Abstract (EN):
<jats:p>This review examines the emerging roles of <jats:italic>DICER1</jats:italic> and <jats:italic>DGCR8</jats:italic>, key components of the miRNA biogenesis pathway, in thyroid pathogenesis, with a particular focus on their association with oncocytic morphology. Recent findings have expanded our understanding of DICER1 syndrome and <jats:italic>DGCR8</jats:italic>-related thyroid disorders, revealing a broader spectrum of thyroid lesions associated with mutations in these genes than previously recognised. We analyse current literature on <jats:italic>DICER1</jats:italic> and <jats:italic>DGCR8</jats:italic> mutations in thyroid pathology, synthesizing data from both basic science and pathological studies. The review explores recent findings on oncocytic features in some <jats:italic>DICER1</jats:italic>-mutated thyroid lesions, acknowledging that this association remains under investigation. The manuscript details the molecular mechanisms underlying <jats:italic>DICER1</jats:italic> and <jats:italic>DGCR8</jats:italic> mutations, including their impact on miRNA processing and subsequent effects on gene expression and cellular function. We discuss the diverse range of thyroid lesions associated with these mutations, from benign follicular nodular disease to aggressive carcinomas. The clinical implications of these findings are significant, as recognising <jats:italic>DICER1</jats:italic> and <jats:italic>DGCR8</jats:italic>-related thyroid lesions can lead to improved patient management, including genetic counselling and surveillance for other associated malignancies. We propose an algorithm for identifying <jats:italic>DICER1</jats:italic>-related thyroid lesions, with a focus on oncocytic tumours, to aid clinicians and pathologists in recognising these entities. This emerging field promises to refine the diagnosis, management, and treatment of thyroid disorders associated with miRNA biogenesis pathway alterations, potentially leading to novel diagnostic and therapeutic approaches.</jats:p>
Language:
English
Type (Professor's evaluation):
Scientific