Endocrine oncology

Transcriptome of Anaplastic Thyroid Cancer Reveals Two Molecular Subtypes with Distinct Tumor Microenvironment and Prognosis

ThyroidPublished Transcriptomic study

Authors' conclusion

ATC shows a TME distinct from that of DTC and can be further divided into two molecular subtypes-each with its own unique TME. The ATC-IF group, with a poorer prognosis and higher ERK score, is enriched in immune cells and fibroblasts

Study context

Population
Thyroid tissue samples: normal thyroid, benign adenomas, DTC-R, DTC-B and 74 anaplastic thyroid cancer (ATCs)
Participants
1,634 samples
Comparison
ATC-immune-fibroblast (ATC-IF) vs ATC-E molecular subtypes of ATC; ATC vs other thyroid histologies
  • Normal thyroidn = 476
  • Benign adenoman = 25
  • DTC-Rn = 340
  • DTC-Bn = 719
Outcome
TME of ATC and ATC molecular subtypes
Methodological detailsbulk RNA transcriptomic data, deconvolution analysis
  • Bulk RNA transcriptomic data
  • Deconvolution analysis

Main finding

As reported in the abstract

  • ATC tumor microenvironment (TME): high abundance of immune cells and fibroblasts, low abundance of epithelial cells vs other thyroid histologies
  • ATC ecotype more closely related to DTC-B than DTC-R
  • Two distinct molecular subtypes within ATC with significant differences in TMEs: ATC-IF and ATC-E

Further findings

OutcomeP value
Disease-specific survivalATC-IF vs ATC-E · worse with ATC-IFlog-rank p = 0.035

ERK and thyroid differentiation scores

ATC-IF had higher ERK scores and lower thyroid differentiation scores than ATC-E

Immune cells and fibroblasts by ATC subtype

Both ATC subtypes had elevated immune cells and fibroblasts vs DTC-R and DTC-B, more pronounced in ATC-IF, with marked rise in myeloid lineage cells and promigratory fibroblasts

Immune checkpoint gene expression and EMT scores

Significantly higher in ATC-IF than ATC-E

Original publication

Transcriptome of Anaplastic Thyroid Cancer Reveals Two Molecular Subtypes with Distinct Tumor Microenvironment and Prognosis. Thyroid. Published 27 January 2025. doi:10.1089/thy.2024.0266

Composed by AI from the published abstract and checked against it. How Briefs are made →

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