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1.
Br J Cancer ; 101(1): 132-8, 2009 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-19536094

RESUMO

BACKGROUND: The human death-associated protein 3 (hDAP3) is a GTP-binding constituent of the small subunit of the mitochondrial ribosome with a pro-apoptotic function. METHODS: A search through publicly available microarray data sets showed 337 genes potentially coregulated with the DAP3 gene. The promoter sequences of these 337 genes and 70 out of 85 mitochondrial ribosome genes were analysed in silico with the DAP3 gene promoter sequence. The mitochondrial role of DAP3 was also investigated in the thyroid tumours presenting various mitochondrial contents. RESULTS: The study revealed nine transcription factors presenting enriched motifs for these gene promoters, five of which are implicated in cellular growth (ELK1, ELK4, RUNX1, HOX11-CTF1, TAL1-ternary complex factor 3) and four in mitochondrial biogenesis (nuclear respiratory factor-1 (NRF-1), GABPA, PPARG-RXRA and estrogen-related receptor alpha (ESRRA)). An independent microarray data set showed the overexpression of ELK1, RUNX1 and ESRRA in the thyroid oncocytic tumours. Exploring the thyroid tumours, we found that DAP3 mRNA and protein expression is upregulated in tumours presenting a mitochondrial biogenesis compared with the normal tissue. ELK1 and ESRRA were also showed upregulated with DAP3. CONCLUSION: ELK1 and ESRRA may be considered as potential regulators of the DAP3 gene expression. DAP3 may participate in mitochondrial maintenance and play a role in the balance between mitochondrial homoeostasis and tumourigenesis.


Assuntos
Adenoma Oxífilo/genética , Adenoma Oxífilo/metabolismo , Proteínas Reguladoras de Apoptose/biossíntese , Proteínas Reguladoras de Apoptose/genética , Proteínas Ribossômicas/biossíntese , Proteínas Ribossômicas/genética , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/metabolismo , Reparo de Erro de Pareamento de DNA , Regulação Neoplásica da Expressão Gênica , Humanos , Imuno-Histoquímica , Mitocôndrias/genética , Mitocôndrias/metabolismo , Regiões Promotoras Genéticas , Biossíntese de Proteínas , RNA Mensageiro/biossíntese , RNA Mensageiro/genética , Proteínas de Ligação a RNA , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Ribossomos/genética , Fatores de Transcrição/genética
2.
Gynecol Obstet Fertil ; 34(9): 847-54, 2006 Sep.
Artigo em Francês | MEDLINE | ID: mdl-16962811

RESUMO

Mitochondria play a primary role in cellular energetic metabolism, homeostasis and death. In spermatozoa, in particular, mitochondria produce the ATP necessary for motility. Mitochondrial functions depend, at least partially, on mitochondrial DNA (mtDNA). The mitochondrial genome, the transmission of which is exclusively maternal contributes to cytoplasmic heredity. Qualitative and quantitative mtDNA abnormalities have been associated with male infertility. This review focuses on the role of mtDNA in human fertility.


Assuntos
DNA Mitocondrial/análise , Espermatozoides/química , Espermatozoides/ultraestrutura , DNA Mitocondrial/genética , DNA Mitocondrial/fisiologia , Humanos , Infertilidade Masculina/genética , Masculino , Mitocôndrias/fisiologia , Mutação
3.
Ann Endocrinol (Paris) ; 67(3): 205-13, 2006 Jun.
Artigo em Francês | MEDLINE | ID: mdl-16840911

RESUMO

Most solid tumours preferentially develop glycolytic metabolism, often accompanying tumor aggressiveness. Increase in nucleic acid synthesis is associated with cell proliferation and glucose shunting to the pentose phosphate pathway. High glucose consumption is more associated with a metabolic adaptation than with a mitochondrial defect. Tumor cells do not present specific genetic modifications but adapt their metabolic capacities to their priority needs. However their metabolisms depend on oncogene expression more specifically expressed in this context. The glycolytic pathway is favored by tumor proliferation under hypoxia. Stabilization of HIF1 factor may explain the glycolytic metabolism of the tumors in an anaerobic environment. We demonstrate in two types of mitochondrial rich tumors, that specific defects induce completely different metabolic directions: when familial paragangliomas present a glycolytic metabolism, thyroid oncocytic tumors develop a specific oxidative metabolism.


