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March 1, 2016OncotargetOpen Access

BRAFandTERTpromoter mutations in the aggressiveness of papillary thyroid carcinoma: a study of 653 patients

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Authors

LJLangping JinResearch Experiences for UndergraduatesECEndong ChenWenzhou Medical UniversitySDSiyang DongWenzhou Medical University

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Overview

Observational study reveals cooperative BRAF and TERT promoter mutations heighten aggressiveness in papillary thyroid cancer, indicating dual testing improves risk stratification.

Key Points

  • To examine the relationship of TERT promoter mutations and BRAF V600E with clinicopathological features and tumor aggressiveness in papillary thyroid carcinoma.
  • Extracted genomic DNA from primary papillary thyroid cancer tumors in N=653 patients.
  • Performed Sanger sequencing to identify BRAF V600E and TERT promoter mutations, correlating detected genotypes with clinicopathological features.
  • BRAF V600E was identified in 63.7% (416/653) and TERT promoter mutations in 4.1% (27/653) of patients, with TERT mutation prevalence reaching 9.8% in tumors ≥ 1.5 cm and occurring more frequently in BRAF-positive than wild-type tumors (5.3% vs 2.1%, P=0.050).
  • Both BRAF V600E and TERT promoter mutations independently associated with advanced patient age, larger tumor size, capsular invasion, extrathyroidal invasion, and advanced disease stages.
  • Co-occurrence of BRAF V600E and TERT promoter mutations showed a cooperative association with aggressive features, exhibiting extrathyroidal invasion in 54.5% (12/22) of dual-mutation cases compared to 9.9% (23/232) lacking both mutations (P < 0.001).

Cite This Study

Jin et al. (2016) studied this question.

synapsesocial.com/papers/69dd67987dbdc4ad1440c8b0https://doi.org/10.18632/oncotarget.7811
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Also Consider

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