+ T Lymphocytes in Pituitary Neuroendocrine Tumors: Friend or Foe?

  • Valeria-Nicoleta Nastase,
  • Amalia Raluca Ceausu,
  • Iulia Florentina Burcea,
  • Roxana Ioana Dumitriu-Stan and ,
  • Pusa Nela Gaje,
  • Flavia Zara,
  • Marius Raica,
  • Oana Albai,
  • Catalina Poiana and
  • Bogdan Timar
  • + 5 authors+ 0 author

19 June 2026

Background: The tumor immune microenvironment, particularly the role of cytotoxic CD8+ T lymphocytes, is crucial in cancer progression but remains poorly understood in pituitary neuroendocrine tumors (PitNETs). The significance of CD8+ cell infiltrat...

(This article belongs to the Special Issue Cancer and Immune System Interactions)
  • Review
  • Open Access
34 Citations
15,862 Views
17 Pages

Treatment of Prolactinoma

  • Warrick J. Inder and
  • Christina Jang

13 August 2022

Prolactinomas are the commonest form of pituitary neuroendocrine tumor (PitNET), representing approximately half of such tumors. Dopamine agonists (DAs) have traditionally been the primary treatment for the majority of prolactinomas, with surgery con...

(This article belongs to the Special Issue New Therapeutic Horizons for Pituitary Tumors)
  • Article
  • Open Access
5 Citations
3,147 Views
15 Pages

Connexin Expression in Pituitary Adenomas and the Effects of Overexpression of Connexin 43 in Pituitary Tumor Cell Lines

  • Bruno Nunes,
  • Helena Pópulo,
  • José Manuel Lopes,
  • Marta Reis and ,
  • Gilvan Nascimento,
  • Ana Giselia Nascimento,
  • Janaína Fernandes,
  • Manuel Faria,
  • Denise Pires de Carvalho and
  • Leandro Miranda-Alves
  • + 6 authors+ 1 author

12 April 2022

Gap junction intercellular communication (GJIC) is considered a key mechanism in the regulation of tissue homeostasis. GJIC structures are organized in two transmembrane channels, with each channel formed by connexins (Cxs). GJIC and Cxs expression a...

(This article belongs to the Section Molecular Genetics and Genomics)
  • Article
  • Open Access
7 Citations
2,387 Views
18 Pages

The Value of ER∝ in the Prognosis of GH- and PRL-Secreting PitNETs: Clinicopathological Correlations

  • Roxana-Ioana Dumitriu-Stan,
  • Iulia-Florentina Burcea,
  • Valeria Nicoleta Nastase,
  • Raluca Amalia Ceaușu and ,
  • Anda Dumitrascu,
  • Laurentiu Catalin Cocosila,
  • Alexandra Bastian,
  • Sabina Zurac,
  • Marius Raica and
  • Catalina Poiana
  • + 5 authors+ 0 author

10 November 2023

Pituitary neuroendocrine tumors (PitNETs) are divided into multiple histological subtypes, which determine their clinical and biological variable behavior. Despite their benign evolution, in some cases, prolactin (PRL) and growth hormone (GH)-secreti...

(This article belongs to the Special Issue Molecular Biology of the Pituitary—3rd Edition)
  • Article
  • Open Access
16 Citations
3,028 Views
14 Pages

The Prognostic-Based Approach in Growth Hormone-Secreting Pituitary Neuroendocrine Tumors (PitNET): Tertiary Reference Center, Single Senior Surgeon, and Long-Term Follow-Up

  • Abel Ferrés,
  • Luís Reyes,
  • Alberto Di Somma,
  • Thomaz Topczewski and ,
  • Alejandra Mosteiro,
  • Giulia Guizzardi,
  • Andrea De Rosa,
  • Irene Halperin,
  • Felicia Hanzu and
  • Joaquim Enseñat
  • + 9 authors+ 4 authors

30 December 2022

Postoperative deserved outcomes in acromegalic patients are to normalize serum insulin-like growth factor (IGF-1), reduce the tumoral mass effect, improve systemic comorbidities, and reverse metabolic alterations. Pituitary neuroendocrine tumors (Pit...

(This article belongs to the Special Issue Pituitary Tumors: Molecular Insights, Diagnosis, and Targeted Therapy)
  • Brief Report
  • Open Access
4 Citations
2,085 Views
11 Pages

LCM-RNAseq Highlights Intratumor Heterogeneity and a lncRNA Signature from Archival Tissues of GH-Secreting PitNETs

  • Luca Cis,
  • Simona Nanni,
  • Marco Gessi,
  • Antonio Bianchi and ,
  • Sara De Martino,
  • Valeria Pecci,
  • Davide Bonvissuto,
  • Angela Carlino,
  • Luciano Giacò and
  • Antonella Farsetti
  • + 10 authors+ 5 authors

31 October 2024

Background: This study explores the potential for hidden variations within seemingly uniform regions of growth hormone-secreting pituitary neuroendocrine tumors (GH-PitNETs). We employed archived tissue samples using Laser Capture Microdissection Seq...

(This article belongs to the Section Human Genomics and Genetic Diseases)
  • Article
  • Open Access
25 Citations
3,964 Views
12 Pages

Gonadotroph Tumors Show Subtype Differences that Might Have Implications for Therapy

  • Mirela Diana Ilie,
  • Alexandre Vasiljevic,
  • Camille Louvet,
  • Emmanuel Jouanneau and
  • Gérald Raverot

20 April 2020

Gonadotroph tumors, although frequent, are poorly studied and understood, being usually included in the larger nonfunctioning pituitary neuroendocrine tumors (PitNETs) group. Moreover, in comparison to the other types of PitNETs, no established medic...

