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. 2021 Apr 28;11:593479. doi: 10.3389/fonc.2021.593479

Table 3.

Novel therapies for different types of thyroid cancer.

Type of thyroid cancer Molecular mechanism Therapy Reference
Papillary thyroid cancer ERα was positively correlated with Ki-67, while ERβ1 was negatively correlated with mutant P53. Therapeutic approaches to PTC with ERα-specific antagonists or ERβ1-specific agonists. (4)
Papillary thyroid carcinoma Bisphenol A (BPA) or 17-β estrogen (E2) could quickly phosphorylate AKT/mTOR. ICI and G-15 may have the potential to be used as anti-thyroid cancer agents. (22)
Papillary thyroid cancer and anaplastic thyroid cancer The enhancement of ERβ by its agonists or the activation of PPARγ by its ligands induces apoptosis. The cross-talk between ER and PPARγ can provide a new therapeutic strategy against thyroid cancer. (17)
Follicular thyroid cancer Estrogens can activate PI3K pathway and control p27 levels through Skp2. Circulating estrogens are directly responsible for the increased female susceptibility. (33)
Anaplastic thyroid cancer ERRγ inverses agonists enhances the NIS-mediated radioiodine uptake in cells with either KRAS or BRAF mutation Discovery of ERRγ inverse agonists to facilitate radioiodine therapy in vitro. (34)
Papillary thyroid cancer and follicular thyroid cancer Estrogen can induce a proangiogenic endothelial cell phenotype through ER and VEGF signaling. The effect of antiestrogenic therapy targeting tumor angiogenesis can be enhanced through VEGF inhibition. (11)
Papillary thyroid cancer. Autophagy induced by estrogen/ERα is associated with generation of ROS, activation of ERK1/2. Drugs that inhibit autophagy are available for use in the clinic, including CQ and its derivative hydroxychloroquine. (28)
Papillary thyroid cancer and follicular thyroid cancer Estrogen contributes to angiogenesis of estrogen responsive thyroid cancer. Fulvestrant and DIM, inhibit VEGF secretion, which can be used as a part of therapeutic regimen (35)