4.7 Review

Novel Inhibitor-Based Therapies for Thyroid Cancer-An Update

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Effects of tyrosine kinase inhibitors on thyroid function and thyroid hormone metabolism

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Summary: The increasing knowledge of molecular mechanisms in cell signaling pathways has led to the discovery of tyrosine kinases, which can be targeted for anticancer therapy. Tyrosine kinase inhibitors block enzyme activity and inhibit the growth and spread of cancer, but can also cause thyroid dysfunction.

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Cortisol Deficiency in Lenvatinib Treatment of Thyroid Cancer: An Underestimated Common Adverse Event

Salvatore Monti et al.

Summary: Our study found that about 54% of patients undergoing lenvatinib treatment developed primary adrenal insufficiency (PAI), and cortisone acetate treatment improved fatigue in six out of seven patients (85.7%) in the PAI group. Early diagnosis of PAI is crucial for improving treatment-related fatigue.

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Impact of multikinase inhibitor approval on survival and physician practice patterns in advanced or metastatic medullary thyroid carcinoma

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Prognostic Impact of Histologic Grade for Papillary Thyroid Carcinoma

Allen S. Ho et al.

Summary: The study revealed that worsening histologic grade in papillary thyroid carcinoma (PTC) is associated with an increased mortality risk. External beam radiation therapy (EBRT) was found to be related to improved survival in the most aggressive or least differentiated subvariants.

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Rechallenge with dabrafenib plus trametinib in anaplastic thyroid cancer: A case report and review of literature

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Summary: This case report highlights the successful rechallenge of a patient with ATC and BRAF V600E mutation using dabrafenib plus trametinib. The study suggests that this combination therapy could be a promising option for resistant locoregional and metastatic ATC patients with BRAF V600E mutation. Rechallenge with dabrafenib-trametinib should also be considered in certain selected cases.

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Real-World Efficacy and Safety of Cabozantinib and Vandetanib in Advanced Medullary Thyroid Cancer

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Analysis of ALK, IDH1, IDH2 and MMP8 somatic mutations in differentiated thyroid cancers

Avaniyapuram Kannan Murugan et al.

Summary: The study revealed that ALK, IDH1, IDH2, and MMP8 gene mutations are less frequent in differentiated thyroid cancers (DTCs), but more common in aggressive thyroid cancers such as poorly differentiated thyroid cancer (PDTC) and anaplastic thyroid cancer (ATC). These genes may serve as potential therapeutic targets in ATCs and PDTCs, highlighting their importance in these subsets of thyroid cancers.

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Anaplastic thyroid cancer with long-term survival with lenvatinib therapy and preservation of laryngeal function after one-stage reconstruction: A case report

Akihisa Tanaka et al.

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New Horizons: Emerging Therapies and Targets in Thyroid Cancer

Matthew D. Ringel

Summary: Treatment of progressive metastatic follicular cell-derived and medullary thyroid cancers is challenging, with limited complete remissions, short response durations, and common toxicities. Further research into resistance mechanisms, biomarker development, and new therapeutic strategies is needed.

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Donafenib in Progressive Locally Advanced or Metastatic Radioactive Iodine-Refractory Differentiated Thyroid Cancer: Results of a Randomized, Multicenter Phase II Trial

Yan-Song Lin et al.

Summary: The study evaluated the efficacy and safety of the new multikinase inhibitor donafenib in treating locally advanced or metastatic RAIR-DTC. Both 200mg and 300mg doses of donafenib showed similar efficacy in terms of objective response rate, with the 300mg dose demonstrating a trend towards longer progression-free survival and more tumor shrinkage. The most common grade 3 treatment-related adverse events were palmar-plantar erythrodysesthesia and hypertension.

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Summary: Every year, the American Cancer Society projects the numbers of new cancer cases and deaths in the United States, with the latest data showing a significant decline in lung cancer mortality, while prostate cancer mortality has plateaued and breast and colorectal cancer mortality have slowed. Improvements in treatment have accelerated progress against lung cancer, leading to a record drop in overall cancer mortality.

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Combination therapy with lenvatinib and radiation significantly inhibits thyroid cancer growth by uptake of tyrosine kinase inhibitor

Kensuke Suzuki et al.

Summary: Combination therapy with lenvatinib and radiation (CTLR) demonstrates synergistic antitumor effects by inhibiting cell replication and tumor growth, offering a potential new therapeutic strategy for advanced thyroid cancer with fewer side effects.

