Papillary thyroid cancer and its gene polymorphism; A molecular mechanistic perspective

Abid Ali Sheikh, M. Makhdoomi, Abid Hussain Rather, T. A. Lone, Nisar Ahmad Syed
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Abstract

Thyroid cancer stands as the predominant malignancy within the endocrine system, comprising about 1% of newly identified cancer instances. Papillary Thyroid Cancer (PTC) is the predominant form of thyroid cancer, representing 80% or more of thyroid malignancies. Thyroid carcinoma harbours assorted genetic alterations which are highly prevalent, several of these characteristics are unique to this form of cancer. The conventional oncogenic genetic modifications frequently observed in thyroid carcinoma encompass RAS mutations RET/PTC rearrangements and PAX8-peroxisome proliferator-activated receptor g (PPARg) fusion oncogene. The lately discovered activating mutation in BRAF (the gene for the B-type RAF kinase, BRAF) the most widespread genetic modification in thyroid cancer (30-83%). RKIP (RAF kinase inhibitory protein) had formerly been delineated as a phospholipid binding protein. Mammalian RKIP/PEBP differs from other identified proteins and its role is still being clarified. RKIP over-expression can inhibit MEK interaction with RAF-1 and B-RAF. It plays a role in thyroid cancer progression and lymph node metastasis. So, elucidating mutational profile and protein expression of above cell signalling molecules will be very useful in determining a proper therapeutic target for anti-cancer molecules. Given that tumors often possess numerous genetic and cell signalling abnormalities, thus inhibiting a single signalling pathway is often therapeutically inefficacious, more success could be foreseen with agents directed against multiple cellular pathways.By determining the genetic profile and protein expression of mentioned MAP Kinase pathway molecules new targets can be identified for chemotherapic drugs and novel strategies will be charted out to make modifications in the map kinase pathway with the aim to stop the occurrence and distant metastasis of thyroid cancer.
甲状腺乳头状癌及其基因多态性;分子机理视角
甲状腺癌是内分泌系统中最主要的恶性肿瘤,约占新发现癌症病例的 1%。甲状腺乳头状癌(PTC)是甲状腺癌的主要形式,占甲状腺恶性肿瘤的80%或更多。甲状腺癌蕴藏着各种基因改变,这些改变非常普遍,其中一些特征是这种癌症所独有的。甲状腺癌中常见的传统致癌基因改变包括RAS突变、RET/PTC重排和PAX8-过氧化物酶体增殖激活受体g(PPARg)融合癌基因。最近发现的BRAF(B型RAF激酶基因,BRAF)激活突变是甲状腺癌中最常见的基因修饰(30-83%)。RKIP(RAF 激酶抑制蛋白)以前被认为是一种磷脂结合蛋白。哺乳动物的RKIP/PEBP与其他已发现的蛋白不同,其作用仍在研究中。RKIP 过度表达可抑制 MEK 与 RAF-1 和 B-RAF 的相互作用。它在甲状腺癌的进展和淋巴结转移中发挥作用。因此,阐明上述细胞信号分子的突变特征和蛋白表达,对于确定抗癌分子的适当治疗靶点非常有用。通过确定上述MAP激酶通路分子的遗传特征和蛋白表达,可以确定化疗药物的新靶点,并制定新的策略来改变MAP激酶通路,从而阻止甲状腺癌的发生和远处转移。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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