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Loss of expression of the oncosuppressor PTEN in thyroid incidentalomas associates with GLUT1 plasmamembrane
1Laboratory of Molecular Pathology, Department of Medical Sciences, A. Avogadro University, Novara, Italy.
Aim:
Molecular imaging diagnosis with FDG-PET ((18)F-fluorodeoxyglucose positron emission tomography with computed tomography) can reveal the presence of un-suspected thyroid cancer that are referred to as "incidentaloma" because of the incidental finding. The glucose analogue (18)FDG is internalized in the cells by glucose transporters belonging to the GLUTs family. The surface expression of GLUT is under the control of the PI3k/Akt pathway. PTEN is an oncosuppressor frequently mutated or deleted in thyroid cancers. The lipid phosphatase activity of wild type PTEN switches off the Akt pathway. Here we tested the hypothesis that PTEN expression might affect the surface expression of GLUT1 and therefore influence the possibility of "incidental" detection of thyroid cancer based on FDG-PET.
Methods:
The biopsy of 8 patients, who were incidentally diagnosed with PTC by (18)F-fluorodeoxyglucose positron emission tomography with computed tomography, was assayed by immunofluorescence for the co-expression of the PTEN oncosuppressor and of GLUT1.
Results:
Loss of PTEN expression was detected in the majority of investigated cases (N.=6/8). Strikingly, while the two PTEN positive cases were negative for GLUT1 expression, the PTEN negative cases showed intense expression of GLUT1 at the cell surface.
Conclusion:
The present observations, though made in a limited number of cases, suggest that PTEN negative thyroid cancers have high chances to be revealed as incidentalomas at FDG-PET.
Insights
Loss of PTEN expression in thyroid cancer correlates with increased GLUT1, making these tumors more likely to be detected as incidentalomas by FDG-PET imaging. This finding aids in understanding incidentaloma detection.
Area of Science:
- Oncology
- Molecular Imaging
- Biochemistry
Background:
- ¹⁸F-fluorodeoxyglucose positron emission tomography with computed tomography (FDG-PET) detects incidental thyroid cancers (incidentalomas).
- Glucose transporter (GLUT) surface expression, influenced by the PI3k/Akt pathway, affects FDG uptake.
- PTEN, a tumor suppressor, normally inhibits the Akt pathway.
Purpose of the Study:
- To investigate the relationship between PTEN expression and GLUT1 surface expression in incidentally detected thyroid cancers.
- To determine if PTEN status influences the detectability of thyroid cancer via FDG-PET.
Main Methods:
- Immunofluorescence analysis of biopsy samples from 8 patients with incidentally diagnosed papillary thyroid cancer (PTC).
- Assessed co-expression of PTEN and GLUT1.
Main Results:
- PTEN expression was lost in 6 out of 8 investigated cases.
- PTEN-negative thyroid cancers exhibited intense GLUT1 expression at the cell surface.
- PTEN-positive cases showed negative GLUT1 expression.
Conclusions:
- Loss of PTEN expression in thyroid cancer is associated with increased GLUT1 surface expression.
- PTEN-negative thyroid cancers are more likely to be identified as incidentalomas through FDG-PET scans.
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