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Synergistic Anticancer Activity of N-Hydroxy-7-(2-Naphthylthio) Heptanomide, Sorafenib, and Radiation Therapy in Patient-Derived Anaplastic Thyroid Cancer Models

Hyeok Jun Yun et al.

Summary: The study evaluated the synergistic anticancer effect of HNHA, sorafenib, and radiation therapy in ATC models, showing that the combination therapy promoted tumor suppression and cell cycle arrest. This novel approach of combining HNHA and sorafenib with radiation therapy may be effective for treating ATC.

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Signal transducer and activator of transcription 3 inhibition alleviates resistance to BRAF inhibition in anaplastic thyroid cancer

Ying Wang et al.

Summary: The study identified a combinational therapy of Vemurafenib and Stattic as an effective treatment for anaplastic thyroid cancer (ATC) patients. Undifferentiated TC cells were resistant to Vemurafenib, but inhibition of STAT3 enhanced sensitivity of ATC cell lines to Vemurafenib. Stattic significantly enhanced the anti-tumor effect of Vemurafenib in a mouse model.

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Vitamin C sensitizes BRAFV600E thyroid cancer to PLX4032 via inhibiting the feedback activation of MAPK/ERK signal by PLX4032

Xi Su et al.

Summary: Combination therapy of PLX4032 and Vitamin C significantly inhibits proliferation and tumor growth of BRAF(MT) thyroid cancer cells, inducing cell apoptosis and cell cycle arrest. The therapy relieves the pathway feedback activation caused by PLX4032 monotherapy.

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The complex regulation of NIS expression and activity in thyroid and extrathyroidal tissues

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Tailoring the approach to radioactive iodine treatment in thyroid cancer

Sarah E. Mayson et al.

Summary: The treatment of differentiated thyroid cancer is moving towards individualized therapeutic decision-making, with a focus on risk stratification to determine the use of radioactive iodine (RAI). RAI can be safely deferred for low-risk patients, while adjuvant RAI may benefit higher-risk patients.

ENDOCRINE-RELATED CANCER (2021)

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Elevated ABCB1 Expression Confers Acquired Resistance to Aurora Kinase Inhibitor GSK-1070916 in Cancer Cells

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Shoko Kure et al.

Summary: Hurthle cell carcinoma (HCC) accounts for 3-4% of thyroid carcinoma cases and is considered to be more aggressive due to its unique cytological characteristics. Pathological features and biological behavior of HCC are still unclear due to its rarity, making preoperative diagnosis challenging. Current studies focus on clinical, pathological, and molecular features of HCC to improve clinical management.

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Structural basis of acquired resistance to selpercatinib and pralsetinib mediated by non-gatekeeper RET mutations

V Subbiah et al.

Summary: The study revealed that RET mutations resistant to selpercatinib and pralsetinib mainly located at the solvent front and hinge regions in medullary thyroid cancer and non-small-cell lung cancer. The unconventional binding mode of selpercatinib and pralsetinib to RET avoids interference from gatekeeper mutations but is susceptible to non-gatekeeper mutations.

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Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries

Hyuna Sung et al.

Summary: The global cancer burden in 2020 saw an estimated 19.3 million new cancer cases and almost 10.0 million cancer deaths. Female breast cancer surpassed lung cancer as the most commonly diagnosed cancer, while lung cancer remained the leading cause of cancer death. These trends are expected to rise in 2040, with transitioning countries experiencing a larger increase compared to transitioned countries due to demographic changes and risk factors associated with globalization and a growing economy. Efforts to improve cancer prevention measures and provision of cancer care in transitioning countries will be crucial for global cancer control.

CA-A CANCER JOURNAL FOR CLINICIANS (2021)

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Redifferentiation-facilitated radioiodine therapy in thyroid cancer

Livia Lamartina et al.

Summary: Recent studies have shown that inhibiting the MAPkinase pathway may induce redifferentiation in patients with radioiodine-refractory thyroid cancer. Encouraging preliminary data suggests that this strategy could be an alternative treatment for patients with a druggable mutation that activates the MAP kinase pathway, but there are still many unresolved questions in this active area of research.

ENDOCRINE-RELATED CANCER (2021)

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Oncogenic KRAS blockade therapy: renewed enthusiasm and persistent challenges

Daolin Tang et al.

