Endocrine oncology

BRAF-induced EHF Expression Affects TERT in Aggressive Papillary Thyroid Cancer

J Clin Endocrinol MetabPublished Mechanistic study

An erratum to this article was published (J Clin Endocrinol Metab, 16 Oct 2026 ↗)

Authors' conclusion

The ETS transcription factor EHF is associated with poor prognosis in PTC. This is potentially mediated by BRAF-induced upregulation of EHF, which in turn increases TERT expression in TERT promoter mutated cells.

Study context

Population
Papillary thyroid carcinoma (PTC); The Cancer Genome Atlas PTC cohort and a local validation cohortTCGA 399 · Cancer Genome Atlas PTC cohort 399 · a local validation cohort 93
Outcome
ETS factors in relation to clinical features, BRAFV600E and TERT promoter mutations
Methodological detailstranscriptomic analysis of TCGA PTC cohort, validation in local cohort, in vitro experiments
  • Transcriptomic analysis of TCGA PTC cohort
  • Validation in local cohort
  • In vitro experiments

Main finding

As reported in the abstract

  • TCGA: ETS1, ERG, FLI1, GABPA, EHF, ETV6 and SPDEF differentially expressed between stages I + II and III + IV
  • In both cohorts, EHF consistently associated with adverse clinical features, BRAFV600E and TERT promoter mutation/expression
  • In BRAFV600E-mutated PTC, high EHF expression associated with shorter disease-free survival
  • Concurrent BRAFV600E, TERT promoter mutations and high EHF expression: shortest disease-free survival
  • In cells with concurrent BRAFV600E and TERT promoter mutation, EHF overexpression significantly increased TERT expression; BRAF knockdown or pharmacological inhibition significantly decreased both EHF and TERT expression
  • ChIP-qPCR suggested potential EHF binding in TERT promoter mutant but not wild-type cells

Original publication

BRAF-induced EHF Expression Affects TERT in Aggressive Papillary Thyroid Cancer. J Clin Endocrinol Metab. Published 26 August 2024. doi:10.1210/clinem/dgae589

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