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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Novel TG-FGFR1 and TRIM33-NTRK1 transcript fusions in papillary thyroid carcinoma
Aleksandra Pfeifer1, Dagmara Rusinek1, Jadwiga Żebracka-Gala1
1Department of Nuclear Medicine and Endocrine Oncology, Maria Sklodowska-Curie Institute - Oncology Center Gliwice Branch, Gliwice, Poland.
Abstract:
Papillary thyroid carcinoma (PTC) is most common among all thyroid cancers. Multiple genomic alterations occur in PTC, and gene rearrangements are one of them. Here we screened 14 tumors for novel fusion transcripts by RNA-Seq. Two samples harboring RET/PTC1 and RET/PTC3 rearrangements were positive controls whereas the remaining ones were negative regarding the common PTC alterations. We used Sanger sequencing to validate potential fusions. We detected 2 novel potentially oncogenic transcript fusions: TG-FGFR1 and TRIM33-NTRK1. We detected 4 novel fusion transcripts of unknown significance accompanying the TRIM33-NTRK1 fusion: ZSWIM5-TP53BP2, TAF4B-WDR1, ABI2-MTA3, and ARID1B-PSMA1. Apart from confirming the presence of RET/PTC1 and RET/PTC3 in positive control samples, we also detected known oncogenic fusion transcripts in remaining samples: TFG-NTRK1, ETV6-NTRK3, MKRN1-BRAF, EML4-ALK, and novel isoform of CCDC6-RET.
Insights
Researchers identified two new potentially cancer-promoting gene fusions, TG-FGFR1 and TRIM33-NTRK1, in papillary thyroid carcinoma (PTC). This discovery advances our understanding of thyroid cancer genomics and potential therapeutic targets.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Papillary thyroid carcinoma (PTC) is the most prevalent form of thyroid cancer.
- Genomic alterations, including gene rearrangements, are significant drivers in PTC development.
- Identifying novel fusion transcripts is crucial for understanding PTC pathogenesis.
Purpose of the Study:
- To screen for and identify novel gene fusion transcripts in papillary thyroid carcinoma.
- To validate the identified fusion transcripts using Sanger sequencing.
- To investigate the potential oncogenic role of newly discovered fusions.
Main Methods:
- RNA sequencing (RNA-Seq) was employed to screen 14 PTC tumor samples.
- Sanger sequencing was utilized for the validation of potential fusion transcripts.
- Samples included positive controls for known RET/PTC rearrangements.
Main Results:
- Two novel potentially oncogenic transcript fusions, TG-FGFR1 and TRIM33-NTRK1, were detected.
- Four additional novel fusion transcripts of unknown significance were identified alongside TRIM33-NTRK1.
- Known oncogenic fusions (TFG-NTRK1, ETV6-NTRK3, MKRN1-BRAF, EML4-ALK) and a novel CCDC6-RET isoform were also found.
Conclusions:
- The study successfully identified novel potentially oncogenic and other fusion transcripts in PTC.
- These findings expand the landscape of known genetic alterations in thyroid cancer.
- The discovered fusions represent potential targets for future research and therapeutic strategies in PTC.
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