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Endocrinology, doi:10.1210/en.2006-0921
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*Thyroid Cancer
Endocrinology Vol. 148, No. 3 936-941
Copyright © 2007 by The Endocrine Society

RET/PTC Rearrangements and BRAF Mutations in Thyroid Tumorigenesis

Raffaele Ciampi and Yuri E. Nikiforov

Department of Endocrinology and Metabolism (R.C.), University of Pisa, 56127 Pisa, Italy; and Department of Pathology (Y.E.N.), University of Pittsburgh, Pittsburgh, Pennsylvania 15261

Address all correspondence and requests for reprints to: Dr. Yuri Nikiforov, M.D., Ph.D., Department of Pathology, University of Pittsburgh, A713 Scaife Hall, 3550 Terrace Street, Pittsburgh, Pennsylvania 15261. E-mail: nikiforovye{at}upmc.edu.

Thyroid papillary carcinoma is the most common type of endocrine cancer. It is frequently associated with genetic alterations leading to activation of the MAPK signaling pathway. The two most frequently affected genes, BRAF and RET, are activated by either point mutation or as a result of chromosomal rearrangement. These mutations are tumorigenic in thyroid follicular cells and correlate with specific phonotypical features and biological properties of papillary carcinomas, including tumor aggressiveness and response to radioiodine therapy. Molecular inhibitors that block RET/PTC or BRAF kinase activity have shown substantial therapeutic effects in the experimental systems and are currently being tested in clinical trials.




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