Circulating levels of PTEN and KLLN in papillary thyroid carcinoma: can they be considered as novel diagnostic biomarkers?

Purpose PTEN and KLLN are two tumor suppressor genes located in 10q23, share a bidirectional promoter and have roles in carcinogenesis. Formerly, the role of PTEN mutations and KLLN epimutations were identified in incidence of thyroid lesions in individuals with Cowden syndrome, a rare autosomal dom...

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Veröffentlicht in:Endocrine 2017-09, Vol.57 (3), p.428-435
Hauptverfasser: Razavi, S. Adeleh, Modarressi, Mohammad Hossein, Yaghmaei, Parichehr, Tavangar, S. Mohammad, Hedayati, Mehdi
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container_end_page 435
container_issue 3
container_start_page 428
container_title Endocrine
container_volume 57
creator Razavi, S. Adeleh
Modarressi, Mohammad Hossein
Yaghmaei, Parichehr
Tavangar, S. Mohammad
Hedayati, Mehdi
description Purpose PTEN and KLLN are two tumor suppressor genes located in 10q23, share a bidirectional promoter and have roles in carcinogenesis. Formerly, the role of PTEN mutations and KLLN epimutations were identified in incidence of thyroid lesions in individuals with Cowden syndrome, a rare autosomal dominant inherited disorder. This study is the first of its type to assess PTEN and KLLN circulating levels in patients with sporadic papillary thyroid carcinoma (PTC) and compare to patients with multinodular goiter (MNG) and healthy individuals. Methods Plasma levels of PTEN and KLLN were determined by enzyme-linked immunosorbent assay in three groups consisted of PTC ( n  = 33), MNG ( n  = 26) and healthy persons ( n  = 30). The association of demographic/pathological characteristics with the levels of PTEN and KLLN were evaluated. Results A significant lower plasma levels of PTEN and KLLN were observed in PTC patients compared with those of healthy persons (PTEN, 9.43 ± 3.20 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.81 ± 0.83 vs. 2.57 ± 1.09 ng/ml, P  = 0.005), while no statistical difference was found between PTC and MNG groups. Patients with MNG lesion had significantly lower levels of PTEN/KLLN (PTEN, 9.62 ± 2.97 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.34 ± 0.86 vs. 2.57 ± 1.09 ng/ml, P  = 0.000) compared to the healthy controls. The demographic/pathological characteristics did not demonstrate an association with the levels of PTEN and KLLN. Conclusions The study suggests that the lowered levels of PTEN and KLLN are associated with both sporadic PTC and MNG tumorigenesis, but they cannot be considered as circulating biomarkers for differential diagnosis between malignancy and benignity in indeterminate thyroid nodules.
doi_str_mv 10.1007/s12020-017-1368-4
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Adeleh ; Modarressi, Mohammad Hossein ; Yaghmaei, Parichehr ; Tavangar, S. Mohammad ; Hedayati, Mehdi</creator><creatorcontrib>Razavi, S. Adeleh ; Modarressi, Mohammad Hossein ; Yaghmaei, Parichehr ; Tavangar, S. Mohammad ; Hedayati, Mehdi</creatorcontrib><description>Purpose PTEN and KLLN are two tumor suppressor genes located in 10q23, share a bidirectional promoter and have roles in carcinogenesis. Formerly, the role of PTEN mutations and KLLN epimutations were identified in incidence of thyroid lesions in individuals with Cowden syndrome, a rare autosomal dominant inherited disorder. This study is the first of its type to assess PTEN and KLLN circulating levels in patients with sporadic papillary thyroid carcinoma (PTC) and compare to patients with multinodular goiter (MNG) and healthy individuals. Methods Plasma levels of PTEN and KLLN were determined by enzyme-linked immunosorbent assay in three groups consisted of PTC ( n  = 33), MNG ( n  = 26) and healthy persons ( n  = 30). The association of demographic/pathological characteristics with the levels of PTEN and KLLN were evaluated. Results A significant lower plasma levels of PTEN and KLLN were observed in PTC patients compared with those of healthy persons (PTEN, 9.43 ± 3.20 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.81 ± 0.83 vs. 2.57 ± 1.09 ng/ml, P  = 0.005), while no statistical difference was found between PTC and MNG groups. Patients with MNG lesion had significantly lower levels of PTEN/KLLN (PTEN, 9.62 ± 2.97 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.34 ± 0.86 vs. 2.57 ± 1.09 ng/ml, P  = 0.000) compared to the healthy controls. The demographic/pathological characteristics did not demonstrate an association with the levels of PTEN and KLLN. Conclusions The study suggests that the lowered levels of PTEN and KLLN are associated with both sporadic PTC and MNG tumorigenesis, but they cannot be considered as circulating biomarkers for differential diagnosis between malignancy and benignity in indeterminate thyroid nodules.