A method to determine whether dispersed human anterior pituitary adeno
ma cells proliferate in mixed culture was developed. Fifteen pituitary
adenomas were dispersed enzymatically to single cells, following whic
h twelve were double immunostained after eight days. Proliferating cel
ls were identified immunologically following one hour of bromo-deoxyur
idine incorporation. Adenoma cells were subsequently identified with a
n anti-neuron-specific enolase antibody system. A time course of bromo
deoxyuridine labelling was performed on three nonfunctional adenomas o
ver a four day period, with bromo-deoxyuridine being added to cultures
at one hour, 24 hours and four days prior to immunostaining. Double i
mmunolabelled cells were unambiguously identified by a dark brown nucl
eus surrounded by red cytoplasm. Eight out of 12 pituitary adenomas (t
wo prolactinomas, three nonfunctional, three growth hormone secreting)
showed an increased bromo-deoxyuridine labelling index (range 0.1%-1.
4%). Bromodeoxyuridine incorporation over four days showed an increase
in bromo-deoxyuridine from 0.02%, 0.03% and 3.3% at one hour to 10.1%
, 1.3% and 5.0% at four days, respectively, but evidence of mitosis wa
s scant This study shows that pituitary adenomas may proliferate in vi
tro and that this double immunostaining method may be used as an in vi
tro proliferation assay in a mixed cell population.