Assuntos
Neoplasias das Glândulas Endócrinas/metabolismo , Metabolismo Energético/fisiologia , Mitocôndrias/metabolismo , Neoplasias das Glândulas Endócrinas/enzimologia , Neoplasias das Glândulas Endócrinas/patologia , Neoplasias das Glândulas Endócrinas/ultraestrutura , Gluconeogênese/fisiologia , Glucose/metabolismo , Glicólise/fisiologia , Humanos , Mitocôndrias/enzimologia , Mitocôndrias/patologia , Via de Pentose Fosfato
4.
Rev Neurol (Paris) ; 161(4): 451-4, 2005 Apr.
Artigo em Francês | MEDLINE | ID: mdl-15924081

RESUMO

INTRODUCTION: In 1961, Garcin et al. described a family with several members affected with optic atrophy associated with cataract, and neurological symptoms. The authors believed this condition to be distinct from other diseases known at that time, e.g. the Behr syndrome, Marinesco-Sjogren syndrome and Friedreich's ataxia. METHOD: This family was followed over a period of 40 years and genes known to be responsible for optic atrophy were sequenced. RESULTS: The G277A mutation of OPA3 gene was responsible for this familial disease. DISCUSSION: A new clinical entity is identified: autosomal dominant optic atrophy and cataract, due to a heterozygous mutation of the OPA3 gene, a nuclear gene encoding a mitochondrial protein.


Assuntos
Doenças dos Gânglios da Base/genética , Catarata/genética , Mutação , Atrofias Ópticas Hereditárias/genética , Proteínas/genética , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças dos Gânglios da Base/complicações , Catarata/complicações , Criança , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Atrofias Ópticas Hereditárias/complicações , Linhagem
5.
J Clin Endocrinol Metab ; 86(10): 4920-5, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11600563

RESUMO

Oxyphilic tumors (oncocytomas or Hürthle cell tumors) form a rare subgroup of thyroid tumors characterized by cells containing abundant mitochondria. The relationship between the mitochondrial proliferation and the pathogenesis of these tumors is unknown. We have assessed the expression of the mitochondrial ND2 and ND5 (subunits of the nicotinamide adenine dinucleotide dehydrogenase complex) genes and the nuclear UCP2 (uncoupling protein 2) gene in 22 oxyphilic thyroid tumors and matched controls. The consumption of oxygen in mitochondria from tumors was determined by polarography. ATP assays were used to explore the mitochondrial respiratory chain activity and the oxidative phosphorylation coupling in seven fresh thyroid tumors and controls. Adenosine triphosphate synthesis was significantly lower in all the tumors, compared with controls, suggesting that a coupling defect in oxidative phosphorylation may be a cause of mitochondrial hyperplasia in oxyphilic thyroid tumors.


Assuntos
Adenoma Oxífilo/metabolismo , Trifosfato de Adenosina/biossíntese , Proteínas de Membrana Transportadoras , Mitocôndrias/metabolismo , Proteínas Mitocondriais , Neoplasias da Glândula Tireoide/metabolismo , DNA Mitocondrial/análise , Humanos , Imuno-Histoquímica , Canais Iônicos , NADH Desidrogenase/genética , Polarografia , Proteínas/genética , Proteína Desacopladora 2
6.
J Clin Endocrinol Metab ; 87(2): 635-9, 2002 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11836297

RESUMO

Serum Tg (sTg) assays are sometimes unsatisfactory for monitoring thyroid cancer because interference caused by anti-Tg antibodies may reduce the sensitivity of the tests during thyroid hormone therapy. We have therefore developed a complementary method using real-time quantitative RT-PCR based on the amplification of Tg mRNA. Two different pairs of primers were used for the determination of the frequency of one of the variants of the alternative splicing of Tg mRNA. The frequency of this variant was as high in patients (n = 40) as in controls (n = 30), accounting for about 33% of the total Tg mRNA. Using appropriate primers, we observed that Tg mRNA values in controls varied according to the volume of thyroid tissue and the TSH concentration. The Tg mRNA values allowed the definition of a positive cutoff point at 1 pg/microg total RNA. This cutoff point, tested on the group of patients treated for thyroid cancer, produced fewer false negative results than those obtained with sTg assays. The standardized, highly sensitive real-time RT-PCR technique may therefore prove useful as a complement to sTg assays, particularly for patients with recurrent thyroid cancer receiving T(4) therapy.


