Relationship Between Pituitary Gland and Stem Cell in the Aspect of Hormone Production and Disease Prevention: A Narrative Review.

Amit Sharma, Rohit Kumar, Arti Saini, Wandeep Dagar, Kanishka Kapoor, Karan Goel, Isha Chawla, Meenakshi Dhanawat
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Abstract

Objectives: In the last two decades, scientists have gained a better understanding of several aspects of pituitary development. The signaling pathways that govern pituitary morphology and development have been identified, and the compensatory relationships among them are now known.

Aims: This paper aims to emphasize the wide variety of relationships between Pituitary Gland and Stem cells in hormone Production and disease prevention.

Methods: Based on many case reports and several types of research, a wide variety of relationships between the Pituitary Gland and Stem cells in the aspect of hormone Production and disease prevention are reviewed in this literature. In this paper, we focus on various roles and functions of the pituitary gland, the responsibilities of stem cells as a mode of hormone production, and disease prevention.

Conclusion: Within this period, more was discovered concerning the contributions made to the transcription factors within the pituitary development, with factors such as Prop1, Pitx1, and Sox2 being defined as important in the development and action of hormone-secreting cells. They are also required in the appropriate specification of the cell types in the pituitary gland and the persistence of the progenitors. Manipulation of these factors causes developmental defects as well as tumors, thus the necessity of knowing the precise function and interaction of these factors. A closer look at these transcription factors could help expand treatment options for structural defect development or give rise to pituitary adenomas. It has been established that signaling pathways such as Sonic Hedgehog (Shh), Wnt, and Notch play a part in modulating pituitary development. These pathways are involved in regulating important processes such as cellular proliferation, differentiation, and organization of the pituitary gland tissues. Breaching any of these pathways has been correlated with the development of various pituitary-related conditions including adenomas and congenital hypopituitarism. Moving forward, further studies of these pathways and their associations with stem cells could provide a better understanding of disease processes and approaches to manage them. This way, there is a possibility of developing new approaches aimed at treating the cause of the dysfunction of the pituitary gland by modulating its specific signaling activities. Promising directions for the stimulation of hormone synthesis and restoration of normal pituitary function upon its disorders via tissue regrowth could be found in stem cell application. The fact that one can generate functional pituitary cells from iPSCs for instance provides new avenues both for the understanding of pituitary disease mechanisms as well as for personalized medicine. It is possible to utilize these stem cell- derived cells for modeling disease, drug discovery or even transplantation to restore the function of the damaged pituitary gland. In the future, however, the focus ought to be on the effective application of stem cell therapies that have been research during the development of better differentiation processes. The recent understanding of the system that carries the hypothalamic hormones to the pituitary gland, i.e., the hypophyseal portal vasculature, has had its implications too. This factorial consideration emphasizes the role of the vascular component in the control of pituitary activity - the release of hormones by the pituitary gland. Exploring stem cell-hypophyseal portal system interactions may open new avenues of treatment for diseases associated with deficient hormone transportation and/or pituitary dysfunction.

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垂体和干细胞在激素产生和疾病预防方面的关系:叙述性综述。
目的:在过去的二十年中,科学家们对垂体发育的几个方面有了更好的了解。控制垂体形态和发育的信号通路已经被确定,它们之间的代偿关系现在已经知道。目的:本文旨在强调垂体和干细胞在激素产生和疾病预防中的广泛关系。方法:基于大量病例报告和不同类型的研究,本文综述了垂体与干细胞在激素产生和疾病预防方面的各种关系。在本文中,我们将重点介绍垂体的各种作用和功能,干细胞作为激素产生模式的责任,以及疾病预防。结论:在这一时期,转录因子在垂体发育中的作用得到了更多的发现,Prop1、Pitx1、Sox2等因子在激素分泌细胞的发育和作用中被定义为重要的因子。它们在脑垂体细胞类型的适当规范和祖细胞的持久性中也是必需的。对这些因素的操纵会导致发育缺陷和肿瘤,因此有必要了解这些因素的确切功能和相互作用。仔细观察这些转录因子可以帮助扩大结构缺陷发展或引起垂体腺瘤的治疗选择。已经确定的信号通路如Sonic Hedgehog (Shh)、Wnt和Notch在调节垂体发育中起作用。这些通路参与调节重要的过程,如细胞增殖、分化和垂体组织的组织。破坏这些通路中的任何一条都与各种垂体相关疾病的发展有关,包括腺瘤和先天性垂体功能低下。展望未来,对这些途径及其与干细胞的关联的进一步研究可以更好地理解疾病过程和管理它们的方法。通过这种方式,有可能开发新的方法,旨在通过调节其特定的信号活动来治疗脑垂体功能障碍的原因。干细胞的应用为刺激激素合成和通过组织再生恢复正常垂体功能提供了广阔的前景。例如,人们可以从多能干细胞中产生功能性垂体细胞,这一事实为了解垂体疾病机制以及个性化医疗提供了新的途径。利用这些干细胞衍生的细胞进行疾病建模、药物发现甚至移植来恢复受损脑垂体的功能是可能的。然而,在未来,重点应该放在干细胞疗法的有效应用上,干细胞疗法已经在更好的分化过程的发展中得到了研究。最近对携带下丘脑激素到脑垂体的系统,即垂体门静脉系统的理解,也有它的含义。这种因子的考虑强调了血管成分在控制垂体活动中的作用-垂体释放激素。探索干细胞-垂体门脉系统的相互作用可能为治疗激素运输缺陷和/或垂体功能障碍相关疾病开辟新的途径。
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