Novel Therapeutics in Radioactive Iodine-Resistant Thyroid Cancer.

anaplastic thyroid cancer iodine resistance novel therapeutic radioactive iodine resistance thyroid cancer well differentiated thyroid cancer

Journal

Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782

Informations de publication

Date de publication:
2021
Historique:
received: 04 06 2021
accepted: 24 06 2021
entrez: 2 8 2021
pubmed: 3 8 2021
medline: 15 2 2022
Statut: epublish

Résumé

Iodine-resistant cancers account for the vast majority of thyroid related mortality and, until recently, there were limited therapeutic options. However, over the last decade our understanding of the molecular foundation of thyroid function and carcinogenesis has driven the development of many novel therapeutics. These include FDA approved tyrosine kinase inhibitors and small molecular inhibitors of VEGFR, BRAF, MEK, NTRK and RET, which collectively have significantly changed the prognostic outlook for this patient population. Some therapeutics can re-sensitize de-differentiated cancers to iodine, allowing for radioactive iodine treatment and improved disease control. Remarkably, there is now an FDA approved treatment for BRAF-mutated patients with anaplastic thyroid cancer, previously considered invariably and rapidly fatal. The treatment landscape for iodine-resistant thyroid cancer is changing rapidly with many new targets, therapeutics, clinical trials, and approved treatments. We provide an up-to-date review of novel therapeutic options in the treatment of iodine-resistant thyroid cancer.

Identifiants

pubmed: 34335481
doi: 10.3389/fendo.2021.720723
pmc: PMC8321684
doi:

Substances chimiques

Iodine Radioisotopes 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

720723

Informations de copyright

Copyright © 2021 Fullmer, Cabanillas and Zafereo.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Tanner Fullmer (T)

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

Maria E Cabanillas (ME)

Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

Mark Zafereo (M)

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

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