2018
DOI: 10.1590/1414-431x20176808
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Expression of E-cadherin, Slug and NCAM and its relationship to tumor invasiveness in patients with acromegaly

Abstract: Pituitary adenomas account for 10–15% of primary intracranial tumors. Growth hormone (GH)-secreting adenomas account for 13% of all pituitary adenomas and cause acromegaly. These tumors can be aggressive, invade surrounding structures and are highly recurrent. The objective of this study was to evaluate E-cadherin, Slug and neural cell adhesion molecule (NCAM) expression in GH-secreting pituitary adenomas and its relationship to tumor invasiveness. A cross–sectional study of patients who underwent hypophysecto… Show more

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Cited by 10 publications
(12 citation statements)
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References 39 publications
(57 reference statements)
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“…Elston et al [15] assessed 10 GH producing adenomas, of whom 4 had strong to moderate immunohistochemical expression for ECAD, 2 had weak expression for it and 4 had none. They also identified positivity in 96.7% of the acromegalic patients [17]. Other authors reported lower ECAD expression on the cytoplasmic membrane of GH producing adenomas with prominent fibrous bodies than on other pituitary adenoma subtypes.…”
Section: Resultsmentioning
confidence: 87%
See 2 more Smart Citations
“…Elston et al [15] assessed 10 GH producing adenomas, of whom 4 had strong to moderate immunohistochemical expression for ECAD, 2 had weak expression for it and 4 had none. They also identified positivity in 96.7% of the acromegalic patients [17]. Other authors reported lower ECAD expression on the cytoplasmic membrane of GH producing adenomas with prominent fibrous bodies than on other pituitary adenoma subtypes.…”
Section: Resultsmentioning
confidence: 87%
“…There are few studies about ECAD gene expression in pituitary adenomas. The research conducted by Elston et al [15] showed ECAD expression in 29 out of 30 assessed pituitary adenomas, whereas Mendes et al [17] found it in 50% of their sample. According to research that have assessed the methylation of CDH1, up to 37% of pituitary adenomas have hypermethylation.…”
Section: Resultsmentioning
confidence: 92%
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“…Similarly, E-cadherin among other adhesion molecules was related to invasiveness and proliferative status of prolactinomas ( 20 , 21 ). Other classical EMT markers, such as N-cadherin, SNAI1 , SNAI2 and TWIST ( 21 , 22 ) or β-catenin ( 23 ) have also been associated with a worse clinical course in pituitary tumors, especially indicating an invasive phenotype, although there is some controversy regarding this subject in acromegaly ( 21 , 24 ).…”
Section: Epithelial–mesenchymal Transition In Pituitary Tumorsmentioning
confidence: 99%
“…28 Increased NCAM was associated with PitNET invasion, particularly its polysialylated form, which was not detected in the normal pituitary. 13,29 However, other studies have reported no association between NCAM expression and pituitary tumour invasiveness, 27,30 and so the role of NCAM in the pathophysiology and aggressiveness of pituitary tumours remains to be elucidated. Moreover, the influence of the TME on NCAM has not previously been studied in PitNETs.…”
Section: Introductionmentioning
confidence: 99%