</description><identifier>ISSN: 1355-008X</identifier><identifier>EISSN: 1559-0100</identifier><identifier>DOI: 10.1007/s12020-017-1368-4</identifier><identifier>PMID: 28755140</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Biomarkers ; Biomarkers, Tumor - blood ; Carcinogenesis ; Carcinoma, Papillary - blood ; Carcinoma, Papillary - diagnosis ; Carcinoma, Papillary - pathology ; Case-Control Studies ; Chromosome 10 ; Cowden syndrome ; Diabetes ; Diagnosis, Differential ; Differential diagnosis ; Down-Regulation ; Endocrinology ; Enzyme-Linked Immunosorbent Assay ; Female ; Goiter ; Goiter, Nodular - blood ; Goiter, Nodular - diagnosis ; Hereditary diseases ; Humanities and Social Sciences ; Humans ; Internal Medicine ; Iran ; Male ; Malignancy ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; multidisciplinary ; Neoplasm Staging ; Nodules ; Normal Distribution ; Original Article ; Papillary thyroid carcinoma ; Plasma levels ; PTEN Phosphohydrolase - blood ; PTEN protein ; Science ; Statistics, Nonparametric ; Thyroid ; Thyroid cancer ; Thyroid Cancer, Papillary ; Thyroid Gland - pathology ; Thyroid Neoplasms - blood ; Thyroid Neoplasms - diagnosis ; Thyroid Neoplasms - pathology ; Tumor Burden ; Tumor suppressor genes ; Tumor Suppressor Proteins - blood ; Tumorigenesis</subject><ispartof>Endocrine, 2017-09, Vol.57 (3), p.428-435</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>Copyright Springer Science &amp; Business Media 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-f3b50b4867e9e767c57f709138af1a1ff23c5f1b22ed37ba6e8d0fcf8bafaefd3</citedby><cites>FETCH-LOGICAL-c372t-f3b50b4867e9e767c57f709138af1a1ff23c5f1b22ed37ba6e8d0fcf8bafaefd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12020-017-1368-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12020-017-1368-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28755140$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Razavi, S. Adeleh</creatorcontrib><creatorcontrib>Modarressi, Mohammad Hossein</creatorcontrib><creatorcontrib>Yaghmaei, Parichehr</creatorcontrib><creatorcontrib>Tavangar, S. Mohammad</creatorcontrib><creatorcontrib>Hedayati, Mehdi</creatorcontrib><title>Circulating levels of PTEN and KLLN in papillary thyroid carcinoma: can they be considered as novel diagnostic biomarkers?</title><title>Endocrine</title><addtitle>Endocrine</addtitle><addtitle>Endocrine</addtitle><description>Purpose PTEN and KLLN are two tumor suppressor genes located in 10q23, share a bidirectional promoter and have roles in carcinogenesis. Formerly, the role of PTEN mutations and KLLN epimutations were identified in incidence of thyroid lesions in individuals with Cowden syndrome, a rare autosomal dominant inherited disorder. This study is the first of its type to assess PTEN and KLLN circulating levels in patients with sporadic papillary thyroid carcinoma (PTC) and compare to patients with multinodular goiter (MNG) and healthy individuals. Methods Plasma levels of PTEN and KLLN were determined by enzyme-linked immunosorbent assay in three groups consisted of PTC ( n  = 33), MNG ( n  = 26) and healthy persons ( n  = 30). The association of demographic/pathological characteristics with the levels of PTEN and KLLN were evaluated. Results A significant lower plasma levels of PTEN and KLLN were observed in PTC patients compared with those of healthy persons (PTEN, 9.43 ± 3.20 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.81 ± 0.83 vs. 2.57 ± 1.09 ng/ml, P  = 0.005), while no statistical difference was found between PTC and MNG groups. Patients with MNG lesion had significantly lower levels of PTEN/KLLN (PTEN, 9.62 ± 2.97 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.34 ± 0.86 vs. 2.57 ± 1.09 ng/ml, P  = 0.000) compared to the healthy controls. The demographic/pathological characteristics did not demonstrate an association with the levels of PTEN and KLLN. Conclusions The study suggests that the lowered levels of PTEN and KLLN are associated with both sporadic PTC and MNG tumorigenesis, but they cannot be considered as circulating biomarkers for differential diagnosis between malignancy and benignity in indeterminate thyroid nodules.