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Updated: May 27, 2026

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Published on: August 23, 2019
Molecular pathways associated with mortality in papillary thyroid cancer
Naris Nilubol1, Chotiya Sukchotrat, Lisa Zhang
1Endocrine Oncology Section, Surgery Branch, National Cancer Institute, NIH, Bethesda, MD 20892, USA. niluboln@mail.nih.gov
This study used genome-wide expression analysis to identify molecular pathways linked to poor outcomes in papillary thyroid cancer (PTC). A 100-gene signature effectively distinguished patients based on mortality risk.
Area of Science:
- Genomics
- Molecular Biology
- Oncology
Background:
- Understanding molecular drivers of papillary thyroid cancer (PTC) is crucial for effective patient management.
- Identifying molecular pathways associated with unfavorable outcomes in PTC is a key clinical need.
Purpose of the Study:
- To identify molecular pathways linked to unfavorable features and outcomes in papillary thyroid cancer (PTC).
- To investigate genome-wide expression patterns associated with PTC-related mortality.
Main Methods:
- Genome-wide expression (GWE) analysis was performed on 64 human PTC tissue samples.
- Gene set enrichment analysis (GSEA) identified molecular pathways associated with mortality.
- Clinical, pathologic, and microarray data were analyzed for differential gene expression.
Main Results:
- GWE analysis identified significant differential gene expression related to gender, tumor differentiation, and mortality.
- GSEA revealed 7 enriched pathways associated with mortality, including tRNA synthesis and oxidative phosphorylation.
- A 100-gene signature demonstrated complete separation of patients based on mortality.
Conclusions:
- This is the first GWE analysis of PTC and adverse outcomes.
- Eleven molecular pathways were significantly associated with PTC-related mortality.
- A 100-gene signature accurately predicts PTC-associated mortality.
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