RESUMO
OBJECTIVE: The transcriptional repressor DREAM is involved in thyroid-specific gene expression, thyroid enlargement and nodular development, but its clinical utility is still uncertain. In this study we aimed to investigate whether DREAM mRNA levels differ in different thyroid tumors and how this possible difference would allow the use of DREAM gene expression as molecular marker for diagnostic and/or prognosis purpose. MATERIALS AND METHODS: We quantified DREAM gene mRNA levels and investigated its mutational status, relating its expression and genetic changes to diagnostic and prognostic features of 200 thyroid tumors, being 101 malignant [99 papillary thyroid carcinomas (PTC) and 2 anaplastic thyroid carcinomas] and 99 benign thyroid lesions [49 goiter and 50 follicular adenomas (FA)]. RESULTS: Levels of mRNA of DREAM gene were higher in benign (0.7909 ± 0.6274 AU) than in malignant (0.3373 ± 0.6274 AU) thyroid lesions (p < 0.0001). DREAM gene expression was able to identify malignancy with 66.7% sensitivity, 85.4% specificity, 84.2% positive predictive value (PPV), 68.7% negative predictive value (NPV), and 75.3% accuracy. DREAM mRNA levels were also useful distinguishing the follicular lesions FA and FVPTC with 70.2% sensitivity, 73.5% specificity, 78.5% PPV, 64.1% NPV, and 71.6% accuracy. However, DREAM gene expression was neither associated with clinical features of tumor aggressiveness, nor with recurrence or survival. Six different genetic changes in non-coding regions of DREAM gene were also found, not related to DREAM gene expression or tumor features. CONCLUSION: We suggest that DREAM gene expression may help diagnose thyroid nodules, identifying malignancy and characterizing follicular-patterned thyroid lesions; however, it is not useful as a prognostic marker.
Assuntos
Biomarcadores Tumorais/genética , Proteínas Interatuantes com Canais de Kv/genética , RNA Mensageiro/genética , Elementos Reguladores de Transcrição/genética , Proteínas Repressoras/genética , Neoplasias da Glândula Tireoide/diagnóstico , Biomarcadores Tumorais/metabolismo , Feminino , Humanos , Proteínas Interatuantes com Canais de Kv/metabolismo , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase em Tempo Real , Proteínas Repressoras/metabolismo , Sensibilidade e Especificidade , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/metabolismoRESUMO
ABSTRACT Objective The transcriptional repressor DREAM is involved in thyroid-specific gene expression, thyroid enlargement and nodular development, but its clinical utility is still uncertain. In this study we aimed to investigate whether DREAM mRNA levels differ in different thyroid tumors and how this possible difference would allow the use of DREAM gene expression as molecular marker for diagnostic and/or prognosis purpose. Materials and methods We quantified DREAM gene mRNA levels and investigated its mutational status, relating its expression and genetic changes to diagnostic and prognostic features of 200 thyroid tumors, being 101 malignant [99 papillary thyroid carcinomas (PTC) and 2 anaplastic thyroid carcinomas] and 99 benign thyroid lesions [49 goiter and 50 follicular adenomas (FA)]. Results Levels of mRNA of DREAM gene were higher in benign (0.7909 ± 0.6274 AU) than in malignant (0.3373 ± 0.6274 AU) thyroid lesions (p < 0.0001). DREAM gene expression was able to identify malignancy with 66.7% sensitivity, 85.4% specificity, 84.2% positive predictive value (PPV), 68.7% negative predictive value (NPV), and 75.3% accuracy. DREAM mRNA levels were also useful distinguishing the follicular lesions FA and FVPTC with 70.2% sensitivity, 73.5% specificity, 78.5% PPV, 64.1% NPV, and 71.6% accuracy. However, DREAM gene expression was neither associated with clinical features of tumor aggressiveness, nor with recurrence or survival. Six different genetic changes in non-coding regions of DREAM gene were also found, not related to DREAM gene expression or tumor features. Conclusion We suggest that DREAM gene expression may help diagnose thyroid nodules, identifying malignancy and characterizing follicular-patterned thyroid lesions; however, it is not useful as a prognostic marker.
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Proteínas Repressoras/genética , RNA Mensageiro/genética , Neoplasias da Glândula Tireoide/diagnóstico , Biomarcadores Tumorais/genética , Proteínas Interatuantes com Canais de Kv/genética , Elementos Reguladores de Transcrição/genética , Prognóstico , Proteínas Repressoras/metabolismo , RNA Mensageiro/metabolismo , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/metabolismo , Biomarcadores Tumorais/metabolismo , Sensibilidade e Especificidade , Proteínas Interatuantes com Canais de Kv/metabolismo , Reação em Cadeia da Polimerase em Tempo Real , Estadiamento de NeoplasiasRESUMO
Temporary and semi-permanent aquatic habitats in semi-arid Brazil have been reported as important sites supporting a diverse fish fauna. As such, they must be able to trophically sustain fish species that feed at different trophic levels. This study aims to describe the diets of Astyanax aff. bimaculatus, Hoplias malabaricus and Prochilodus brevis in aquatic systems in semi-arid Brazil, providing evidence of the importance of these habitats as supporters of large consumers like fish. The diet of the three species studied was diverse, feeding on a range of food items, from microalgae to fish. Despite that, a few items were more important to each of the study species. These results and the relatively high rates of stomach fullness indicate that a diverse and abundant food range is available in the study sites, but species seem to select some food resources. The present study provides evidence that despite being highly variable, intermittent and semi-permanent aquatic systems in semi-arid Brazil are able to trophically sustain large consumers.
Os ambientes aquáticos temporários e semi-permanentes do semiárido brasileiro tem sido mostrados como importantes sítios que possuem uma diversa fauna de peixes. Desta forma, esses ambientes devem ser capazes de sustentar, do ponto de vista trófico, populações de peixes que se alimentam em diversos níveis tróficos. O presente estudo tem como objetivo descrever o hábito alimentar de Astyanax aff. bimaculatus, Hoplias malabaricus e Prochilodus brevis em ambientes aquáticos do semiárido brasileiro, fornecendo evidências da importância desses habitats para manutenção da diversidade de consumidores como os peixes. A composição da dieta das espécies estudadas foi diversificada, já que alimentaram-se de uma variedade de classes de itens, desde microalgas até peixes. Apesar disso, alguns itens foram mais importantes para cada uma das três espécies. Estes resultados, e as altas taxas de repleção dos estômagos, indicam que um abundante e diverso conjunto de itens alimentares está disponível nos ambientes estudados, embora as espécies tendam a selecionar alguns itens em detrimento de outros. Este estudo fornece evidência de que, apesar de altamente variáveis, sistemas aquáticos intermitentes e semi-permanentes do semiárido brasileiro são capazes de sustentar, do ponto de vista trófico, consumidores de topo.
