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Updated: Feb 24, 2026

Induction and Analysis of Epithelial to Mesenchymal Transition
Published on: August 27, 2013
Key signaling pathways in thyroid cancer
Miguel A Zaballos1, Pilar Santisteban2
1Instituto de Investigaciones Biomédicas 'Alberto Sols'Consejo Superior de Investigaciones Científicas (CSIC), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Abstract:
Whole genome sequencing approaches have provided unprecedented insights into the genetic lesions responsible for the onset, progression and dedifferentiation of various types of thyroid carcinomas. Through these efforts, the MAPK and PI3K signaling cascades have emerged as the main activation pathways implicated in thyroid tumorigenesis. The nature of these essential pathways is highly complex, with hundreds of components, multiple points of crosstalk, different subcellular localizations and with the ability to potentially regulate many cellular processes. Small-molecule inhibitors targeting key kinases of these pathways hold great promise as novel therapeutics and several have reached clinical trials. However, while some remarkable responses have been reported, the development of resistance remains a matter of concern and limits the benefit for patients. In this review, we discuss the latest findings on the major components of the MAPK and PI3K pathways, including their mechanisms of activation in physiological and pathological contexts, their genetic alterations with respect to the different types of thyroid carcinomas and the more relevant drugs designed to block their activity.
Insights
Whole genome sequencing reveals MAPK and PI3K pathways are key in thyroid cancer. While targeted therapies show promise, drug resistance remains a significant challenge for patient treatment.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Thyroid carcinomas are driven by genetic lesions affecting key signaling pathways.
- The MAPK (mitogen-activated protein kinase) and PI3K (phosphatidylinositol-4,5-bisphosphate 3-kinase) signaling cascades are central to thyroid tumorigenesis.
- These pathways are complex, involving numerous components and interactions.
Purpose of the Study:
- To review the latest findings on MAPK and PI3K pathways in thyroid cancer.
- To discuss their activation mechanisms, genetic alterations, and therapeutic targeting.
- To highlight challenges such as drug resistance.
Main Methods:
- Review of whole genome sequencing data.
- Analysis of genetic alterations in thyroid carcinomas.
- Discussion of small-molecule inhibitors and clinical trial outcomes.
Main Results:
- Whole genome sequencing has identified critical genetic lesions in thyroid cancer.
- MAPK and PI3K pathways are consistently activated in thyroid tumorigenesis.
- Targeted inhibitors show therapeutic potential but face resistance issues.
Conclusions:
- Understanding MAPK and PI3K pathways is crucial for thyroid cancer treatment.
- Development of novel therapeutics targeting these pathways is ongoing.
- Addressing drug resistance mechanisms is essential to improve patient outcomes.
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