The importance of sodium/iodide symporter (NIS) for thyroid cancer management
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The thyroid gland has the ability to uptake and concentrate iodide, which is a fundamental step in thyroid hormone biosynthesis. Radioiodine has been used as a diagnostic and therapeutic tool for several years. However, the studies related to the mechanisms of iodide transport were only possible after the cloning of the gene that encodes the sodium/iodide symporter (NIS). The studies about the regulation of NIS expression and the possibility of gene therapy with the aim of transferring NIS gene to cells that normally do not express the symporter have also become possible. In the majority of hypofunctioning thyroid nodules, both benign and malignant, NIS gene expression is maintained, but NIS protein is retained in the intracellular compartment. The expression of NIS in non-thyroid tumoral cells in vivo has been possible through the transfer of NIS gene under the control of tissue-specific promoters. Apart from its therapeutic use, NIS has also been used for the localization of metastases by scintigraphy or PET-scan with 124I. In conclusion, NIS gene cloning led to an important development in the field of thyroid pathophysiology, and has also been fundamental to extend the use of radioiodine for the management of non-thyroid tumors.
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Iodide uptake is a fundamental step in thyroid hormone biosynthesis, and TPO is a key enzyme in thyroid hormone biosynthesis.
“Iodide uptake is a fundamental step in thyroid hormone biosynthesis, and TPO is a key enzyme in thyroid hormone biosynthesis (Dai et al. 1996, Carvalho & Ferreira 2007); therefore, the decreased thyroid hormone levels appear to be secondary to the decreased NIS function and TPO activity.”
From Administration of 3,5-diiodothyronine (3,5-T2) causes central hypothyroidism and stimulates thyroid-sensitive tissues (2014) · cites this paper as Carvalho & Ferreira 2007
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- Authors
- Carvalho, D. P., & Ferreira, A. C. F.
- Affiliations
- Universidade Federal do Rio de Janeiro (BR)
- Venue
- Arquivos Brasileiros de Endocrinologia & Metabologia
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2007-07
- Volume
- 51
- Issue
- 5
- Pages
- 672-682
- ISSN
- 0004-2730 (ISSN-L)
- OpenAlex
- W2125096478
- Cited by
- 53
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 4
- FWCI
- 0.29
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Arquivos Brasileiros de Endocrinologia & Metabologia (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiopharmaceutical Chemistry and Applications
- Keywords
- sodium iodide symporter, thyroid cancer, radioiodine therapy, iodide transport, NIS gene expression, metastasis localization, thyroid nodules
- MeSH terms
- Sodium-Iodide Symporters, Biological Transport, Carcinoma, Papillary, Cloning, Molecular, Humans, Iodides, Iodine, Iodine Radioisotopes, Thyroid Neoplasms, Thyrotropin, Genetic Therapy, Down-Regulation, Gene Expression, Gene Transfer Techniques, Adenocarcinoma, Follicular, Symporters
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