(This article belongs to the Special Issue Advances in Neuroendocrine Neoplasms Research)
  • Review
  • Open Access
10 Citations
6,658 Views
38 Pages

Pituitary Tumorigenesis—Implications for Management

  • Rodanthi Vamvoukaki,
  • Maria Chrysoulaki,
  • Grigoria Betsi and
  • Paraskevi Xekouki

21 April 2023

Pituitary neuroendocrine tumors (PitNETs), the third most common intracranial tumor, are mostly benign. However, some of them may display a more aggressive behavior, invading into the surrounding structures. While they may rarely metastasize, they ma...

(This article belongs to the Special Issue New Therapeutic Horizons for Pituitary Tumors)
  • Article
  • Open Access
36 Views
12 Pages

Clinical and Pathological Features of Patients with Multiple Endocrine Neoplasia Type 1: A Long-Term Comparative Analysis Between Exon 2 and Other Mutations in the MEN1 Gene

  • Elio Benevento,
  • Alessia Liccardi,
  • Roberto Minotta,
  • Gianfranco Di Iasi and ,
  • Massimo Di Nola,
  • Michele Coletta,
  • Annamaria Colao and
  • Roberta Modica
  • + 3 authors+ 0 author

6 November 2026

Background: Multiple endocrine neoplasia type 1 (MEN1) is a rare inherited syndrome characterized by primary hyperparathyroidism (PHPT), duodenopancreatic neuroendocrine tumors (DP-NET), pituitary NET (Pit-NET) and other endocrine neoplasms. Reliable...

(This article belongs to the Section Endocrinology and Clinical Metabolic Research)
  • Review
  • Open Access
199 Citations
20,782 Views
17 Pages

How to Classify Pituitary Neuroendocrine Tumors (PitNET)s in 2020

  • Jacqueline Trouillas,
  • Marie-Lise Jaffrain-Rea,
  • Alexandre Vasiljevic,
  • Gérald Raverot and ,
  • Federico Roncaroli and
  • Chiara Villa
  • + 1 author+ 0 author

22 February 2020

Adenohypophyseal tumors, which were recently renamed pituitary neuroendocrine tumors (PitNET), are mostly benign, but may present various behaviors: invasive, “aggressive” and malignant with metastases. They are classified into seven morp...

(This article belongs to the Special Issue Pituitary Tumors: New Insights into Molecular Features, Diagnosis and Therapeutic Targeting)
  • Review
  • Open Access
164 Views
24 Pages

24 October 2026

Germline pathogenic variants in the aryl hydrocarbon receptor-interacting protein (AIP) gene are the most common identifiable genetic cause of familial isolated pituitary adenomas (FIPA) and are particularly associated with young-onset growth hormone...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Review
  • Open Access
3 Citations
3,928 Views
15 Pages

Arising from the anterior lobe of the hypophysis, pituitary neuroendocrine tumors (PitNETs), previously known as pituitary adenomas, constitute an intricate and heterogeneous entity. Although they are defined as benign pathology, these tumors can oft...

(This article belongs to the Section Molecular Oncology)
  • Article
  • Open Access
542 Views
17 Pages

Integrating Molecular and Imaging Insights: Ryanodine Receptor 2 (RyR2) Expression, CK18 Status, and Conventional MRI Findings in Pituitary Neuroendocrine Tumors

  • Monika Duseikaite-Vidike,
  • Alvita Vilkeviciute-Petraite,
  • Indre Zostautiene,
  • Viktorija Kasetaite and ,
  • Aiste Urbonaite,
  • Balys Remigijus Zaliunas,
  • Lina Poskiene,
  • Jurgita Makstiene,
  • Sheng-Nan Wu and
  • Rasa Liutkeviciene
  • + 8 authors+ 3 authors

12 September 2026

Ryanodine receptor 2 (RyR2) has been increasingly recognized as an important regulator in cancer biology. Previous studies demonstrate that RyR2 expression is associated with patient survival, although its precise role in tumorigenesis remains unclea...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Article
  • Open Access
322 Views
21 Pages

Pituitary Carcinoma Revisited: A Systematic Review and Individual Patient Data Analysis of Clinicopathological Features, Treatment, and Survival

  • Bogdan Florin Iliescu,
  • Loredana Mariana Curecheriu,
  • Bogdan Costachescu,
  • Gabriela Florenta Dumitrescu and
  • Daniel Ilie Rotariu

24 September 2026

Background: Pituitary carcinoma (PC) is a rare and aggressive pituitary neuroendocrine tumor (PitNET) defined by non-contiguous craniospinal or systemic metastatic spread. Evidence guiding treatment is limited to case reports and case series. This sy...

(This article belongs to the Special Issue Management of Endocrine Disorders: Current Insights and Future Directions)
  • Case Report
  • Open Access
5 Citations
2,853 Views
8 Pages

The Pathogenic RET Val804Met Variant in Acromegaly: A New Clinical Phenotype?

  • Sabrina Chiloiro,
  • Ettore Domenico Capoluongo,
  • Flavia Costanza,
  • Angelo Minucci and ,
  • Antonella Giampietro,
  • Amato Infante,
  • Domenico Milardi,
  • Claudio Ricciardi Tenore,
  • Maria De Bonis and
  • Antonio Bianchi
  • + 11 authors+ 6 authors

5 February 2024

Several genetic investigations were conducted to identify germline and somatic mutations in somatotropinomas, a subtype of pituitary tumors. To our knowledge, we report the first acromegaly patient carrying a RET pathogenic variant: c.2410G>A (rs7...

(This article belongs to the Section Molecular Oncology)