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2016 ; 8
(11
): 5076-5086
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
BRAF and epithelial-mesenchymal transition in papillary thyroid carcinoma -
challenging the roles of Snail and E-Cadherin?
#MMPMID27904709
Mitchell B
; Leone D
; Yang S
; Khan A
; Mahalingam M
; Dhingra J
Am J Transl Res
2016[]; 8
(11
): 5076-5086
PMID27904709
show ga
OBJECTIVE: In papillary thyroid carcinoma (PTC), while the role of BRAF is well
established, the contribution of BRAF to epithelial-mesenchymal transition is
not. STUDY DESIGN/SETTING: To elucidate the relationship between BRAF, surrogates
of epithelial-mesenchymal transition (Snail, E-cadherin) and established
histopathologic prognosticators in papillary thyroid carcinoma. SUBJECTS/METHODS:
In this IRB approved cross-sectional study, 50 cases of archived annotated PTC
samples were retrieved and immunohistochemically stained for Snail and E-cadherin
protein. A semi-quantitative scoring system (incorporating proportion and
intensity) was utilized. RESULTS: Snail and E-cadherin expression were noted in
44% and 84% of BRAF mutant and, in 29% and 95% of BRAFWT samples, respectively.
No statistically significant correlations were noted between Snail, E-cadherin
and histopathologic prognosticators. However, a trend was noted between Snail
expression and tumor size <5 cm (P=0.07). Statistically significant differences
between BRAF mutant and BRAFWT samples were noted in the following groups:
conventional (68% vs. 5%) and tall cell (32% vs. 0%) histopathologic variants,
extrathyroidal extension (32% vs. 5%), infiltrative growth pattern (80% vs. 48%),
presence of desmoplasia (72% vs. 29%), psammona bodies (48% vs. 10%), and cystic
change (32% vs. 5%). Among follicular variant of papillary thyroid carcinoma
compared to BRAF mutant samples, BRAFWT samples were more commonly of the
encapsulated variety (52% vs. 4%), and microcarcinomas (29% vs. 0%) (P<0.001 and
=0.007, respectively). CONCLUSION: Our findings, supporting the utility of BRAF
as a putative therapeutic target in PTC, suggest that the interaction between
BRAF and epithelial-mesenchymal transition in papillary thyroid carcinoma is not
through induction of the Snail/E-cadherin pathway.