Endocrine oncology

NF1gene inactivation acts as a tumor driver inRET/RAS-negative medullary thyroid carcinomas

Eur J EndocrinolPublished Mechanistic study

Authors' conclusion

About 11% of our series of sporadic RET/RAS negative MTC harbor biallelic inactivation of NF1 suppressor gene also regardless neurofibromatosis status. According to our results, NF1 alterations should be searched in all RET/RAS negative MTC as possible driver. Moreover, this finding reduces the number of negative sporadic MTCs and may have important clinical implications in the management of these tumors.

Study context

Population
Sporadic RET/RAS negative MTC cases
Participants
18 cases
Outcome
Presence of NF1 alterations in RET/RAS negative MTC
Methodological detailsNGS of tumoral and blood DNA with a custom panel including the entire NF1 coding region; RT-PCR of transcripts; Loss of heterozygosity (LOH) by Multiplex Ligation-dependent Probe Amplification
  • NGS of tumoral and blood DNA with a custom panel including the entire NF1 coding region; RT-PCR of transcripts; LOH by Multiplex Ligation-dependent Probe Amplification

Main finding

As reported in the abstract

Bi-allelic NF1 inactivation

Cases with bi-allelic inactivation of NF1

2

Prevalence among RET/RAS negative cases

about 11%

Original publication

NF1gene inactivation acts as a tumor driver inRET/RAS-negative medullary thyroid carcinomas. Eur J Endocrinol. Published 22 May 2023. doi:10.1093/ejendo/lvad051

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