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.

Abstract

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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