“…Gain-of-function somatic mutations in the USP8 gene have been identified in 11–60% of patients with ACTH-secreting PitNETs ( Ma et al 2015 , Perez-Rivas et al 2015 , Reincke et al 2015 , Hayashi et al 2016 , Albani et al 2018 , Losa et al 2019 , Castellnou et al 2020 , Sesta et al 2020 , Treppiedi et al 2021 b ). They are missense variants or small single codon deletions that mostly occur within or in proximity to the consensus 14-3-3 binding motif RSYSSP at amino acid positions 715–720 of USP8 ( Centorrino et al 2018 , Dufner & Knobeloch 2019 ), resulting in compromised 14-3-3 protein binding or more rarely in the autoinhibitory domain of USP8 ( Kakihara et al 2021 , Treppiedi et al 2021 b ), leading in both cases to constitutively enhanced deubiquitinase activity. As a consequence, the EGF receptor (EGFR), that is a well-studied target of USP8, undergoes an increased deubiquitination and recycling on the plasma membrane, and its sustained signaling contributes to cell proliferation, POMC transcription, and ACTH secretion in USP8-mutated tumoral corticotrophs cells ( Ma et al 2015 , Reincke et al 2015 , Treppiedi et al 2021 b ).…”