“…[3,4,2,5] The relative contributions of these aberrations, their order of appearance, and the way in which their effects are manifest are largely unknown, however, specific aberration, be they genetic or epigenetic, are either common or particular to an adenoma subtype(s). [6,5,7] Moreover, the demarcation between genetic and epigenetic aberrations are perhaps less precise than initial findings suggested. In this context, we now know that the GNAS1 gene (the gsp oncogene), is activated or inappropriately expressed, either through mutation or relaxation of imprinting in growth hormone secreting pituitary adenomas.…”