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ATA Centennial Fireside Chat Expert Review Series: History of Graves' Disease Treatment 美国医学协会百年炉边谈话专家评论系列:格雷夫斯病的治疗史
Pub Date : 2023-03-01 DOI: 10.1089/ve.2023.0005
T. Davies, Dawn M. Elfenbein
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引用次数: 0
ATA Centennial Interview Series: History of Thyroid Autoimmunity ATA百年访谈系列:甲状腺自身免疫史
Pub Date : 2023-03-01 DOI: 10.1089/ve.2023.0003
G. Brent, S. McLachlan, B. Rapoport
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引用次数: 0
A Case Report of Poor Response to Selpercatinib in the Presence of a 632_633 RET Deletion 632_633 RET缺失对Selpercatinib不良反应1例报告
Pub Date : 2023-03-01 DOI: 10.1089/ve.2022.0048
Ayanthi Wijewardene, Karine Bastard, Bin Wang, Matti Gild, Catherine Luxford, Anthony Gill, Bruce Robinson, Martyn Bullock, Roderick Clifton-Bligh
Background: Genomic deletions in medullary thyroid cancer (MTC) are rare. Selpercatinib is a highly selective rearranged during transfection (RET) inhibitor for treatment of metastatic RET-altered MTC.1 We report the case of a 35-year-old man with an aggressive metastatic MTC harboring p.632_633del RET that was poorly responsive to RET kinase inhibitor selpercatinib. Objective: Our objective was to understand the clinical phenotype of p.632_633del RET in MTC in context of novel RET kinase inhibitor treatment. Methods: Wild-type and p.632_633del RET sequences were modeled using a lighter version of the AlphaFold2 (AF2) software. Functional studies were performed on transfected HEK 293 cells (pCMV6-Entry, pCMV6-RET or pCMV6-RET(p.632_633del)) treated with inhibitors for 24 hours and analyzed on luciferase assays. Results: Structural modeling revealed a paucity of disulfide bridge between Cys630-Cys634 in p.632_633del RET sequences, apparent in wild type, whereas forming an intermolecular disulfide bridge between two Cys656. Proximity of juxtamembrane segments of each dimer may impede Tyr687 phosphorylation and stable conformation of intracellular RET that hosts selpercatinib. In vitro experiments confirmed a reduction in efficacy of selpercatinib upon p.632_633del RET compared with wild-type RET control. Conclusion: Clinical presentation together with structural modeling and functional studies suggest p.632_633del RET results in poor response to selpercatinib. No competing financial interests exist. No funding was received for this article. Runtime of video: 10 mins 1 secs This article has been accepted to the journal “Thyroid” in November 2022.
背景:基因缺失在甲状腺髓样癌(MTC)中是罕见的。Selpercatinib是一种高度选择性的转染期间重排(RET)抑制剂,用于治疗转移性RET改变的MTC.1我们报告了一名35岁男性患有侵袭性转移性MTC的病例,该MTC含有p.632_633del RET,对RET激酶抑制剂Selpercatinib反应不良。目的:我们的目的是在新的RET激酶抑制剂治疗的背景下了解MTC中p.632_633del RET的临床表型。方法:使用较轻版本的AlphaFold2 (AF2)软件对野生型和p.632_633del RET序列进行建模。用抑制剂处理转染的HEK 293细胞(pCMV6-Entry, pCMV6-RET或pCMV6-RET(p.632_633del)) 24小时进行功能研究,并进行荧光素酶测定。结果:结构模型显示,在p.632_633del RET序列中,Cys630-Cys634之间缺乏二硫桥,在野生型中很明显,而在两个Cys656之间形成了分子间二硫桥。每个二聚体近膜段的接近可能会阻碍Tyr687磷酸化和细胞内RET的稳定构象。体外实验证实,与野生型RET对照相比,selpercatinib对p.632_633del RET的疗效降低。结论:临床表现、结构建模和功能研究表明,p.632_633del RET导致对selpercatinib的不良反应。不存在相互竞争的经济利益。本文未收到任何资助。本文已于2022年11月被《甲状腺》杂志录用。
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引用次数: 0
Selective Left Neck Dissection for Lymph Node Metastases from Papillary Thyroid Cancer 癌症乳头状癌淋巴结转移的选择性左颈切除术
Pub Date : 2022-12-01 DOI: 10.1089/ve.2022.0026
Luca Pennacchi, Francesco Cammarata, G. Montecamozzo, P. Danelli
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引用次数: 0
Parathyroid Autofluorescence During Thyroid Surgery: Utility and Limitations 甲状旁腺自身荧光在甲状腺手术:效用和局限性
Pub Date : 2022-12-01 DOI: 10.1089/ve.2022.0032
Julian Martinez, M. Zafereo
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引用次数: 0
Transoral Endoscopic Vestibular Approach Sistrunk Procedure: Surgery Video 经口腔内窥镜前庭入路西斯干手术:手术视频
Pub Date : 2022-12-01 DOI: 10.1089/ve.2022.0030
M. Nakai, Lucas Ribeiro Tenório, M. B. Menezes, Jonathan O. Russell, A. Gonçalves
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引用次数: 0
Laparoscopic Left Adrenalectomy After a Partial Nephrectomy 肾部分切除术后腹腔镜左肾上腺切除术
Pub Date : 2022-12-01 DOI: 10.1089/ve.2022.0020
Tamanie Yeager, David Steinmetz, Aida Taye
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引用次数: 0
A Brief Summary: The 2022 Clinical Year in Thyroidology 综述:甲状腺学2022临床年
Pub Date : 2022-12-01 DOI: 10.1089/ve.2022.0042
A. Leung
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引用次数: 0
The Year in Surgical Thyroidology 外科甲状腺病学年度
Pub Date : 2022-12-01 DOI: 10.1089/ve.2022.0046
K. Patel
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引用次数: 2
Radiofrequency Ablation Is a Thyroid Sparing Treatment Option for Primary Hyperparathyroidism Caused by an Intrathyroidal Parathyroid Adenoma 射频消融是甲状腺内甲状旁腺腺瘤引起的原发性甲状旁腺功能亢进的备用治疗方案
Pub Date : 2022-10-21 DOI: 10.1089/ve.2022.0034
Jules Aljammal, I. Orozco, Sheharyar Raashid, Shahzad Ahmad
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引用次数: 0
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VideoEndocrinology
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