Assuntos
Adenocarcinoma Folicular/genética , Carcinoma Papilar/genética , RNA Mensageiro/sangue , Reação em Cadeia da Polimerase Via Transcriptase Reversa/normas , Tireoglobulina/genética , Neoplasias da Glândula Tireoide/genética , Adenocarcinoma Folicular/sangue , Adenocarcinoma Folicular/cirurgia , Processamento Alternativo , Carcinoma Papilar/sangue , Carcinoma Papilar/cirurgia , Sistemas Computacionais , Feminino , Seguimentos , Bócio Nodular/sangue , Bócio Nodular/genética , Humanos , Ensaio Imunorradiométrico , Masculino , Período Pós-Operatório , RNA Mensageiro/genética , Valores de Referência , Tireoglobulina/sangue , Neoplasias da Glândula Tireoide/sangue , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia
7.
Eur J Hum Genet ; 7(3): 404-6, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10234520

RESUMO

Optic neuritis frequently occurs in multiple sclerosis (MS), and shares several similarities with the optic neuritis of Leber's hereditary optic neuropathy (LHON), which is mainly due to maternally transmitted mitochondrial DNA (mtDNA) mutations. Our report shows for the first time that a mitochondrial DNA background could influence the clinical expression of MS. One European mtDNA haplogroup was found only in MS patients with optic neuritis but not in MS patients without visual symptoms. Therefore, we hypothesize that mtDNA haplogroup J might constitute a risk factor for optic neuritis occurrence when it is coincidentally associated with MS, but not be a risk factor for developing MS per se as suggested previously.


Assuntos
DNA Mitocondrial , Esclerose Múltipla/genética , Neurite Óptica/genética , Alelos , Feminino , Humanos , Masculino , Esclerose Múltipla/fisiopatologia , Fenótipo
8.
FEBS Lett ; 279(2): 190-2, 1991 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-1705895

RESUMO

Thyroglobulin is the thyroid hormone precursor and the major antigen frequently involved in autoimmune diseases. The primary structure of human thyroglobulin is known but the spatial structure remains largely undetermined. By using fusion protein produced in prokaryotic system we have characterized seven short immunoreactive peptides carrying at least one epitope. None of them includes hormonogenic sites, but five are concentrated in the central part of the monomeric molecule, which thus emerges as the major immunogenic region of this protein.


Assuntos
Tireoglobulina/imunologia , Epitopos , Humanos , Fragmentos de Peptídeos/imunologia , Proteínas Recombinantes de Fusão/imunologia , Tireoglobulina/química
9.
FEBS Lett ; 175(1): 140-6, 1984 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-6479331

RESUMO

At moderate iodination levels (20 iodine at atoms/molecule), human thyroglobulin (hTgb) produces after reduction a thyroxinyl-peptide of 26 kDa which represents the N-terminal part of the protein. At higher iodination levels, the 26-kDa peptide is accompanied by another T4-containing peptide of 18 kDa. A precursor-product relationship between the 26- and 18-kDa fragments was demonstrated by the study of the tryptic fragments of both hormonopeptides. In addition, comparison with the protein sequence deduced from the nucleotide sequence of the 5'-end of hTgb mRNA demonstrated that the N-terminal region of Htgb from which are issued the 26-kDa peptide and its 18-kDa derivative is especially sensitive to proteolysis. This character is possibly related with a facilitated release of thyroid hormones in vivo.


