Endocrine oncology

Detection of SEZ6, a Therapeutic Target, in Medullary Thyroid Carcinoma

J Clin Endocrinol MetabPublished Immunohistochemical study

Authors' conclusion

SEZ6 may serve as a novel biomarker for MTCs. Although SEZ6 lacks any prognostic values in MTC, its positivity in 91% to 93% of MTCs, including MTCs without RET and RAS mutations, renders SEZ6-targeted antibody-drug conjugate therapy a promising targeted therapy for MTCs.

Study context

Population
Patients with medullary thyroid carcinoma (MTC); primary tumors, regional recurrence and distant metastasis
Participants
78 MTCs
Outcome
SEZ6 immuno-expression in MTC

Main finding

As reported in the abstract

SEZ6 immunopositivity (antibody clones SC17.14 and 14E5)

Primary MTCs

91% to 93%

Regional recurrence

100%

Distant metastasis

75% to 83%

Further findings

Association of high SEZ6 immuno-expression (H score) with clinicopathologic features

High SEZ6 associated with male sex, advanced stage and extrathyroidal extension

SEZ6 vs outcome and RET/RAS mutation status

No correlation between SEZ6 expression and outcome or RET/RAS mutation status

SEZ6 positivity in MTC without RET/RAS mutations

SEZ6 positivity frequency
83%

Original publication

Detection of SEZ6, a Therapeutic Target, in Medullary Thyroid Carcinoma. J Clin Endocrinol Metab. Published 26 September 2024. doi:10.1210/clinem/dgae672

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