El Registro Molecular de Adenomas Hipofisarios (REMAH)una apuesta de futuro de la Endocrinología española por la medicina individualizada y la investigación traslacional
- Raúl M. Luque 16
- Alejandro Ibáñez-Costa 16
- Laura Sánchez-Tejada 10
- Esther Rivero-Cortés 16
- Mercedes Robledo 17
- Ainara Madrazo-Atutxa 6
- Mireia Mora 1
- Clara V. Álvarez 18
- Tomás Lucas-Morante 2
- Cristina Álvarez-Escolá 3
- Carmen Fajardo 4
- Luis Castaño 5
- Sonia Gaztambide 5
- Eva Venegas-Moreno 6
- Alfonso Soto-Moreno 6
- María Ángeles Gálvez 7
- Javier Salvador 8
- Elena Valassi 9
- Susan M. Webb 9
- Antonio Picó 10
- Manel Puig-Domingo 11
- Montserrat Gilabert 12
- Ignacio Bernabéu 13
- Mónica Marazuela 14
- Alfonso Leal-Cerro 15
- Justo P. Castaño 16
- Show all authors +
- 1 Hospital Clínic i Universitari de Barcelona. Unitat d'Endocrinologia
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2
Hospital Universitario Puerta de Hierro
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3
Hospital Universitario La Paz
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- 4 Hospital Universitari de La Ribera. Servei d'Endocrinologia
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5
Hospital Universitario de Cruces
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- 6 IBiS. Unidad de Gestión Clínica de Endocrinología y Nutrición
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7
Hospital Universitario Reina Sofia
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8
Clínica Universitaria de Navarra
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9
Hospital de la Santa Creu i Sant Pau
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- 10 Hospital General Universitari d'Alacant. Departament d'Endocrinologia
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11
Hospital Universitari Germans Trias i Pujol
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- 12 Novartis Farmacéutica
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13
Complexo Hospitalario Universitario de Santiago
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Complexo Hospitalario Universitario de Santiago
Santiago de Compostela, España
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14
Hospital Universitario de la Princesa
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- 15 IBiS
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16
Instituto Maimónides de Investigación Biomédica de Córdoba
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Instituto Maimónides de Investigación Biomédica de Córdoba
Córdoba, España
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17
Centro Nacional de Investigaciones Oncológicas
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- 18 CIMUS
ISSN: 1575-0922
Year of publication: 2016
Volume: 63
Issue: 6
Pages: 274-284
Type: Article
More publications in: Endocrinología y nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Abstract
Pituitary adenomas are uncommon, difficult to diagnose tumors whose heterogeneity and low incidence complicate large-scale studies. The Molecular Registry of Pituitary Adenomas (REMAH) was promoted by the Andalusian Society of Endocrinology and Nutrition (SAEN) in 2008 as a cooperative clinical-basic multicenter strategy aimed at improving diagnosis and treatment of pituitary adenomas by combining clinical, pathological, and molecular information. In 2010, the Spanish Society of Endocrinology and Nutrition (SEEN) extended this project to national level and established 6 nodes with common protocols and methods for sample and clinical data collection, molecular analysis, and data recording in a common registry (www.remahnacional.com). The registry combines clinical data with molecular phenotyping of the resected pituitary adenoma using quantitative real-time PCR of expression of 26 genes: Pituitary hormones (GH-PRL-LH-FSH-PRL-ACTH-CGA), receptors (somatostatin, dopamine, GHRH, GnRH, CRH, arginine-vasopressin, ghrelin), other markers (Ki67, PTTG1), and control genes. Until 2015, molecular information has been collected from 704 adenomas, out of 1179 patients registered. This strategy allows for comparative and relational analysis between the molecular profile of the different types of adenoma and the clinical phenotype of patients, which may provide a better understanding of the condition and potentially help in treatment selection. The REMAH is therefore a unique multicenter, interdisciplinary network founded on a shared database that provides a far-reaching translational approach for management of pituitary adenomas, and paves the way for the conduct of combined clinical-basic innovative studies on large patient samples.