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Tissue and Progenitor Cell Transplantation for the Management of Pituitary Disorders: From Harvey Cushing to the Next Frontier

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Human Fetal Tissue Transplantation

Abstract

The pituitary gland serves an important function in the regulation of growth, metabolism, and reproduction; in states of dysfunction, in particular, in states of hypofunction, clinical symptoms may cause tremendous effects on patient health and quality of life. Traditional treatments for hypopituitarism are pharmacological and require life-long dosing of multiple medications to maintain physiologic homeostasis. Although pharmaceuticals allow for repletion of pituitary hormones, they offer symptomatic relief rather than a cure for the disease. As the fields of immunobiology, regenerative medicine, transplantation, and stem cell research grow in the twenty-first century, the hope is that hypopituitarism may 1 day be cured through transplantation of pituitary stem cells, which may proliferate and differentiate to form functional pituitary tissue, rather than mitigated through synthetic hormones. Here, we present an overview of the various functions of the pituitary gland, the symptoms and treatments for hypopituitarism, the role of pituitary stem cells in restoring endogenous pituitary function, and a look at the past, present, and future of pituitary transplantation.

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References

  1. Altman J. Autoradiographic study of degenerative and regenerative proliferation of neuroglia cells with tritiated thymidine. Exp Neurol. 1962;5:302–18.

    Article  PubMed  CAS  Google Scholar 

  2. Armitage WJ, Tullo AB, Larkin DF. The first successful full-thickness corneal transplant: a commentary on Eduard Zirm’s landmark paper of 1906. Br J Ophthalmol. 2006;90:1222–3.

    Article  PubMed  CAS  Google Scholar 

  3. Atala A, Bauer SB, Soker S, et al. Tissue-engineered autologous bladders for patients needing cystoplasty. Lancet. 2006;367:1241–6.

    Article  PubMed  Google Scholar 

  4. Billingham RE, Brent L. A simple method for inducing tolerance of skin homografts in mice. Transplant Bull. 1957;4:67–71.

    PubMed  CAS  Google Scholar 

  5. Billingham RE, Brent L, Medawar PB. Actively acquired tolerance of foreign cells. Nature. 1953;172:603–6.

    Article  PubMed  CAS  Google Scholar 

  6. Billingham RE, Krohn PL, Medawar PB. Effect of cortisone on survival of skin homografts in rabbits. Br Med J. 1951;1:1157–63.

    Article  PubMed  CAS  Google Scholar 

  7. Billingham RE, Krohn PL, Medawar PB. Effect of locally applied cortisone acetate on survival of skin homografts in rabbits. Br Med J. 1951;2:1049–53.

    Article  PubMed  CAS  Google Scholar 

  8. Bliss M. Harvey Cushing: a life in surgery. New York: Oxford University Press; 2005.

    Google Scholar 

  9. Calne RY. Inhibition of the rejection of renal homografts in dogs by purine analogues. Transplant Bull. 1961;28:65–81.

    Article  PubMed  CAS  Google Scholar 

  10. Carbajo-Perez E, Watanabe YG. Cellular proliferation in the anterior pituitary of the rat during the postnatal period. Cell Tissue Res. 1990;261:333–8.

    Article  PubMed  CAS  Google Scholar 

  11. Chen J, Hersmus N, Van Duppen V, et al. The adult pituitary contains a cell population displaying stem/progenitor cell and early embryonic characteristics. Endocrinology. 2005;146:3985–98.

    Article  PubMed  CAS  Google Scholar 

  12. Crowe SJ, Cushing H, Homans J. Effects of hypophyseal transplantation following total hypophysectomy in the canine. Q J Exp Physiol. 1909;2:389–400.

    Google Scholar 

  13. Cushing H. The pituitary body and its disorders, clinical states produced by disorders of the hypophysis cerebri. Philadelphia/London: J.B. Lippincott Company; 1912.

    Google Scholar 

  14. de Almeida JP, Sherman JH, Salvatori R, et al. Pituitary stem cells: review of the literature and current understanding. Neurosurgery. 2010;67(3):770–80.