</description><subject>Adult</subject><subject>Biomarkers</subject><subject>Biomarkers, Tumor - blood</subject><subject>Carcinogenesis</subject><subject>Carcinoma, Papillary - blood</subject><subject>Carcinoma, Papillary - diagnosis</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Case-Control Studies</subject><subject>Chromosome 10</subject><subject>Cowden syndrome</subject><subject>Diabetes</subject><subject>Diagnosis, Differential</subject><subject>Differential diagnosis</subject><subject>Down-Regulation</subject><subject>Endocrinology</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Goiter</subject><subject>Goiter, Nodular - blood</subject><subject>Goiter, Nodular - diagnosis</subject><subject>Hereditary diseases</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Iran</subject><subject>Male</subject><subject>Malignancy</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Neoplasm Staging</subject><subject>Nodules</subject><subject>Normal Distribution</subject><subject>Original Article</subject><subject>Papillary thyroid carcinoma</subject><subject>Plasma levels</subject><subject>PTEN Phosphohydrolase - blood</subject><subject>PTEN protein</subject><subject>Science</subject><subject>Statistics, Nonparametric</subject><subject>Thyroid</subject><subject>Thyroid cancer</subject><subject>Thyroid Cancer, Papillary</subject><subject>Thyroid Gland - pathology</subject><subject>Thyroid Neoplasms - blood</subject><subject>Thyroid Neoplasms - diagnosis</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Tumor Burden</subject><subject>Tumor suppressor genes</subject><subject>Tumor Suppressor Proteins - blood</subject><subject>Tumorigenesis</subject><issn>1355-008X</issn><issn>1559-0100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PGzEQhq2KqnyUH8ClssR5YWzH600vqIroh4gChyBxs7z2OJgudmpvKqW_HqNQxIXTjGbe953RQ8gJgzMGoM4L48ChAaYaJtqumXwgB0zKaZ0A7NVeSNkAdHf75LCUBwDOeas-kX3eKSnZBA7Iv1nIdjOYMcQVHfAvDoUmT2-WlwtqoqNX8_mChkjXZh2GweQtHe-3OQVHrck2xPRovtY21jFuaY_UpliCw4yOmkJjqonUBbOKqYzB0j5UR_6NuVx8Jh-9GQoev9Qjcvv9cjn72cyvf_yafZs3Vig-Nl70EvpJ1yqcomqVlcormDLRGc8M854LKz3rOUcnVG9a7Bx467veeIPeiSNyustd5_Rng2XUD2mTYz2p2VQIrtpWtlXFdiqbUykZvV7nUF_dagb6mbbe0daVtn6mrSfV8-UledM_ont1_MdbBXwnKHUVV5jfnH439QkjWova</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Razavi, S. Adeleh</creator><creator>Modarressi, Mohammad Hossein</creator><creator>Yaghmaei, Parichehr</creator><creator>Tavangar, S. Mohammad</creator><creator>Hedayati, Mehdi</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20170901</creationdate><title>Circulating levels of PTEN and KLLN in papillary thyroid carcinoma: can they be considered as novel diagnostic biomarkers?</title><author>Razavi, S. Adeleh ; Modarressi, Mohammad Hossein ; Yaghmaei, Parichehr ; Tavangar, S. Mohammad ; Hedayati, Mehdi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-f3b50b4867e9e767c57f709138af1a1ff23c5f1b22ed37ba6e8d0fcf8bafaefd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Biomarkers</topic><topic>Biomarkers, Tumor - blood</topic><topic>Carcinogenesis</topic><topic>Carcinoma, Papillary - blood</topic><topic>Carcinoma, Papillary - diagnosis</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Case-Control Studies</topic><topic>Chromosome 10</topic><topic>Cowden syndrome</topic><topic>Diabetes</topic><topic>Diagnosis, Differential</topic><topic>Differential diagnosis</topic><topic>Down-Regulation</topic><topic>Endocrinology</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Goiter</topic><topic>Goiter, Nodular - blood</topic><topic>Goiter, Nodular - diagnosis</topic><topic>Hereditary diseases</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Iran</topic><topic>Male</topic><topic>Malignancy</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>multidisciplinary</topic><topic>Neoplasm Staging</topic><topic>Nodules</topic><topic>Normal Distribution</topic><topic>Original Article</topic><topic>Papillary thyroid carcinoma</topic><topic>Plasma levels</topic><topic>PTEN Phosphohydrolase - blood</topic><topic>PTEN protein</topic><topic>Science</topic><topic>Statistics, Nonparametric</topic><topic>Thyroid</topic><topic>Thyroid cancer</topic><topic>Thyroid Cancer, Papillary</topic><topic>Thyroid