Molecular profiling of papillary thyroid carcinomas in healthcare workers exposed to low dose radiation at the workplace.


Journal

Endocrine
ISSN: 1559-0100
Titre abrégé: Endocrine
Pays: United States
ID NLM: 9434444

Informations de publication

Date de publication:
04 2022
Historique:
received: 22 07 2021
accepted: 22 12 2021
pubmed: 31 1 2022
medline: 9 4 2022
entrez: 30 1 2022
Statut: ppublish

Résumé

Exposure to ionizing radiation, especially during childhood, is a well-established risk factor for thyroid cancer. The vast majority of radiation-induced cancers are papillary carcinomas (PTCs). These tumors typically have gene fusions in contrast to point mutations prevalent in sporadic PTCs. The aim of this study was to investigate the molecular profiles of PTC patients with workplace exposure to ionizing radiation. A retrospective review of 543 patients who underwent surgery with diagnosis of PTC was performed. A cohort of nine healthcare specialists previously exposed to radiation sources during their professional practice was selected and analyzed using the ThyroSeq mutation panel for point mutations and gene fusions associated with thyroid cancer. The molecular analysis of surgical samples of PTCs was informative and revealed genetic alterations in five patients. BRAF V600E was found in four (67%) cases whereas RET/PTC1 fusion in one (17%) and one sample (17%) was wild type for point mutations and fusions. One sample completely failed molecular analysis while two others were negative for genes fusions but failed DNA analysis; these three samples were excluded. In this limited cohort of healthcare workers exposed to low dose of ionizing radiation at the workplace and developed PTC, the molecular profiling determined BRAF V600E point mutation as the most common event, arguing against the role of workplace radiation exposure in the etiology of these tumors.

Identifiants

pubmed: 35094311
doi: 10.1007/s12020-021-02972-y
pii: 10.1007/s12020-021-02972-y
doi:

Substances chimiques

Proto-Oncogene Proteins B-raf EC 2.7.11.1

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

95-100

Informations de copyright

© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.

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Auteurs

Carlos S Duque (CS)

Department of Surgery, Pablo Tobón Uribe Hospital, Medellin, 050021, Colombia.

Alejandro Vélez (A)

Department of Surgery, Pablo Tobón Uribe Hospital, Medellin, 050021, Colombia.
Department of Pathology, Pablo Tobón Uribe Hospital, Medellin, 050021, Colombia.

Jorge Cuartas (J)

Ophthalmology Clinic San Diego, Medellin, 050021, Colombia.

Fabian Jaimes (F)

Department of Internal Medicine, University of Antioquia, Medellin, 050021, Colombia.

Juan Pablo Dueñas (JP)

Department of Surgery, Pablo Tobón Uribe Hospital, Medellin, 050021, Colombia.

Miguel Agudelo (M)

CES University, Medellin, 050021, Colombia.

Marina N Nikiforova (MN)

Department of Pathology, University of Pittsburgh, Pittsburgh, 15213, PA, USA.

Yuri E Nikiforov (YE)

Department of Pathology, University of Pittsburgh, Pittsburgh, 15213, PA, USA.

Vincenzo Condello (V)

Department of Pathology, University of Pittsburgh, Pittsburgh, 15213, PA, USA. vic40@pitt.edu.

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