BRAF(V600E) mutation is highly prevalent in thyroid carcinomas in the young population in Fukushima: a different oncogenic profile from Chernobyl

Sci Rep. 2015 Nov 20:5:16976. doi: 10.1038/srep16976.

Abstract

After the accident at the Fukushima Daiichi Nuclear Power Plant, the thyroid ultrasound screening program for children aged 0-18 at the time of the accident was started from October 2011. The prevalence of thyroid carcinomas in that population has appeared to be very high (84 cases per 296,253). To clarify the pathogenesis, we investigated the presence of driver mutations in these tumours. 61 classic papillary thyroid carcinomas (PTCs), two follicular variant PTCs, four cribriform-morular variant PTCs and one poorly-differentiated thyroid carcinoma were analysed. We detected BRAF(V600E) in 43 cases (63.2%), RET/PTC1 in six (8.8%), RET/PTC3 in one (1.5%) and ETV6/NTRK3 in four (5.9%). Among classic and follicular variant PTCs, BRAF(V600E) was significantly associated with the smaller size. The genetic pattern was completely different from post-Chernobyl PTCs, suggesting non-radiogenic etiology of these cancers. This is the first study demonstrating the oncogene profile in the thyroid cancers discovered by large mass screening, which probably reflects genetic status of all sporadic and latent tumours in the young Japanese population. It is assumed that BRAF(V600E) may not confer growth advantage on paediatric PTCs, and many of these cases grow slowly, suggesting that additional factors may be important for tumour progression in paediatric PTCs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Carcinogenesis / radiation effects
  • Carcinoma, Papillary / diagnosis
  • Carcinoma, Papillary / epidemiology
  • Carcinoma, Papillary / genetics*
  • Chernobyl Nuclear Accident
  • Child
  • DNA Mutational Analysis / methods
  • Female
  • Fukushima Nuclear Accident
  • Gene Frequency
  • Genetic Testing / methods
  • Humans
  • Japan / epidemiology
  • Male
  • Mutation, Missense*
  • Prevalence
  • Proto-Oncogene Proteins B-raf / genetics*
  • Thyroid Gland / metabolism
  • Thyroid Gland / pathology
  • Thyroid Gland / radiation effects
  • Thyroid Neoplasms / diagnosis
  • Thyroid Neoplasms / epidemiology
  • Thyroid Neoplasms / genetics*
  • Young Adult

Substances

  • Proto-Oncogene Proteins B-raf