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Prolactin-secreting adenomas (prolactinomas) are the most prevalent form of pituitarytumors in humans. Our knowledge of the formation of these tumors is limited. Experimentalwork in animal has uncovered that estradiol exposure leads to prolactinoma formation viaorchestrated events involving dopamine D2 receptors, transforming growth factor-Β (TGF-Β)isoforms and their receptors, as well as factors secondary to TGF-β action. Additionally,these studies determined that TGF-Β and b-FGF interact to facilitate the communicationbetween lactotropes and folliculo-stellate cells that is necessary for the mitogenic action ofestradiol. The downstream signaling that governs lactotropic cell proliferation involves activationof the MAP kinase p44/42-dependent pathway.

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