Evidence mapPaperPMID 42289641Full record

ArticleCancer medicine2026

TTK Overexpression: A Negative Prognostic Biomarker in Anaplastic Thyroid Carcinoma.

Yan Guo, Zhidong Sun, Xiao Liu, Xianni Liu, Haiwen Chen, Menglan Zhang, Weibo Mao, Yuan Cao

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Article in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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8 authors.

Yan GuoDepartment of Pathology, Qinghai Provincial People's Hospital, Xining City, Qinghai Province, China.ORCID https://orcid.org/0000-0002-6303-5724
Zhidong SunMedical Service Department, The 960th Hospital of PLA, Jinan, Shandong, China.ORCID https://orcid.org/0009-0003-0465-9013
Xiao LiuDepartment of Basic Medical Sciences, The 960th Hospital of PLA, Jinan, Shandong, China.ORCID https://orcid.org/0000-0001-8174-4738
Xianni LiuDepartment of Pathology, Qinghai Provincial People's Hospital, Xining City, Qinghai Province, China.
Haiwen ChenDepartment of Pathology, Qinghai Provincial People's Hospital, Xining City, Qinghai Province, China.
Menglan ZhangDepartment of Pathology, Qinghai Provincial People's Hospital, Xining City, Qinghai Province, China.
Weibo MaoDepartment of Pathology, Lishui Municipal Central Hospital, Lishui City, Zhejiang Province, China.
Yuan CaoDepartment of Basic Medical Sciences, The 960th Hospital of PLA, Jinan, Shandong, China.ORCID https://orcid.org/0000-0002-2681-8711

Funding

Natural Science Foundation of Shandong Province ZR2023MH370Qinghai Provincial Health Commission Guidance Program 2025-wjzdx-24
6 · The paper itself

Abstract

backgroundGiven threonine and tyrosine kinase (TTK)'s oncogenic role in various cancers and its understudied status in thyroid cancer, this study investigates TTK expression in thyroid lesions to assess its diagnostic and therapeutic potential.

methodsWe analyzed differential TTK expression levels using public datasets (n = 143) and clinical samples (n = 91) across various thyroid lesions. Prognostic predictions based on TTK expression were conducted using a 2 × 2 contingency table, receiver operating characteristic curve (ROC), and Kaplan-Meier survival analysis.

resultsTTK expression levels increased with the malignancy grade of thyroid lesions. In highly malignant anaplastic thyroid carcinoma (ATC) tissue, both TTK mRNA (p = 0.003) and protein levels (p = 0.000) were significantly higher than those in less malignant papillary thyroid carcinoma (PTC). TTK protein expression showed excellent discrimination between benign and malignant thyroid lesions (AUC = 0.983-0.999, p = 0.000). Notably, ATC patients with high TTK protein expression had significantly lower overall survival rates compared to those with low expression, effectively predicting prognosis (AUC = 0.833, p = 0.046).

conclusionTTK expression is markedly upregulated in highly malignant ATC tissues compared to benign lesions and PTC. The protein level of TTK emerges as a valuable diagnostic marker for distinguishing between benign and malignant thyroid conditions and serves as a crucial prognostic indicator for ATC. Further exploration and validation of its application in clinical practice are warranted.

Indexed as

Biomarkers, TumorCell Cycle ProteinsProtein Serine-Threonine KinasesProtein-Tyrosine KinasesThyroid Carcinoma, AnaplasticThyroid NeoplasmsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisROC CurveBiomarkers, TumorCell Cycle ProteinsProtein Serine-Threonine KinasesProtein-Tyrosine KinasesTTK protein, humananaplastic thyroid carcinomaimmunohistochemical stainingprognosisthreonine and tyrosine kinasethyroid cancer

Identifiers

PMID42289641
PMCPMC13265390

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