Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity

PURPOSELineage-specific cellular plasticity is one of the emerging hallmarks of cancer. The undifferentiated state of anaplastic thyroid cancer (ATC) represents an instance of cellular plasticity where lineage-specific molecular markers are underacknowledged. In this study, we identified recurrent m...

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Main Authors: Vaishakhi Trivedi, Vanita Noronha, Munita Bal, Pratik Chandrani, Disha Poojary, Elveera Saldanha, Anuradha Choughule, Priyanka Pange, Vinod Gupta, Nandini Menon, Vijay Patil, Minit Shah, Pankaj Chaturvedi, Kumar Prabhash, Amit Dutt
Format: Article
Language:English
Published: American Society of Clinical Oncology 2025-07-01
Series:JCO Global Oncology
Online Access:https://ascopubs.org/doi/10.1200/GO-24-00610
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author Vaishakhi Trivedi
Vanita Noronha
Munita Bal
Pratik Chandrani
Disha Poojary
Elveera Saldanha
Anuradha Choughule
Priyanka Pange
Vinod Gupta
Nandini Menon
Vijay Patil
Minit Shah
Pankaj Chaturvedi
Kumar Prabhash
Amit Dutt
author_facet Vaishakhi Trivedi
Vanita Noronha
Munita Bal
Pratik Chandrani
Disha Poojary
Elveera Saldanha
Anuradha Choughule
Priyanka Pange
Vinod Gupta
Nandini Menon
Vijay Patil
Minit Shah
Pankaj Chaturvedi
Kumar Prabhash
Amit Dutt
author_sort Vaishakhi Trivedi
collection DOAJ
description PURPOSELineage-specific cellular plasticity is one of the emerging hallmarks of cancer. The undifferentiated state of anaplastic thyroid cancer (ATC) represents an instance of cellular plasticity where lineage-specific molecular markers are underacknowledged. In this study, we identified recurrent mutations in the thyroid hormone receptor α (THRA) gene, which may play a role in lineage-specific cellular plasticity in ATC.MATERIALS AND METHODSWe performed whole-exome sequencing and targeted sequencing of 68 formalin-fixed paraffin-embedded orphan tumors of ATC from Indian patients.RESULTSOur analysis reveals the hallmark mutations in TP53 (approximately 42%), BRAF (approximately 10.3%), KRAS (approximately 2.9%), NRAS (29.4%), HRAS (23.5%), NF1 (1.5%), AKT1 (approximately 2.9%), and PIK3CA (approximately 1.5%) genes. Interestingly, we found significant mutations in THRA (approximately 11%) in our cohort, unlike the White population, which is a substantial gene in the thyroid cell's differentiation process. THRA mutations co-occur with TP53 and other hallmark genes, which suggests a synergetic molecular mechanism in phenotypic change in ATC.CONCLUSIONOur data reveal the significant association of THRA mutations potentially influencing cellular plasticity in a subset of patients with ATC.
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publishDate 2025-07-01
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spelling doaj-art-1270f8624b4641a1a6b2f9b26c19e9482025-08-20T02:39:50ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412025-07-011110.1200/GO-24-00610Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular PlasticityVaishakhi Trivedi0Vanita Noronha1Munita Bal2Pratik Chandrani3Disha Poojary4Elveera Saldanha5Anuradha Choughule6Priyanka Pange7Vinod Gupta8Nandini Menon9Vijay Patil10Minit Shah11Pankaj Chaturvedi12Kumar Prabhash13Amit Dutt14Department of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Pathology, Tata Memorial Hospital, Mumbai, IndiaHomi Bhabha National Institute, Training School Complex, Mumbai, IndiaMedical Oncology Molecular Laboratory, Tata Memorial Hospital, Mumbai, IndiaHomi Bhabha National Institute, Training School Complex, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaHomi Bhabha National Institute, Training School Complex, Mumbai, IndiaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, IndiaIntegrated Cancer Genomics Laboratory, Department of Genetics (Biotech Centre), University of Delhi South Campus, New Delhi, IndiaPURPOSELineage-specific cellular plasticity is one of the emerging hallmarks of cancer. The undifferentiated state of anaplastic thyroid cancer (ATC) represents an instance of cellular plasticity where lineage-specific molecular markers are underacknowledged. In this study, we identified recurrent mutations in the thyroid hormone receptor α (THRA) gene, which may play a role in lineage-specific cellular plasticity in ATC.MATERIALS AND METHODSWe performed whole-exome sequencing and targeted sequencing of 68 formalin-fixed paraffin-embedded orphan tumors of ATC from Indian patients.RESULTSOur analysis reveals the hallmark mutations in TP53 (approximately 42%), BRAF (approximately 10.3%), KRAS (approximately 2.9%), NRAS (29.4%), HRAS (23.5%), NF1 (1.5%), AKT1 (approximately 2.9%), and PIK3CA (approximately 1.5%) genes. Interestingly, we found significant mutations in THRA (approximately 11%) in our cohort, unlike the White population, which is a substantial gene in the thyroid cell's differentiation process. THRA mutations co-occur with TP53 and other hallmark genes, which suggests a synergetic molecular mechanism in phenotypic change in ATC.CONCLUSIONOur data reveal the significant association of THRA mutations potentially influencing cellular plasticity in a subset of patients with ATC.https://ascopubs.org/doi/10.1200/GO-24-00610
spellingShingle Vaishakhi Trivedi
Vanita Noronha
Munita Bal
Pratik Chandrani
Disha Poojary
Elveera Saldanha
Anuradha Choughule
Priyanka Pange
Vinod Gupta
Nandini Menon
Vijay Patil
Minit Shah
Pankaj Chaturvedi
Kumar Prabhash
Amit Dutt
Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity
JCO Global Oncology
title Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity
title_full Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity
title_fullStr Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity
title_full_unstemmed Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity
title_short Comprehensive Genomic Profiling of Anaplastic Thyroid Cancer Identifies Alterations in THRA, a Potential Modifier of Cellular Plasticity
title_sort comprehensive genomic profiling of anaplastic thyroid cancer identifies alterations in thra a potential modifier of cellular plasticity
url https://ascopubs.org/doi/10.1200/GO-24-00610
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