Enolase isozymes in differentiated and undifferentiated medullary thyroid carcinomas.

Enolase isozyme composition was studied using both electrophoretic and chromatographic methods in rat medullary thyroid carcinomas (MTC), differing in their degree of differentiation. In well-differentiated rat tumors (DMTC), both the alpha- and gamma-subunits of enolase were expressed, resulting in alpha alpha, alpha gamma, and gamma gamma isozymes. The relatively high amount of alpha gamma and gamma gamma isozymes (neuron-specific enolase [NSE] ) was indicative of the presumed neuroectodermal origin of these tumors. In contrast, highly undifferentiated or anaplastic tumors (AMTC) were characterized by a decrease in expression of the gamma-subunit. Hence, the majority of enolase isozymes were alpha alpha dimers, with only a few percent alpha gamma hybrids remaining. These shifts from neuron-specific to non-neuronal isozymes in rat MTC were compared with human MTC and discussed with respect to neuronal differentiation and the clinical significance of NSE measurements in serum as a marker for amine precursor uptake and decarboxylation cell-derived neoplasms.