Summary: The article discusses oncogenic mutations in human tumors and the various approaches to targeting KRAS, including indirect and direct methods. Specifically, it explores the use of inhibitors for the KRAS-G12C variant and strategies to overcome resistance to its blockade.

MOLECULAR CANCER (2021)

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Questions and Controversies in the Clinical Application of Tyrosine Kinase Inhibitors to Treat Patients with Radioiodine-Refractory Differentiated Thyroid Carcinoma: Expert Perspectives

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Summary: Despite regulatory approval, there are still important questions and controversies surrounding the use of lenvatinib and sorafenib to treat radioiodine-refractory differentiated thyroid carcinoma (RAI-R DTC), including when to start TKI therapy and the choice of first-line TKIs.

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Multikinase inhibitors in thyroid cancer: timing of targeted therapy

Matti L. Gild et al.

Summary: This review summarizes the evidence from clinical trials on the efficacy of tyrosine kinase inhibitors in treating thyroid cancer. It also discusses the experience with these drugs in clinical practice and factors that can help clinicians decide when to start or continue tyrosine kinase inhibitor therapy.

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Lenvatinib as a salvage therapy for advanced metastatic medullary thyroid cancer

A. Matrone et al.

Summary: Lenvatinib showed potential effectiveness as salvage therapy in patients with advanced progressive metastatic medullary thyroid cancer, especially for those who had previously failed with other treatments or were deemed unsuitable for other options.

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Synergistic Effects of Lenvatinib (E7080) and MEK Inhibitors against Anaplastic Thyroid Cancer in Preclinical Models

Keisuke Enomoto et al.

Summary: The study suggests that combining lenvatinib with MEK inhibitors may have potential therapeutic efficacy for treating radioiodine-refractory thyroid cancer, as demonstrated by in vitro and in vivo experiments validating the anti-tumor effects of this combination.

CANCERS (2021)

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Upregulation of TRIB2 by Wnt/β-catenin activation in BRAFV600E papillary thyroid carcinoma cells confers resistance to BRAF inhibitor vemurafenib

Nianxue Wang et al.

Summary: The study revealed that upregulation of TRIB2 through Wnt/beta-catenin activation leads to resistance to vemurafenib in PTC with BRAF(V600) mutation. TRIB2 could potentially be a therapeutic target for resistant PTC.

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Anlotinib in Locally Advanced or Metastatic Medullary Thyroid Carcinoma: A Randomized, Double-Blind Phase IIB Trial

Dapeng Li et al.

Summary: Anlotinib demonstrated significant improvement in progression-free survival and objective response rate in patients with MTC, with a higher incidence of treatment-related adverse events. However, it showed relatively reliable safety profile in this population.

CLINICAL CANCER RESEARCH (2021)

Review Biochemistry & Molecular Biology

Thyroid Cancers: From Surgery to Current and Future Systemic Therapies through Their Molecular Identities

Loredana Lorusso et al.

Summary: Differentiated and undifferentiated thyroid cancers require different treatment approaches, with targeted therapies like TKIs showing efficacy. Systemic treatments for advanced cases are becoming more targeted based on the molecular identity of the tumor.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

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Long-Term Results of a Phase II Trial of Apatinib for Progressive Radioiodine Refractory Differentiated Thyroid Cancer

Yan-Song Lin et al.

Summary: The long-term evaluation of apatinib in patients with radioiodine refractory differentiated thyroid cancer showed sustainable efficacy and tolerable safety profile, especially for patients with BRAF(V600E) mutation.

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Open-Label, Single-Arm, Multicenter, Phase II Trial of Lenvatinib for the Treatment of Patients With Anaplastic Thyroid Cancer

Lori J. Wirth et al.

Summary: The study aimed to evaluate the efficacy of Lenvatinib in anaplastic thyroid cancer (ATC) and found that Lenvatinib monotherapy may not be an effective treatment for ATC, suggesting the need for further investigation.

JOURNAL OF CLINICAL ONCOLOGY (2021)

Article Endocrinology & Metabolism

Progress in Treating Advanced Thyroid Cancers in the Era of Targeted Therapy

Carrie C. Lubitz et al.

Summary: Thyroid cancer has seen a significant increase in incidence, with high frequencies of druggable molecular alterations, especially oncogenic driver kinase fusions, and the understanding that poorly differentiated and anaplastic thyroid carcinoma develop from more well-differentiated follicular-derived thyroid cancers. Identification of driver genomic alterations not only predicts tumor phenotype but also guides treatment approaches. Major progress in understanding the molecular underpinnings of different thyroid cancers has led to gene-specific systemic therapies and advancements in targeted therapy.

