Tracing the molecular route to progression in miRNA-biogenesis-defective thyroid lesions

Anne-Sophie Chong1,2, Carla Roca1,3, Paula Morales-Sánchez3

  • 1Program in Molecular Mechanisms and Experimental Therapy in Oncology (Oncobell), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

JCI Insight
|February 9, 2026
PubMed

Insights

Genetic changes in DICER1 and DGCR8 microprocessors drive thyroid tumor progression. Malignant transformation involves specific genetic accumulation and miRNA downregulation, with distinct microenvironment impacts.

Area of Science:

  • Genetics
  • Molecular Biology
  • Oncology

Background:

  • Germline and somatic mutations in DICER1 and DGCR8 are linked to thyroid lesions.
  • The molecular mechanisms driving malignant transformation in these tumors are not fully understood.

Purpose of the Study:

  • To investigate the molecular trajectories from benign to malignant thyroid lesions with DICER1 and DGCR8 mutations.
  • To identify key molecular events and pathways involved in malignant progression.

Main Methods:

  • Multiomic profiling of over 30 DICER1/DGCR8-mutated thyroid samples.
  • Analysis of genetic alterations, miRNA expression, DNA methylation, and transcriptomics.

Main Results:

  • A progressive, linear accumulation of genetic changes distinguishes malignant from benign lesions.
  • Enhanced miRNA downregulation and altered DNA methylation patterns characterize malignant transformation.
  • DICER1 mutations activate thyroid cancer pathways, while DGCR8 alterations are associated with immune changes in the tumor microenvironment.

Conclusions:

  • Specific molecular events drive the malignant progression of miRNA-biogenesis-related thyroid tumors.
  • Findings identify potential biomarkers and mechanisms for disease etiology.

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