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一种动物模型进一步揭示了突变型 Braf 在甲状腺乳头状癌发展过程中的作用。

An Animal Model Further Uncovers the Role of Mutant Braf during Papillary Thyroid Cancer Development.

机构信息

Institute of Pathology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.

Institute of Human Genetics, University of Heidelberg, Heidelberg, Germany.

出版信息

Am J Pathol. 2020 Mar;190(3):702-710. doi: 10.1016/j.ajpath.2019.11.006. Epub 2020 Jan 14.

Abstract

Papillary thyroid carcinomas (PTCs) account for 90% of human thyroid cancer cases, which represent 1% of all cancer cases. They are likely to develop from papillary thyroid microcarcinomas (PTMCs), found in up to 36% of healthy individuals, due to rare progression events (0.01%). Although the prognosis of PTCs is excellent, 5% to 10% of tumors display an unfavorable outcome. About 45% of PTCs exhibit activating BRAF mutations. Rats of the inbred BD strains postnatally exposed to the carcinogen N-ethyl-N-nitrosourea developed PTMCs, which closely resembled their human counterparts judging from their histology, size, and marginal tendency to progress. DNA sequencing revealed mutations in exon 15 of the Braf gene identical to the human BRAF mutation in 82% of the cases. Predominantly a 50:50 ratio of wild-type to mutant Braf alleles was seen regardless of tumor size or animal age, indicating that the Braf mutation is an early, if not the initial, event in rat PTMC development. Surprisingly, most PTMCs carrying a confirmed Braf mutation did not display Braf protein expression. As the Brafgene is supposed to be the driver in PTC development, down-regulation of expression should contribute to the low risk for progression of PTMC. This model system will enable further insights into the molecular mechanisms of PTMC initiation and progression to PTC, further translating into targeted tumor prevention strategies/therapies.

摘要

甲状腺乳头状癌 (PTC) 占人类甲状腺癌病例的 90%,占所有癌症病例的 1%。它们可能由甲状腺微小乳头状癌 (PTMC) 发展而来,在多达 36%的健康个体中可以发现,由于罕见的进展事件 (0.01%)。尽管 PTC 的预后良好,但 5%至 10%的肿瘤表现出不良结局。大约 45%的 PTC 表现出激活的 BRAF 突变。近交 BD 品系的大鼠在出生后暴露于致癌剂 N-乙基-N-亚硝脲中会发展出 PTMC,从组织学、大小和边缘进展倾向来看,它们与人类 PTMC 非常相似。DNA 测序显示,Braf 基因外显子 15 中的突变与人类 BRAF 突变在 82%的病例中相同。无论肿瘤大小或动物年龄如何,野生型和突变型 Braf 等位基因的比例主要为 50:50,这表明 Braf 突变是大鼠 PTMC 发展中的早期事件,如果不是初始事件的话。令人惊讶的是,大多数携带确认的 Braf 突变的 PTMC 并不显示 Braf 蛋白表达。由于 Braf 基因被认为是 PTC 发展的驱动基因,表达下调应该有助于 PTMC 进展的低风险。该模型系统将使我们进一步了解 PTMC 起始和进展为 PTC 的分子机制,并进一步转化为针对肿瘤的预防策略/治疗方法。

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