Gland - pathology</topic><topic>Thyroid Neoplasms - blood</topic><topic>Thyroid Neoplasms - diagnosis</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Tumor Burden</topic><topic>Tumor suppressor genes</topic><topic>Tumor Suppressor Proteins - blood</topic><topic>Tumorigenesis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Razavi, S. Adeleh</creatorcontrib><creatorcontrib>Modarressi, Mohammad Hossein</creatorcontrib><creatorcontrib>Yaghmaei, Parichehr</creatorcontrib><creatorcontrib>Tavangar, S. Mohammad</creatorcontrib><creatorcontrib>Hedayati, Mehdi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Endocrine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Razavi, S. Adeleh</au><au>Modarressi, Mohammad Hossein</au><au>Yaghmaei, Parichehr</au><au>Tavangar, S. Mohammad</au><au>Hedayati, Mehdi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circulating levels of PTEN and KLLN in papillary thyroid carcinoma: can they be considered as novel diagnostic biomarkers?</atitle><jtitle>Endocrine</jtitle><stitle>Endocrine</stitle><addtitle>Endocrine</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>57</volume><issue>3</issue><spage>428</spage><epage>435</epage><pages>428-435</pages><issn>1355-008X</issn><eissn>1559-0100</eissn><abstract>Purpose PTEN and KLLN are two tumor suppressor genes located in 10q23, share a bidirectional promoter and have roles in carcinogenesis. Formerly, the role of PTEN mutations and KLLN epimutations were identified in incidence of thyroid lesions in individuals with Cowden syndrome, a rare autosomal dominant inherited disorder. This study is the first of its type to assess PTEN and KLLN circulating levels in patients with sporadic papillary thyroid carcinoma (PTC) and compare to patients with multinodular goiter (MNG) and healthy individuals. Methods Plasma levels of PTEN and KLLN were determined by enzyme-linked immunosorbent assay in three groups consisted of PTC ( n  = 33), MNG ( n  = 26) and healthy persons ( n  = 30). The association of demographic/pathological characteristics with the levels of PTEN and KLLN were evaluated. Results A significant lower plasma levels of PTEN and KLLN were observed in PTC patients compared with those of healthy persons (PTEN, 9.43 ± 3.20 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.81 ± 0.83 vs. 2.57 ± 1.09 ng/ml, P  = 0.005), while no statistical difference was found between PTC and MNG groups. Patients with MNG lesion had significantly lower levels of PTEN/KLLN (PTEN, 9.62 ± 2.97 vs. 16.96 ± 1.28 ng/ml, P  = 0.000; KLLN, 1.34 ± 0.86 vs. 2.57 ± 1.09 ng/ml, P  = 0.000) compared to the healthy controls. The demographic/pathological characteristics did not demonstrate an association with the levels of PTEN and KLLN. Conclusions The study suggests that the lowered levels of PTEN and KLLN are associated with both sporadic PTC and MNG tumorigenesis, but they cannot be considered as circulating biomarkers for differential diagnosis between malignancy and benignity in indeterminate thyroid nodules.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28755140</pmid><doi>10.1007/s12020-017-1368-4</doi><tpages>8</tpages></addata></record>
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subjects Adult
Biomarkers
Biomarkers, Tumor - blood
Carcinogenesis
Carcinoma, Papillary - blood
Carcinoma, Papillary - diagnosis
Carcinoma, Papillary - pathology
Case-Control Studies
Chromosome 10
Cowden syndrome
Diabetes
Diagnosis, Differential
Differential diagnosis
Down-Regulation
Endocrinology
Enzyme-Linked Immunosorbent Assay
Female
Goiter
Goiter, Nodular - blood
Goiter, Nodular - diagnosis
Hereditary diseases
Humanities and Social Sciences
Humans
Internal Medicine
Iran
Male
Malignancy
Medicine
Medicine & Public Health
Middle Aged
multidisciplinary
Neoplasm Staging
Nodules
Normal Distribution
Original Article
Papillary thyroid carcinoma
Plasma levels
PTEN Phosphohydrolase - blood
PTEN protein
Science
Statistics, Nonparametric
Thyroid
Thyroid cancer
Thyroid Cancer, Papillary
Thyroid Gland - pathology
Thyroid Neoplasms - blood
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - pathology
Tumor Burden
Tumor suppressor genes
Tumor Suppressor Proteins - blood
Tumorigenesis
title Circulating levels of PTEN and KLLN in papillary thyroid carcinoma: can they be considered as novel diagnostic biomarkers?
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