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Updated: Feb 1, 2026

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
Effect of Combined Epigenetic Treatments and Ectopic NIS Expression on Undifferentiated Thyroid Cancer Cells
Michele Massimino1,2, Elena Tirrò3,2, Stefania Stella3,2
1Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy michedot@yahoo.it.
Background:
Poorly differentiated (PDTC) and anaplastic thyroid (ATC) cancer cells are characterized by the acquisition of epigenetic abnormalities, leading to the silencing of both the sodium iodide co-transporter and the Coxsackie adenovirus receptor. As aberrant histone acetylation and DNA methylation represent epigenetic mechanisms involved in neoplastic transformation, our study investigated the anticancer properties of epigenetic modifiers in thyroid carcinoma.
Materials And Methods:
The cytotoxicity and gene expression modulation of histone deacetylase and DNA methyltransferase inhibitors were evaluated in both PDTC and ATC.
Results:
Epigenetic treatments were cytotoxic to tumor thyrocytes and restored sodium iodide co-transporter and Coxsackie adenovirus receptor, expression as well as radioiodine uptake, in PDTC but not in ATC. However, ectopic expression sodium iodide co-transporter re-activated radioiodine incorporation in ATC.
Conclusion:
The ability of epigenetic treatments to interfere with tumor proliferation and induce Coxsackie adenovirus receptor expression, coupled with the ability of ectopic sodium iodide co-transporter to restore radioiodine uptake, raise the possibility that these therapeutic approaches may provide clinical benefit to patients with thyroid carcinoma refractory to radioiodine treatment.
Insights
Epigenetic drugs show promise for thyroid cancer, restoring radioiodine uptake in poorly differentiated thyroid cancer (PDTC) and enabling it in anaplastic thyroid cancer (ATC) via sodium iodide co-transporter restoration.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Poorly differentiated (PDTC) and anaplastic thyroid cancer (ATC) exhibit epigenetic alterations.
- These abnormalities silence key genes like the sodium iodide co-transporter and Coxsackie adenovirus receptor.
- Aberrant histone acetylation and DNA methylation contribute to thyroid cancer development.
Purpose of the Study:
- Investigate the anticancer effects of epigenetic modifiers in thyroid carcinoma.
- Evaluate histone deacetylase and DNA methyltransferase inhibitors in PDTC and ATC models.
Main Methods:
- Assessed cytotoxicity of epigenetic inhibitors on PDTC and ATC cells.
- Monitored gene expression changes in response to treatments.
- Evaluated radioiodine uptake in treated tumor cells.
Main Results:
- Epigenetic treatments reduced tumor cell viability in both PDTC and ATC.
- Restored sodium iodide co-transporter and Coxsackie adenovirus receptor expression and radioiodine uptake in PDTC.
- Radioiodine uptake was restored in ATC only after ectopic sodium iodide co-transporter expression.
Conclusions:
- Epigenetic treatments can inhibit thyroid cancer proliferation and induce Coxsackie adenovirus receptor expression.
- Ectopic sodium iodide co-transporter expression can restore radioiodine uptake in ATC.
- These approaches may benefit patients with radioiodine-refractory thyroid cancer.
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