Related Experiment Video
Updated: Jun 21, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Aggressive inherited and sporadic medullary thyroid carcinomas display similar oncogenic pathways
Nabahet Ameur1, Ludovic Lacroix, Sophie Roucan
1CNRS FRE 2939, Institut de Cancérologie Gustave-Roussy, Villejuif, France.
Abstract:
RET oncogene mutations are found in familial medullary thyroid carcinomas (MTC) and in one-third of sporadic cases. Oncogenic mechanisms involved in non-RET mutated sporadic MTC remain unclear. To study alterations associated with the development of both inherited and sporadic MTC, pangenomic DNA microarrays were used to analyze the transcriptome of 13 MTCs (four familial and nine sporadic). By using an ANOVA test, a list of 173 gene sequences with at least a twofold change expression was obtained. A subset of differentially expressed genes was controlled by real-time quantitative PCR and immunohistochemistry on a larger collection of MTCs. The expression pattern of those genes allowed us to distinguish two groups of sporadic tumors. The first group displays an expression profile similar to that expressed by inherited RET634 tumors. The second presents an expression profile close to that displayed by inherited RET918 tumors and includes tumors from patients with distant metastases. It is characterized by the overexpression of genes involved in proliferation and invasion (PTN, ESM1, and CEACAM6) or matrix remodeling (COL1A1, COL1A2, and FAP). Interestingly, RET918 tumors showed overexpression of the PTN gene, encoding pleiotrophin, a protein associated with metastasis. Using a MTC cell line, silencing of RET induced the inhibition of PTN gene expression. Overall, our results suggest that familial MTC and sporadic MTC could activate similar oncogenic pathways.
Insights
Familial and sporadic medullary thyroid carcinomas (MTC) share similar oncogenic pathways. Gene expression analysis revealed distinct MTC subtypes, with some sporadic tumors mirroring inherited RET mutations and showing increased metastasis-associated gene expression.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- RET oncogene mutations are prevalent in familial and some sporadic medullary thyroid carcinomas (MTC).
- The oncogenic mechanisms driving non-RET mutated sporadic MTC are not fully understood.
Purpose of the Study:
- To investigate gene expression alterations in both inherited and sporadic MTC.
- To identify molecular differences and similarities between MTC subtypes.
Main Methods:
- Pangenomic DNA microarrays analyzed the transcriptome of 13 MTC samples (4 familial, 9 sporadic).
- Differential gene expression was identified using ANOVA, with validation by real-time quantitative PCR and immunohistochemistry.
- MTC cell lines were used to assess the effect of RET gene silencing on PTN expression.
Main Results:
- A subset of 173 differentially expressed genes was identified.
- Sporadic MTCs were classified into two groups based on gene expression profiles, with one group resembling inherited RET634 tumors.
- The second sporadic MTC group, similar to inherited RET918 tumors, showed overexpression of proliferation, invasion, and matrix remodeling genes (e.g., PTN, ESM1, CEACAM6, COL1A1, COL1A2, FAP).
- RET918 tumors overexpressed pleiotrophin (PTN), a gene linked to metastasis. Silencing RET inhibited PTN expression.
Conclusions:
- Familial and sporadic MTC may activate similar oncogenic pathways.
- Distinct molecular subtypes of MTC exist, potentially correlating with clinical outcomes and metastatic potential.
- PTN may play a significant role in MTC progression and metastasis, particularly in RET-mutated tumors.
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