Assuntos
Iodetos/metabolismo , Fragmentos de Peptídeos/metabolismo , Tireoglobulina/metabolismo , Sequência de Aminoácidos , Cromatografia em Gel , Cromatografia Líquida de Alta Pressão , Humanos , Peso Molecular , Fragmentos de Peptídeos/isolamento & purificação , Tiroxina/metabolismo , Tripsina
10.
Biochimie ; 71(2): 195-209, 1989 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2495820

RESUMO

Thyroglobulin is a large-size iodoglycoprotein specific to thyroid tissue and is the substrate for the synthesis of thyroid hormones, thyroxine and 3,5,3'-triiodothyronine. Recent studies, which greatly benefited from recombinant DNA methodologies, improved the knowledge of several structural features of this dimeric protein and permitted insights into some structure-function relationships. Analysis-function of the primary structure of the human thyroglobulin monomer revealed several main characteristics: 1) 3 types of internal homologies; 2) extensive homology with the bovine thyroglobulin monomer and known partial sequences in the thyroglobulins of other mammalian species; 3) significant homologies with 2 other non-thyroid proteins (acetylcholinesterase and the invariant chain of the Ia class II histocompatibility antigen); 4) a terminal localization of the hormonogenic sites at both ends of the monomer. Current studies aim at determining conformational characteristics, understanding the molecular mechanisms of thyroid hormone formation and unraveling those interactions which in the thyroid cell and the thyroid follicle will permit this large pro-hormone to synthesize and release a few small thyroid hormone molecules. A more precise knowledge of this molecule in higher vertebrates and during evolution would impart valuable information concerning thyroid pathology, since thyroglobulin has been implicated in some genetic and in autoimmune thyroid diseases.


Assuntos
Tireoglobulina/fisiologia , Sequência de Aminoácidos , DNA/isolamento & purificação , Regulação da Expressão Gênica , Humanos , Dados de Sequência Molecular , Conformação Proteica , RNA Mensageiro/isolamento & purificação , Tireoglobulina/genética
11.
Psychiatr Genet ; 10(1): 43-9, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10909128

RESUMO

The dopamine D3 receptor gene is of potential interest in the physiopathology of affective disorder because of its expression pattern in brain structures controlling various aspects of behaviour, cognition and emotions. Moreover, it encodes for a receptor protein that is a target for psychotropic drugs, which turn out to be efficient in the treatment of this disorder. Two polymorphisms have been described at this locus (the Bal I and the Msp I Restriction Fragment Length Polymorphisms) that are useful in genetic studies. We therefore researched these polymorphisms in 60 patients suffering from bipolar affective disorder who were compared with 60 healthy volunteers. No statistical difference was observed between the whole patient sample versus the controls. However, one subgroup [homozygous for the (2-2) Bal I polymorphism] exhibits a characteristic clinical pattern consisting of: manic monopolar form of bipolar disorder, low age of onset and initiation by an acute delusional episode. A gender distribution difference for the Bal I polymorphism (chi 2 = 6.61, degrees of freedom = 1, P = 0.01) was then noted, the bipolar females being preferentially heterozygous, and the males homozygous. These results could involve the dopamine D3 receptor locus as a minor effect gene in the manic depression condition.


Assuntos
Transtorno Bipolar/genética , Proteínas do Tecido Nervoso/genética , Polimorfismo de Fragmento de Restrição , Receptores de Dopamina D2/genética , Adulto , Idade de Início , Alelos , Transtorno Bipolar/classificação , Transtorno Bipolar/epidemiologia , Desoxirribonuclease HpaII , Desoxirribonucleases de Sítio Específico do Tipo II , Feminino , Predisposição Genética para Doença , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Proteínas do Tecido Nervoso/fisiologia , Receptores de Dopamina D2/fisiologia , Receptores de Dopamina D3 , População Branca/genética
12.
Thyroid ; 11(4): 327-33, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11349830

