Endocrine oncology

Alterations in gene expression associated with invasion of RAS-mutant thyroid tumors and their potential diagnostic and therapeutic utility

Eur Thyroid JPublished Mechanistic study

Authors' conclusion

Development of invasion in RAS-mutant tumors is associated with significant alteration in gene expression. Expression levels of six genes and nodule size may predict invasion in RAS-mutant thyroid nodules, whereas chemical inhibition of CA12 may have a potential therapeutic effect in RAS-mutant tumors.

Study context

Population
Surgically resected RAS-mutant thyroid tumours; independent set of RAS-mutant fine-needle aspiration (FNA) samplesplus 54 FNA samples
Participants
48 participants
Comparison
Invasive vs non-invasive RAS-mutant thyroid tumours
  • Invasiven = 25
  • Non-invasiven = 23reference
Outcome
Prediction of invasion in RAS-mutant FNA samples (6-gene expression plus nodule size)
Methodological detailsRNA-seq, independent FNA validation set, in vitro and in vivo experiments
  • RNA-seq
  • Independent FNA validation set
  • In vitro and in vivo experiments

Main finding

As reported in the abstract

Sensitivity of classifier (6 genes + nodule size) for invasion in FNA samples

95%

Specificity of classifier (6 genes + nodule size) for invasion in FNA samples

89%

Original publication

Alterations in gene expression associated with invasion of RAS-mutant thyroid tumors and their potential diagnostic and therapeutic utility. Eur Thyroid J. Published 29 May 2025. doi:10.1530/etj-25-0022

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