Abstract
Thyroid cancer (TC) is the most frequent endocrine tumor, and its incidence is increasing worldwide. Differentiated thyroid cancer (DTC) prognosis is excellent in the majority of cases, with a 10-year overall relative survival rates of about 90% for DTCs, but a few thyroid tumors are aggressive and refractory to conventional therapies.
There are several known risk factors for TC as previous exposure to ionizing radiation, but other unknown risk factors are still being investigated.
The increased incidence rates of TCs recorded over the last decades appear in parallel with the increased incidence in obesity and metabolic disorders, since interesting studies suggested an epidemiological link between TC and metabolic imbalance.
There are some epidemiological data to support that obesity is independently associated with an increased incidence of various solid tumors, including TC. Some hypotheses have been formulated to suggest potential mechanisms, implicating factors such as inflammation and adipokines, obesity, hyperinsulinemia and insulin resistance, but data are still scanty and controversial.
As currently metabolic disorders are becoming more prevalent in daily clinical activity, it is interesting to expand these studies to confirm the potential correlation between metabolic disorders and thyroid carcinoma.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Morris LG, Sikora AG, Tosteson TD, Davies L. The increasing incidence of thyroid cancer: the influence of access to care. Thyroid. 2013;23:885–91. https://doi.org/10.1089/thy.2013.0045.
Pellegriti G, Frasca F, Regalbuto C, Squatrito S, Vigneri R. Worldwide increasing incidence of thyroid cancer: update on epidemiology and risk factors. J Cancer Epidemiol. 2013;2013:965212.
Cancer Genome Atlas Research Network. Integrated genomic characterization of papillary thyroid carcinoma. Cell. 2014;159:676–90. https://doi.org/10.1016/j.cell.2014.09.050.
Fagin JA, Wells SA. Biologic and clinical perspectives on thyroid cancer. N Engl J Med. 2016;375:1054–67. https://doi.org/10.1056/NEJMra1501993.
Raue F, Frank-Raue K. Thyroid cancer: risk-stratified management and individualized therapy. Clin Cancer Res. 2016;22:5012–21.
Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, Pacini F, Randolph GW, Sawka AM, Schlumberger M, Schuff KG, Sherman SI, Sosa JA, Steward DL, Tuttle RM, Wartofsky L. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2016;26:1–133. https://doi.org/10.1089/thy.2015.0020.
Pacini F, Basolo F, Bellantone R, Boni G, Cannizzaro MA, De Palma M, Durante C, Elisei R, Fadda G, Frasoldati A, Fugazzola L, Guglielmi R, Lombardi CP, Miccoli P, Papini E, Pellegriti G, Pezzullo L, Pontecorvi A, Salvatori M, Seregni E, Vitti P. Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies. J Endocrinol Invest. 2018;41:849–76. https://doi.org/10.1007/s40618-018-0884-2.
Fugazzola L, Elisei R, Fuhrer D, Jarzab B, Leboulleux S, Newbold K, Smit J. 2019 European thyroid association guidelines for the treatment and follow-up of advanced radioiodine-refractory thyroid cancer. Eur Thyroid J. 2019;8:227–45. https://doi.org/10.1159/000502229.
Ma J, Huang M, Wang L, Ye W, Tong Y, Wang H. Obesity and risk of thyroid cancer: evidence from a meta-analysis of 21 observational studies. Med Sci Monit. 2015;21:283–91. https://doi.org/10.12659/MSM.892035.
Mijović T, How J, Pakdaman M, Rochon L, Gologan O, Hier MP, Black MJ, Young J, Tamilia M, Payne RJ. Body mass index in the evaluation of thyroid cancer risk. Thyroid. 2009;19:467–72. https://doi.org/10.1089/thy.2008.0386.
Pappa T, Alevizaki M. Obesity and thyroid cancer: a clinical update. Thyroid. 2014;24:190–9. https://doi.org/10.1089/thy.2013.0232.
Pazaitou-Panayiotou K, Polyzos SA, Mantzoros CS. Obesity and thyroid cancer: epidemiologic associations and underlying mechanisms. Obes Rev. 2013;14:1006–22. https://doi.org/10.1111/obr.12070.
Marcello MA, Cunha LL, Batista FA, Ward LS. Obesity and thyroid cancer. Endocr Relat Cancer. 2014;21:T255–71. https://doi.org/10.1530/ERC-14-0070.
Vella V, Malaguarnera R. The emerging role of insulin receptor isoforms in thyroid cancer: clinical implications and new perspectives. Int J Mol Sci. 2018;19:E3814. https://doi.org/10.3390/ijms19123814.
Arcidiacono B, Iiritano S, Nocera A, Possidente K, Nevolo MT, Ventura V, Foti D, Chiefari E, Brunetti A. Insulin resistance and cancer risk: an overview of the pathogenetic mechanisms. Exp Diabetes Res. 2012;2012:789174. https://doi.org/10.1155/2012/789174.
Unamuno X, Gómez-Ambrosi J, RodrÃguez A, Becerril S, Frühbeck G, Catalán V. Adipokine dysregulation and adipose tissue inflammation in human obesity. Eur J Clin Invest. 2018;48:e12997. https://doi.org/10.1111/eci.12997.
Celano M, Maggisano V, Lepore SM, Sponziello M, Pecce V, Verrienti A, Durante C, Maranghi M, Lucia P, Bulotta S, Damante G, Russo D. Expression of leptin receptor and effects of leptin on papillary thyroid carcinoma cells. Int J Endocrinol. 2019;2019:5031696. https://doi.org/10.1155/2019/5031696.
Cheng SP, Chi CW, Tzen CY, Yang TL, Lee JJ, Liu TP, Liu CL. Clinicopathologic significance of leptin and leptin receptor expressions in papillary thyroid carcinoma. Surgery. 2010;147:847–53. https://doi.org/10.1016/j.surg.2009.11.004.
Mele C, Samà MT, Bisoffi AA, Caputo M, Bullara V, Mai S, Walker GE, Prodam F, Marzullo P, Aimaretti G, Pagano L. Circulating adipokines and metabolic setting in differentiated thyroid cancer. Endocr Connect. 2019;8(7):997–1006. https://doi.org/10.1530/EC-19-0262.
Uddin S, Hussain AR, Siraj AK, Khan OS, Bavi PP, Al-Kuraya KS. Role of leptin and its receptors in the pathogenesis of thyroid cancer. Int J Clin Exp Pathol. 2011;4:637–43.
Uddin S, Bavi P, Siraj AK, Ahmed M, Al-Rasheed M, Hussain AR, Ahmed M, Amin T, Alzahrani A, Al-Dayel F, Abubaker J, Bu R, Al-Kuraya KS. Leptin-R and its association with PI3K/AKT signaling pathway in papillary thyroid carcinoma. Endocr Relat Cancer. 2010;17:191–202. https://doi.org/10.1677/ERC-09-0153.
De Leo S, Colombo C, Di Stefano M, Dubini A, Cozzi S, Persani L, Fugazzola L. Body composition and leptin/ghrelin levels during lenvatinib for thyroid cancer. Eur Thyroid J. 2019;9(1):1–10. https://doi.org/10.1159/000504048.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Colombo, C., Fugazzola, L. (2021). Adipokines and Thyroid Malignancies. In: Luzi, L. (eds) Thyroid, Obesity and Metabolism. Springer, Cham. https://doi.org/10.1007/978-3-030-80267-7_15
Download citation
DOI: https://doi.org/10.1007/978-3-030-80267-7_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-80266-0
Online ISBN: 978-3-030-80267-7
eBook Packages: MedicineMedicine (R0)