How to treat a signal? Current basis for RET-genotype-oriented choice of kinase inhibitors for the treatment of medullary thyroid cancer

• Type: Another Publication in an International Scientific Journal
• Date: 2011

Authors

Prazeres, H (Author) Other; Torres, J (Author) Other; Rodrigues, F (Author) Other; Couto, JP (Author) Other; Vinagre, J (Author) Other; Sobrinho Simoes, M (Author) FMUP; Soares, P (Author) FMUP

Journal

Title: Journal of Thyroid Research

Vol. 2011

Pages: 1-10

ISSN: 2090-8067

Publisher: Hindawi

Indexing

ISI Web of Knowledge

Scopus - 15 Citations

Other information

Authenticus ID: P-008-4CF

DOI: 10.4061/2011/678357

Abstract (EN): The significance of RET in thyroid cancer comes from solid evidence that, when inherited, an RET activating mutation primes C-cells to transform into medullary carcinomas. Moreover, environmental exposure to radiation also induces rearranged transforming RET "isoforms" that are found in papillary thyroid cancer. The RET gene codes for a tyrosine kinase receptor that targets a diverse set of intracellular signaling pathways. The nature of RET point mutations predicts differences in the mechanisms by which the receptor becomes activated and correlates with different forms of clinical presentation, age of onset, and biological aggressiveness. A number of RET-targeting Tyrosine Kinase Inhibitors (TKIs) are currently undergoing clinical trials to evaluate their effectiveness in the treatment of thyroid cancer, and it is conceivable that the RET genotype may also influence response to these compounds. The question that now emerges is whether, in the future, the rational for treatment of refractory thyroid cancer will be based on the management of an abnormal RET signal. In this paper we address the RET-targeting TKIs and review studies about the signaling properties of distinct RET mutants as a means to predict response and design combinatorial therapies for the soon to be available TKIs.

Language: English

Type (Professor's evaluation): Scientific