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Published on: June 7, 2019
Concomitant BRAF(V600E) mutation and RET/PTC rearrangement is a frequent occurrence in papillary thyroid carcinoma
Anna Guerra1, Pio Zeppa, Maurizio Bifulco
1Department of Medicine and Surgery, University of Salerno , Baronissi, Salerno, Italy .
Background:
The tyrosine kinase receptors/RAS/RAF/MAPK cascade is a site of mutational events associated with thyroid carcinogenesis. Some studies suggest the reciprocal exclusion of different oncogenes in the mitogen-activated protein kinase cascade, whereas others suggest that BRAF mutations and RET rearrangements can simultaneously occur in sporadic cases. The aim of this study was to determine the prevalence of concomitant BRAF(V600E) mutation and RET/PTC rearrangements in the same tumor and its association with some clinicopathological features.
Methods:
The percentage of mutant BRAF alleles and the presence of RET/PTC rearrangements were determined by means of pyrosequencing and Southern blot analysis of reverse transcription polymerase chain reaction products in a series of 72 conventional papillary thyroid carcinomas (PTCs). Then, the associations between clinicopathological characteristics and mutation status were assessed.
Results:
BRAF(V600E) alleles were present in 32 out of 72 PTCs (44.4%) in the range of 5.1-44.7% of total BRAF alleles. RET/PTC was present in 26 tumors (36.1%). Concomitant subclonal BRAF and RET/PTC were demonstrated in 14 PTCs (19.4%), and none of the oncogenes was detected in 22 tumors (30.5%). Only BRAF(V600E) was associated with a more advanced tumor staging.
Conclusions:
The present study demonstrates that concomitant BRAF mutation and RET/PTC rearrangement is a frequent event in PTC.
Insights
BRAF mutations and RET rearrangements frequently co-occur in papillary thyroid cancer (PTC). This study found BRAF(V600E) mutations are linked to advanced tumor staging in PTC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The MAPK pathway is crucial in thyroid cancer development.
- Reciprocal oncogene exclusion is debated; BRAF and RET co-occurrence is possible.
- Understanding BRAF and RET co-occurrence is key for thyroid carcinogenesis research.
Purpose of the Study:
- Determine the prevalence of concurrent BRAF(V600E) mutations and RET/PTC rearrangements in papillary thyroid carcinomas (PTCs).
- Investigate the association between these oncogenic events and clinicopathological features.
Main Methods:
- Analyzed 72 conventional PTCs using pyrosequencing and Southern blot analysis.
- Quantified BRAF mutant allele percentage and detected RET/PTC rearrangements.
- Assessed correlations between mutation status and clinicopathological characteristics.
Main Results:
- BRAF(V600E) mutations were found in 44.4% of PTCs.
- RET/PTC rearrangements were present in 36.1% of PTCs.
- Concomitant BRAF and RET/PTC alterations occurred in 19.4% of tumors; BRAF(V600E) correlated with advanced tumor stage.
Conclusions:
- Concurrent BRAF mutation and RET/PTC rearrangement is a common occurrence in papillary thyroid carcinoma.
- These oncogenic events may play a significant role in PTC development and progression.
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