Abstract. Thyroid cancer is a common endocrine malignancy. The last decade has seen exciting progress in understanding thyroid cancer molecular pathogenesis. Several major signaling pathways and related molecular derangements have been elucidated, which represent novel diagnostic and prognostic molecular markers for thyroid cancer. Based on the molecular biology of thyroid cancer, a series of therapeutic targets have been developed, which provide unprecedented opportunities. Thus, histological characterization of subgroups of patients and the correct molecular characterization of patients are thought to be key aspects for future clinical management of these patients. In the present study, we identified Slit2 as a prognostic marker for thyroid cancer oncogenesis and recurrence. Mechanistically, Slit2 regulated Warburg effect in thyroid cancer cells through regulation of HIF1α and HIF1α transcriptional activity. Taken together, our present data uncovered Slit2 as a novel predictive marker for thyroid cancer. The mechanism study indicated that Slit2 regulated the Warburg effect. Additional study on the function of Slit2 in thyroid cancer is required to provide new insights into the potential mechanisms of oncogenesis and recurrence potential of thyroid cancer.
IntroductionThyroid carcinoma is an endocrine-related malignancy. Among thyroid carcinoma, papillary thyroid cancer (PTC) is the most common type and account for 80-90% of total thyroid carcinoma cases (1,2). Although the clinical prognosis for the majority of cases is satisfactory, 14% demonstrate early recurrence and some present severe invasion, multiple lymph node metastasis and distant metastasis (3-5). Currently the progress in identification of biological markers that are useful for the diagnosis and prognosis analysis of PTC is slow (6). Thus, the correct molecular characterization and identification of patients with thyroid cancer is thought to be a key aspect for future study.Slit refers to a family of related genes which encode a corresponding set of secreted proteins, also collectively referred to as Slit (7). The classical function of Slit in proteins is to act as midline repellents, preventing the crossing of longitudinal axons through the midline of the central nervous system of most bilaterian animal species. It also prevents the recrossing of commissural axons (8). Its canonical receptor is ROBO, and Slit/ROBO signaling is important in pioneer axon guidance (9-11). In recent years, the role of Slit family proteins in cancer has received much attention due to their role in controlling cell migration, abnormalities or absence in the expression in Slit proteins are associated with a variety of cancers (12-14). Our previous study identified Slit2 as a diagnosis and prognosis marker in gastric cancer. Mechanistically, it participates in gastric cancer oncogenesis and metastasis through regulating the AKT/β-catenin pathway (15,16).To the best of our knowledge, the expression pattern of Slit2 and its correlation with clinicpathological parameters of...