Association between Circulating Fibroblast Growth Factor 21 and Aggressiveness in Thyroid Cancer

Fibroblast growth factor 21 (FGF21) plays important roles in regulating glucose, lipid, and energy metabolism; however, its effects in tumors remain poorly understood. To understand the role of FGF21 in regulating tumor aggressiveness in thyroid cancer, serum levels of FGF21 were measured in healthy...

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Published inCancers Vol. 11; no. 8; p. 1154
Main Authors Kang, Yea Eun, Kim, Jung Tae, Lim, Mi Ae, Oh, Chan, Liu, Lihua, Jung, Seung-Nam, Won, Ho-Ryun, Lee, Kyungmin, Chang, Jae Won, Yi, Hyon-Seung, Kim, Hyun Jin, Ku, Bon Jeong, Shong, Minho, Koo, Bon Seok
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Abstract Fibroblast growth factor 21 (FGF21) plays important roles in regulating glucose, lipid, and energy metabolism; however, its effects in tumors remain poorly understood. To understand the role of FGF21 in regulating tumor aggressiveness in thyroid cancer, serum levels of FGF21 were measured in healthy subjects and patients with papillary thyroid cancer (PTC), and expression levels of FGF21, FGF receptors (FGFRs), and β-klotho (KLB) were investigated in human thyroid tissues. The cell viability, migrating cells, and invading cells were measured in PTC cells after treatment with recombinant FGF21. Higher serum levels of FGF21 were found in patients with thyroid cancer than in control participants, and were significantly associated with body mass index (BMI), fasting glucose levels, triglyceride levels, tumor stage, lymphovascular invasion, and recurrence. Serum FGF21 levels were positively correlated with the BMI in patients with PTC, and significantly associated with recurrence. Recombinant FGF21 led to tumor aggressiveness via activation of the FGFR signaling axis and epithelial-to-mesenchymal transition (EMT) signaling in PTC cells, and AZD4547, an FGFR tyrosine kinase inhibitor, attenuated the effects of FGF21. Hence, FGF21 may be a new biomarker for predicting tumor progression, and targeting FGFR may be a novel therapy for the treatment of obese patients with PTC.
AbstractList Fibroblast growth factor 21 (FGF21) plays important roles in regulating glucose, lipid, and energy metabolism; however, its effects in tumors remain poorly understood. To understand the role of FGF21 in regulating tumor aggressiveness in thyroid cancer, serum levels of FGF21 were measured in healthy subjects and patients with papillary thyroid cancer (PTC), and expression levels of FGF21, FGF receptors (FGFRs), and β-klotho (KLB) were investigated in human thyroid tissues. The cell viability, migrating cells, and invading cells were measured in PTC cells after treatment with recombinant FGF21. Higher serum levels of FGF21 were found in patients with thyroid cancer than in control participants, and were significantly associated with body mass index (BMI), fasting glucose levels, triglyceride levels, tumor stage, lymphovascular invasion, and recurrence. Serum FGF21 levels were positively correlated with the BMI in patients with PTC, and significantly associated with recurrence. Recombinant FGF21 led to tumor aggressiveness via activation of the FGFR signaling axis and epithelial-to-mesenchymal transition (EMT) signaling in PTC cells, and AZD4547, an FGFR tyrosine kinase inhibitor, attenuated the effects of FGF21. Hence, FGF21 may be a new biomarker for predicting tumor progression, and targeting FGFR may be a novel therapy for the treatment of obese patients with PTC.
