Related Experiment Video
Updated: Jul 15, 2025

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Differentiating Benign from Malignant Thyroid Tumors by Kinase Activity Profiling and Dabrafenib BRAF V600E Targeting
Riet Hilhorst1, Adrienne van den Berg1, Piet Boender1
1PamGene International BV, 5211 HH 's-Hertogenbosch, The Netherlands.
Abstract:
Differentiated non-medullary thyroid cancer (NMTC) can be effectively treated by surgery followed by radioactive iodide therapy. However, a small subset of patients shows recurrence due to a loss of iodide transport, a phenotype frequently associated with BRAF V600E mutations. In theory, this should enable the use of existing targeted therapies specifically designed for BRAF V600E mutations. However, in practice, generic or specific drugs aimed at molecular targets identified by next generation sequencing (NGS) are not always beneficial. Detailed kinase profiling may provide additional information to help improve therapy success rates. In this study, we therefore investigated whether serine/threonine kinase (STK) activity profiling can accurately classify benign thyroid lesions and NMTC. We also determined whether dabrafenib (BRAF V600E-specific inhibitor), as well as sorafenib and regorafenib (RAF inhibitors), can differentiate BRAF V600E from non-BRAF V600E thyroid tumors. Using 21 benign and 34 malignant frozen thyroid tumor samples, we analyzed serine/threonine kinase activity using PamChip®peptide microarrays. An STK kinase activity classifier successfully differentiated malignant (26/34; 76%) from benign tumors (16/21; 76%). Of the kinases analyzed, PKC (theta) and PKD1 in particular, showed differential activity in benign and malignant tumors, while oncocytic neoplasia or Graves' disease contributed to erroneous classifications. Ex vivo BRAF V600E-specific dabrafenib kinase inhibition identified 6/92 analyzed peptides, capable of differentiating BRAF V600E-mutant from non-BRAF V600E papillary thyroid cancers (PTCs), an effect not seen with the generic inhibitors sorafenib and regorafenib. In conclusion, STK activity profiling differentiates benign from malignant thyroid tumors and generates unbiased hypotheses regarding differentially active kinases. This approach can serve as a model to select novel kinase inhibitors based on tissue analysis of recurrent thyroid and other cancers.
Insights
Serine/threonine kinase activity profiling accurately distinguishes benign from malignant thyroid tumors. This method also identified specific peptides for differentiating BRAF V600E-mutant papillary thyroid cancers, aiding targeted therapy selection.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Differentiated non-medullary thyroid cancer (NMTC) recurrence is linked to iodide transport loss and BRAF V600E mutations.
- Targeted therapies for BRAF V600E mutations show variable efficacy in NMTC.
- Next-generation sequencing (NGS) alone may not fully predict treatment response.
Purpose of the Study:
- To assess serine/threonine kinase (STK) activity profiling for classifying benign and malignant thyroid lesions.
- To determine if specific RAF inhibitors (dabrafenib, sorafenib, regorafenib) can differentiate BRAF V600E-mutant from non-mutant thyroid tumors.
- To explore STK profiling as a tool for improving targeted therapy selection in recurrent thyroid cancer.
Main Methods:
- Analysis of serine/threonine kinase activity using PamChip® peptide microarrays on 21 benign and 34 malignant frozen thyroid tumor samples.
- Development of an STK activity classifier to differentiate tumor types.
- Ex vivo kinase inhibition assays using dabrafenib, sorafenib, and regorafenib on BRAF V600E-mutant and non-mutant papillary thyroid cancers (PTCs).
Main Results:
- The STK activity classifier achieved 76% accuracy in differentiating malignant (26/34) from benign (16/21) thyroid tumors.
- PKC (theta) and PKD1 showed differential activity between benign and malignant tumors; oncocytic neoplasia and Graves' disease impacted classification.
- Dabrafenib identified 6/92 peptides differentiating BRAF V600E-mutant from non-mutant PTCs, an effect not observed with sorafenib or regorafenib.
Conclusions:
- STK activity profiling effectively differentiates benign from malignant thyroid tumors and generates hypotheses for differentially active kinases.
- This approach provides a model for selecting novel kinase inhibitors based on tissue analysis.
- Tissue-based kinase profiling may enhance the efficacy of targeted therapies for recurrent thyroid and other cancers.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Mitogens and the Cell Cycle
mTOR Signaling and Cancer Progression
The mTOR pathway or the...

