Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model
ObjectiveWe initially found that the thyroid differentiation score (TDS) was associated with the prognosis of papillary thyroid carcinoma (PTC) patients. Therefore, this study aimed to investigate the influencing factors and construct a discriminative model of high-risk dedifferentiation, and to exp...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2025.1535966/full |
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| author | Xiang Liu Qiao-li Zhu Zi-yi He Jing-de Shu Cheng Xiang |
| author_facet | Xiang Liu Qiao-li Zhu Zi-yi He Jing-de Shu Cheng Xiang |
| author_sort | Xiang Liu |
| collection | DOAJ |
| description | ObjectiveWe initially found that the thyroid differentiation score (TDS) was associated with the prognosis of papillary thyroid carcinoma (PTC) patients. Therefore, this study aimed to investigate the influencing factors and construct a discriminative model of high-risk dedifferentiation, and to explore the possible mechanisms.MethodsData were sourced from the TCGA database. The influences of the TDS, tumor mutation burden, and immune score on the progression-free interval (PFI) were assessed by the Kaplan-Meier method and multivariable Cox regression. Then, logistic regression analyses were utilized to explore the factors of dedifferentiation and a nomogram model was conducted. Additionally, differentially expressed genes (DEGs) were identified using RNA sequencing data, while their regulatory pathways were determined by the Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. Finally, the differential expression of key genes of major pathways was explored.ResultsThis study included 391 PTC patients. After analyzing the influences of the three indicators on survival, only TDS showed an association with PFI. Multivariable logistic analysis revealed that the disease duration and PTC subtypes influenced dedifferentiation. The nomogram model based on these two variables showed improved discriminative capability. The study identified 17 overlapping DEGs associated with the dedifferentiation and three primary enrichment pathways, with complement and coagulation cascade pathways being the most significant (P<0.001). The central gene was CD55, which showed high expression in high-risk dedifferentiated and tall cell PTC, and the expression level increased as the disease progressed.ConclusionThis research may contribute to promising identifying high-risk dedifferentiated PTC and also provide a potential therapeutic target. |
| format | Article |
| id | doaj-art-b049fa8f3c674a3fbd845d6acd8b9b27 |
| institution | DOAJ |
| issn | 2234-943X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-b049fa8f3c674a3fbd845d6acd8b9b272025-08-20T03:19:52ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-06-011510.3389/fonc.2025.15359661535966Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative modelXiang Liu0Qiao-li Zhu1Zi-yi He2Jing-de Shu3Cheng Xiang4Department of Breast and Thyroid Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, Zhejiang, ChinaDepartment of Breast and Thyroid Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, Zhejiang, ChinaDepartment of Breast and Thyroid Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, Zhejiang, ChinaDepartment of Breast and Thyroid Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, Zhejiang, ChinaDepartment of Thyroid Surgery, The Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, Zhejiang, ChinaObjectiveWe initially found that the thyroid differentiation score (TDS) was associated with the prognosis of papillary thyroid carcinoma (PTC) patients. Therefore, this study aimed to investigate the influencing factors and construct a discriminative model of high-risk dedifferentiation, and to explore the possible mechanisms.MethodsData were sourced from the TCGA database. The influences of the TDS, tumor mutation burden, and immune score on the progression-free interval (PFI) were assessed by the Kaplan-Meier method and multivariable Cox regression. Then, logistic regression analyses were utilized to explore the factors of dedifferentiation and a nomogram model was conducted. Additionally, differentially expressed genes (DEGs) were identified using RNA sequencing data, while their regulatory pathways were determined by the Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. Finally, the differential expression of key genes of major pathways was explored.ResultsThis study included 391 PTC patients. After analyzing the influences of the three indicators on survival, only TDS showed an association with PFI. Multivariable logistic analysis revealed that the disease duration and PTC subtypes influenced dedifferentiation. The nomogram model based on these two variables showed improved discriminative capability. The study identified 17 overlapping DEGs associated with the dedifferentiation and three primary enrichment pathways, with complement and coagulation cascade pathways being the most significant (P<0.001). The central gene was CD55, which showed high expression in high-risk dedifferentiated and tall cell PTC, and the expression level increased as the disease progressed.ConclusionThis research may contribute to promising identifying high-risk dedifferentiated PTC and also provide a potential therapeutic target.https://www.frontiersin.org/articles/10.3389/fonc.2025.1535966/fullthyroid differentiation scorepapillary thyroid carcinomadedifferentiationdifferentially expressed genesCD55 |
| spellingShingle | Xiang Liu Qiao-li Zhu Zi-yi He Jing-de Shu Cheng Xiang Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model Frontiers in Oncology thyroid differentiation score papillary thyroid carcinoma dedifferentiation differentially expressed genes CD55 |
| title | Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model |
| title_full | Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model |
| title_fullStr | Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model |
| title_full_unstemmed | Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model |
| title_short | Identification of risk factors for high-risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model |
| title_sort | identification of risk factors for high risk dedifferentiation in papillary thyroid carcinoma and construction of discriminative model |
| topic | thyroid differentiation score papillary thyroid carcinoma dedifferentiation differentially expressed genes CD55 |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2025.1535966/full |
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