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The Tumor Microenvironment and the Estrogen Loop in Thyroid Cancer
Nerina Denaro1, Rebecca Romanò2, Salvatore Alfieri2
1Medical Oncology, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Thyroid cancer (TC) cells utilize signaling pathways and the tumor microenvironment (TME) to grow and spread. Estrogen
Area of Science:
- Endocrinology and Oncology
- Tumor Microenvironment (TME) Research
Background:
- Thyroid cancer (TC) cells activate PI3K/AKT/mTOR and RAS/Raf/MAPK pathways, promoting proliferation, survival, and metastasis.
- TC cells create an immunosuppressive and inflamed tumor microenvironment (TME) through interactions with immune cells, inflammatory mediators, and stroma.
- A higher incidence of TC in females suggests a potential role for estrogens in thyroid cancer pathogenesis.
Purpose of the Study:
- To explore the potential role of estrogens in thyroid cancer (TC) development.
- To investigate the interactions between estrogens and the tumor microenvironment (TME) in TC.
- To review existing evidence on the estrogen-TC-TME axis.
Main Methods:
- Systematic review of existing scientific literature.
- Analysis of studies investigating estrogen signaling in thyroid cancer.
- Examination of research on the tumor microenvironment in thyroid cancer.
Main Results:
- Estrogen signaling pathways may influence thyroid cancer cell behavior.
- The interplay between estrogens and the TME in thyroid cancer is a significant, understudied area.
- Evidence suggests estrogens could contribute to the pro-carcinogenic TME in thyroid cancer.
Conclusions:
- Estrogen interactions with the tumor microenvironment represent a critical, unexplored factor in thyroid cancer pathogenesis.
- Further research into the estrogen-TC-TME axis is warranted to understand thyroid cancer development and identify novel therapeutic targets.
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