Evidence map›Paper›PMID 37438451›Full record

ArticlePituitary2023

Sporadic pituitary adenoma with somatic double-hit loss of MEN1.

Christopher S Hong, Hasan Alanya, Marcello DiStasio, Susan D Boulware, Ryan A Rimmer, Sacit Bulent Omay, E Zeynep Erson-Omay

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In one paragraph

Article in Pituitary, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christopher S Hong *Department of Neurosurgery, Yale School of Medicine, New Haven, CT, 06510, USA.
Hasan Alanya *Department of Neurosurgery, Yale School of Medicine, New Haven, CT, 06510, USA.
Marcello DiStasioDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06510, USA.
Susan D BoulwareDepartment of Pediatrics, Section of Endocrinology and Diabetes, Yale School of Medicine, New Haven, CT, 06510, USA.
Ryan A RimmerDepartment of Surgery, Division of Otolaryngology, Yale School of Medicine, New Haven, CT, 06510, USA.
Sacit Bulent OmayDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, 06510, USA.
E Zeynep Erson-OmayDepartment of Neurosurgery, Yale School of Medicine, 300 Cedar Street, TAC S327, New Haven, CT, 06511, USA. zeynep.erson@yale.edu.

Funding

High Performance Computing Instrumentation for the Yale Center for Genome AnalysisS10OD030363 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2022 to 2022
$1.2M
NIH HHS S10 OD030363
6 · The paper itself

Abstract

purposePituitary adenomas commonly arise in patients with MEN1 syndrome, an autosomal dominant condition predisposing to neuroendocrine tumor formation, and typically diagnosed in patients with a relevant family cancer history. In these patients with existing germline loss of MEN1 on one allele, somatic loss of the second MEN1 allele leads to complete loss of the MEN1 protein, menin, and subsequent tumor formation.

methodsWhole exome sequencing was performed on the tumor and matching blood under an institutional board approved protocol. DNA extraction and analysis was conducted according to previously described methods.

resultsWe describe a 23 year-old patient with no significant past medical history or relevant family history who underwent surgical resection of a symptomatic and medically resistant prolactinoma. Whole exome sequencing of tumor and blood samples revealed somatic loss of MEN1 at both alleles, suggesting a double hit mechanism, with no underlying germline MEN1 mutation.

conclusionTo our knowledge, this is the first case of pituitary adenoma to arise from somatic loss of MEN1 and in the absence of an underlying germline MEN1 mutation.

Indexed as

AdenomaMultiple Endocrine Neoplasia Type 1Pituitary NeoplasmsProlactinomaAdultGerm-Line MutationHumansYoung AdultMEN1MeninParkinPituitary adenomaPRKNProlactinoma

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.