Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers

Thyroid cancer is the most common endocrine malignancy. However, the cytological diagnosis of follicular thyroid carcinoma (FTC), Hürthle cell carcinoma (HCC), and follicular variant of papillary thyroid carcinoma (FVPTC) and their benign counterparts is a challenge for preoperative diagnosis. Nearl...

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Main Authors: Larissa Valdemarin Bim, Thaise Nayane Ribeiro Carneiro, Vanessa Candiotti Buzatto, Gabriel Avelar Colozza-Gama, Fernanda C. Koyama, Debora Mota Dias Thomaz, Ana Carolina de Jesus Paniza, Eunjung Alice Lee, Pedro Alexandre Favoretto Galante, Janete Maria Cerutti
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/20/5184
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author Larissa Valdemarin Bim
Thaise Nayane Ribeiro Carneiro
Vanessa Candiotti Buzatto
Gabriel Avelar Colozza-Gama
Fernanda C. Koyama
Debora Mota Dias Thomaz
Ana Carolina de Jesus Paniza
Eunjung Alice Lee
Pedro Alexandre Favoretto Galante
Janete Maria Cerutti
author_facet Larissa Valdemarin Bim
Thaise Nayane Ribeiro Carneiro
Vanessa Candiotti Buzatto
Gabriel Avelar Colozza-Gama
Fernanda C. Koyama
Debora Mota Dias Thomaz
Ana Carolina de Jesus Paniza
Eunjung Alice Lee
Pedro Alexandre Favoretto Galante
Janete Maria Cerutti
author_sort Larissa Valdemarin Bim
collection DOAJ
description Thyroid cancer is the most common endocrine malignancy. However, the cytological diagnosis of follicular thyroid carcinoma (FTC), Hürthle cell carcinoma (HCC), and follicular variant of papillary thyroid carcinoma (FVPTC) and their benign counterparts is a challenge for preoperative diagnosis. Nearly 20–30% of biopsied thyroid nodules are classified as having indeterminate risk of malignancy and incur costs to the health care system. Based on that, 120 patients were screened for the main driver mutations previously described in thyroid cancer. Subsequently, 14 mutation-negative cases that are the main source of diagnostic errors (FTC, HCC, or FVPTC) underwent RNA-Sequencing analysis. Somatic variants in candidate driver genes (<i>ECD, NUP98,</i><i>LRP1B, NCOR1, ATM, SOS1</i>, and <i>SPOP</i>) and fusions were described. <i>NCOR1</i> and <i>SPOP</i> variants underwent validation. Moreover, expression profiling of driver-negative samples was compared to 16 BRAF V600E, <i>RAS</i>, or <i>PAX8-PPARg</i> positive samples. Negative samples were separated in two clusters, following the expression pattern of the <i>RAS/PAX8-PPARg</i> or BRAF V600E positive samples. Both negative groups showed distinct BRS, ERK, and TDS scores, tumor mutation burden, signaling pathways and immune cell profile. Altogether, here we report novel gene variants and describe cancer-related pathways that might impact preoperative diagnosis and provide insights into thyroid tumor biology.
