Skeletal fragility is a frequent complication in patients with acromegaly. About 30% of patients with acromegaly can develop spontaneous vertebral fractures. Preliminary data show that patients suffering from acromegaly and treated with second generation somatostatin analogues (Pasireotide Lar) are more protected from the risk of vertebral fractures, compared to patients treated with other therapeutic lines (such as first generation analogues) . The molecular basis of this therapeutic effect on bone metabolism has not been identified. Since second generation somatostatin analogues preferentially bind somatostatin receptor subtype 5, while first generation analogues bind both subtypes 2 and 5, our work aims to evaluate the expression pattern of somatostatin receptors somatostatin on bone tissue of patients with acromegaly, comparing it with the bone receptor profile of a control group, composed of patients with non-secreting pituitary adenomas and prolactin and ACTH-secreting pituitary adenomas and healthy subjects undergoing septoplasty for nasal septum deviation .
Study Type
OBSERVATIONAL
Enrollment
80
Surgical removal of pituitary tumor by trans-sphenoidal approach
Fondazione Policlinnico Gemelli IRCCS
Roma, Italy
Evaluation of the expression pattern of somatostatin receptors on bone tissue of patients with acromegaly
Time frame: 12 months
Evaluation of the differences in the expression of SSTR2A between the group of acromegalic patients compared to the control group
Time frame: 12 months
Evaluation of the differences in the expression of SSTR5 between the group of acromegalic patients compared to the control group
Time frame: 12 months
Evaluation of the differences in the expression of the GH receptor between the group of acromegalic patients and the control group
Time frame: 12 months
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