THYROID (2021)

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2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer American Thyroid Association Anaplastic Thyroid Cancer Guidelines Task Force

Keith C. Bible et al.

Summary: The guidelines for the management of anaplastic thyroid cancer (ATC) aim to provide evidence-based recommendations to inform clinical decision-making, encompassing diagnosis, treatment goals, locoregional and advanced disease approaches, palliative care, surveillance, and ethical considerations.

THYROID (2021)

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RTK Inhibitors in Melanoma: From Bench to Bedside

Malak Sabbah et al.

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Cancer statistics for the US Hispanic/Latino population, 2021

Kimberly D. Miller et al.

Summary: The Hispanic/Latino population accounts for 18% of the total population in the continental United States and Hawaii. While their cancer incidence and mortality rates are lower compared to non-Hispanic Whites, they have higher rates of certain types of cancer such as liver and stomach cancer, indicating the need for improved cancer prevention strategies.

CA-A CANCER JOURNAL FOR CLINICIANS (2021)

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Co-inhibition of SMAD and MAPK signaling enhances 124I uptake in BRAF-mutant thyroid cancers

Kathleen A. Luckett et al.

Summary: Activin family ligands converge to induce pSMAD in Braf-mutant PTCs. Blocking SMAD signaling alone is insufficient to enhance iodide uptake in the setting of constitutive MAPK activation. However, combination treatment with either follistatin or vactosertib and the MEK inhibitor CKI increased I-124 uptake compared to CKI alone.

ENDOCRINE-RELATED CANCER (2021)

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Targeting EML4-ALK gene fusion variant 3 in thyroid cancer

Mehtap Derya Aydemirli et al.

Summary: The study established a novel thyroid cancer cell line JVE404 and found the highest sensitivity to lorlatinib, leading to personalized targeted treatment with positive outcomes for the patient.

ENDOCRINE-RELATED CANCER (2021)

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Can TP53-mutant follicular adenoma be a precursor of anaplastic thyroid carcinoma?

Alyaksandr Nikitski et al.

Summary: Mutations of the TP53 gene are common in thyroid anaplastic carcinomas and can also be found in benign adenomas. Our study found that thyroid nodules with TP53 mutations either alone or in combination with other alterations may represent precursors for well-differentiated cancers, including anaplastic carcinomas.

ENDOCRINE-RELATED CANCER (2021)

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Multimodal treatments and outcomes for anaplastic thyroid cancer before and after tyrosine kinase inhibitor therapy: a real-world experience

Jun Park et al.

Summary: This study evaluated the efficacy of tyrosine kinase inhibitor therapy in anaplastic thyroid cancer patients, showing that a multimodality treatment approach including surgery, radiotherapy, and TKI therapy was the most effective. The study found that patients who received TKI therapy had improved survival outcomes, with dabrafenib plus trametinib being identified as the most effective treatment for BRAF mutant ATC patients.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2021)

Article Biochemistry & Molecular Biology

BRAF Inhibitors Induce Feedback Activation of RAS Pathway in Thyroid Cancer Cells

Elisa Bonaldi et al.

Summary: The study demonstrates that the BRAF inhibitors Vemurafenib and Dabrafenib induce antiproliferative and redifferentiative effects in thyroid cancer cells, while rewiring the MAPK pathway related to RAS signaling.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

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Whole-genome Sequencing of Follicular Thyroid Carcinomas Reveal Recurrent Mutations in MicroRNA Processing Subunit DGCR8

Johan O. Paulsson et al.

Summary: This study describes the genomic and transcriptomic landscape in widely invasive follicular thyroid carcinomas (wiFTCs) and Hurthle cell carcinomas (HCCs), identifying novel recurrent mutations and copy number alterations with possible driver properties, thereby laying the foundation for future studies.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2021)

Article Oncology

Cabozantinib for radioiodine-refractory differentiated thyroid cancer (COSMIC-311): a randomised, double-blind, placebo-controlled, phase 3 trial

Marcia S. Brose et al.

Summary: Patients with radioiodine-refractory differentiated thyroid cancer who have previously undergone VEGFR-targeted therapy and have no available standard of care were evaluated in this study for the tyrosine kinase inhibitor cabozantinib. Results showed that cabozantinib significantly prolonged progression-free survival, potentially offering a new treatment option for these patients.

