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Submission No - 930296 HNOP-34 |
EFFECT OF HASHIMOTOS THYROIDITIS TO BRAFV600E PAPILLARY THYROID CARCINOMA THE PERSPECTIVE FROM A GENOMIC ANALYSIS |
DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY, KANGNAM SACRED HEART HOSPITAL, HALLYM UNIVERSITY COLLEGE OF MEDICINE, SEOUL, SOUTH KOREA |
DONG JIN LEE
, JI HOON PARK, BUM SANG LEE, JONG KYU LEE, SOO KYUNG JANG, KYU YOUNG CHOI, JIN HWAN KIM
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Objectives: The association between Hashimotos thyroiditis and BRAFV600E positive papillary thyroid carcinoma (PTC) remains controversial. The aim of this study is to evaluate the effect of Hashimotos thyroiditis to survival result of BRAFV600E PTCs using the Cancer Genome Atlas (TCGA) data. Methods:Statistical analysis and genomic analysis were done using gene expression data and clinical data of PTCs in The Cancer Genome Atlas data portal (https://tcga-data.nci.nih.gov) and cancer browser (https://genome-cancer.ucsc.edu). We compared overall survival (OS) and recurrence-free survival (RFS) between BRAFV600E PTCs with Hashimotos thyroiditis and BRAFV600E PTCs without Hashimotos thyroiditis. Also, using differently expressed genes(DEG) between two groups, we tried to find altered canonical pathways which could explain the effect of Hashimotos thyroiditis to BRAFV600Epositive PTCs. Result:When we compared OS and RFS using Kaplan Meier survival curve, BRAFV600E PTCs with Hashimotos thyroiditis showed better OS but worse RFS than those of BRAFV600E PTCs without Hashimotos thyroiditis (p=0.19 and p=0.05, respectively). As for incidence, BRAFV600Emutation and Hashimotos thyroiditis didnt show any association each other. BRAFV600E PTCs with Hashimotos thyroiditis showed lower TNM stage when compared with BRAFV600E PTCs without Hashimotos thyroiditis (p=0.05). Several immune related canonical pathways were upregulated and several pathways associated with tumor aggressiveness were downregulated inBRAFV600E PTCs with Hashimotos thyroiditis. Conclusion:BRAFV600E PTCs with Hashimotos thyroiditis showed better OS but worse RFS when compared to BRAFV600E PTCs without Hashimotos thyroiditis. We could explain this survival difference by genomic analysis using gene expression profile and altered pathway analysis. |
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