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Sequence variant in the intron 10 of the RET oncogene in a patient with microfollicular thyroid carcinoma with
Emilija Veljkovic1, Radan Dzodic, Gorana Neskovic
1Institute for Nuclear Sciences "Vinca," Laboratory for Radiobiology and Molecular Genetics, Mike Alasa 14, 11001 Belgrade, Serbia and Montenegro.
Abstract:
Sequence alterations in the RET proto-oncogene are becoming increasingly important to clinical assessment of the malignant disease of the thyroid. A spectrum of mutations is necessary to establish comprehensive phenotype to genotype relationship relevant to diagnosis and therapy of thyroid malignancies. We aimed to append to the increasing database of these oncogenic lesions and, therefore, analyzed DNA from tumor tissue and constitutive DNA from a patient with thyroid carcinoma. Mutational screening and sequence characterization of the RET proto-oncogene was performed to include part of the intronic sequences. We report a germline sequence variant in DNA from the patient diagnosed with microfollicular thyroid carcinoma. The carcinoma presented not as fully developed medullar carcinoma (MTC) but as microfollicular carcinoma with tendency to evolve into MTC. We characterized the sequence variant located in the intron 10 of the RET oncogene as an A to G substitution denoted IVS10 + 4G. The described sequence alteration generates a chi-like sequence surrounded by several chi-like sequences with recombinational potential. Such alteration may be involved in the pathogenesis of the microfollicular carcinoma via genome destabilization through homologous recombination in the process of tumor progression. This result further substantiates the importance of the database correlating specific sequence variations in the RET gene with distinct disease phenotypes.
Insights
A novel RET gene variant, IVS10 + 4G, was identified in a patient with microfollicular thyroid carcinoma. This germline alteration may contribute to tumor progression through genome destabilization.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Sequence alterations in the RET proto-oncogene are crucial for assessing thyroid cancer.
- Establishing a comprehensive genotype-phenotype relationship is vital for diagnosing and treating thyroid malignancies.
Purpose of the Study:
- To expand the database of oncogenic RET lesions by analyzing a patient with thyroid carcinoma.
- To investigate the role of RET gene mutations in thyroid cancer pathogenesis.
Main Methods:
- DNA analysis of tumor and constitutive samples from a thyroid carcinoma patient.
- Mutational screening and sequence characterization of the RET proto-oncogene, including intronic regions.
Main Results:
- A germline sequence variant, IVS10 + 4G (A to G substitution), was identified in intron 10 of the RET oncogene.
- This variant creates a chi-like sequence with recombinational potential, potentially destabilizing the genome.
- The patient was diagnosed with microfollicular thyroid carcinoma with a tendency to evolve into medullary thyroid carcinoma (MTC).
Conclusions:
- The identified RET intronic variant may play a role in microfollicular thyroid carcinoma pathogenesis.
- Genome destabilization via homologous recombination is a potential mechanism for tumor progression.
- This finding reinforces the importance of correlating RET gene variations with specific disease phenotypes.
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