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Iodide- and glucose-handling gene expression regulated by sorafenib or cabozantinib in papillary thyroid cancer
Maomei Ruan1, Min Liu, Qianggang Dong
1Department of Nuclear Medicine (M.R., M.L., L.C.), Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China; and Section of Cancer Stem Cells (Q.D.), Shanghai Cancer Institute, Shanghai Jiao Tong University, Shanghai 200032, China.
Context:
The aberrant silencing of iodide-handling genes accompanied by up-regulation of glucose metabolism presents a major challenge for radioiodine treatment of papillary thyroid cancer (PTC).
Objective:
This study aimed to evaluate the effect of tyrosine kinase inhibitors on iodide-handling and glucose-handling gene expression in BHP 2-7 cells harboring RET/PTC1 rearrangement.
Main Outcome Measures:
In this in vitro study, the effects of sorafenib or cabozantinib on cell growth, cycles, and apoptosis were investigated by cell proliferation assay, cell cycle analysis, and Annexin V-FITC apoptosis assay, respectively. The effect of both agents on signal transduction pathways was evaluated using the Western blot. Quantitative real-time PCR, Western blot, immunofluorescence, and radioisotope uptake assays were used to assess iodide-handling and glucose-handling gene expression.
Results:
Both compounds inhibited cell proliferation in a time-dependent and dose-dependent manner and caused cell cycle arrest in the G0/G1 phase. Sorafenib blocked RET, AKT, and ERK1/2 phosphorylation, whereas cabozantinib blocked RET and AKT phosphorylation. The restoration of iodide-handling gene expression and inhibition of glucose transporter 1 and 3 expression could be induced by either drug. The robust expression of sodium/iodide symporter induced by either agent was confirmed, and (125)I uptake was correspondingly enhanced. (18)F-fluorodeoxyglucose accumulation was significantly decreased after treatment by either sorafenib or cabozantinib.
Conclusions:
Sorafenib and cabozantinib had marked effects on cell proliferation, cell cycle arrest, and signal transduction pathways in PTC cells harboring RET/PTC1 rearrangement. Both agents could be potentially used to enhance the expression of iodide-handling genes and inhibit the expression of glucose transporter genes.
Insights
Tyrosine kinase inhibitors sorafenib and cabozantinib can restore iodide-handling gene expression and inhibit glucose metabolism in papillary thyroid cancer (PTC) cells. This suggests potential for improved radioiodine therapy in PTC patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Papillary thyroid cancer (PTC) often exhibits silenced iodide-handling genes and increased glucose metabolism, hindering radioiodine treatment effectiveness.
- The RET/PTC1 rearrangement is a common genetic alteration in PTC, contributing to aberrant gene expression patterns.
Purpose of the Study:
- To investigate the impact of tyrosine kinase inhibitors (TKIs) sorafenib and cabozantinib on iodide-handling and glucose-handling gene expression in PTC cells with RET/PTC1 rearrangement.
- To evaluate the effects of these TKIs on cell proliferation, cell cycle, apoptosis, and key signal transduction pathways.
Main Methods:
- In vitro study using BHP 2-7 cells harboring RET/PTC1 rearrangement.
- Assessed cell proliferation, cell cycle, and apoptosis using standard assays.
- Utilized Western blot to analyze signal transduction pathways.
- Employed quantitative real-time PCR, Western blot, immunofluorescence, and radioisotope uptake assays to evaluate gene expression and iodide uptake.
Main Results:
- Both sorafenib and cabozantinib inhibited PTC cell proliferation and induced G0/G1 cell cycle arrest.
- Sorafenib and cabozantinib modulated key signaling pathways, including RET, AKT, and ERK1/2.
- Treatment with either TKI restored iodide-handling gene expression and enhanced radioiodine uptake.
- Both drugs significantly decreased glucose transporter gene expression and (18)F-fluorodeoxyglucose accumulation.
Conclusions:
- Sorafenib and cabozantinib demonstrate significant anti-proliferative effects and modulate signaling in PTC cells with RET/PTC1 rearrangement.
- These TKIs show potential for enhancing iodide-handling gene expression and inhibiting glucose metabolism.
- The findings suggest that sorafenib and cabozantinib could be valuable in improving radioiodine treatment strategies for papillary thyroid cancer.
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