RESUMO

Thyroid oncocytoma is characterized by the presence of oncocytes containing abnormally large numbers of mitochondria. However, the relationship between the abundance of mitochondria and the pathogenesis of the tumors is unknown. Recently, a new cell line, named XTC.UC1, has been derived from a metastasis of thyroid oncocytoma. We have studied the metabolism and the gene expression profile of the mitochondria in XTC.UC1 cells, using B-CPAP cells as controls. There were no signs of mitochondrial respiratory chain defects or uncoupling between the respiratory chain and adenosine triphosphate (ATP) production. In XTC.UC1 cells, mtDNA transcripts were increased more than fivefold than in controls, in parallel with a 3.6-fold increase in mtDNA content. Finally, in spite of the glycolytic metabolism induced by the culture medium, the mitochondria of XTC.UC1 cells possess the phenotype of oncocytic cells with hypertrophic mitochondria, higher respiratory enzyme activity and higher mtDNA content than in controls. XTC.UC1 cells may therefore offer a useful model for investigating the coordination of the nuclear and mitochondrial genomes, in the context of thyroid tumors.


Assuntos
Adenoma Oxífilo/metabolismo , Mitocôndrias/metabolismo , Neoplasias da Glândula Tireoide/metabolismo , Adenoma Oxífilo/patologia , Trifosfato de Adenosina/biossíntese , Núcleo Celular/metabolismo , DNA Mitocondrial/análise , Citometria de Fluxo , Humanos , Polarografia , Neoplasias da Glândula Tireoide/patologia , Células Tumorais Cultivadas
13.
Thyroid ; 10(9): 761-5, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11041453

RESUMO

Usually, thyroid carcinoma presents as a cold nodule on radioiodine scintigraphy. High-uptake nodules on iodine thyroid scans are associated with an exceedingly low incidence of malignancy. Only 29 cases of carcinomas appearing as hot or warm nodules have as yet been reported. From 1993 to 1999, we have observed eight similar cases (4 hot and 4 warm thyroid nodules) suggesting that thyroid carcinomas may not be as rare as usually considered in these circumstances. Four tumors were available for molecular analysis on paraffin-embedded sections. Because no mutations were found in the whole coding portions of thyrotropin-receptor (TSH-R) gene and fragments encompassing the mutational hot spots of the G(s alpha) gene, it is unlikely that activating mutations of the TSH-R or G(s alpha) genes were involved in these carcinomas.


Assuntos
Proteínas Heterotriméricas de Ligação ao GTP/genética , Radioisótopos do Iodo , Mutação , Receptores da Tireotropina/genética , Neoplasias da Glândula Tireoide/genética , Adenocarcinoma Folicular/diagnóstico por imagem , Adenocarcinoma Folicular/genética , Adulto , Carcinoma Papilar/diagnóstico por imagem , Carcinoma Papilar/genética , Feminino , Subunidades alfa Gs de Proteínas de Ligação ao GTP/genética , Humanos , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Cintilografia , Análise de Sequência de DNA , Neoplasias da Glândula Tireoide/diagnóstico por imagem , Neoplasias da Glândula Tireoide/patologia
14.
Eur J Clin Nutr ; 57 Suppl 2: S2-5, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14681706

RESUMO

There is paramount evidence to suggest the importance of cell volume changes for the regulation of cell function, including protein metabolism. Among many other effects, cell swelling inhibits proteolysis and stimulates protein synthesis. However, most of the data pertinent to this theory relate to in vitro experiments. This paper reviews the evidence about the relevance of cell swelling and changes in water compartments to regulation of metabolism at the whole body level in animals and humans. Protein metabolism is most likely regulated by cellular hydration in health and disease. Cellular hydration appears to bear no effect on energy metabolism. The relationship between cellular hydration and lipolysis deserves to be verified. There appears to be a possible weak effect on glucose metabolism. Further studies are therefore necessary to challenge the cell swelling theory. If confirmed, strategies to modify cellular hydration could be used to improve metabolic orientations especially in the critically ill.


