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                  <mods:namePart>Comunidad de Madrid (España)</mods:namePart>
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                  <mods:namePart>Fundación La Caixa</mods:namePart>
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                  <mods:namePart>Banco Santander</mods:namePart>
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                  <mods:namePart>Asociación Española Contra el Cáncer</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2024-10-25T10:42:26Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2022-08</mods:dateIssued>
               </mods:originInfo>
               <mods:identifier type="citation">Clin Transl Med  . 2022 Aug;12(8):e1001.</mods:identifier>
               <mods:identifier type="journal">Clinical and Translational Medicine</mods:identifier>
               <mods:identifier type="pubmedID">35979662</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/25298</mods:identifier>
               <mods:abstract>Comprehensive molecular studies on tumours are needed to delineate immortalization process steps and identify sensitive prognostic biomarkers in thyroid cancer.In this study, we extensively characterize telomere-related alterations in a series of 106 thyroid tumours with heterogeneous clinical outcomes. Using a custom-designed RNA-seq panel, we identified five telomerase holoenzyme-complex genes upregulated in clinically aggressive tumours compared to tumours from long-term disease-free patients, being TERT and TERC denoted as independent prognostic markers by multivariate regression model analysis. Characterization of alterations related to TERT re-expression revealed that promoter mutations, methylation and/or copy gains exclusively co-occurred in clinically aggressive tumours. Quantitative-FISH (fluorescence in situ hybridization) analysis of telomere lengths showed a significant shortening in these carcinomas, which matched with a high proliferative rate measured by Ki-67 immunohistochemistry. RNA-seq data analysis indicated that short-telomere tumours exhibit an increased transcriptional activity in the 5-Mb-subtelomeric regions, site of several telomerase-complex genes. Gene upregulation enrichment was significant for specific chromosome-ends such as the 5p, where TERT is located. Co-FISH analysis of 5p-end and TERT loci showed a more relaxed chromatin configuration in short telomere-length tumours compared to normal telomere-length tumours.Overall, our findings support that telomere shortening leads to a 5p subtelomeric region reorganization, facilitating the transcription and accumulation of alterations at TERT-locus.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:accessCondition type="useAndReproduction"/>
               <mods:subject>
                  <mods:topic>5p-end FISH</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>TERC</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>TERT promoter methylation</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>TERT promoter mutation</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>subtelomeric gene expression</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>telomere shortening</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Comprehensive molecular analysis of immortalization hallmarks in thyroid cancer reveals new prognostic markers.</mods:title>
               </mods:titleInfo>
               <mods:genre>research article</mods:genre>
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