Genetic changes of pituitary have been investigated during several decades and have been identified as germ line mutations, including
MEN1
,
PRKAR1A
,
AIP
,
CDKN1B
and
SDHx
genes, and somatic mutations including
GNAS
and
PIK3CA
genes. In addition to these genetic changes, further novel genes were recently identified related to childhood pituitary tumours including
DICER1
and
GPR101
. And somatic
USP8
gene mutations were found in 35–62% of Cushing disease by next‐generation sequencing technique. Furthermore, Genome‐wide association study of pituitary adenomas and whole‐genome sequencing of
GH
‐secreting adenomas were reported. From the studies of genetically engineered animals which develop pituitary adenomas, predominant genes related to cell cycle (
Rb
,
p27
,
p18
,
PTTG1
,
HMGAs
,
MEN1
and
Cdk4
) and
cAMP
signalling (
Prkar1a
,
D2r
,
Ghrhr
and
Aip
) have been identified.
Key Concepts
Genetic changes in human pituitary adenomas are identified predominantly from germ line mutations of hereditary syndromes.
Some genes related to germ line mutations were also identified in somatic mutations.
Recent developments of somatic mutations using next‐generation sequencing are updated.
Genetically engineered animal models of pituitary adenomas are summarised.
Further epigenetic and proteomic analyses are important in pituitary adenomas.