TY - JOUR A1 - Bojunga, Jörg A1 - Röddiger, Sandra Johanna A1 - Stanisch, Michael A1 - Kusterer, Klaus A1 - Kurek, Ralf A1 - Renneberg, Heiner A1 - Adams, Stefan A1 - Lindhorst, Elmar A1 - Usadel, Klaus-Henning A1 - Schumm-Draeger, Petra-Maria T1 - Molecular detection of thyroglobulin mRNA transcripts in peripheral blood of patients with thyroid disease by RT-PCR T2 - British journal of cancer N2 - The sensitive detection of circulating tumour cells in patients with differentiated thyroid cancer may precede the detection of relapse by other diagnostic studies – such as serum thyroglobulin – and thus may have important therapeutic and prognostic implications. We performed reverse transcription-polymerase chain reaction (RT-PCR) on blood samples from patients diagnosed with thyroid disease using two different RT-PCR sensitivities. Additionally, tissue specificity of TG mRNA-expression was determined using RNA extracts from 27 different human tissues. The lower limit of detection was 50–100 TG mRNA producing cells/ml blood using a ‘normal’ RT-PCR sensitivity and 10–20 cells/ml blood using a ‘high’ sensitivity. With the normal sensitivity TG mRNA was detected in 9/13 patients with thyroid cancer and metastasis, 63/137 patients with a history of thyroid cancer and no metastasis, 21/85 with non-malignant thyroid disease and 9/50 controls. With the high sensitivity TG mRNA was detected in 11/13 patients with thyroid cancer and metastasis, 111/137 patients with a history of thyroid cancer and no metastasis, 61/85 with non-malignant thyroid disease and 41/50 controls. Interestingly, using the normal RT-PCR sensitivity TG mRNA transcripts are specific for thyroid tissue and detectable in the peripheral blood of controls and patients with thyroid disease, which correlates with a diagnosis of metastasized thyroid cancer. However, with a high RT-PCR sensitivity, TG mRNA expression was found not to be specific for thyroid tissue and was not correlated with a diagnosis of thyroid cancer in patients. As a consequence, to date TG mRNA detected by RT-PCR in the peripheral blood cannot be recommended as a tumour marker superior to TG serum-level. KW - polymerase chain reaction KW - reverse transcription KW - thyroid cancer KW - thyroglobulin mRNA KW - molecular diagnostics Y1 - 2000 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45763 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-457632 SN - 1532-1827 SN - 0007-0920 N1 - From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/ VL - 82 IS - 10 SP - 1650 EP - 1655 PB - Churchill Livingstone CY - Edinburgh ER -