Abstract
A 33 year old woman was diagnosed at surgery with a PRL-producing pituitary adenoma containing spherical amyloid. Circulating PRL in this patient was immunologically and chromatographically similar to classical 20,000-dalton PRL. PRL staining within the tumor was confined to the adenoma cells and was not found within the amyloid deposits. Immunohistochemical staining of the pituitary amyloid deposits was negative for calcitonin gene-related peptide and islet-amyloid polypeptide. Pituitary amyloid may be different from amyloid in other endocrine tissues.
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Barr R., Lampert P. Intrasellar amyloid tumor. Acta Neuropathol. (Berl.) 21: 83, 1972.
Schober R., Nelson D. Fine structure and origin of amyloid deposits in pituitary adenoma. Arch. Pathol. 99: 403, 1975.
Bilbao J.M., Horvath E., Hudson A.R., Kovacs K. Pituitary adenoma producing amyloid-like substance. Arch. Pathol. 99: 411, 1975.
Delafontaine P., Ochsner F., Pizzolato G. P. Pituitary adenoma with amyloid deposits and hyperprolactinemia. Acta Neuropathol. (Berl.) 57: 81, 1982.
Kuratsu J., Matsukado Y., Miura M. Prolactinoma of pituitary with associated amyloid-like substances. J. Neurosurg. 59: 1067, 1983.
Mori H., Mori S., Saitoh Y., Moriwaki K., Iida S., Matsumoto K. Growth hormone producing pituitary adenoma with crystal-like amyloid immunohistochemically positive for growth hormone. Cancer. 55: 96, 1985.
Paetau A., Partanen S., Mustajoki P., Valtonen S., Pelkonen R., Wahlstrom T. Prolactinoma of the pituitary containing amyloid. Acta Endocrinol. (Copenh.) 109: 176, 1985.
Kubota T., Kuroda E., Yamashima T., Tachibana O., Kabuto M., Yamamoto S. Amyloid formation in prolactinoma. Arch. Pathol. Lab. Med. 110: 72, 1986.
Landolt A.M., Kleihues P., Heitz P.U. Amyloid deposits in pituitary adenomas. Arch. Pathol. Lab. Med. 111: 453, 1987.
Horvath E., Kovacs K. Pathology of prolactin cell adenomas of the human pituitary. Semin. Diagn. Pathol. 3: 4, 1986.
Saeger W., Mohr K., Caselitz J., Ludecke D.K. Light and electron microscopical morphometry of pituitary adenomas in hyperprolactinemia. Pathol. Res. Pract. 181: 544, 1986.
Horvath E., Kovacs K. The adenohypophysis. In: Kovacs K., Asa S.L., (Eds.), Functional Endocrine Pathology. Blackwell, Boston, 1991, p. 245.
Saitoh Y., Mori H., Matsumoto K., Ushio Y., Hayakawa T., Mori S., Arita N., Mogami H. Accumulation of amyloid in pituitary adenomas. Acta Neuropathol. (Berl.) 68: 87, 1985.
Westermark P., Grimelius L., Polak J., Larsson L., Van Noorden S., Wilander E., Pearse A.G.E. Amyloid in polypeptide hormone producing tumors. Lab. Invest. 37: 212, 1977.
Osamura R.Y., Watanabe K., Komatsu N., Ohya M., Kageyama N. Amorphous and stellate amyloid in functioning human pituitary adenomas. Acta Pathol. Jpn. 32: 605, 1982.
Pearse A.G.E., Ewen S.W.B., Polak J.M. The genesis of apudamyloid in endocrine polypeptide tumors: histochemical distinction from immunamyloid. Virchows Arch. (Cell Pathol.) 10: 93, 1972.
Sletten K., Westermark P., Natrig J.B. Characterization of amyloid fibrial proteins from medullary carcinoma of the thyroid. J.Exp. Med. 143: 993, 1976.
Westermark P., Wernstedt C., Wilander E., Stehen K. A novel peptide in the calcitonin gene related peptide family as an amyloid fibril protein in the endocrine pancreas. Biochem. Biophys. Res. Commun. 140: 827, 1986.
Westermark P., Wernstedt C., Wilander E., Hayden D.W., O’Brien T.D., Johnson K.H. Amyloid fibrils in human insulinoma and islets of Langerhans of the diabetic cat derived from a neuropeptide-like protein also present in normal islet cells. Proc. Natl. Acad. Sci. USA 84: 3881, 1987.
Cooper G.J.S., Leighton B., Dimitriadis G.D., Parry-Billings M., Kowalchuk J.M., Howland K., Rothbard J.B., Willis A.C., Reid K.B.M. Amylin found in amyloid deposits in human type 2 diabetes mellitus may be a hormone that regulates glycogen metabolism in skeletal muscle. Proc. Natl. Acad. USA 85: 7763, 1988.
Suh H.K., Frantz A.G. Size heterogeneity of human protein in plasma and pituitary extracts. J. Clin. Endocrinol. Metab. 39: 928, 1974.
Mosselman S., Hoppener J.M., Zandberg J., van Mansfeld A.D.M., Geurts van Kessel A.H.M., Lips C.J.M., Jansz H.S. Islet amyloid polypeptide: identification and chromosomal location of the human gene. FEBS Lett. 239: 227, 1988.
Amara S.G., Jonas V., Rosenfeld M.G., Ong E.S., Evans R.M. Alternative RNA processing in calcitonin gene expression generates mRNAs encoding different polypeptide products. Nature 298: 240, 1982.
Williams E.D., Ponder B.J., Craig R.K. Immunohistochemical study of calcitonin gene-related peptide in human medullary carcinoma and C cell hyperplasia. Clin. Endocrinol. (Oxf.) 27: 107, 1987.
Johnson K.H., O’Brien T.D., Hayden D.W., Jordan K., Ghobrial H.K.G., Mahoney W.C., Westermark P. Immunolocalization of islet-amyloid polypeptide (IAPP) in pancreatic beta cells by means of peroxidase-antiperoxidase (PAP) and protein A-gold techniques. Am. J. Pathol. 130: 1, 1988.
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These studies were supported in part by funds from the Department of Veterans Affairs, and NIH grant, #5 T32 DK07052-18 for Training in Endocrinology and Metabolism, University of Pittsburgh. Dr. Amico is a Clinical Investigator in the Career Development Program of the Department of Veterans Affairs. Presented in part at the 72nd Annual Meeting of the Endocrine Society, Atlanta, Georgia, June 1990.
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Bononi, P.L., Martinez, A.J., Nelson, R.B. et al. Amyloid deposits in a prolactin-producing pituitary adenoma. J Endocrinol Invest 16, 339–343 (1993). https://doi.org/10.1007/BF03348851
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DOI: https://doi.org/10.1007/BF03348851