Clinical Interest
Diagnostic surgical pathology of endocrine and genitourinary organs.
Research Interests
Our research laboratory is investigating the molecular mechanisms through which
gene rearrangements that encode abnormal fusion proteins promote cancer development
in epithelial cells (carcinoma). We are investigating the activities of
novel fusion proteins that we have cloned from human thyroid carcinoma tissues.
The fusion proteins are formed in vivo by rearrangement of the gene
encoding the nuclear receptor PPARg . PPARg is a transcription factor that
is regulated by hydrophobic ligands and it has been implicated in cell growth
control. Wild-type activities of PPARg and other cell signaling pathways
are disrupted by the PPARg fusion proteins. Ligands for PPARg include natural
fatty acid and arachidonic acid metabolites and synthetic thiazolidinediones
that are used currently in treatment of type 2 diabetes. PPARg also controls
aspects of adipogenesis, fatty acid storage, cholesterol efflux, insulin sensitization
and glucose uptake, indicating that PPARg is a multi-functional regulator of
metabolism, differentiation and cell proliferation.
Selected Publications
- Kroll TG, Sarraf P, Pecciarini L, Chen CJ, Mueller E, Spiegelman BM, Fletcher
JA. PAX8-PPARg1 fusion oncogene in human thyroid carcinoma [corrected] Science.
2000 Aug 25;289(5483):1357-60. Erratum in: Science 2000 Sep 1;289(5484):1474.
- Kroll TG. Molecular rearrangements and morphology in thyroid cancer. Am J
Pathol. 2002 Jun;160(6):1941-4.
- French CA, Alexander EK, Cibas ES, Nose V, Laguette J, Faquin W, Garber J,
Moore F Jr, Fletcher JA, Larsen PR, Kroll TG. Genetic and biological subgroups
of low-stage follicular thyroid cancer. Am J Pathol. 2003 Apr;162(4):1053-60.
- Nikiforova M, Lynch R, Biddinger P, Dorn G, Tallini G, Kroll T, and Nikiforov
Y. RAS Point Mutations and PAX8-PPARg Rearrangement in Thyroid Tumors: Evidence
for Distinct Molecular Pathways in the Development of Thyroid Follicular Carcinoma.
J Clin Endocrinol and Metab 2003, 88:2318-2326.
- Powell J, Wang X-LI, Allard B, Sahin M, Wang, X, Hay I, Hiddinga H, Deshpande
S, Kroll T, Grebe S, Eberhardt N, and McIver B. The PAX8-PPARg Fusion Oncoprotein
Transforms Immortalized Human Thyrocytes Through a Mechanism Probably Involving
Wild-type PPARg. Oncogene 2004, 23:3634-3641.
- Kroll T. Molecular events in follicular thyroid tumors. In: The molecular
basis of thyroid cancer. NR Farid (editor). KLuwer Academic Press, Boston,
2004 (in press).
View all publications