TTK Overexpression: A Negative Prognostic Biomarker in Anaplastic Thyroid Carcinoma

Yan Guo1, Zhidong Sun2, Xiao Liu3

  • 1Department of Pathology, Qinghai Provincial People's Hospital, Xining City, Qinghai Province, China.

Cancer Medicine
|June 14, 2026
PubMed
Abstract

Insights

Threonine and tyrosine kinase (TTK) is highly expressed in aggressive thyroid cancers, acting as a potential diagnostic marker for distinguishing benign from malignant lesions and a prognostic indicator for anaplastic thyroid carcinoma (ATC).

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Threonine and tyrosine kinase (TTK) plays a role in various cancers.
  • TTK's role in thyroid cancer is not well understood.
  • This study investigates TTK expression in thyroid lesions.

Purpose of the Study:

  • To investigate TTK expression in thyroid lesions.
  • To assess TTK's diagnostic potential in thyroid cancer.
  • To evaluate TTK's therapeutic potential in thyroid cancer.

Main Methods:

  • Analyzed TTK expression in public datasets (n=143) and clinical samples (n=91).
  • Utilized 2x2 contingency tables, ROC curves, and Kaplan-Meier survival analysis for prognostic predictions.
  • Assessed differential TTK expression across various thyroid lesions.

Main Results:

  • TTK expression increased with thyroid lesion malignancy.
  • Significantly higher TTK mRNA and protein levels in anaplastic thyroid carcinoma (ATC) versus papillary thyroid carcinoma (PTC).
  • TTK protein expression effectively discriminated between benign and malignant thyroid lesions (AUC=0.983-0.999) and predicted ATC prognosis (AUC=0.833).

Conclusions:

  • TTK is upregulated in highly malignant ATC tissues compared to benign and PTC.
  • TTK protein is a valuable diagnostic marker for thyroid conditions.
  • TTK serves as a crucial prognostic indicator for ATC, warranting further clinical validation.