    Article  PubMed  Google Scholar 

  15. Dempster WJ, Lennox B, Boag JW. Prolongation of survival of skin homotransplants in the rabbit by irradiation of the host. Br J Exp Pathol. 1950;31:670–9.

    PubMed  CAS  Google Scholar 

  16. Fauquier T, Rizzoti K, Dattani M, et al. SOX2-expressing progenitor cells generate all of the major cell types in the adult mouse pituitary gland. Proc Natl Acad Sci USA. 2008;105:2907–12.

    Article  PubMed  CAS  Google Scholar 

  17. Gibson T, Medawar PB. The fate of skin homografts in man. J Anat. 1943;77:299–310.4.

    PubMed  CAS  Google Scholar 

  18. Gleiberman AS, Michurina T, Encinas JM, et al. Genetic approaches identify adult pituitary stem cells. Proc Natl Acad Sci USA. 2008;105:6332–7.

    Article  PubMed  CAS  Google Scholar 

  19. Goodell MA, Brose K, Paradis G, et al. Isolation and functional properties of murine hematopoietic stem cells that are replicating in vivo. J Exp Med. 1996;183:1797–806.

    Article  PubMed  CAS  Google Scholar 

  20. Halsted W. Auto- and isotransplantation, in dogs, of parathyroid glandules. J Exp Med. 1909;11:175.

    Article  PubMed  CAS  Google Scholar 

  21. Harrison R. The outgrowth of the nerve fiber as a mode of protoplasmic movement. J Exp Zool. 1907;9:787–846.

    Google Scholar 

  22. Horvath E, Kovacs K. Folliculo-stellate cells of the human pituitary: a type of adult stem cell? Ultrastruct Pathol. 2002;26:219–28.

    Article  PubMed  Google Scholar 

  23. Kleinberg D. Endocrinology of mammary development, lactation and galactorrhea. In: DeGroot L, Jameson J, editors. Endocrinology. 4th ed. Philadelphia: WB Saunders; 2000. p. 2464–75.

    Google Scholar 

  24. Kocher T. Nobel Prize Speech. Concerning patho­logical manifestations in low-Grade thyroid disease. Reprinted in: Nobel Lectures, Physiology or Medicine 1901-1921, Elsevier Publishing Company, Amsterdam, 1967. pp 330–383

    Google Scholar 

  25. Krylyshkina O, Chen J, Mebis L, et al. Nestin-immunoreactive cells in rat pituitary are neither hormonal nor typical folliculo-stellate cells. Endocrinology. 2005;146:2376–87.

    Article  PubMed  CAS  Google Scholar 

  26. Lepore DA, Roeszler K, Wagner J, et al. Identification and enrichment of colony-forming cells from the adult murine pituitary. Exp Cell Res. 2005;308:166–76.

    Article  PubMed  CAS  Google Scholar 

  27. Levy A. Stem cells, hormones and pituitary adenomas. J Neuroendocrinol. 2008;20:139–40.

    Article  PubMed  CAS  Google Scholar 

  28. Medawar PB. The behaviour and fate of skin autografts and skin homografts in rabbits: a report to the War Wounds Committee of the Medical Research Council. J Anat. 1944;78:176–99.

    PubMed  CAS  Google Scholar 

  29. Mogi C, Miyai S, Nishimura Y, et al. Differentiation of skeletal muscle from pituitary folliculo-stellate cells and endocrine progenitor cells. Exp Cell Res. 2004;292:288–94.

    Article  PubMed  CAS  Google Scholar 

  30. Morgan JA. The influence for cortisone on the survival of homografts of skin in the rabbit. Surgery. 1951;30:506–15.

    PubMed  CAS  Google Scholar 

  31. Murray JE, Merrill JP, Harrison JH, et al. Prolonged survival of human-kidney homografts by immunosuppressive drug therapy. N Engl J Med. 1963;268:1315–23.

    Article  PubMed  CAS  Google Scholar 

  32. Otsuka Y, Ishikawa H, Omoto T, et al. Effect of CRF on the morphological and functional differentiation of the cultured chromophobes isolated from rat anterior pituitaries. Endocrinol Jpn. 1971;18:133–53.

