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Published on: August 23, 2019
Epigenetic dysregulation in thyroid neoplasia
Tetsuo Kondo1, Sylvia L Asa, Shereen Ezzat
1Department of Pathology, University of Yamanashi, Japan.
Abstract:
Gain-of-function mutations in oncogenes have aided our understanding of the molecular mechanisms of thyroid carcinogenesis. Mutations or deletions cause inactivation of tumor suppressor genes in thyroid carcinomas. However, recent advances have disclosed the significance of epigenetic events in the development and progression of human tumorigenesis. Indeed, various tumor-suppressor genes and thyroid hormone-related genes are epigenetically silenced in thyroid tumors. This article reviews the evidence for epigenetic gene dysregulation in follicular cell-derived thyroid carcinomas including papillary thyroid carcinoma, follicular thyroid carcinoma, and undifferentiated thyroid carcinoma. The authors also discuss future applications of epigenetics as ancillary diagnostic tools and in the design of targeted therapies for thyroid cancer.
Insights
Epigenetic gene silencing plays a crucial role in thyroid cancer development. Understanding these epigenetic changes offers new avenues for thyroid cancer diagnosis and targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Thyroid carcinogenesis involves oncogene mutations and tumor suppressor gene inactivation.
- Epigenetic events are increasingly recognized for their role in human tumorigenesis.
- Epigenetic silencing of tumor suppressor and thyroid hormone-related genes occurs in thyroid tumors.
Purpose of the Study:
- To review evidence of epigenetic gene dysregulation in follicular cell-derived thyroid carcinomas.
- To discuss the role of epigenetics in the development and progression of thyroid cancer.
- To explore future applications of epigenetics in thyroid cancer diagnostics and therapeutics.
Main Methods:
- Literature review of studies on epigenetic gene dysregulation in thyroid cancer.
- Analysis of evidence for epigenetic silencing in papillary, follicular, and undifferentiated thyroid carcinomas.
- Synthesis of current understanding of epigenetic mechanisms in thyroid tumorigenesis.
Main Results:
- Epigenetic gene dysregulation is evident across various thyroid carcinoma subtypes.
- Specific tumor suppressor and thyroid hormone-related genes are frequently epigenetically silenced.
- These epigenetic alterations contribute to thyroid cancer development and progression.
Conclusions:
- Epigenetic modifications are significant drivers in follicular cell-derived thyroid carcinomas.
- Epigenetics holds promise for developing novel diagnostic tools for thyroid cancer.
- Targeted epigenetic therapies represent a future direction for thyroid cancer treatment.
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