Fibroblast growth factor 21 (FGF21) plays important roles in regulating glucose, lipid, and energy metabolism; however, its effects in tumors remain poorly understood. To understand the role of FGF21 in regulating tumor aggressiveness in thyroid cancer, serum levels of FGF21 were measured in healthy subjects and patients with papillary thyroid cancer (PTC), and expression levels of FGF21, FGF receptors (FGFRs), and β-klotho (KLB) were investigated in human thyroid tissues. The cell viability, migrating cells, and invading cells were measured in PTC cells after treatment with recombinant FGF21. Higher serum levels of FGF21 were found in patients with thyroid cancer than in control participants, and were significantly associated with body mass index (BMI), fasting glucose levels, triglyceride levels, tumor stage, lymphovascular invasion, and recurrence. Serum FGF21 levels were positively correlated with the BMI in patients with PTC, and significantly associated with recurrence. Recombinant FGF21 led to tumor aggressiveness via activation of the FGFR signaling axis and epithelial-to-mesenchymal transition (EMT) signaling in PTC cells, and AZD4547, an FGFR tyrosine kinase inhibitor, attenuated the effects of FGF21. Hence, FGF21 may be a new biomarker for predicting tumor progression, and targeting FGFR may be a novel therapy for the treatment of obese patients with PTC.Fibroblast growth factor 21 (FGF21) plays important roles in regulating glucose, lipid, and energy metabolism; however, its effects in tumors remain poorly understood. To understand the role of FGF21 in regulating tumor aggressiveness in thyroid cancer, serum levels of FGF21 were measured in healthy subjects and patients with papillary thyroid cancer (PTC), and expression levels of FGF21, FGF receptors (FGFRs), and β-klotho (KLB) were investigated in human thyroid tissues. The cell viability, migrating cells, and invading cells were measured in PTC cells after treatment with recombinant FGF21. Higher serum levels of FGF21 were found in patients with thyroid cancer than in control participants, and were significantly associated with body mass index (BMI), fasting glucose levels, triglyceride levels, tumor stage, lymphovascular invasion, and recurrence. Serum FGF21 levels were positively correlated with the BMI in patients with PTC, and significantly associated with recurrence. Recombinant FGF21 led to tumor aggressiveness via activation of the FGFR signaling axis and epithelial-to-mesenchymal transition (EMT) signaling in PTC cells, and AZD4547, an FGFR tyrosine kinase inhibitor, attenuated the effects of FGF21. Hence, FGF21 may be a new biomarker for predicting tumor progression, and targeting FGFR may be a novel therapy for the treatment of obese patients with PTC.
Author Lee, Kyungmin
Oh, Chan
Kim, Hyun Jin
Kang, Yea Eun
Shong, Minho
Koo, Bon Seok
Yi, Hyon-Seung
Kim, Jung Tae
Jung, Seung-Nam
Ku, Bon Jeong
Won, Ho-Ryun
Chang, Jae Won
Lim, Mi Ae
Liu, Lihua
AuthorAffiliation 2 Department of Medical Science, College of Medicine, Chungnam National University, Daejeon 35015, Korea
3 Department of Otolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon 35015, Korea
1 Department of Endocrinology and Metabolism, Chungnam National University College of Medicine, Daejeon 35015, Korea
AuthorAffiliation_xml – name: 1 Department of Endocrinology and Metabolism, Chungnam National University College of Medicine, Daejeon 35015, Korea
– name: 3 Department of Otolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon 35015, Korea
– name: 2 Department of Medical Science, College of Medicine, Chungnam National University, Daejeon 35015, Korea
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  surname: Shong
  fullname: Shong, Minho
– sequence: 14
  givenname: Bon Seok
  orcidid: 0000-0002-5928-0006
  surname: Koo
  fullname: Koo, Bon Seok
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Keywords thyroid cancer
cell proliferation
metastasis
FGFR
obesity
FGF21
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These authors contributed equally to this work.
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Snippet Fibroblast growth factor 21 (FGF21) plays important roles in regulating glucose, lipid, and energy metabolism; however, its effects in tumors remain poorly...
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SubjectTerms Biomarkers
Body mass index
Cell viability
Cholesterol
Energy metabolism
Enzyme inhibitors
Fibroblast growth factor receptors
Fibroblasts
Glucose
Glucose metabolism
Growth factors
Homeostasis
Kinases
Klotho protein
Lipid metabolism
Liver diseases
Mesenchyme
Metabolism
Metastasis
Papillary thyroid cancer
Protein expression
Protein-tyrosine kinase
Serum levels
Thyroid cancer
Tumorigenesis
Tumors
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Title Association between Circulating Fibroblast Growth Factor 21 and Aggressiveness in Thyroid Cancer
URI https://www.ncbi.nlm.nih.gov/pubmed/31408968
https://www.proquest.com/docview/2547522090
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Volume 11
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