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Non-medullary Thyroid Cancer Susceptibility Genes: Evidence and Disease Spectrum
Jingan Zhou1,2, Preeti Singh2, Kanhua Yin2,3
1Department of General Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Background:
The prevalence of non-medullary thyroid cancer (NMTC) is increasing worldwide. Although most NMTCs grow slowly, conventional therapies are less effective in advanced tumors. Approximately 5-15% of NMTCs have a significant germline genetic component. Awareness of the NMTC susceptibility genes may lead to earlier diagnosis and better cancer prevention.
Objective:
The aim of this study was to provide the current panorama of susceptibility genes associated with NMTC and the spectrum of diseases associated with these genes.
Methods:
Twenty-five candidate genes were identified by searching for relevant studies in PubMed. Each candidate gene was carefully checked using six authoritative genetic resources: ClinGen, National Comprehensive Cancer Network guidelines, Online Mendelian Inheritance in Man, Genetics Home Reference, GeneCards, and Gene-NCBI, and a validated natural language processing (NLP)-based literature review protocol was used to further assess gene-disease associations where there was ambiguity.
Results:
Among 25 candidate genes, 10 (APC, DICER1, FOXE1, HABP2, NKX2-1, PRKAR1A, PTEN, SDHB, SDHD, and SRGAP1) were verified among the six genetic resources. Two additional genes, CHEK2 and SEC23B, were verified using the NLP protocol. Seventy-nine diseases were found to be associated with these 12 NMTC susceptibility genes. The following diseases were associated with more than one NMTC susceptibility gene: colorectal cancer, breast cancer, gastric cancer, kidney cancer, gastrointestinal stromal tumor, paraganglioma, pheochromocytoma, and benign skin conditions.
Conclusion:
Twelve genes predisposing to NMTC and their associated disease spectra were identified and verified. Clinicians should be aware that patients with certain pathogenic variants may require more aggressive surveillance beyond their thyroid cancer risk.
Insights
Twelve genes predispose to non-medullary thyroid cancer (NMTC) and are linked to numerous other diseases. Identifying these NMTC susceptibility genes aids in earlier diagnosis and tailored cancer prevention strategies.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Non-medullary thyroid cancer (NMTC) prevalence is rising globally.
- Advanced NMTCs are often resistant to conventional therapies.
- Germline genetic factors contribute to 5-15% of NMTC cases.
Purpose of the Study:
- To identify susceptibility genes for non-medullary thyroid cancer (NMTC).
- To delineate the spectrum of diseases associated with these NMTC susceptibility genes.
Main Methods:
- Systematic literature search of PubMed for candidate NMTC genes.
- Verification of candidate genes using six authoritative genetic databases.
- Natural language processing (NLP) protocol for ambiguous gene-disease associations.
Main Results:
- Twelve NMTC susceptibility genes were identified and verified: APC, DICER1, FOXE1, HABP2, NKX2-1, PRKAR1A, PTEN, SDHB, SDHD, SRGAP1, CHEK2, and SEC23B.
- These 12 genes are associated with 79 distinct diseases.
- Multiple NMTC genes are linked to colorectal, breast, gastric, and kidney cancers, as well as paraganglioma and pheochromocytoma.
Conclusions:
- A definitive list of 12 NMTC predisposition genes and their associated diseases has been established.
- Pathogenic variants in these genes may necessitate enhanced surveillance protocols for patients beyond thyroid cancer risk.
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