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Endocrine Abstracts (2021) 73 AEP387 | DOI: 10.1530/endoabs.73.AEP387

1Institute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Institute of Digestive Research, Medical Academy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Institute of Biotechnology, Life Sciences Center, Vilnius University, Vilnius, Lithuania; 4Department of Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania


Introduction

Inadequately managed papillary thyroid carcinoma (PTC) patients result in potentially higher fatal outcomes due to a lack of sufficient prognostic data/markers, inadequate periodic individualized follow-up risk assessments and/or insufficient initial treatment. MiR-146b, -21, -221, -222, -181b are potential biomarkers for risk stratification of PTC.

Aim

The aim of our study was to analyze expression of five miRNA molecules (miR-21; miR-221; miR-222; miR-146b; miR-181b) in PTC formaline fixed paraffin embedded (FFPE) tissue samples and evaluate the relation to clinicopathological parameters.

Methods

We analyzed expression of miR-221, miR-222, miR-146b, miR-21, miR-181b in the 312 patients FFPE PTC tissue samples and evaluated their expression relationship with clinicopathological parameters.

Results

MiR-221, miR-222 expression was higher in the PTC tissue samples with extrathyroidal extension (P = 0.049, 0.003, respectively). Higher expression of miR-21 was related to unifocal lesions (P < 0.011), and concomitant autoimmune thyroiditis (0.007). In a group of PTC patients with T1a and T1b sized tumors, the expression of miR-146b, miR-21, miR-221, miR-222 in PTC tissue samples was lower than in patients with T2, T3, T4(P = 0.032; 0.0044; 0.003; 0.001, respectively). Patients with lymph node metastases had higher expression of miR-21, -221, -222 and -181b (P < 0.05). High expression of miR-146b, miR-221, miR-21 panel is associated with decreased overall survival (Log rank P = 0.19).

Table 1 Clinicopathological features of PTC and miRNAs (-146b, -221, -21, -222, -181b) expression in PTC tissue samples
Relative expression 2Λ-Δ†Ct: MEAN ± SD
PTC clinicopathological feature miRNA-146b miRNA-21 miRNA-221 miRNA-222 miRNA-181b
Multifocality
Single (n = 244; 79.20%) 3.673 ± 0.211 1.658 ± 0.096 0.843 ± 0.595 2.548 ± 0.130 0.0006 ± 0.00003
Multiple (≥ 2) (n = 68; 21.80%) 3.123 ± 0.343 1.177 ± 0109 0.605 ± 0.0629 2.196 ± 0.188 0.0006 ± 0.00004
P 0.327 0.011 0.054 0.416 0.850
Extrathyroidal extension
Yes (n = 131; 41.99%) 3.289 ± 0.280 1.644 ± 0.113 0.905 ± 0.087 2.606 ± 0.156 0.0005 ± 0.00004
No (n = 181; 58.01%) 3.383 ± 0.237 1.487 ± 0.109 0.709 ± 0.055 2.374 ± 0.152 0.0006 ± 0.00004
P 0.086 0.082 0.049 0.030 0.108
T (TNM)
T1a, T1b (n = 160; 51.28%) 3.220 ± 0.241 1.386 ± 0.933 0.642 ± 0.477 2.158 ± 0.136 0.0007 ± 0.00004
T2, T3 (n = 152; 48.72%) 3.880 ± 0.269 1.721 ± 0.128 0.943 ± 0.842 2.786 ± 0.171 0.0006 ± 0.00004
P 0.032 0.044 0.003 0.001 0.317
Lymph node metastases
Yes (n = 48;15.38%) 4.488 ± 0.539 2.054 ± 0.0288 1.108 ± 0.188 3.496 ± 0.355 0.0008 ± 0.00009
No (n = 264; 84.62%) 3.370 ± 1.889 1.458 ± 0.077 0.731 ± 0.046 2.276 ± 0.109 0.0006 ± 0.00003
P 0.057 0.014 0.037  < 0.0001 0.01
Autoimmune thyroiditis
Yes (n = 78; 25%) 4.155 ± 0.416 1.889 ± 0.198 0.794 ± 0.091 2.720 ± 0.266 0.0006 ± 0.00006
No (n = 234; 75%) 3.350 ± 0.197 1.440 ± 0.082 0.790 ± 0.676 2.388 ± 0.116 0.0006 ± 0.00003
P 0.102 0.007 0.675 0.546 0.818

Conclusion

5 analyzed miRNA’s expression have significant relations to clinicopathologic parameters so further investigations of these molecules are necessary while searching for prognostic PTC biomarkers.

Volume 73

European Congress of Endocrinology 2021

Online
22 May 2021 - 26 May 2021

European Society of Endocrinology 

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