Table 1.
Study | Port et al.; 2007 | Detours et al.; 2007 | Stein et al.; 2010 1 | Ugolin et al.; 2,3 | Ory et al.; 2011 3 | Boltze et al.; 2009 | |
Exposure | Post-Chernobyl | Post-Chernobyl | Post-Chernobyl | Post-Chernobyl | Post-radiotherapy | Post-Chernobyl | |
Radiation-induced | Tumor set | 11 PTC 6 | 12 PTC | 10 PTC | Learning set: 6 PTC | Learning set: 7 rPTC, 7rFTA | 86 PTC |
3 males, 8 females | 4 males, 8 females | Half male and half female | 3 males, 3 females | 4 males, 10 females | 40 males, 46 females | ||
Age at IR | / | 1b–16 years(M = 8.6 years) | 2 monthb–14 years (M = 6 years) | 10b–16 years (M = 12.7 years) | 3b–14 years (M = 8.6 years) | 3b–23 years (M = 11.8 years) | |
Age at diagnosis | 15b–22 years (M = 18 years) | 16b–33 years (M = 24 years) | 14b–28 years (M = 20 years) | 27b–33 years (M = 29.2 years) | 20b–56 years (M = 35.1 years) | 12b–28 years (M = 18.6 years) | |
Latency | Up to 15 years after 1986 | 15b–17 years (M = 16 years) | 14b–16 years (M = 13.6 years) | 16b–17 years (M = 16.5 years) | 11b–48 years (M = 26.5 years) | Up to 15 years after 1986 (mean = 6.8 years) | |
Dosimetry | 90% at 0.15-1Gy 4 | / | / | / | 12b–42.5 Gy (M = 14.1 Gy) | 90% at 0.15-1Gy 4 | |
Histology | PTC | 8 PTC, 3 FVPTC, 1 PTC | PTC | ? 7 | 7 FTA; 6 PTC; 1 FVPTC | PTC | |
Mutations | 2 PTC1; PTC3 6 | 5 BRAF; 5 PTC | 1 PTC; 1 PTC3 | 4 BRAF; 1 RET/PTC | 1 BRAF; 1 RAS | ||
Others | T2N0M0 to T4N1M1 | / | / | / | 5 with chemotherapy | ||
Sporadic | Tumor set | 41 PTC | 14 PTC 7 | 20 PTC from He et al. study 5 | Learning set: 7 PTC | Learning set: 7 sPTC, 7sFTA | 91 PTC |
19 males, 22 females | 5 males, 9 females | 8 males, 12 females | 4 males, 3 females | 5 males, 9 females | 49 males, 42 females | ||
Age at diagnosis | 15b–83years (M = 60 years) | 29b–68 years (M = 47 years) | 13b–65 years (M = 44.4 years) | 29b–38 years (M = 34.6 years) | 21b–63 years (M = 37.6 years) | 15b–83 years (M = 50.1 years) | |
Histology | PTC 6 | 9 PTC, 4 FVPTC, 1 tPTC | 14 PTC; 5 FVPTC; 1 HCC7 | / 7 | 7 FTA; 5 PTC; 2 FVPTC | PTC | |
Mutations | 5 PTC1 | 5/14 BRAF; 3/14 RET/PTC | / | 2 BRAF; 1 RET/PTC | 4 BRAF; 2 RAS, 1 PTC1, 1 PTC3 | ||
Others | T1N0-1M0 (n = 26) to T3N1M0 | / | / | None with chemotherapy | |||
Arrays | Human genome survey microarray V2.0 (Applied Biosystems) (33,000 probes) | Human 1 cDNA Microarray slides (Agilent Technologies). (19,000 probes) | Affymetrix U133A Array (20,000 probes) (Stein et al.) | Dataset retrieved from GEO (GSE3950) | Human 25K 50b–52mer oligo-microarrays (national genomic platform) | (Not relevant) | |
Hybridized with normal matched tissue | Affymetrix U133 Plus 2.0 Array (50,000 probes) (He et al.) Hybridized with normal matched tissue | Hybridized with an internal reference (pool of normal thyroid tissues) | |||||
Analysis | Identified 1300 genes up- or downregulated at least fivefold (pool of 10 rPTC vs. pool of 10 sPTC) | (1) Several methods applied for tumor classification | Compared two sets of deregulated genes obtained separately: (1) post-Chernobyl PTC vs. normal tissues and; (2) sporadic PTC vs. normal tissues | 106 genes discriminating signature identified by applying the EMts_PCA on the learning/training set | 322-gene discriminating signature identified by applying the EMts_PCA to the learning/training set | Identification of protein markers by MALDI-TOF mass spectrophotometry | |
Validation of 92 more deregulated genes in the full tumor series by RT-PCR | (2) Same methods applied for tumor classification by using a γ-irradiation vs. H2O2 lymphocyte response signature. | Retained the genes deregulated in post-Chernobyl PTC only | 651 deregulated genes identified | 1900 deregulated genes identified | 20 candidate protein markers analyzed by immunochemistry | ||
Results | 10 genes for complete separation of the groups (no validation on an independent tumor sets) | In both cases classification with error rate errors of 8 to 42% for sporadic tumors and 7 to 29% for post-Chernobyl tumors | Identified 177 deregulated genes unique to the radiation-induced tumors | Etiology prediction of the 13 remaining tumors using the 106 gene signature (1 unclassified, non misclassified) | Blind prediction of etiology of the 29 remaining tumors (tumors (13 rPTC or FTA; 16 sPTC FTA) (1 unclassified, 2 misclassified) | Combination of 6 of these markers separates the groups (no validation on an independent tumor sets) |
PTC: Papillary thyroid carcinoma; FVPTC: PTC, follicular variant, tPTC: PTC, trabecular variant; PTCs: PTC, solid variant; HCC: Hurthle cell carcinoma (HCC with follicular and papillary features); FTA: follicular thyroid adenoma; rPTC, rFTA: radiation-induced PTC; FTA; sPTC, sFTA: sporadic PTC; FTA; RAS: mutation in NRAS, HRAS or KRAS gene; BRAF: V600E BRAF mutation; PTC (unspecified), PTC1, PTC3: RET/PTC rearrangement; M: mean; 1 Transcriptome analysis was performed on 10 out 14 PTC tumors described in Stein et al. [32]. Clinical data are given for the full tumor set; 2 From Detours et al. [29]. For the analysis described in Ugolin et al. [34], 6 out of 12 post-Chernobyl PTCs and 7 out 14 sporadic PTCs of the tumor set described by Detours et al. [29], were used as a learning/training set for signature identification, the remaining tumors were used as testing set. Clinical data are given for the learning/training set; 3 Clinical data are given for the learning/training set; 4 Estimation from general dosimetry data; 5 From the He et al. study, 2005 (GSE3467); 6 No indication of the 10 tumors used for pool; 7 No indication of the precise histology by tumor.