LANCET ONCOLOGY (2021)

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Next-generation sequencing in thyroid cancers: do targetable alterations lead to a therapeutic advantage? A multicenter experience

Assaf Moore et al.

Summary: Radioiodine-refractory thyroid cancers and anaplastic tumors have limited treatment options, but next-generation sequencing can detect clinically significant genetic alterations that benefit patients by improving survival outcomes.

MEDICINE (2021)

Letter Endocrinology & Metabolism

Selpercatinib-Enhanced Radioiodine Uptake in RET-Rearranged Thyroid Cancer

Lionel Groussin et al.

THYROID (2021)

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Real-World Efficacy and Safety of Multi-Tyrosine Kinase Inhibitors in Radioiodine Refractory Thyroid Cancer

Viktoria Florentine Koehler et al.

Summary: Sorafenib, lenvatinib, and pazopanib are effective treatment options for the majority of patients with RAI-refractory DTC. Patients treated with lenvatinib and pazopanib in the first-line setting show favorable PFS and six-month survival rates compared to sorafenib.

THYROID (2021)

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Evaluation of Gender Inequity in Thyroid Cancer Diagnosis Differences by Sex in US Thyroid Cancer Incidence Compared With a Meta-analysis of Subclinical Thyroid Cancer Rates at Autopsy

Karissa LeClair et al.

Summary: Thyroid cancer is more common in women, with small subclinical papillary thyroid cancers more frequently detected in women than in men. As cancer type becomes more lethal, the detection ratio between genders approaches 1:1. Gender differences in health care utilization and clinical thinking patterns may influence cancer detection rates.

JAMA INTERNAL MEDICINE (2021)

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Pralsetinib for patients with advanced or metastatic RET-altered thyroid cancer (ARROW): a multi-cohort, open-label, registrational, phase 1/2 study

Vivek Subbiah et al.

Summary: Pralsetinib is a new, well-tolerated, potent once-daily oral treatment option for patients with RET-altered thyroid cancer, showing significant antitumor activity and good safety profile in patients with different types of RET alterations.

LANCET DIABETES & ENDOCRINOLOGY (2021)

Review Endocrinology & Metabolism

Novel Therapeutics in Radioactive Iodine-Resistant Thyroid Cancer

Tanner Fullmer et al.

Summary: Advancements in understanding the molecular basis of thyroid function and carcinogenesis have led to the development of novel therapeutic options for iodine-resistant thyroid cancer, significantly improving the prognostic outlook for patients. FDA-approved tyrosine kinase inhibitors and small molecular inhibitors target various pathways to re-sensitize de-differentiated cancers to iodine treatment and have even provided treatment options for previously considered fatal mutations like BRAF in anaplastic thyroid cancer. The treatment landscape for iodine-resistant thyroid cancer is rapidly evolving with new targets, therapies, clinical trials, and approved treatments.

FRONTIERS IN ENDOCRINOLOGY (2021)

Review Endocrinology & Metabolism

Association Between Aggressive Clinicopathologic Features of Papillary Thyroid Carcinoma and Body Mass Index: A Systematic Review and Meta-Analysis

Aliki Economides et al.

Summary: The study found that higher BMI is significantly associated with ETE, multifocality, and tumor size. Further research with a larger number of participants is needed to elucidate the association of increased BMI with advanced TNM stage and LN metastasis.

FRONTIERS IN ENDOCRINOLOGY (2021)

Article Medicine, General & Internal

Higher EU-TIRADS-Score Correlated with BRAF V600E Positivity in the Early Stage of Papillary Thyroid Carcinoma

Karolina Skubisz et al.

Summary: The study found a significant correlation between BRAF V600E and a higher EU-TIRADS score, as well as a correlation between hypoechogenicity and a taller-than-wide tumor shape in analyzed patients. However, no other significant associations were found between the identified genetic variants and other clinicopathological features. For TC patient stratification, a strong suspicion of BRAF V600E negativity in preoperative management could help avoid over-treatment of asymptomatic, low-risk disease and allow for active surveillance.

JOURNAL OF CLINICAL MEDICINE (2021)

Review Oncology

Significance of RAS Mutations in Thyroid Benign Nodules and Non-Medullary Thyroid Cancer

Vincenzo Marotta et al.

