Source:http://linkedlifedata.com/resource/pubmed/id/15968271
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2005-6-21
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pubmed:abstractText |
Papillary thyroid carcinoma may encompass a mixed group of neoplasms where divergence in clinical behavior may reflect distinct genetic alterations. For example, young patients with papillary thyroid carcinoma have a better prognosis than affected adults, and their carcinomas are much more likely to harbor chromosomal rearrangements involving the RET proto-oncogene. Mutational activation of the BRAF oncogene has recently been identified as the most common genetic alteration in papillary thyroid carcinoma, but little is known about its frequency as a function of patient age. We tested 20 papillary thyroid carcinomas from young patients ranging from 10 to 17 years of age for the thymine (T) --> adenine (A) missense mutation at nucleotide 1796 in the BRAF gene using a newly developed assay that employs a novel primer extension method (Mutector assay). The prevalence of BRAF mutation was compared with a larger group of papillary thyroid carcinomas from previously tested adult patients (>20 years). BRAF mutations were not common in papillary thyroid carcinomas from young patients compared to their counterparts in adults (20 vs 77%; OR=13.3, 95% confidence interval (CI)=3.4-56.5; P<0.0001), but they become increasingly prevalent with advancing patient age (OR as a function of age at 10-year intervals=1.80 CI=1.33-2.44; P<0.001). Unlike papillary thyroid carcinomas that arise in adults, mutational activation of BRAF is not a major genetic alteration in papillary thyroid carcinomas that arise in young patients. The increasing frequency of BRAF mutations as a function of age could help account for the well documented but poorly understood observation that age is a relevant prognostic indicator for patients with papillary thyroid carcinoma.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0893-3952
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
898-902
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:15968271-Adolescent,
pubmed-meshheading:15968271-Adult,
pubmed-meshheading:15968271-Age Factors,
pubmed-meshheading:15968271-Carcinoma, Papillary,
pubmed-meshheading:15968271-Cell Line, Tumor,
pubmed-meshheading:15968271-Child,
pubmed-meshheading:15968271-DNA Mutational Analysis,
pubmed-meshheading:15968271-Humans,
pubmed-meshheading:15968271-Middle Aged,
pubmed-meshheading:15968271-Mutation,
pubmed-meshheading:15968271-Mutation, Missense,
pubmed-meshheading:15968271-Proto-Oncogene Proteins B-raf,
pubmed-meshheading:15968271-Thyroid Neoplasms
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pubmed:year |
2005
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pubmed:articleTitle |
Mutational activation of BRAF is not a major event in sporadic childhood papillary thyroid carcinoma.
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pubmed:affiliation |
Department of Oncology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study
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