    Article  PubMed  CAS  Google Scholar 

  33. Pendleton C, Zaidi HA, Pradilla G, et al. Harvey Cushing’s attempt at the first human pituitary transplantation. Nat Rev Endocrinol. 2010;6:48–52.

    Article  PubMed  Google Scholar 

  34. Quinones-Hinojosa A, Chaichana K. The human subventricular zone: a source of new cells and a potential source of brain tumors. Exp Neurol. 2007;205:313–24.

    Article  PubMed  Google Scholar 

  35. Quinones-Hinojosa A, Sanai N, Soriano-Navarro M, et al. Cellular composition and cytoarchitecture of the adult human subventricular zone: a niche of neural stem cells. J Comp Neurol. 2006;494:415–34.

    Article  PubMed  Google Scholar 

  36. Rinehart JF, Farquhar MG. Electron microscopic studies of the anterior pituitary gland. J Histochem Cytochem. 1953;1:93–113.

    Article  PubMed  CAS  Google Scholar 

  37. Rosenfeld MG, Briata P, Dasen J, et al. Multistep signaling and transcriptional requirements for pituitary organogenesis in vivo. Recent Prog Horm Res. 2000;55:1–13; discussion 13–4.

    PubMed  CAS  Google Scholar 

  38. Sanai N, Tramontin AD, Quinones-Hinojosa A, et al. Unique astrocyte ribbon in adult human brain contains neural stem cells but lacks chain migration. Nature. 2004;427:740–4.

    Article  PubMed  CAS  Google Scholar 

  39. Scully KM, Rosenfeld MG. Pituitary development: regulatory codes in mammalian organogenesis. Science. 2002;295:2231–5.

    Article  PubMed  CAS  Google Scholar 

  40. Starzl TE. Peter Brian Medawar: father of transplantation. J Am Coll Surg. 1995;180:332–6.

    PubMed  CAS  Google Scholar 

  41. Taniguchi Y, Yasutaka S, Kominami R, et al. Proliferation and differentiation of rat anterior pituitary cells. Anat Embryol (Berl). 2002;206:1–11.

    Article  CAS  Google Scholar 

  42. Vankelecom H. Non-hormonal cell types in the pituitary candidating for stem cell. Semin Cell Dev Biol. 2007;18:559–70.

    Article  PubMed  CAS  Google Scholar 

  43. Vankelecom H. Stem cells in the postnatal pituitary? Neuroendocrinology. 2007;85:110–30.

    Article  PubMed  CAS  Google Scholar 

  44. Vila-Porcile E. The network of the folliculo-stellate cells and the follicles of the adenohypophysis in the rat (pars distalis). Z Zellforsch Mikrosk Anat. 1972;129:328–69.

    Article  PubMed  CAS  Google Scholar 

  45. von Eiselsberg A. Ueber erfolgreiche einheilung der Katzenschilddrfise in die Bauchdecke und Auftreten von Tetanie nach deren Exstirpafion. Wieno klin Woch. 1892;81.

    Google Scholar 

  46. Voorhees JR, Tubbs RS, Nahed B, et al. William S. Halsted and Harvey W. Cushing: reflections on their complex association. J Neurosurg. 2009;110:384–90.

    Article  PubMed  Google Scholar 

  47. Yoshimura F, Harumiya K, Ishikawa H, et al. Differentiation of isolated chromophobes into acidophils or basophils when transplanted into the hypophysiotrophic area of hypothalamus. Endocrinol Jpn. 1969;16:531–40.

    Article  PubMed  CAS  Google Scholar 

  48. Yoshimura F, Soji T, Sato S, et al. Development and differentiation of rat pituitary follicular cells under normal and some experimental conditions with special reference to an interpretation of renewal cell system. Endocrinol Jpn. 1977;24:435–49.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Alfredo Quinones-Hinojosa M.D. .

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Pendleton, C., Quinones-Hinojosa, A. (2013). Tissue and Progenitor Cell Transplantation for the Management of Pituitary Disorders: From Harvey Cushing to the Next Frontier. In: Bhattacharya, N., Stubblefield, P. (eds) Human Fetal Tissue Transplantation. Springer, London. https://doi.org/10.1007/978-1-4471-4171-6_13

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  • DOI: https://doi.org/10.1007/978-1-4471-4171-6_13

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