title: B-Raf(V600E) and thrombospondin-1 promote thyroid cancer progression.
abstract: Although B-Raf(V600E) is the most common somatic mutation in papillary thyroid carcinoma (PTC), how it induces tumor aggressiveness is not fully understood. Using gene set enrichment analysis and in vitro and in vivo functional studies, we identified and validated a B-Raf(V600E) gene set signature associated with tumor progression in PTCs. An independent cohort of B-Raf(V600E)-positive PTCs showed significantly higher expression levels of many extracellular matrix genes compared with controls. We performed extensive in vitro and in vivo validations on thrombospondin-1 (TSP-1), because it has been previously shown to be important in the regulation of tumor angiogenesis and metastasis and is present in abundance in tumor stroma. Knockdown of B-Raf(V600E) resulted in TSP-1 down-regulation and a reduction of adhesion and migration/invasion of human thyroid cancer cells. Knockdown of TSP-1 resulted in a similar phenotype. B-Raf(V600E) cells in which either B-Raf(V600E) or TSP-1 were knocked down were implanted orthotopically into the thyroids of immunocompromised mice, resulting in significant reduction in tumor size and fewer pulmonary metastases from the primary carcinoma as compared with the control cells. Treatment of orthotopic thyroid tumors, initiated 1 week after tumor cell implantation with PLX4720, an orally available selective inhibitor of B-Raf(V600E), caused a significant tumor growth delay and decreased distant metastases, without evidence of toxicity. In conclusion, B-Raf(V600E) plays an important role in PTC progression through genes (i.e., TSP-1) important in tumor invasion and metastasis. Testing of a patient's thyroid cancer for B-Raf(V600E) will yield important information about potential tumor aggressiveness and also allow for future use of targeted therapies with selective B-Raf(V600E) inhibitors, such as PLX4720.
authors.affiliation: Thyroid Cancer Research Laboratory, Endocrine Surgery Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02214, USA.
authors.forename: Carmelo
authors.initials: C
authors.lastname: Nucera
authors.forename: Alessandro
authors.initials: A
authors.lastname: Porrello
authors.forename: Zeus Andrea
authors.initials: ZA
authors.lastname: Antonello
authors.forename: Michal
authors.initials: M
authors.lastname: Mekel
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Nehs
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Giordano
authors.forename: Damien
authors.initials: D
authors.lastname: Gerald
authors.forename: Laura E
authors.initials: LE
authors.lastname: Benjamin
authors.forename: Carmen
authors.initials: C
authors.lastname: Priolo
authors.forename: Efisio
authors.initials: E
authors.lastname: Puxeddu
authors.forename: Stephen
authors.initials: S
authors.lastname: Finn
authors.forename: Barbara
authors.initials: B
authors.lastname: Jarzab
authors.forename: Richard A
authors.initials: RA
authors.lastname: Hodin
authors.forename: Alfredo
authors.initials: A
authors.lastname: Pontecorvi
authors.forename: Vânia
authors.initials: V
authors.lastname: Nose
authors.forename: Jack
authors.initials: J
authors.lastname: Lawler
authors.forename: Sareh
authors.initials: S
authors.lastname: Parangi
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000627:therapeutic use; D045744:Cell Line, Tumor; D018450:Disease Progression; D005260:Female; D020869:Gene Expression Profiling; D015972:Gene Expression Regulation, Neoplastic; D006801:Humans; D007211:Indoles / Q000627:therapeutic use; D008175:Lung Neoplasms / Q000517:prevention & control / Q000556:secondary; D051379:Mice; D016513:Mice, SCID; D009154:Mutation; D047428:Protein Kinase Inhibitors / Q000627:therapeutic use; D048493:Proto-Oncogene Proteins B-raf / Q000235:genetics / Q000378:metabolism*; D034622:RNA Interference; D015398:Signal Transduction; D013449:Sulfonamides / Q000627:therapeutic use; D019700:Thrombospondin 1 / Q000235:genetics / Q000378:metabolism*; D013964:Thyroid Neoplasms / Q000188:drug therapy / Q000235:genetics / Q000378:metabolism* / Q000473:pathology*
chemical_list: D000970:Antineoplastic Agents; D007211:Indoles; C528407:PLX 4720; D047428:Protein Kinase Inhibitors; D013449:Sulfonamides; D019700:Thrombospondin 1; C482119:BRAF protein, human; D048493:Proto-Oncogene Proteins B-raf