Assuntos
Água Corporal/fisiologia , Tamanho Celular , Proteínas/metabolismo , Animais , Água Corporal/metabolismo , Humanos , Equilíbrio Hidroeletrolítico
15.
Lipids ; 34(12): 1281-6, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10652987

RESUMO

This study examines the relationship between high density lipoprotein-3 (HDL-3) glycation and cholesteryl ester transfer mediated by cholesteryl ester transfer protein (CETP). HDL-3 were glycated with various glucose concentrations (0-200 mM) for 3 d at 37 degrees C with sodium cyanoborohydride as reducing agent and antioxidants. About 47% of the lysine residues were glycated in the presence of 200 mM glucose, resulting in an increase in the cholesterol ester (CE) transfer of about 30%. Apparent kinetic parameters [expressed as maximal transfer (appT(max)) and CE concentration at half of T(max)(appK(H))] of CETP activity with glycated HDL-3 showed conflicting and paradoxical data: an increase in CETP activity associated with a decrease of CETP affinity. These alterations were not due to a change in HDL-3 lipid and protein composition nor to a peroxidative process but were associated with an increase in HDL-3 electronegativity and a decrease of HDL-3 fluidity. This study suggests that glycation modifies the apolipoprotein's conformation and solvation which are major determinants of interfacial properties of HDL-3. These modifications in turn affect CETP reactivity.


Assuntos
Proteínas de Transporte/química , Glicoproteínas , Lipoproteínas HDL/química , Proteínas de Transporte/metabolismo , Proteínas de Transferência de Ésteres de Colesterol , Ésteres do Colesterol/metabolismo , Polarização de Fluorescência , Glucose/farmacologia , Glicosilação , Humanos , Cinética , Lipoproteínas HDL3 , Lisina/metabolismo , Fluidez de Membrana , Conformação Proteica , Eletricidade Estática
16.
Ann Endocrinol (Paris) ; 63(2 Pt 1): 135-9, 2002 Apr.
Artigo em Francês | MEDLINE | ID: mdl-11994677

RESUMO

Although the stimulating effect of thyroid hormones on energy metabolism has been recognized for more than a century, the relation between thyroid function and weight control and obesity remains unclear. We review here the effects of thyroid hormones, hyperthyroidism, and hypothyroidism on body composition and the parameters of energy metabolism.


Assuntos
Obesidade/fisiopatologia , Hormônios Tireóideos/fisiologia , Animais , Metabolismo Energético/fisiologia , Humanos
20.
Oncogene ; 27(15): 2228-36, 2008 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-17968324

RESUMO

Conventional histology failed to classify part of non-medullary thyroid lesions as either benign or malignant. The group of tumours of uncertain malignancy (T-UM) concerns either atypical follicular adenomas or the recently called 'tumours of uncertain malignant potential'. To refine this classification we analysed microarray data from 93 follicular thyroid tumours: 10 T-UM, 3 follicular carcinomas, 13 papillary thyroid carcinomas and 67 follicular adenomas, compared to 73 control thyroid tissue samples. The diagnosis potential of 16 selected genes was validated by real-time quantitative RT-PCR on 6 additional T-UM. The gene expression profiles in several groups were examined with reference to the mutational status of the RET/PTC, BRAF and RAS genes. A pathological score (histological and immunohistochemical) was estimate for each of the T-UM involved in the study. The correlation between the T-UM gene profiles and the pathological score allowed a separation of the samples in two groups of benign or malignant tumours. Our analysis confirms the heterogeneity of T-UM and highlighted the molecular similarities between some cases and true carcinomas. We demonstrated the ability of few marker genes to serve as diagnosis tools and the need of a T-UM pathological scoring.


Assuntos
Carcinoma/classificação , Carcinoma/genética , Perfilação da Expressão Gênica , Análise de Sequência com Séries de Oligonucleotídeos , Neoplasias da Glândula Tireoide/classificação , Neoplasias da Glândula Tireoide/genética , Carcinoma/diagnóstico , Carcinoma/patologia , Carcinoma Papilar/classificação , Carcinoma Papilar/genética , Análise por Conglomerados , Regulação Neoplásica da Expressão Gênica , Humanos , Estadiamento de Neoplasias , Neoplasias da Glândula Tireoide/diagnóstico , Neoplasias da Glândula Tireoide/patologia , Nódulo da Glândula Tireoide/classificação , Nódulo da Glândula Tireoide/diagnóstico , Nódulo da Glândula Tireoide/genética , Nódulo da Glândula Tireoide/patologia
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