Summary: Only about 4% of thyroid nodules are carcinomas and require surgery. Fine-needle aspiration cytology is the most accurate tool to distinguish benign from malignant thyroid nodules, however about 30% of cases yield an indeterminate result. Testing for RAS mutations has limited utility due to its poor specificity and sensitivity.

CANCERS (2021)

Review Medicine, General & Internal

Thyroid Nodule Characterization: How to Assess the Malignancy Risk. Update of the Literature

Daniele Fresilli et al.

Summary: Ultrasound is the primary imaging modality for evaluating thyroid parenchyma, with new software like CEUS and USE enhancing its role. While USE is now seen as an integral part of MPUS examination for thyroid nodules, the role of CEUS remains controversial due to variability. The advancement in molecular mechanisms allows for the identification of new genomic thyroid markers that could potentially reduce unnecessary thyroidectomies.

DIAGNOSTICS (2021)

Article Oncology

The L730V/I RET roof mutations display different activities toward pralsetinib and selpercatinib

Tao Shen et al.

Summary: Recently FDA-approved pralsetinib and selpercatinib are RET-selective protein tyrosine kinase inhibitors for treating RET-altered cancers. Selpercatinib was found to effectively inhibit certain resistant mutations that were strongly resistant to pralsetinib, showing better activity in those cases.

NPJ PRECISION ONCOLOGY (2021)

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Precision therapy for RET-altered cancers with RET inhibitors

Kyaw Z. Thein et al.

Summary: RET is involved in physiological development and its activated mutations are potent drivers of cancer. Traditional treatment with MKIs has modest efficacy but notable toxicities. Novel RET inhibitors like selpercatinib and pralsetinib have shown success in the clinic, providing a promising future outlook.

TRENDS IN CANCER (2021)

Article Medicine, Research & Experimental

NTRK and RET fusion-directed therapy in pediatric thyroid cancer yields a tumor response and radioiodine uptake

Young Ah Lee et al.

Summary: This study investigated the molecular characteristics of pediatric papillary thyroid cancer (PTC) and identified different genetic drivers, including fusion oncogenes and point mutations. For patients with fusion oncogene PTC, fusion-directed therapy may lead to dramatic tumor responses.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Medicine, Research & Experimental

Sorafenib and Lenvatinib Treatment for Metastasis/Recurrence of Radioactive Iodine-refractory Differentiated Thyroid Carcinoma

Yasuhiro Ito et al.

Summary: The study found that lenvatinib (LEN) may be more effective than sorafenib (SOR) in patients with radioactive iodine-refractory differentiated thyroid carcinoma (RR-DTC), with a higher partial response rate. After LEN treatment, the levels of serum thyroglobulin significantly decreased in patients, but the choice of first-line drug should be based on individual patient characteristics and adverse events.

IN VIVO (2021)

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Selective inhibition of V600E-mutant BRAF gene induces apoptosis in thyroid carcinoma cell lines

Kyoung Sik Park et al.

Summary: This study evaluated the potential relationship between thyroiditis and BRAFV600E mutation status in papillary thyroid cancer (PTC) patients. The selective inhibitor of BRAFV600E PLX4032 affected cell growth, cell cycle, apoptosis, and inflammatory cytokine levels in two thyroid cancer cell lines. The results indicated that PLX4032 blocked kinase activity and induced apoptosis in the cells, suggesting a potential targeted therapy for thyroid cancer involving inflammatory signaling pathways.

ANNALS OF SURGICAL TREATMENT AND RESEARCH (2021)

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Long-term management of lenvatinib-treated thyroid cancer patients: a real-life experience at a single institution

Tommaso Porcelli et al.

Summary: The study retrospectively evaluated the long-term safety and efficacy of lenvatinib in 23 patients with radioactive iodine refractory differentiated thyroid cancer. The results showed that long-term lenvatinib treatment is safe and some patients may experience persistent long-term control of the disease. Late treatment-related adverse events rarely occurred, and oligoprogressive and slowly progressive disease can be managed without treatment withdrawal as long as there are some clinical benefits.

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Histological features of BRAF V600E-mutant anaplastic thyroid carcinoma

Tiffany Y. Chen et al.

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TERT promoter mutation determines apoptotic and therapeutic responses of BRAF-mutant cancers to BRAF and MEK inhibitors: Achilles Heel

Jie Tan et al.

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A national database analysis for factors associated with thyroid cancer occurrence

Joon-Hyop Lee et al.

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Malgorzata Oczko-Wojciechowska et al.

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