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An Orthotopic Mouse Model of Anaplastic Thyroid Carcinoma
Published on: April 17, 2013
Targeting RAS-MAPK-ERK and PI3K-AKT-mTOR signal transduction pathways to chemosensitize anaplastic thyroid carcinoma
Zorica Milosevic1, Milica Pesic1, Tijana Stankovic1
1Institute for Biological Research "Sinisa Stankovic", University of Belgrade, Belgrade, Serbia.
Abstract:
Anaplastic thyroid carcinoma (ATC) is a rare, but aggressive and chemoresistant tumor with dismal prognosis. Most ATCs harbor mutations that activate RAS/MAPK/ERK and PI3K/AKT/mTOR pathways. Therefore, we investigated and correlated the expression of phosphatase and tensin homolog, pERK, and pAKT proteins as well as mutations of BRAF, RAS, and p53 genes in samples of patients with ATC. Furthermore, we evaluated the potential of inhibition of these pathways on chemosensitization of ATC using 2 thyroid carcinoma cell lines (FRO and SW1736). Our results revealed a negative correlation between the activity of RAS-MAPK-ERK and PI3K-AKT-mTOR pathways in samples of patients. To be specific, the PI3K-AKT-mTOR pathway was suppressed in patients with activated NRAS or high pERK expression. In vitro results suggest that the inhibition of either RAS-MAPK-ERK or PI3K-AKT-mTOR components may confer sensitivity of thyroid cancer cells to classic chemotherapeutics. This may form a basis for the development of novel genetic-based therapeutic approach for this cancer type.
Insights
Anaplastic thyroid carcinoma (ATC) is aggressive. Targeting RAS/MAPK/ERK or PI3K/AKT/mTOR pathways may sensitize resistant thyroid cancer cells to chemotherapy, offering new treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Anaplastic thyroid carcinoma (ATC) is a rare, aggressive, and chemoresistant cancer.
- Most ATCs exhibit activated RAS/MAPK/ERK and PI3K/AKT/mTOR signaling pathways.
- Current treatment options for ATC are limited, with a poor prognosis.
Purpose of the Study:
- To investigate the correlation between RAS/MAPK/ERK and PI3K/AKT/mTOR pathway activity in ATC.
- To evaluate the potential of inhibiting these pathways to chemosensitize ATC cells.
- To explore novel genetic-based therapeutic approaches for ATC.
Main Methods:
- Analysis of phosphatase and tensin homolog, pERK, and pAKT protein expression in ATC patient samples.
- Mutation analysis of BRAF, RAS, and p53 genes in ATC.
- In vitro chemosensitization assays using ATC cell lines (FRO and SW1736) with pathway inhibitors.
Main Results:
- A negative correlation was observed between RAS-MAPK-ERK and PI3K/AKT/mTOR pathway activity in ATC patients.
- The PI3K-AKT/mTOR pathway was suppressed in patients with NRAS mutations or high pERK expression.
- In vitro studies indicated that inhibiting either pathway enhanced sensitivity to conventional chemotherapeutics.
Conclusions:
- Targeting the RAS-MAPK-ERK or PI3K/AKT/mTOR pathways can potentially overcome chemoresistance in ATC.
- These findings support the development of novel, targeted therapies for anaplastic thyroid carcinoma.
- Further research into combination therapies targeting these pathways is warranted.
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