Endocrine oncology

Identification of P21 (CDKN1A) Activated Kinase 4 as a Susceptibility Gene for Familial Non-Medullary Thyroid Carcinoma

ThyroidPublished Mechanistic study

Authors' conclusion

Our study identified PAK4: c.T1250C: p.I417T as a potential susceptibility gene for FNMTC. The study concludes that the mutant form of PAK4 exhibits oncogenic function

Study context

Population
Five-member family affected by papillary thyroid carcinoma; other familial non-medullary thyroid carcinoma (FNMTC) patients and sporadic non-medullary thyroid carcinoma patientsfive-member family
Comparison
PAK4 mutant vs PAK4 wild-type cell lines
Methodological detailswhole-exome sequencing, Sanger sequencing, in silico prediction, in vitro cell phenotype experiments, in vivo lung distant metastasis models, transcriptome sequencing
  • Whole-exome sequencing
  • Sanger sequencing
  • In silico prediction
  • In vitro cell phenotype experiments
  • In vivo lung distant metastasis models
  • Transcriptome sequencing

Main finding

As reported in the abstract

  • Mutation alters protein structure, potentially increasing instability by affecting hydrophobicity, intra-molecular hydrogen bonding and phosphorylation sites
  • Mutation specifically promotes phosphorylated PAK4 nuclear translocation and expression in thyroid tissue and cell lines
  • PAK4 I417T vs wild-type (WT): enhanced proliferation, invasiveness, accelerated cell division and inhibition of cell apoptosis in vitro
  • PAK4 I417T: significant propensity for metastasis in vivo
  • Mutant (MUT) activates tumor necrosis factor signaling via increased phosphorylation of PAK4, JNK, NFκB and c-Jun; WT activates it via the PAK4-NFκ-MMP9 axis
  • PAK4 MUT protein interacts with MMP3 and regulates MMP3 promoter activity, not observed in WT

Original publication

Identification of P21 (CDKN1A) Activated Kinase 4 as a Susceptibility Gene for Familial Non-Medullary Thyroid Carcinoma. Thyroid. Published 25 March 2024. doi:10.1089/thy.2023.0564

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