HGF/C-MET system pathways in benign and malignant histotypes of thyroid nodules: an immunohistochemical characterization.
HGF/C-MET system pathways in benign and malignant histotypes of thyroid nodules: an immunohistochemical characterization.
Upon binding with HGF, the thyrosine-kinase receptor c-met induces cell growth, scattering and morphogenic effects via the trasducers STAT3 and phosphorylated-STAT3, PI3K/Akt, Rho. HGF, c-met and STAT3 are expressed with very high frequency in papillary thyroid carcinomas (PTC), suggesting a role in PTC. Herein we first investigate the simultaneous expression of HGF, c-met, STAT3, phosphor-STAT3, PI3K, Akt and Rho in thyroid nodules.Using immunohistochemistry, we studied: 30 colloid nodules (CN), 18 hyperplastic nodules (HN), 20 follicular adenomas (FA), 15 oncocytic adenomas (OA), 20 PTC, 16 follicular carcinomas (FTC) and 6 anaplastic carcinomas (ATC).All 7 proteins were expressed in 15% of FA (with HGF, PI3K and Rho stromal reactivity) and 25% of PTC, and the combination HGF/c-met/STAT3/ pSTAT3/PI3K was expressed by all PTC, each protein being expressed by tumor cells. In contrast, 13/16 FTC (81%) exhibited immunoreactivity for PI3K (both epithelial and stromal), and 100% of ATC was PI3K+ (both epithelial and stromal) and Rho+ (epithelial). Epithelial expression of PI3K correlated with the clinical behavior of histotypes and, within FTC, the proportion of PI3K+ cells correlated with both the clinical and pathological stage (r=0.95; p<0.001). As for the shared epithelial expression of PI3K, this concerned approximately one-fourth of tumor cells in FTC and ATC vs one-thirtieth in PTC.Our data may have practical implications for the targeted medical therapy of thyroid cancer arising from the follicular epithelium.
- University of Murcia Spain
- University of Messina Italy
Adenoma, STAT3 Transcription Factor, rho GTP-Binding Proteins, CDU::6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncología, Hepatocyte Growth Factor, :6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncología [CDU], Carcinoma, Epithelial Cells, Proto-Oncogene Proteins c-met, Thyroid Carcinoma, Anaplastic, Immunohistochemistry, Carcinoma, Papillary, Rho, Thyroid Cancer, Papillary, Adenocarcinoma, Follicular, Thyroid nodules, Humans, Thyroid Neoplasms, Thyroid Nodule, Phosphatidylinositol 3-Kinase, Phosphorylation, Stromal Cells, Proto-Oncogene Proteins c-akt, Neoplasm Staging
Adenoma, STAT3 Transcription Factor, rho GTP-Binding Proteins, CDU::6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncología, Hepatocyte Growth Factor, :6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncología [CDU], Carcinoma, Epithelial Cells, Proto-Oncogene Proteins c-met, Thyroid Carcinoma, Anaplastic, Immunohistochemistry, Carcinoma, Papillary, Rho, Thyroid Cancer, Papillary, Adenocarcinoma, Follicular, Thyroid nodules, Humans, Thyroid Neoplasms, Thyroid Nodule, Phosphatidylinositol 3-Kinase, Phosphorylation, Stromal Cells, Proto-Oncogene Proteins c-akt, Neoplasm Staging
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