X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women

Abstract The incidence of pituitary adrenocorticotropic hormone (ACTH)-secreting PitNETs, commonly known as ACTH PitNETs, is significantly higher in females; however, the underlying causes for this gender disparity remain unclear. In this study, we analyzed the expression of deubiquitinating enzymes...

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Main Authors: Tao Zhang, Yanting Liu, Fang Liu, Kaiyu Guo, Runhua Tang, Jingwei Ye, Li Xue, Zhipeng Su, Zhe Bao Wu
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Acta Neuropathologica Communications
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Online Access:https://doi.org/10.1186/s40478-025-01938-9
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author Tao Zhang
Yanting Liu
Fang Liu
Kaiyu Guo
Runhua Tang
Jingwei Ye
Li Xue
Zhipeng Su
Zhe Bao Wu
author_facet Tao Zhang
Yanting Liu
Fang Liu
Kaiyu Guo
Runhua Tang
Jingwei Ye
Li Xue
Zhipeng Su
Zhe Bao Wu
author_sort Tao Zhang
collection DOAJ
description Abstract The incidence of pituitary adrenocorticotropic hormone (ACTH)-secreting PitNETs, commonly known as ACTH PitNETs, is significantly higher in females; however, the underlying causes for this gender disparity remain unclear. In this study, we analyzed the expression of deubiquitinating enzymes in functioning ACTH PitNETs from both male and female subjects using RNA sequencing and identified USP11 as a potential susceptibility factor contributing to the higher prevalence of these PitNETs in females. Further investigation revealed that USP11 expression is markedly elevated in female functioning ACTH PitNETs, with levels significantly higher than those observed in male PitNETs and normal pituitary tissue. Experimental data indicate that USP11 promotes the transcription of proopiomelanocortin (POMC) and the secretion of ACTH. In contrast, knockdown of USP11 leads to a substantial reduction in both POMC transcription and ACTH secretion, as demonstrated in both in vitro and in vivo models. Mechanistically, we found that USP11 facilitates the deubiquitination of the key transcription factor TPIT in functioning ACTH PitNETs, enhancing its protein stability and thereby promoting POMC transcription and ACTH secretion. Additionally, virtual screening identified Lomitapide and Nicergoline as potential inhibitors of USP11, reducing POMC expression and ACTH secretion. Thus, USP11 emerges as a potential therapeutic target, and drugs aimed at inhibiting its function could benefit women with Cushing’s disease.
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series Acta Neuropathologica Communications
spelling doaj-art-50ad0d580c6f4ae4a053bb3e6dc782fb2025-02-09T12:59:16ZengBMCActa Neuropathologica Communications2051-59602025-02-0113111410.1186/s40478-025-01938-9X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in womenTao Zhang0Yanting Liu1Fang Liu2Kaiyu Guo3Runhua Tang4Jingwei Ye5Li Xue6Zhipeng Su7Zhe Bao Wu8Department of Neurosurgery, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Neurosurgery, Center of Pituitary Tumor, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Neurosurgery, Center of Pituitary Tumor, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Neurosurgery, Center of Pituitary Tumor, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical UniversityAbstract The incidence of pituitary adrenocorticotropic hormone (ACTH)-secreting PitNETs, commonly known as ACTH PitNETs, is significantly higher in females; however, the underlying causes for this gender disparity remain unclear. In this study, we analyzed the expression of deubiquitinating enzymes in functioning ACTH PitNETs from both male and female subjects using RNA sequencing and identified USP11 as a potential susceptibility factor contributing to the higher prevalence of these PitNETs in females. Further investigation revealed that USP11 expression is markedly elevated in female functioning ACTH PitNETs, with levels significantly higher than those observed in male PitNETs and normal pituitary tissue. Experimental data indicate that USP11 promotes the transcription of proopiomelanocortin (POMC) and the secretion of ACTH. In contrast, knockdown of USP11 leads to a substantial reduction in both POMC transcription and ACTH secretion, as demonstrated in both in vitro and in vivo models. Mechanistically, we found that USP11 facilitates the deubiquitination of the key transcription factor TPIT in functioning ACTH PitNETs, enhancing its protein stability and thereby promoting POMC transcription and ACTH secretion. Additionally, virtual screening identified Lomitapide and Nicergoline as potential inhibitors of USP11, reducing POMC expression and ACTH secretion. Thus, USP11 emerges as a potential therapeutic target, and drugs aimed at inhibiting its function could benefit women with Cushing’s disease.https://doi.org/10.1186/s40478-025-01938-9Cushing’s diseaseSex differencesUSP11TPITAdrenocorticotrophic hormone
spellingShingle Tao Zhang
Yanting Liu
Fang Liu
Kaiyu Guo
Runhua Tang
Jingwei Ye
Li Xue
Zhipeng Su
Zhe Bao Wu
X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women
Acta Neuropathologica Communications
Cushing’s disease
Sex differences
USP11
TPIT
Adrenocorticotrophic hormone
title X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women
title_full X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women
title_fullStr X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women
title_full_unstemmed X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women
title_short X-linked ubiquitin-specific peptidase 11 (USP11) increases susceptibility to Cushing’s disease in women
title_sort x linked ubiquitin specific peptidase 11 usp11 increases susceptibility to cushing s disease in women
topic Cushing’s disease
Sex differences
USP11
TPIT
Adrenocorticotrophic hormone
url https://doi.org/10.1186/s40478-025-01938-9
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