Evidence map›Paper›PMID 40600748›Full record

ArticleThe Journal of pathology2025

Involvement of KEAP1/NRF2 pathway in non-BRAF mutated squamous cell carcinoma of the thyroid.

Elin Schoultz, Jakob Dahlberg, Lisa M Nilsson, Jozefina J Dzanan, Therese Carlsson, Niklas Dahr, Ellinor Andersson, Ghayeb Muhammad, Andreas Muth, Erik Elias and 4 more

Abstract read
In one paragraph

Article in The Journal of pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Elin SchoultzSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Jakob DahlbergSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Lisa M NilssonSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Jozefina J DzananSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Therese CarlssonSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Niklas DahrDepartment of Clinical Genetics and Genomics, Sahlgrenska University Hospital, Göteborg, Sweden.
Ellinor AnderssonDepartment of Clinical Genetics and Genomics, Sahlgrenska University Hospital, Göteborg, Sweden.
Ghayeb MuhammadDepartment of Clinical Pathology, Sahlgrenska University Hospital, Göteborg, Sweden.
Andreas MuthDepartment of Surgery, Institute of Clinical Sciences, University of Gothenburg, Göteborg, Sweden.
Erik EliasSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Henrik FagmanSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Volkan I SayinSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Jonas A NilssonSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.
Mikael NilssonSahlgrenska Center for Cancer Research, University of Gothenburg, Göteborg, Sweden.ORCID 0000-0002-2009-3131

Funding

BohusfondenCancerfonden 18-652Cancerfonden 20-1278Cancerfonden 20-1279Cancerfonden 22-2426Göteborgs LäkaresällskapSahlgrenska University Hospitals Research FoundationsSjöbergstiftelsenStiftelsen Assar Gabrielssons FondSvenska Sällskapet för Medicinsk Forskning 2018; S18-034Vetenskapsrådet 2016-02360Vetenskapsrådet 2018-02318Vetenskapsrådet 2022-00971
6 · The paper itself

Abstract

Squamous cell carcinoma (SCC) of the thyroid is a rare tumor that is classified as an anaplastic thyroid cancer (ATC) due to its similar unresponsiveness to chemoradiotherapy and an outstandingly poor prognosis. Due to its rarity, current knowledge about this tumor is mostly based on single-case reports. The tumor-cell-origin and molecular pathogenesis remain unclear, although the presence of BRAF mutations in some cases suggest it may evolve from papillary thyroid carcinoma (PTC). Here we provide direct evidence of derivation of SCC of the thyroid from PTC, based on a unique combination of likely pathogenic mutations in KEAP1, STK11 (LKB1), and RB1 found in both tumor components, along with loss of one copy of chromosome 11 and additional somatic mutations in the SCC tumor. Transdifferentiation from PTC to SCC was also evident by immunohistochemistry. Out of eight attempted patient-derived xenografts (PDX) from advanced thyroid cancers, only one derived from thyroid SCC successfully engrafted in immunodeficient NOG mice. Untreated PDXs showed high Ki67 indices but did not reproduce the conspicuous stromal invasion of CDH1

Indexed as

Kelch-Like ECH-Associated Protein 1MutationNF-E2-Related Factor 2Thyroid Cancer, PapillaryThyroid Carcinoma, AnaplasticThyroid NeoplasmsAnimalsFemaleHumansMaleMiceSignal TransductionSquamous Cell Carcinoma of Head and NeckKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2ATCglutaminase inhibitionKEAP1NFE2L2NQO1NRF2PDXPTCSCCsquamous

Identifiers

PMID40600748
PMCPMC12256384

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.