Evidence map›Paper›PMID 39455511›Full record

ArticleEndocrine2025

Co-expression of multiple transcription factors is associated with clinical features and endocrine prognosis in growth hormone-secreting pituitary adenomas.

Yu Zhang, Hanlu Tang, Shiwei Li, Zhixu Bie, Xin Ma, Hongyu Wu, Gemingtian Liu, Xingchao Wang, Pinan Liu, Zhijun Yang

Abstract read
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Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yu Zhang *Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Hanlu Tang *Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Shiwei Li *Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Zhixu BieDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Xin MaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Hongyu WuDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Gemingtian LiuDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Xingchao WangDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
Pinan LiuDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. pinanliu@ccmu.edu.cn.ORCID 0000-0002-6479-7376
Zhijun YangDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. zhijunyang@ccmu.edu.cn.ORCID 0000-0002-9873-2036

Funding

the Capital clinical characteristic diagnosis and treatment technology research and translational application topic 2-1-1-860-13the Public Welfare Development and Reform Pilot Project of Beijing Medical Research Institute JYY 2023-2
6 · The paper itself

Abstract

backgroundThe types of growth hormone-secreting pituitary adenomas are diverse, we have found that there are significant differences in clinical features and prognosis between PIT-1 single-cell spectrum growth hormone adenomas and growth hormone phenotypic polyhormonal adenomas.

methodsThis study examined a cohort of 193 patients with growth hormone-secreting pituitary adenoma (GHPA), stratifying them into two groups: PIT-1 single transcription factor positive growth hormone adenoma (STF-GHPA) and Multiple transcription factor-positive growth hormone-secreting adenomas (MTF-GHPA). The objective was to compare these two groups' clinical characteristics. Within the MTF-GHPA group, we further subtyped them based on transcription factors to evaluate potential variations in clinical manifestations. Logistic regression analyses were employed to develop a risk factor model for investigating factors influencing hormone remission.

resultsThere were no statistically significant differences in terms of age, gender, serum GH, and IGF-1 levels between patients diagnosed with MTF-GHPA and STF-GHPA. However, patients with MTF-GHPA exhibited a higher proportion of hypopituitarism compared to those with STF-GHPA. Furthermore, MTF-GHPA were characterized by smaller tumor size and less invasiveness, as indicated by lower Knosp classes. However, patients with MTF-GHPA have a lower rate of hormonal remission (30.8%) and more postoperative complications (31.0%), which means that STF-GHPA (hormonal remission:71.6%; postoperative complications:13.4%) has a better endocrine outcome than MTF-GHPA patients. Between the PIT-1 + SF-1+ and PIT-1 + TPIT+ subtypes within MTF-GHPA, significant differences were also observed in tumor size, endocrine outcomes, and postoperative complications. Risk factors influencing hormonal remission for GHPA included preoperative GH level, primary/recurrent, extent of resection, and transcription factor expression.

conclusionCo-expression of multiple transcription factors is an important factor associated with clinical behavior and endocrine outcomes in patients with GHPA.

Indexed as

AdenomaGrowth Hormone-Secreting Pituitary AdenomaPituitary NeoplasmsTranscription FactorsAdultAgedFemaleHuman Growth HormoneHumansHypopituitarismMaleMiddle AgedPrognosisTranscription Factor Pit-1Young AdultHuman Growth HormoneTranscription Factor Pit-1Transcription FactorsEndocrineGHPAPituitary tumorsPrognosisTranscription factor

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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.