Related Experiment Video
Updated: May 10, 2026

In Vivo Inhibition of MicroRNA to Decrease Tumor Growth in Mice
Published on: August 23, 2019
Influence of RET mutations on the expression of tyrosine kinases in medullary thyroid carcinoma
Cristina Rodríguez-Antona1, Iván Muñoz-Repeto, Lucia Inglada-Pérez
1Hereditary Endocrine Cancer Group, Human Cancer Genetics Programme, Spanish National Cancer Center (CNIO), Melchor Fernández Almagro 3, Madrid, Spain.
Abstract:
The therapeutic options for patients with metastatic medullary thyroid carcinoma (MTC) have recently increased due to the development of tyrosine kinase inhibitors (TKIs), some of which have achieved remarkable clinical responses in MTC patients. However, the molecular basis for the large variability in TKI responses is unknown. In this exploratory study, we investigated the expression of eight key TKI target proteins (EGFR, KIT, MET, PDGFRB, VEGF (VEGFA), VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4)) by immunohistochemistry in 103 molecularly characterized MTC samples and identified the associated clinical and molecular features. A number of MTC samples exhibited a high expression of VEGFR2 and VEGFR3, which were overexpressed in 57 and 43% of the MTC samples respectively. VEGFR1, PDGFRB, VEGF, KIT, and MET were present in 34-20% of the cases, while EGFR was highly expressed in only 10% of the MTC samples. Some proteins exhibited large differences in expression between sporadic and familial cases, suggesting that different RET mutations may be associated with the immunohistochemical profiles. MTC samples with the C634 RET mutation exhibited a higher expression of VEGFR3 and KIT than the M918T RET-mutated and non-mutated RET tumor samples (P=0.005 and P=0.007 respectively) and a lower expression of VEGFR1 (P=0.04). Non-mutated RET MTC cases exhibited a lower expression of PDGFRB (P=0.04). Overall, this is the first study, to our knowledge, to show that multiple TKI targets are highly expressed in a subset of MTCs, suggesting that molecular stratification of patients may have the potential to improve TKI therapies for MTC.
Insights
Therapeutic options for metastatic medullary thyroid carcinoma (MTC) have expanded with tyrosine kinase inhibitors (TKIs). This study reveals varied TKI target protein expression in MTC, linked to RET mutations, suggesting personalized therapy potential.
Area of Science:
- Oncology
- Molecular Biology
- Translational Research
Background:
- Metastatic medullary thyroid carcinoma (MTC) treatment has advanced with tyrosine kinase inhibitors (TKIs).
- Significant variability exists in patient responses to TKIs, with the underlying molecular basis largely unknown.
- Understanding TKI target expression is crucial for optimizing MTC therapy.
Purpose of the Study:
- To investigate the expression of eight key TKI target proteins in MTC.
- To correlate protein expression with clinical and molecular features, including RET mutations.
- To explore the potential for molecular stratification to improve TKI efficacy in MTC.
Main Methods:
- Immunohistochemistry was used to assess the expression of EGFR, KIT, MET, PDGFRB, VEGF, VEGFR1, VEGFR2, and VEGFR3.
- 103 molecularly characterized MTC samples were analyzed.
- Expression data were correlated with RET mutation status and clinical characteristics.
Main Results:
- High expression of VEGFR2 (57%) and VEGFR3 (43%) was observed in MTC samples.
- Other TKI targets like VEGFR1, PDGFRB, VEGF, KIT, and MET showed variable expression (34-20%), with EGFR in 10%.
- Specific RET mutations (C634) correlated with higher VEGFR3 and KIT expression and lower VEGFR1 expression, while non-mutated RET cases showed lower PDGFRB expression.
Conclusions:
- Multiple TKI targets are highly expressed in a subset of MTC patients.
- RET mutation status is associated with distinct immunohistochemical profiles of TKI targets.
- Molecular stratification of MTC patients based on TKI target expression may enhance TKI therapy outcomes.
Related Concept Videos
The Retinoblastoma Gene
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The Retinoblastoma Gene
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
Receptor Tyrosine Kinases
Receptor Downregulation in MVBs
The EGFR can initiate signaling pathways that lead to cell proliferation, migration, and differentiation. Overexpression of EGFR stimulates cells to proliferate. Excessive EGFR activation may...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

