title: Rab18 is reduced in pituitary tumors causing acromegaly and its overexpression reverts growth hormone hypersecretion.
abstract: BACKGROUND
  Rab proteins regulate the sequential steps of intracellular membrane transport. Alterations of these GTPases and their associated proteins are emerging as the underlying cause for several human diseases involving dysregulated secretory activities.
  
  
  OBJECTIVE
  Herein we investigated the role of Rab18, which negatively regulates hormone secretion by interacting with secretory granules, in relation to the altered functioning of tumoral pituitary somatotropes causing acromegaly.
  
  
  METHODS
  A total of 18 patients diagnosed with pituitary tumors causing acromegaly (nine patients) or nonfunctioning adenomas (nine patients) underwent endoscopic transsphenoidal surgery. Adenomas were subsequently processed to evaluate Rab18 production in relation to GH secretion.
  
  
  RESULTS
  We found that somatotropinoma cells are characterized by a high secretory activity concomitantly with a remarkably reduced Rab18 expression (15%) and protein content levels (30%), as compared with cells from nonfunctioning pituitary adenomas derived from patients with normal or reduced GH plasma levels (100%). Furthermore, immunoelectron microscopy revealed that Rab18 association with the surface of GH-containing secretory granules was significantly lower in somatotropes from acromegalies than nonfunctioning pituitary adenomas. Finally, we provide evidence that modulation of Rab18 gene expression can revert substantially the hypersecretory activity of cells because Rab18 overexpression reduced by 40% the capacity of cells from acromegalies to respond to GHRH stimulation.
  
  
  CONCLUSIONS
  These results suggest that molecular alterations affecting individual components of the secretory granule traffic machinery can contribute to maintain a high level of GH in plasma. Accordingly, Rab18 constitutes a valuable target as a diagnostic, prognostic, and/or therapeutic tool for human acromegaly.
authors: Department of Cell Biology, Physiology, and Immunology, Campus de Rabanales. Edificio Severo Ochoa, University of Cordoba, Cordoba, Spain.
authors: Rafael
authors: R
authors: Vazquez-Martinez
authors: Antonio J
authors: AJ
authors: Martinez-Fuentes
authors: Marina R
authors: MR
authors: Pulido
authors: Luis
authors: L
authors: Jimenez-Reina
authors: Ana
authors: A
authors: Quintero
authors: Alfonso
authors: A
authors: Leal-Cerro
authors: Alfonso
authors: A
authors: Soto
authors: Susan M
authors: SM
authors: Webb
authors: Nuria
authors: N
authors: Sucunza
authors: Frederic
authors: F
authors: Bartumeus
authors: Pedro
authors: P
authors: Benito-Lopez
authors: Maria A
authors: MA
authors: Galvez-Moreno
authors: Justo P
authors: JP
authors: Castaño
authors: Maria M
authors: MM
authors: Malagon
mesh_terms: D000172:Acromegaly / Q000209:etiology / Q000235:genetics*; D000236:Adenoma / Q000235:genetics* / Q000378:metabolism; D002462:Cell Membrane / Q000378:metabolism; D015972:Gene Expression Regulation, Neoplastic / Q000502:physiology; D049912:Growth Hormone-Secreting Pituitary Adenoma / Q000235:genetics* / Q000378:metabolism; D019382:Human Growth Hormone / Q000378:metabolism*; D006801:Humans; D012333:RNA, Messenger / Q000378:metabolism; D022142:Secretory Vesicles / Q000378:metabolism; D052683:Somatotrophs / Q000378:metabolism; D014018:Tissue Distribution; D014162:Transfection; D014407:Tumor Cells, Cultured; D020691:rab GTP-Binding Proteins / Q000235:genetics* / Q000378:metabolism / Q000502:physiology
chemical_list: C484168:RAB18 protein, human; D012333:RNA, Messenger; D019382:Human Growth Hormone; D020691:rab GTP-Binding Proteins