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Submitted on December 19, 2007
Accepted on April 16, 2008
Department of Neurosurgery, Department of Endocrinology, Metabolism & Clinical Nutrition, Department of Pediatrics, Department of Pharmacology, Medical College of Wisconsin, Milwaukee, WI 53226
* To whom correspondence should be addressed. E-mail: skansra{at}mcw.edu.
Prolactinomas are the most prevalent functional pituitary adenomas. Dopamine D2 receptor (D2R) agonists, such as Bromocriptine are the first line of therapy, however drug intolerance/resistance to D2R agonists exists. Apart from D2R agonists, there is no established medical therapy for prolactinomas, therefore identifying novel therapeutics is warranted. Curcumin, a commonly used food additive in South Asian cooking inhibits proliferation of several tumor cell lines, however its effect on pituitary tumor cell proliferation has not been determined. Our objectives were to: a) determine whether curcumin inhibits proliferation of pituitary tumor cell lines; b) identify the signaling intermediaries that mediate the effect of curcumin; c) examine whether curcumin inhibited pituitary hormone production and release; and d) examine whether curcumin could enhance the growth inhibitory effect of bromocriptine. Using rat lactotroph cell lines, GH3 and MMQ cells, we report that curcumin had a robust dose and time dependent inhibitory effect on GH3 and MMQ cell proliferation. Inhibitory effects of curcumin persisted even upon removal of curcumin, and curcumin also blocked colony formation ability of pituitary tumor cells. The growth inhibitory effect of curcumin was accompanied by decreased expression of cyclin D3 and ser 780 phosphorylation of Retinoblastoma protein (Rb). In addition, curcumin also induced apoptosis in both GH3 and MMQ cells. Further, curcumin suppresses intracellular levels and release of both prolactin (PRL) and growth hormone (GH). Finally, we show that low concentrations of curcumin enhanced the growth inhibitory effect of bromocriptine on MMQ cell proliferation. Taken together we demonstrate that curcumin inhibits pituitary tumor cell proliferation, induces apoptosis, decreases hormone production and release, and thus we propose developing curcumin as a novel therapeutic tool in the management of prolactinomas.
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