Among the wide range of relevant subjects assessed, we found that the most deserving topics in the pituitary field during the timeframe represented were: gene research, clinical trials, pathogenic mechanisms and clinical practice recommendations. We hope that this chapter will serve as a guide to orient endocrine specialists in these exciting and challenging new directions. It is undeniable that these areas have been changing so rapidly in recent years that a practicing physician inevitably finds it difficult to keep up with all of the latest developments. Therefore, a compact review and summary like the present chapter hopes to satisfy updating needs while helping busy physicians save time as well.
Mechanism of the yearA comprehensive description of the transcriptome of the hypothalamoneurohypophyseal system in euhydrated and dehydrated rats Hindmarch C, Yao S, Beighton G, Paton J, Murphy D The Henry Wellcome Laboratories for Integrative Neuroscience and Endocrinology, University of Bristol, Bristol, UK Proc Natl Acad Sci USA 2006;103:1609-1614 Background: The endocrine hypothalamoneurohypophyseal system (HNS) is crucially involved in water homeostasis through three interdependent mechanisms including thirst, vasopressin (AVP) and the kidneys. Small changes in plasma osmolality lead to AVP secretion promoting water conservation in its major target organ. The functional plasticity of the NHS during dehydration in terms of the gene expression involved in this pathway is not yet clearly understood. Methods: Adult male rats were dehydrated and subsequently tissue collection from the brain and RNA extraction were carried out. The GeneSpring catalog of a list of genes identified as being expressed in the rat NHS which includes large peptidergic magnocellular neurons of the supraoptic (SON) and paraventricular hypothalamic nuclei (PVN) or neurointermediate lobe (NIL) was used. The corresponding gene lists represent comprehensive descriptions of the RNA populations expressed in the different tissue components of the HNS. Combined lists were filtered to identify genes that are putatively upregulated by at least 2-fold after dehydration or putatively downregulated by at least 2-fold after dehydration. Merging of the statistically filtered up-or downregulated gene lists gave the catalogs of transcripts that are abundantly changed in the HNS structures. Results: Marked changes in the HSN steady-state RNA level after dehydration were evident in the SON, PVN and NIL. There were clear transcriptome phenotypic differences between the SON and PVN in the controls compared to the dehydrated tissues. Conclusion: A large number of genes were identified as being expressed in rat HNS tissues after dehydration. The pattern of HNS transcripts with marked differences in gene expression indicates that these genes are candidate regulators and effectors of HNS activity and remodeling.As systems biology gets into problems related to our field, we have to start looking at genomic arrays rather than single genes, at proteomics rather than sin...