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spelling doaj.art-4dc0c987216b4d9c86c4cd220f1ea1182023-11-22T17:41:39ZengMDPI AGCancers2072-66942021-10-011320518410.3390/cancers13205184Molecular Signature Expands the Landscape of Driver Negative Thyroid CancersLarissa Valdemarin Bim0Thaise Nayane Ribeiro Carneiro1Vanessa Candiotti Buzatto2Gabriel Avelar Colozza-Gama3Fernanda C. Koyama4Debora Mota Dias Thomaz5Ana Carolina de Jesus Paniza6Eunjung Alice Lee7Pedro Alexandre Favoretto Galante8Janete Maria Cerutti9Genetic Bases of Thyroid Tumors Laboratory, Division of Genetics, Department of Morphology and Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo, Pedro de Toledo 669, 11 Andar, São Paulo 04039-032, SP, BrazilGenetic Bases of Thyroid Tumors Laboratory, Division of Genetics, Department of Morphology and Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo, Pedro de Toledo 669, 11 Andar, São Paulo 04039-032, SP, BrazilCentro de Oncologia Molecular, Hospital Sírio-Libanês, Rua Professor Daher Cutait 69, Bela Vista, São Paulo 01308-060, SP, BrazilGenetic Bases of Thyroid Tumors Laboratory, Division of Genetics, Department of Morphology and Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo, Pedro de Toledo 669, 11 Andar, São Paulo 04039-032, SP, BrazilCentro de Oncologia Molecular, Hospital Sírio-Libanês, Rua Professor Daher Cutait 69, Bela Vista, São Paulo 01308-060, SP, BrazilGenetic Bases of Thyroid Tumors Laboratory, Division of Genetics, Department of Morphology and Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo, Pedro de Toledo 669, 11 Andar, São Paulo 04039-032, SP, BrazilGenetic Bases of Thyroid Tumors Laboratory, Division of Genetics, Department of Morphology and Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo, Pedro de Toledo 669, 11 Andar, São Paulo 04039-032, SP, BrazilDivision of Genetics and Genomics, Boston Children’s Hospital and Harvard Medical School, 3 Blackfan Circle, Boston, MA 02115, USACentro de Oncologia Molecular, Hospital Sírio-Libanês, Rua Professor Daher Cutait 69, Bela Vista, São Paulo 01308-060, SP, BrazilGenetic Bases of Thyroid Tumors Laboratory, Division of Genetics, Department of Morphology and Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo, Pedro de Toledo 669, 11 Andar, São Paulo 04039-032, SP, BrazilThyroid cancer is the most common endocrine malignancy. However, the cytological diagnosis of follicular thyroid carcinoma (FTC), Hürthle cell carcinoma (HCC), and follicular variant of papillary thyroid carcinoma (FVPTC) and their benign counterparts is a challenge for preoperative diagnosis. Nearly 20–30% of biopsied thyroid nodules are classified as having indeterminate risk of malignancy and incur costs to the health care system. Based on that, 120 patients were screened for the main driver mutations previously described in thyroid cancer. Subsequently, 14 mutation-negative cases that are the main source of diagnostic errors (FTC, HCC, or FVPTC) underwent RNA-Sequencing analysis. Somatic variants in candidate driver genes (<i>ECD, NUP98,</i><i>LRP1B, NCOR1, ATM, SOS1</i>, and <i>SPOP</i>) and fusions were described. <i>NCOR1</i> and <i>SPOP</i> variants underwent validation. Moreover, expression profiling of driver-negative samples was compared to 16 BRAF V600E, <i>RAS</i>, or <i>PAX8-PPARg</i> positive samples. Negative samples were separated in two clusters, following the expression pattern of the <i>RAS/PAX8-PPARg</i> or BRAF V600E positive samples. Both negative groups showed distinct BRS, ERK, and TDS scores, tumor mutation burden, signaling pathways and immune cell profile. Altogether, here we report novel gene variants and describe cancer-related pathways that might impact preoperative diagnosis and provide insights into thyroid tumor biology.https://www.mdpi.com/2072-6694/13/20/5184thyroid carcinomaFTCFVPTCHCCNRASBRAF
spellingShingle Larissa Valdemarin Bim
Thaise Nayane Ribeiro Carneiro
Vanessa Candiotti Buzatto
Gabriel Avelar Colozza-Gama
Fernanda C. Koyama
Debora Mota Dias Thomaz
Ana Carolina de Jesus Paniza
Eunjung Alice Lee
Pedro Alexandre Favoretto Galante
Janete Maria Cerutti
Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers
Cancers
thyroid carcinoma
FTC
FVPTC
HCC
NRAS
BRAF
title Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers
title_full Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers
title_fullStr Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers
title_full_unstemmed Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers
title_short Molecular Signature Expands the Landscape of Driver Negative Thyroid Cancers
title_sort molecular signature expands the landscape of driver negative thyroid cancers
topic thyroid carcinoma
FTC
FVPTC
HCC
NRAS
BRAF
url https://www.mdpi.com/2072-6694/13/20/5184
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