The Molecular Registry of Pituitary Adenomas (REMAH): A bet by Spanish Endocrinology for the future of individualized medicine and translational research

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• 作者：Raú ; l M. Luque^a ; ¹ ; Alejandro Ib&aacute ; ñ ; ez-Costa^a ; ¹ ; Laura S&aacute ; nchez-Tejada^b ; Esther Rivero-Corté ; s^a ; Mercedes Robledo^c ; Ainara Madrazo-Atutxa^d ; Mireia Mora^e ; Clara V. &Aacute ; lvarez^f ; Tom&aacute ; s Lucas-Morante^g ; Cristina &Aacute ; lvarez-Escol&aacute ; ^h ; Carmen Fajardoⁱ ; Luis Castañ ; o^j ; Sonia Gaztambide^k ; Eva Venegas-Moreno^d ; Alfonso Soto-Moreno^d ; Marí ; a &Aacute ; ngeles G&aacute ; lvez^l ; Javier Salvador^m ; Elena Valassiⁿ ; Susan M. Webbⁿ ; ^o ; Antonio Picó ; ^b ; Manel Puig-Domingo^p ; Montserrat Gilabert^q ; Ignacio Bernabé ; u^r ; Mó ; nica Marazuela^s ; Alfonso Leal-Cerro^t ; ² ; ^{aleal@neuroendocrinologia.net" class="auth_mail" title="E-mail the corresponding author} ; Justo P. Castañ ; o^a ; ² ; ^{justo@uco.es" class="auth_mail" title="E-mail the corresponding author} ; REMAH investigators³
• 关键词：Pituitary adenoma ; Tumor ; Acromegaly ; Cushing ; Multicenter study
• 刊名：Endocrinología y Nutrición (English Edition)
• 出版年：2016
• 出版时间：June-July 2016
• 年：2016
• 卷：63
• 期：6
• 页码：274-284
• 全文大小：580 K

文摘

Pituitary adenomas are uncommon, difficult to diagnose tumors whose heterogeneity and low incidence complicate large-scale studies. The Molecular Registry of Pituitary Adenomas (REMAH) was promoted by the Andalusian Society of Endocrinology and Nutrition (SAEN) in 2008 as a cooperative clinical-basic multicenter strategy aimed at improving diagnosis and treatment of pituitary adenomas by combining clinical, pathological, and molecular information. In 2010, the Spanish Society of Endocrinology and Nutrition (SEEN) extended this project to national level and established 6 nodes with common protocols and methods for sample and clinical data collection, molecular analysis, and data recording in a common registry (www.remahnacional.com). The registry combines clinical data with molecular phenotyping of the resected pituitary adenoma using quantitative real-time PCR of expression of 26 genes: pituitary hormones (GH-PRL-LH-FSH-PRL-ACTH-CGA), receptors (somatostatin, dopamine, GHRH, GnRH, CRH, arginine–vasopressin, ghrelin), other markers (Ki67, PTTG1), and control genes. Until 2015, molecular information has been collected from 704 adenomas, out of 1179 patients registered. This strategy allows for comparative and relational analysis between the molecular profile of the different types of adenoma and the clinical phenotype of patients, which may provide a better understanding of the condition and potentially help in treatment selection. The REMAH is therefore a unique multicenter, interdisciplinary network founded on a shared database that provides a far-reaching translational approach for management of pituitary adenomas, and paves the way for the conduct of combined clinical-basic innovative studies on large patient samples.