Background/Aim: Recent knowledge implicates a differential expression of the insulin-like growth factor-I (IGF-I) mRNA splice variants (i.e., IGF-IEa, IGF-IEb and IGF-IEc) in cancerous tissues, implying possible specific roles of the encoded IGF-I protein isoforms in cancer biology. In particular, there is growing evidence that the IGF-IEc isoform may play a distinct biological role in various types of cancers. The present study investigated whether IGF-IEc expression is associated with a particular type of thyroid cancer. Materials and Methods: Formalinfixed paraffin-embedded tissue specimens of different types of thyroid cancers from 92 patients were assessed for IGF-IEc expression by immunohistochemistry. In addition, thyroid cancer biopsies of different TNM staging histological types were evaluated for mRNA expression of the IGF-IEc transcript by real-time polymerase chain reaction (PCR). Results: From the total number of 92 samples, 2 were anaplastic, 10 medullary, 4 hyperplasias of C-cells, 11 follicular, 5 hurtle cell carcinomas, 2 poorly differentiated, 5 nodular hyperplasias, 1 lymphoma and 52 were papillary thyroid cancers. The age of cancer diagnosis or tumor size did not significantly affect the IGF-IEc expression. Among all types of cancers, IGF-IEc was expressed in papillary differentiated thyroid cancer. Its expression/localization was mainly cytoplasmic and significantly associated with TNM staging and the presence of muscular and capsule cancerous invasion (p<0.05). Similarly, a differential profile was revealed regarding the mRNA expression of the IGF-IEc transcript, that exhibited a higher expression in aggressive compared to the non-aggressive papillary cancers.
Conclusion: IGF-IEc isoform expression in thyroid cancer is positively associated with more advanced stages of papillary thyroid cancer.Thyroid cancer accounts for the 1% of all human neoplasias and is the most common endocrine cancer. Over the last decades, its rate has developed rapidly because of the multiple, congregate environmental factors and the rapid advances in diagnostic radiology tools that detect small size cancers, that otherwise would remain undiagnosed. Basically, thyroid cancer is classified in 4 main categories; the differentiated cancer (papillary and follicular thyroid cancer), the poorly differentiated, the medullary cancer, which derives from parafollicular C cells of thyroid, and the anaplastic cancer, which has the poorest prognosis (1, 2).Several common oncogenes, such as RAS, RET, BRAF and p53, have been involved in thyroid carcinogenesis (3). However, these are rarely used as prognostic factors in everyday clinical practice, since their frequency varies depending on the population while they mainly reflect the different genetic and environmental factors that induce carcinogenesis (1). On the other hand, insulin-like growth factor-I (IGF-I) regulates various aspects of cancer biology, such as cell proliferation, survival, differentiation and migration (4-7) and, thus, it has been implicated in the pathophysiol...